119th Congress · introduced in the House · Mar 26, 2026
To amend title XVIII of the Social Security Act to establish a full risk ACO program.
Official title from Congress.gov
Latest action (Mar 26, 2026): 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.
View on Congress.govPolicy area: Health
No official summary has been published for this bill.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
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.
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.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 23, 2026.
18 citations.
NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS · lobbying firm or registrant: NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$177,310
Spent on own lobbying
…y Access to Care Act S. 1105: No UPCODE Act S. 2561/ H.R. 5768: Skin Substitute Access and Payment Reform Act H.R. 4773/ S.3350: ACO Assignment Improvement Act H.R. 8129: To amend title XVIII of the Social Security Act to establish a full risk ACO program H.R. 6852: Advanced Wound Care and Regenerative Medicine Access and Refor…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AGILON HEALTH, INC. · lobbying firm or registrant: TIBER CREEK GROUP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
…ngs Program (MSSP); Issues related to the LEAD Model; Issues related to H.R. 9693 - Patients First Act of 2026, including APM bonus payments; Issues related to H.R. 8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program; Issues related to CMS innovation and payment model activities through C…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ACCOUNTABLE FOR HEALTH · lobbying firm or registrant: TIBER CREEK GROUP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$70,000
Paid to lobbying firm
…rogram; Issues related to physician reimbursement, including reforms to the Medicare Access and CHIP Reauthorization Act of 2015 (PL 114-10); Issues related to H.R. 8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AGILON HEALTH, INC. · lobbying firm or registrant: AGILON HEALTH, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$90,000
Spent on own lobbying
…ntage (MA) and ACO models; Medicare Shared Savings Program (MSSP); LEAD Model; MA data sharing; the Patients First Act (HR 9693), including APM bonus payments; HR 8129 full-risk ACO legislation; and related CMS innovation and payment model activities through CMMI.
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN MEDICAL ASSOCIATION · lobbying firm or registrant: AMERICAN MEDICAL ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$4,540,000
Spent on own lobbying
….R.786 - Preserving Patient Access to Accountable Care Act, all provisions H.R.7905 - Diabetes Foot Health Access and Modernization Act of 2026, all provisions H.R.8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions H.R.8163 - Provider Reimbursement Stability Act of 2026,…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ACCOUNTABLE FOR HEALTH, INC. · lobbying firm or registrant: ACCOUNTABLE FOR HEALTH, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Health Issues
$210,000
Spent on own lobbying
…sues related to longitudinal primary care in the home and the No UPCODE Act (S. 1105); legislation to advance a full risk Accountable Care Organization option (H.R. 8129); legislation to prevent skin substitutes fraud and abuse and the Skin Substitute Access and Payment Reform Act of 2025 (S. 2561); physician payment reform leg…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ACCOUNTABLE FOR HEALTH, INC. · lobbying firm or registrant: ACCOUNTABLE FOR HEALTH, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Medicare/Medicaid
$210,000
Spent on own lobbying
…sues related to longitudinal primary care in the home and the No UPCODE Act (S. 1105); legislation to advance a full risk Accountable Care Organization option (H.R. 8129); legislation to prevent skin substitutes fraud and abuse and the Skin Substitute Access and Payment Reform Act of 2025 (S. 2561); physician payment reform leg…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ACCOUNTABLE FOR HEALTH (A4H) · lobbying firm or registrant: HEALTHE CONSULTING, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 8, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
Advocacy on H.R.8129 [H.R.8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program.], which establishes a full-risk ACO track in Medicare, a comp…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS · lobbying firm or registrant: NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$142,230
Spent on own lobbying
