HR3222-119

Introduced

To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage, and for other purposes.

119th Congress Introduced May 6, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

This bill, To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage, and for other purposes., changes federal law or congressional policy affecting health care providers and patients. The main policy domain is Healthcare, Government Operations, Environment.

Who Benefits and How

health care providers and patients may benefit from new authority, funding, eligibility, regulatory clarity, or reduced risk created by the bill.

Who Bears the Burden and How

federal implementing agencies, health care providers and patients may take on implementation duties, reporting obligations, compliance costs, or oversight responsibilities.

Key Provisions

  • Section H91873031683B42458298DD202FF86C3B: 1. Short title This Act may be cited as the Stopping Medicare Abuses to Restore Trust in Health Care Act or the SMART Health Care Act.
  • Section H13C45ED84CCA438AAF46CF578C0DCD04: 2. Improving risk adjustment under Medicare Advantage Section 1853(a)(3)(C)(iii) of the Social Security Act (42 U.S.C. 1395w–23(a)(3)(C)(iii)) is amended— by...
  • Section H022BEB9D8A6E4606A38129F2D1C68D82: 3. Promoting Medicare site-neutral payments Section 1833(t)(21) of the Social Security Act (42 U.S.C. 1395l(t)(21)) is amended— by redesignating subparagraph...
  • Section HC3000D3BDF4A4709A0FD29BD25C2714B: 4. Increasing Medicare access for rural communities by physician-owned hospitals Section 1877(d) of the Social Security Act (42 U.S.C. 1395nn(d)) is amended by...
  • Section H4B2BE47A6C5A4B71A05E0D0E6E3F96DA: 5. Making drugs more affordable for medicare patients Section 340B(a)(5) of the Public Health Service Act (42 U.S.C. 256b(a)(5)) is amended— in subparagraph...

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

This bill, To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage, and for other purposes., changes federal law or congressional policy affecting health care providers and patients.

Key Policy Areas

Healthcare, Government Operations, Environment

Primary Purpose

This bill, To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage, and for other purposes., changes federal law or congressional policy affecting health care providers and patients.

Policy Domains

Healthcare Government Operations Environment

Whole bill

Identified Gains
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
health care providers and patients:
Identified Costs
  • federal implementing agencies
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
federal implementing agencies:
health care providers and patients:

Legislative Progress

Introduced
Introduced Committee Passed
May 6, 2025

Mrs. Spartz introduced the following bill; which was referred to …

Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Government Operations Environment
Actor Mappings
"the_secretary"
→ The Secretary identified in the operative section

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology