Accountable for Health monitors federal legislation that impacts the accountable care landscape. Our tracker is updated on a regular basis.

NumberTitleTitleFirst NameLast NamePartyStateSummary
S. 4338Pay PCPs ActSen.SheldonWhitehouseDRIEstablishes hybrid Medicare payments for primary care providers to incentivize emergency visits, hospitalizations, excess specialist services, and other big cost drivers while improving health outcomes; reduces beneficiary cost sharing for certain primary care services; creates a new technical advisory committee to help CMS more accurately determine Fee Schedule rates.
H.R. 8404A bill to amend Title XVIII of the Social Security Act to create a Radiation Oncology Case Rate Value Based Payment Program exempt from budget neutrality adjustment requirements, and to amend section 1128A of title XI of the Social Security Act to create a new statutory exception for the provision of free or discounted transportation for radiation oncology patients to receive radiation therapy servicesRep.BrianFitzpatrickRPA
S. 4330A bill to amend Title XVIII of the Social Security Act to create a Radiation Oncology Case Rate Value Based Payment Program exempt from budget neutrality adjustment requirements, and to amend section 1128A of title XI of the Social Security Act to create a new statutory exception for the provision of free or discounted transportation for radiation oncology patients to receive radiation therapy servicesSen.ThomTillisRNC
H.R. 8261Preserving Telehealth, Hospital, and Ambulance Access ActRep.DavidSchweikertRAZExtends telehealth flexibilities under Medicare for two years and Acute Hospital Care at Home services for five years; extends expiring Medicare supports for rural and low-volume hospitals; extends expiring emergency ambulance service add-on payments for urban, rural, and super-rural areas.
H.R. 8260To amend title XVIII of the Social Security Act to extend acute hospital care at home waiver flexibilitiesRep.BradWenstrupROHExtends the Acute Hospital Care at Home program for five years and improves data collection requirements under the program.
S. 4078Ensuring Access to Specialty Care Everywhere (EASE) ActSen.MarkwayneMullinROKAuthorizes the CMS Innovation Center to enter into an agreement with a provider network comprised of nonprofit entities including federally qualified health centers (FQHCs), rural health clinics (RHCs), critical access hospitals (CAHs), or rural emergency hospitals (REHs), at least half of which are located in rural areas. Patients eligible for participation in this program must be located in rural and underserved areas and be enrolled in Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP).
S. 948Healthy Moms and Babies ActSen.ChuckGrassleyRIACoordinates whole-person care, supports outcome-focused and community-based prevention, and supports stillbirth prevention activities under Medicaid and CHIP; expands the maternal health workforce; establishes a demonstration program to expand telehealth services for pregnant and postpartum women under Medicaid; establishes an advisory group on birthing practices for health care professionals; requires a study on Medicaid coverage of doula services; and requires CMS to develop guidance on ways to address social determinants of health for pregnant and postpartum women and to reduce maternal mortality for Medicaid and CHIP beneficiaries.
S. 3939ACO Assignment Improvement ActSen.SheldonWhitehouseDRIRemoves the statutory requirement for patients to have at least one primary care visit with a physician during the year in order to be assigned to an ACO, allowing nurse practitioners, physician assistants, and other non-providers to contribute toward ACO assignments.
H.R. 7665ACO Assignment Improvement ActRep.DerekKilmerDWARemoves the statutory requirement for patients to have at least one primary care visit with a physician during the year in order to be assigned to an ACO, allowing nurse practitioners, physician assistants, and other non-providers to contribute toward ACO assignments.
S. ____To provide for the establishment of hybrid primary care payments under the Medicare program, and for other purposes (discussion draft)Sen.SheldonWhitehouseDRIEstablishes a hybrid primary care payment in Medicare, allows beneficiary cost sharing to be waived for primary care under a per-member per-month payment, and creates a technical advisory committee on relative value updates.
S. 3756At HOME Services Act of 2024Sen.MarcoRubioRFLEstablishes a pilot program to test coverage of outpatient observation services furnished outside a hospital under the Acute Hospital Care at Home initiative.
