,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #dggc  ,,in ,,the ,,house ,,of  
,,representatives  ,july #be1 #bjbe,mr4 
,smith of ,nebraska 7for himself and    
,ms4 ,del,bene7 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 establish 
a ,,snf-at-home program under the       
,medicare program4  #a4 ,short title    
,this ,act may be cited as the ,,aco    
,assignment ,improvement ,act of #bjbe4 
#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 #bjbg1 primary care        
services provided under this title by an
 ,,aco professional described in        
subsection 7h77#a77;,b7  4