I 115th CONGRESS 1st Session H. R. 1160 IN THE HOUSE OF REPRESENTATIVES February 16, 2017 Mr. Kilmer (for himself and Ms. Jenkins of Kansas ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy and Commerce , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 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.

1. Short title This Act may be cited as the ACO Assignment Improvement Act of 2017 . 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) in paragraph (1), by striking and at the end; (2) in paragraph (2), by striking the period at the end and inserting ; and ; and (3) by adding at the end the following new paragraph: (3) in the case of performance years beginning on or after January 1, 2019, primary care services provided under this title by an ACO professional described in subsection (h)(1)(B). .