H.R. 7149Equal Access to Specialty Care Everywhere Act (EASE)Rep.MichelleSteelRCAUses existing CMMI funds to test a virtual specialty network dedicated to providing a range of virtual modalities including clinical decision support, eConsults, and telehealth in partnership with primary care providers in underserved and rural communities, including Federally Qualified Health Centers, Rural Health Clinics, and Community Health Clinics
H.R. 6732Strengthening Innovation in Medicare and Medicaid ActRep.AdrianSmithRNEEAdds testing parameters, procedural steps, and reporting requirements for models under CMMI; reasserts congressional authority to review model expansion
S. 3503Value in Health Care ActSen.SheldonWhitehouseDRIMakes changes to the program parameters of Medicare’s Alternative Payment Models (APMs) to incentivize participation in Accountable Care Organizations (ACO)
H.R. 6545Physician Fee Schedule Update and Improvements ActRep.MariannetteMiller-MeeksRIAExtends APM incentive payments through 2026 and establishes a tiered approach to reducing the payment after 2026, with a 34 percent reduction for those who have participated between 4 and 7 years and 67 percent for those who have participated for more than 7 years; changes the 1.25% the statutory for MPFS to 3%
H.R. 6369To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models.Rep.KimSchrierDWA
S. –Better Mental Health Care, Lower-Cost Drugs, and Extenders ActSen.RonWydenDORProvides a 1.25% increase to the Medicare Physician Fee Schedule (PFS); Extends the APM incentive payment at 1.75% for 2024; Requires analysis of mental health and substance use disorder clinical outcomes under Medicaid and CHIP integrated care models and payment methodologies and subsequent guidance to states on how to integrate this type of care with certain primary care under Medicaid and CHIP.
H.R. 6310To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models under the Medicare program.Rep.RaulRuizDCAExtends 3.5% APM incentive payments through 2027
H.R. 6296HCBS Relief Act of 2023Rep.DebbieDingellDMIProvides states with a 10-point increase in the federal match (FMAP) for Medicaid for two fiscal years to enhance HCBS
H.R. –(Discussion draft) To amend title XVIII of the Social Security Act to allow for the use of alternative measures of performance under the Merit-based Incentive Payment System under the Medicare program.Rep.LarryBuchsonRINAllows CMS to use certain alternative performance measures (e.g., those used to determine payments to inpatient and outpatient hospitals) to determine MIPS composite performance scores for one year; Update the MIPS “facility-based scoring” option for clinicians who perform at least half of their work in a hospital setting.
H.R. –“(Discussion draft) To amend title XVIII of the Social Security Act to exempt certain practitioners from MIPS payment adjustments under the Medicare program
based on participation in certain payment arrangements under Medicare
Advantage.
Rep.MariannetteMiller-MeeksRIAExempts practitioners from MIPS according to participation in certain payment arrangements under Medicare Advantage.
H.R. –(Discussion draft) To amend title XVIII of the Social Security Act to extend the Quality Payment Program-Small Practice, Underserved, and Rural Support programRep.MelanieStansburyDNMExtends the Quality Payment Program-Small Practice, Underserved, and Rural Support program
H.R. –(Discussion draft) Fewer Burdens for Better Care Act of 2023Rep.BlakeMooreRUTProvides for multi-stakeholder input on removal of quality and efficiency measures
H.R. –“Discussion draft) Provider Reimbursement Stability Act of 2023 Medicare programRep.NealDunnRFLProvides for certain adjustments to the physician fee schedule under the Medicare program
H.R. –(Discussion draft) To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment modelsRep.NealDunnRFLExtends incentive payments for APM participation and caps participation at 5 years
S. 2941A bill to amend title XVIII of the Social Security Act to provide coverage of preventative home visits under MedicareSen.AngusKingIMEProvides coverage of preventive home visits under Medicare
H.R. 5510To amend title XVIII of the Social Security Act to require coverage of 3 primary care visits without cost sharing each year under the Medicare programRep.AndreaSalinasDORRequires Medicare to cover three primary care visits per year without requiring cost sharing.
