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S. 3350
U.S. Senate•In Senate Committee
Summary
S. 3350, the ACO Assignment Improvement Act of 2025, was introduced in the Senate on Dec 4, 2025 by Sen. John Barrasso (R) with 1 co-sponsor. It was referred to Finance, and last saw action on Dec 4, 2025: Read twice and referred to the Committee on Finance. (text: CR S8512).
Record
Text
S. 3350 has 1 co-sponsor.
sb3350/introduced-in-senate.txt119 S3350 IS: ACO Assignment Improvement Act of 2025U.S. Senate2025-12-04text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.II 119th CONGRESS 1st Session S. 3350 IN THE SENATE OF THE UNITED STATES December 4, 2025 Mr. Barrasso (for himself and Mr. Whitehouse ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILLTo 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 practitioners, physician assistants, and clinical nurse specialists.1.Short titleThis Act may be cited as the ACO Assignment Improvement Act of 2025 .2.Improvements to the assignment of beneficiaries under the Medicare shared savings programSection 1899(c)(1) of the Social Security Act ( 42 U.S.C. 1395jjj(c)(1) ) is amended—(1)in subparagraph (A), by striking and at the end;(2)in subparagraph (B), by striking the period at the end and inserting ; and ; and(3)by adding at the end the following new subparagraph:(C)in the case of performance years beginning on or after January 1, 2026, primary care services provided under this title by an ACO professional described in subsection (h)(1)(B)..
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-12-04
- Passed Senate
- Passed House
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in Senate Dec 4, 2025
sb3350/introduced-in-senate.mdShown Here:
Introduced in Senate (12/04/2025)
Sponsors
Sen. John Barrasso (R) sponsors S. 3350, and 1 member has co-sponsored it from the day it was introduced.
Committees
S. 3350 went before 1 committee: Finance.
Actions
S. 3350 has taken 3 actions since Dec 4, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Dec 4, 2025 | Senate | Read twice and referred to the Committee on Finance. (text: CR S8512)Finance Committee | ||
Dec 4, 2025 | — | |||
Dec 4, 2025 | — | Introduced in Senate |
Votes
S. 3350 has not gone to a roll call.
Related bills
1 bill is related to S. 3350.
Titles
S. 3350 goes by 3 titles, 1 of them short titles.
- ACO Assignment Improvement Act of 2025 — Display Title
- ACO Assignment Improvement Act of 2025 — Short Title(s) as Introduced
- 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 practitioners, physician assistants, and clinical nurse specialists. — Official Title as Introduced
Lobbying
6 clients hired 7 firms and 19 registered lobbyists who named S. 3350 in 20 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Health Issues, Medicare/Medicaid, Budget/Appropriations, Education, Taxation/Internal Revenue Code, Veterans, Government Issues, Labor Issues/Antitrust/Workplace.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | To promote support for nurse practitioners and high quality, patient centered health care. | Virginia | 2 | 6 | $200K |
| AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | Association representing physician assistants | Virginia | 2 | 4 | $120K |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | National professional association for pediatric nurse practitioners | New Jersey | 1 | 3 | $72K |
| NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | — | District of Columbia | 1 | 3 | — |
| NATIONAL LEAGUE FOR NURSING | National health care association | District of Columbia | 1 | 2 | $58.1K |
| AMERICAN NURSES ASSOCIATION | — | Maryland | 1 | 2 | — |
Firms
Registrants who filed on the bill, by filings.
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| GLEN MASON | 1 | 2 | 5 |
| ADAM HORGAN | 1 | 1 | 3 |
| AISHA PITTMAN | 1 | 1 | 3 |
| ALAN WHEAT | 1 | 1 | 3 |
| ANDREA BERGMAN | 1 | 1 | 3 |
| FRANKLIN HARRINGTON | 1 | 1 | 3 |
| JAMES FLEISCHMANN | 1 | 1 | 3 |
| JESSICA TALBERT | 1 | 1 | 3 |
| JULIE SHROYER | 1 | 1 | 3 |
| MARYANNE SAPIO | 1 | 1 | 3 |
| ROBERT DALEY | 1 | 1 | 3 |
| HEATHER MEADE | 1 | 1 | 2 |
| KRISTIN BUTTERFIELD | 1 | 1 | 2 |
| LAURA DILLON | 1 | 1 | 2 |
| SAMUEL HEWITT | 1 | 1 | 2 |
| SIMIT PANDYA | 1 | 1 | 2 |
| TARA BRADSHAW | 1 | 1 | 2 |
| W HEUER | 1 | 1 | 2 |
| COREY MCGEE | 1 | 1 | 1 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2025 fourth_quarter | $550K | 4th Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2026 second_quarter | $400K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2026 first_quarter | $400K | 1st Quarter - Report |
| AMERICAN NURSES ASSOCIATION | AMERICAN NURSES ASSOCIATION | 2026 second_quarter | $270K | 2nd Quarter - Report |
| AMERICAN NURSES ASSOCIATION | AMERICAN NURSES ASSOCIATION | 2026 first_quarter | $230K | 1st Quarter - Report |
| NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | 2026 first_quarter | $183.3K | 1st Quarter - Report |
| AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | 2026 first_quarter | $180K | 1st Quarter - Report |
| AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | 2026 second_quarter | $160K | 2nd Quarter - Report |
| NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | 2026 second_quarter | $142.2K | 2nd Quarter - Report |
| NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | 2025 fourth_quarter | $134.6K | 4th Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | WHEAT SHROYER GOVERNMENT RELATIONS LLC | 2026 second_quarter | $70K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | WHEAT SHROYER GOVERNMENT RELATIONS LLC | 2026 first_quarter | $70K | 1st Quarter - Report |
| AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG) | 2026 second_quarter | $60K | 2nd Quarter - Report |
| AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG) | 2026 first_quarter | $60K | 1st Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | WHEAT SHROYER GOVERNMENT RELATIONS LLC | 2025 fourth_quarter | $60K | 4th Quarter - Report |
| NATIONAL LEAGUE FOR NURSING | MASON CONSULTING, LLC | 2026 second_quarter | $29.1K | 2nd Quarter - Report |
| NATIONAL LEAGUE FOR NURSING | MASON CONSULTING, LLC | 2026 first_quarter | $29.1K | 1st Quarter - Report |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | MASON CONSULTING, LLC | 2026 second_quarter | $24K | 2nd Quarter - Report |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | MASON CONSULTING, LLC | 2026 first_quarter | $24K | 1st Quarter - Report |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | MASON CONSULTING, LLC | 2025 fourth_quarter | $24K | 4th Quarter - Report |
Classification
The Congressional Research Service files S. 3350 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; S. 3350’s is Health.
s3350/policy-areas.txtSource: congress.gov · legiscan.com
