Improve the process for assigning patients to accountable care organizations in Medicare.
One policy goal, tracked across every bill that has carried it.
What’s happening with ACO Assignment Improvement Act of 2025?
The ACO Assignment Improvement Act of 2025 remains stalled in the House Ways and Means and Energy and Commerce committees as of June 2026. Members of these committees must act to advance the bill, but the primary constraint is that most legislation never receives a committee vote. This lack of action is the standard outcome for the vast majority of bills introduced in Congress.
Updated July 9, 2026 · Generated by AI. Always verify with official sources.
Where it stands
Now carried by ACO Assignment Improvement Act of 2025 (H.R. 4773 (119th)) →
Legislative Progress
No action since July 2025
Next up: A house committee · Nothing moves until they act.
How we got here
Every bill that has carried this goal, oldest first.
Died with Congress · Jan 3, 2025
Died when the 118th Congress ended without final passage. Bills must be reintroduced under a new number to be revived.
Reintroduced · Jan 3, 2025
Reintroduced from S. 3939 (118th), which died when its Congress ended.
S. 3939 (118th) →Reintroduced · Jan 3, 2025
Reintroduced from H.R. 7665 (118th), which died when its Congress ended.
H.R. 7665 (118th) →
Vehicles
Who’s behind it
Adrian Smith (R-NE)Wrote and sponsored the current bill.