Some Medicare provider groups could take full financial risk for a patient’s care. They could get monthly payments instead of billing for each visit or service. Patients could opt out.
Modern Action explains what the legislation does, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.
To amend title XVIII of the Social Security Act to establish a full risk ACO program. is a House bill in committee. The latest recorded action: 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.
Latest action on H.R. 8129: 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.
Who this affects: This bill mainly affects traditional Medicare patients, especially people with several long-term health problems. It also affects doctors, clinics, hospitals, rural health providers, and federally qualified health centers that may want to join a full risk ACO. These providers could change how they get paid and how they organize care. The Secretary of Health and Human Services would have to build and run the program.
Why this matters: This bill could change how some traditional Medicare care is paid for and organized. Today, Medicare often pays each time a service happens. This bill would let some provider groups get monthly payments and take responsibility for total care costs. That could push providers to focus more on planning, primary care, home care, and keeping patients out of the hospital. It could also create pressure to control costs, so the details of quality checks and patient protections would matter.
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Officially: To amend title XVIII of the Social Security Act to establish a full risk ACO program.
Some Medicare provider groups could take full financial risk for a patient’s care. They could get monthly payments instead of billing for each visit or service. Patients could opt out.
Use this page to support, oppose, or ask Congress to amend HR8129. Modern Action explains what the bill does, helps identify the right senators or representative, and drafts a bill-specific message you can edit and send.
Where it stands
Sitting in Ways and Means
No vote scheduled. Constituent contact is what moves bills out of committee.
↓ Why your message matters here
This bill is sitting in committee with no scheduled vote — which means a small number of constituent messages can decide whether it moves forward or quietly dies.
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Where this bill is in the process
Introduced
Introduced in House
House Committee
Under House committee consideration
Latest: 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. (3/26/2026)
House Floor Vote
Voted on by House
Passed House
Approved by House
Senate Review
Sent to Senate for consideration
Passed Both Chambers
Approved by both House and Senate
Signed into Law
Signed by the President
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Choose one clear position: support, oppose, or amend. Then pick any reasons or personal context you want included. Modern Action uses that input and the bill context to draft a message you can edit and send.
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The draft includes the bill number, your position, the reasons you selected, any personal context you added, and a direct ask such as voting yes, voting no, cosponsoring, opposing, or seeking changes. You stay in control because you can edit the message before sending.
This page gives you an opportunity to support, oppose, or ask for changes to To amend title XVIII of the Social Security Act to establish a full risk ACO program., then contact the elected officials who can act. Modern Action drafts the message from your position and the reasons you select.
Modern Action keeps the action tied to the bill itself: what it does, where it is in the process (committee), which office can still act, and what ask belongs in the message.
You are not starting from a blank form. Modern Action drafts the message around HR8129, your stance, and the reasons you choose, then lets you edit and send when ready.
