A Republican bill with 2 Democratic cosponsors · See all 3 cosponsors
Last activity — Read twice and referred to the Committee on Finance.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
The Accountable Produce is Medicine Act of 2026 directs the Center for Medicare and Medicaid Innovation to test a new bundled payment model. This model aims to reduce chronic diseases by providing specific health services and nutrient-dense foods to eligible individuals. The Secretary will select at least five participating programs to implement these services for at least two years. Participants in the model will receive personalized health assessments, care coordination, telehealth, and lifestyle modification programs. The bill also focuses on providing healthy foods, such as fruits and vegetables, to help manage conditions like diabetes and hypertension.
Yes· 3 of 13
- Scored +7
Would households on low incomes be better off under this?
The program provides essential nutrition and health services without any cost-sharing requirements.
- Scored +7
Does this make health care easier to get in general?
The bill improves access to nutrition and care coordination for individuals with chronic conditions.
- Scored +6
Would people over 65 be better off under this?
The bill specifically targets Medicare-eligible individuals for chronic disease management.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Improved Health Outcomes: The model provides services like personalized health risk assessments, care coordination, and lifestyle modification programs to help manage chronic diseases (Section 3, subsection (h)(3)(B)).
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Access to Nutritious Food: Eligible individuals can receive healthy, nutrient-dense foods, including fresh, frozen, or minimally processed fruits and vegetables (Section 3, subsection (h)(2)(B) and (h)(3)(B)(vi)).
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Financial Relief for Participants: APIM services are provided without the need for deductibles, copayments, coinsurance, or other forms of cost-sharing (Section s, subsection (h)(4)(B)).
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Targeted Support for Vulnerous Areas: The model is designed for eligible individuals residing in medically underserved areas, rural areas, or health professional shortage areas (Section 3, subsection (h)(6)(A)(ii)).
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Comprehensive Disease Management: Individuals receive specific tools such as remote patient monitoring and telehealth services to assist with chronic disease monitoring and follow-up (Section 3, subsection (h)(3)(B)(iii-iv)).
Potential Negative Impacts for People
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Risk of Disenrollment: An individual's participation in the program may be terminated if the selected program determines they are not adequately engaging with the program or are not adhering to the requirements (Section 3, subsection (h)(3)(D)).
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Financial Risk for Programs: Starting in the third year, the Secretary may require selected programs to assume financial risk for their performance under the model (Section 3, subsection (h)(4)(A)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would households on low incomes be better off under this? — The program provides essential nutrition and health services without any cost-sharing requirements. Would retired people be better off under this? — The bill provides significant health benefits to Medicare-eligible seniors. Would people over 65 be better off under this? — The bill specifically targets Medicare-eligible individuals for chronic disease management. Would people in rural areas be better off under this? — The bill explicitly includes underserved and rural areas as priority locations for these services. Would farmers be better off under this? — The bill encourages the purchase of produce, potentially benefiting local and regenerative farmers.
- Healthcare
- Does this make health care easier to get in general? — The bill improves access to nutrition and care coordination for individuals with chronic conditions. Does this put more money into Medicaid, the health coverage for people on low incomes? — The bill incorporates new nutritional service models into Medicaid testing via the CMMI. Does this put more money into Medicare, the health coverage for people over 65? — The bill directs the testing of a new Medicare model focused on nutrition and chronic disease management. Does this lower what a hospital stay costs? — By managing chronic diseases through nutrition, the bill aims to reduce long-term healthcare expenditures.
- Environment Energy And Infrastructure
- Does this invest in rural communities? — The bill prioritizes assistance for individuals living in rural areas and health professional shortage areas. Does this better protect air, water and wildlife? — The bill encourages regenerative agriculture, which can improve soil health and environmental stability.
- Social Issues And Justice
- Is this likely to lift people out of poverty? — Providing free nutritional services can help mitigate the impact of food insecurity for low-income individuals.
- Governance And Ideology
- Does this give the federal government more power? — The bill expands the role of the Secretary and CMMI in managing specific health service models.
- 8/6/2026
- 1 Cosponsor added.
- 8/5/2026
- Read twice and referred to the Committee on Finance.
- 2 Cosponsors added.
- Introduced in Senate
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Martin HeinrichDemocrat · New Mexico
Roger MarshallRepublican · Kansas
Alex PadillaDemocrat · California