H.R. 5378Lower Costs, More Transparency ActRep.CathyMcMorris RodgersRWAFunds CHCs; supports training programs for new doctors; preserves Medicaid funding for hospitals treating low-income and uninsured patients; extends funding for diabetes research; Requires hospitals, insurance companies, labs, imaging providers, and ambulatory surgical centers to publicly list the prices they charge patients; Requires insurers and PBMs to disclose negotiated rebates and discounts; Reduces OOP costs for seniors receiving medication at hospital-owned outpatient facilities or doctors’ offices; expands access to affordable generics; provides employers with drug price information.
H.R. 5013Value in Health Care ActRep.DarinLaHoodRILMakes changes to the program parameters of Medicare’s Alternative Payment Models (APMs) to incentivize participation in Accountable Care Organizations (ACO).
S. 2186Improving Access to Transfusion Care for Hospice Patients Act of 2023Sen.JackyRosenDNVRequires the Center for Medicare and Medicaid Innovation to test allowing blood transfusions to be paid separately from the Medicare hospice all-inclusive per diem payment.
S. 2133Medically Tailored Home-Delivered Meals Demonstration ActSen.DebbieStabenowDMIEstablishes a Medically Tailored Home-Delivered Meals Demonstration Program to test a payment and service delivery model under part A of Medicare to improve clinical health outcomes and reduce the rate of readmissions of certain individuals.
S. 1845Expanding Access to Palliative Care ActSen.JackyRosenDNVProvides for the testing of a community-based palliative care model.
H.R. 3842Expanding Access to Diabetes Self-Management Training ActRep.KimSchrierDWAImproves access to diabetes outpatient self-management training services, to require the Center for Medicare and Medicaid Innovation to test the provision of virtual diabetes outpatient self-management training services.
S. 1832Expanding Access to Diabetes Self-Management Training ActSen.JeanneShaheenDNHImproves access to diabetes outpatient self-management training services, to require the Center for Medicare and Medicaid Innovation to test the provision of virtual diabetes outpatient self-management training services.
H.R. 3836Rep.DanCrenshawRTXFacilitates direct primary care arrangements under Medicaid.
S. 1797IMPACT to Save Moms ActSen.BobCaseyDPAEstablishes a demonstration program to allow States to test payment models for maternity care provided under Medicaid and the Children’s Health Insurance Program.
H.R. 3805KIDS Health Act of 2023Rep.LisaBlunt RochesterDDEEstablishes a demonstration project testing Whole Child Health Models.
S. 1769KIDS Health Act of 2023Sen.TomCarperDDEEstablishes a demonstration project testing Whole Child Health Models.
H.R. 3346Innovative Maternal Payment And Coverage To (IMPACT To) Save Moms ActRep.JanSchakowskyDILTo direct the Administrator of the Centers for Medicare & Medicaid Services to implement the Perinatal Care Alternative Payment Model Demonstration Project to test various payment models with respect to maternity care provided to pregnant and postpartum individuals, and for other purposes.
H.R. 3284Providers and Payers COMPETE ActRep.MichaelBurgessRTXTo require the Secretary of Health and Human Services to submit an annual report on the impact of certain Medicare regulations on provider and payer consolidation.
H.R. 3282Promoting Transparency and Healthy Competition in Medicare ActRep.DianaHarshbargerRTNTo amend title XVIII of the Social Security Act to promote transparency of common ownership interests under parts C and D of the Medicare program.
H.R. 3069John Lewis Equality in Medicare and Medicaid Treatment Act of 2023Rep.TerriSewellDALTo amend title XI of the Social Security Act to improve access to care for all Medicare and Medicaid beneficiaries through models tested under the Center for Medicare and Medicaid Innovation, and for other purposes.
S. 1296John Lewis Equality in Medicare and Medicaid Treatment Act of 2023Sen.CoryBookerDNJTo amend title XI of the Social Security Act to improve access to care for all Medicare and Medicaid beneficiaries through models tested under the Center for Medicare and Medicaid Innovation, and for other purposes.
H.R. 2829Chronic Care Management Improvement Act of 2023Rep.JeffDuncanRSCTo amend title XVIII of the Social Security Act to remove cost-sharing responsibilities for chronic care management services under the Medicare program.
