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ACO Assignment Improvement Act of 2016

H.R. 6261 · 114th Congress · Sep 28, 2016 · Lineage

A BILL

To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists.

Section 1 Short title

This Act may be cited as the “ACO Assignment Improvement Act of 2016”.

Sec. 2 Improvements to the assignment of beneficiaries under the Medicare shared savings program

Section 1899(c) of the Social Security Act (42 U.S.C. 1395jjj(c)) is amended—
(1)
by striking “utilization of primary” and inserting “utilization of—

“(1) in the case of performance years beginning on or after April 1, 2012, primary”

(2)
in paragraph (1), as added by paragraph (1) of this section, by striking the period at the end and inserting “; and”; and
(3)
by adding at the end the following new paragraph:

“(2) in the case of performance years beginning on or after January 1, 2018, primary care services provided under this title by an ACO professional described in subsection (h)(1)(B).”