119th Congress
H.R. 5347
Health Care Efficiency Through Flexibility Act
- Introduced
- In committee
- Passed House
- Passed Senate
- To President
- Became law
- Sponsor
- Vern Buchanan(R-FL)
- Introduced
- Sep 15, 2025
- Policy area
- Health
- Committees
- House Committee on Energy and Commerce; House Committee on Ways and Means; Senate Committee on Finance
- Official text
- Referred in Senate · Congress.gov page
Cosponsors (4)
Original cosponsors (3)
- Dan Crenshaw (R-TX)
- Darin LaHood (R-IL)
- Jimmy Panetta (D-CA)
Added later (1)
- Michael Lawler (R-NY) · Jan 12, 2026
Summary
Summary by the Congressional Research Service· describes the “Introduced in House” version
Health Care Efficiency Through Flexibility Act
This bill delays certain requirements relating to the reporting of quality measures by accountable care organizations (ACOs) under the Medicare Shared Savings Program. It also requires the Centers for Medicare & Medicaid Services (CMS) to establish a pilot program that tests alternative digital reporting methods for ACOs.
The Medicare Shared Savings Program enables ACOs to receive payments for savings stemming from care coordination and management. In 2024, the CMS issued a rule requiring ACOs to report on quality measures using a certain electronic system beginning in 2025.
The bill allows ACOs to continue to use prior methods of reporting quality measures through 2029. Additionally, the CMS must establish a pilot program to test other digital reporting methods from 2028-2032; ACOs that participate in the pilot program are exempt from using other methods. The CMS must publicly post an analysis of the program and any related recommendations for using the tested methods.
Roll-call votes
No recorded votes on this bill.
Actions
- Jul 13, 2026 · Senate
Received in the Senate and Read twice and referred to the Committee on Finance. - Jun 29, 2026 · House
Motion to reconsider laid on the table Agreed to without objection. - Jun 29, 2026 · House
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272) - Jun 29, 2026 · House
DEBATE - The House proceeded with forty minutes of debate on H.R. 5347. - Jun 29, 2026 · House
Considered under suspension of the rules. (consideration: CR H4272-4273) - Jun 29, 2026 · House
Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended. - May 21, 2026
Ordered to be Reported by the Yeas and Nays: 44 - 0. - May 21, 2026
Committee Consideration and Mark-up Session Held - May 13, 2026
Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote. - May 13, 2026
Subcommittee Consideration and Mark-up Session Held - Sep 17, 2025
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0. - Sep 17, 2025
Committee Consideration and Mark-up Session Held - Sep 15, 2025 · House
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. - Sep 15, 2025
Referred to the Subcommittee on Health. - Sep 15, 2025
Introduced in House