,,ii  #aahth ,,congress  #b;d ,session  
,s4 #cici  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #ad1    
#bjbd,mr4 ,whitehouse 7for himself and  
,mr4 ,barrasso7 introduced the following
 bill2 which was read twice and referred
 to the ,committee on ,finance  ,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  
#bjbd4  #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      
#bjbe1 primary care services provided   
under this title by an ,,aco            
professional described in subsection    
7h77#a77;,b74  4