,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #ijj  ,,in ,,the ,,house ,,of   
,,representatives  ,january #cj1        
#bjai,mr4 ,kilmer 7for himself1 ,ms4    
,norton1 ,mr4 ,king of ,new ,york1 ,ms4 
,meng1 and ,mr4 ,tipton7 introduced the 
following bill2 which was referred to   
the ,committee on ,ways and ,means1 and 
in addition to the ,committee on ,energy
 and ,commerce1 for a period to be      
subsequently determined by the ,speaker1
 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        
practitioners1 physician assistants1 and
 clinical nurse specialists4  #a4 ,short
 title ,this ,act may be cited as the   
,,aco ,assignment ,improvement ,act of  
#bjai4  #b4 ,improvements to the        

assignment of beneficiaries under the   
,medicare shared savings program        
,section #ahii7;c77#a7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#acie;jjj7c77#a77 is amended--  7#a7 in 
subparagraph 7,a71 by striking and at   
the end2  7#b7 in subparagraph 7,b71 by 
striking the period at the end and      
inserting 2 and2 and  7#c7 by adding at 
the end the following new subparagraph3 
7,c7 in the case of performance years   
beginning on or after ,january #a1      
#bjbj1 primary care services provided   
under this title by an ,,aco            
professional described in subsection    
7h77#a77;,b74  4