H.R. 2474Strengthening Medicare for Patients and Providers ActRep.RaulRuizDCATo amend title XVIII of the Social Security Act to provide for an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index.
S. 1002No UPCODE ActSen.BillCassidyRLATo amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
H.R. 1754Healthcare Ownership Transparency ActRep.PramilaJayapalDWATo amend title XI of the Social Security Act to provide for the disclosure and analysis of certain health-related ownership information.
H.R. 1672Sickle Cell Disease Comprehensive Care ActRep.DannyDavisDILTo amend title XIX of the Social Security Act to establish a demonstration project to improve outpatient clinical care for individuals with sickle cell disease.
S. 904Sickle Cell Disease Comprehensive Care ActSen.CoryBookerDNJTo amend title XIX of the Social Security Act to establish a demonstration project to improve outpatient clinical care for individuals with sickle cell disease.
S. 880Coordinating Dual Eligible Recommendations ActSen.BillCassidyRLATo require MedPAC and MACPAC to biennially conduct a coordinated review and analysis of Medicare and Medicaid policy with respect to dually eligible beneficiaries, and to jointly submit recommendations for policy changes, and for other purposes.
H.R. 1637Comprehensive Care for Alzheimer’s ActRep.DarinLaHoodRILTo recommend that the Center for Medicare and Medicaid Innovation test the effect of a dementia care management model, and for other purposes.
S. 626Comprehensive Care for Alzheimer’s ActSen.DebbieStabenowDMITo recommend that the Center for Medicare and Medicaid Innovation test the effect of a dementia care management model, and for other purposes.
H.R. 1620MORE Savings ActRep.MadeleineDeanDPATo promote affordable access to evidence-based opioid treatments under the Medicare program and require coverage of medication assisted treatment for opioid use disorders, opioid overdose reversal medications, and recovery support services by health plans without cost-sharing requirements.
H.R. 977Patient Access to Higher Quality Health Care Act of 2023Rep.MichaelBurgessRTXTo repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals.
S. 470Patient Access to Higher Quality Health Care Act of 2023Sen.JamesLankfordROKTo repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals, and for other purposes.
H.R. 547Better Care Better Jobs ActRep.DebbieDingellDMITo amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, and for other purposes.
S. 100Better Care Better Jobs ActSen.BobCaseyDPATo amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, and for other purposes.
H.R. 134Permanent Telehealth from Home ActRep.VernBuchananRFLTo amend title XVIII of the Social Security Act to remove geographic requirements and expand originating sites for telehealth services.
S. 1378Connecting Our Medical Providers with Links to Expand Tailored and Effective CareSen.CatherineCortez MastoDNVTo amend title XVIII of the Social Security Act to provide incentives for behavioral health integration under the Medicare program.
H.R. 2884Medicaid Primary Care Improvement ActRep.DanCrenshawRTXTo facilitate direct primary care arrangements under Medicaid
H.R. 2666MVP ActRep.BrettGuthrieRKYTo amend title XIX of the Social Security Act to codify value-based purchasing arrangements under the Medicaid program and reforms related to price reporting under such arrangements, and for other purposes.
H.R. 1493HCBS Access ActRep.DebbieDingellDMITo amend title XIX of the Social Security Act to require coverage of, and expand access to, home and community-based services under the Medicaid program; to award grants for the creation, recruitment, training and education, retention, and advancement of the direct care workforce and to award grants to support family caregivers; and for other purposes.
S. 762HCBS Access ActSen.BobCaseyDPATo amend title XIX of the Social Security Act to require coverage of, and expand access to, home and community-based services under the Medicaid program; to award grants for the creation, recruitment, training and education, retention, and advancement of the direct care workforce and to award grants to support family caregivers; and for other purposes.
H.R. 1072Health Center Community Transformation Hub ActRep.YvetteClarkeDNYTo amend the Public Health Service Act to authorize supplemental awards to health centers to establish community transformation hubs.
H.R 1066CARING for Social Determinants Act of 2023Rep.LisaBlunt RochesterDDETo require the Secretary of Health and Human Services to issue and disseminate guidance to States to clarify strategies to address social determinants of health under the Medicaid program and the Children’s Health Insurance Program, and for other purposes.

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