…kin Substitute Access and Payment Reform Act H.R. 4773/ S.3350: ACO Assignment Improvement Act H.R. 4313/ S.2237: Hospital Inpatient Services Modernization Act H.R. 8129: To amend title XVIII of the Social Security Act to establish a full risk ACO program H.R. 6852: Advanced Wound Care and Regenerative Medicine Access and Refor…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN MEDICAL ASSOCIATION · lobbying firm or registrant: AMERICAN MEDICAL ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · amended · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$5,130,000
Spent on own lobbying
….R.786 - Preserving Patient Access to Accountable Care Act, all provisions H.R.7905 - Diabetes Foot Health Access and Modernization Act of 2026, all provisions H.R.8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions H.R.8163 - Provider Reimbursement Stability Act of 2026,…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AGILON HEALTH, INC. · lobbying firm or registrant: TIBER CREEK GROUP
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 19, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
…Model; Issues related to MA data sharing; Issues related to physician reimbursement and MACRA-related policies, including APM bonus payments; Issues related to H.R. 8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program; Issues related to CMS innovation and payment model activities through C…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ACCOUNTABLE FOR HEALTH · lobbying firm or registrant: TIBER CREEK GROUP
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 19, 2026 · issue area: Medicare/Medicaid
$70,000
Paid to lobbying firm
…rogram; Issues related to physician reimbursement, including reforms to the Medicare Access and CHIP Reauthorization Act of 2015 (PL 114-10); Issues related to H.R. 8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AGILON HEALTH, INC. · lobbying firm or registrant: AGILON HEALTH, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Medicare/Medicaid
$100,000
Spent on own lobbying
…D Model; MA data sharing; physician reimbursement and Medicare and CHIP Reauthorization Act (MACRA)-related policies (PL 114-10), including APM bonus payments; HR.8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, full-risk legislation; and related CMS innovation and payment model acti…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ACCOUNTABLE FOR HEALTH, INC. · lobbying firm or registrant: ACCOUNTABLE FOR HEALTH, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 14, 2026 · issue area: Health Issues
$250,000
Spent on own lobbying
…sues related to longitudinal primary care in the home and the No UPCODE Act (S. 1105); legislation to advance a full risk Accountable Care Organization option (H.R. 8129); legislation to prevent skin substitutes fraud and abuse and the Skin Substitute Access and Payment Reform Act of 2025 (S. 2561); physician payment reform leg…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ACCOUNTABLE FOR HEALTH, INC. · lobbying firm or registrant: ACCOUNTABLE FOR HEALTH, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 14, 2026 · issue area: Medicare/Medicaid
$250,000
Spent on own lobbying
…sues related to longitudinal primary care in the home and the No UPCODE Act (S. 1105); legislation to advance a full risk Accountable Care Organization option (H.R. 8129); legislation to prevent skin substitutes fraud and abuse and the Skin Substitute Access and Payment Reform Act of 2025 (S. 2561); physician payment reform leg…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN MEDICAL ASSOCIATION · lobbying firm or registrant: AMERICAN MEDICAL ASSOCIATION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · amended · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$7,970,000
Spent on own lobbying
…l provisions H.R. 483, Health Care Efficiency Through Flexibility Act, all provisions H.R. 5347, Health Care Efficiency Through Flexibility Act, all provisions H.R. 8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions H.R. 1614, To amend title XVIII of the Social Security Ac…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS · lobbying firm or registrant: NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$183,336
Spent on own lobbying
…in Substitute Access and Payment Reform Act H.R. 4773/ S. 3350: ACO Assignment Improvement Act H.R. 4313/ S.2237: Hospital Inpatient Services Modernization Act H.R. 8129: To amend title XVIII of the Social Security Act to establish a full risk ACO program H.R. 6852: Advanced Wound Care and Regenerative Medicine Access and Refor…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AGILON HEALTH, INC. · lobbying firm or registrant: AGILON HEALTH, INC.
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$150,000
Spent on own lobbying
…nd Medicare and CHIP Reauthorization Act (MACRA)-related policies (PL 114-10), including APM bonus payments; Consolidated Appropriations Act, 2026 (PL 119-75); HR.8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, full-risk legislation; and related CMS innovation and payment model acti…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing