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LEGISLATION/H.R. 5347

Health Care Efficiency Through Flexibility Act

119-HR-5347119th CongressIntroduced Sep 15, 2025Health
Market Probability
No market
Status
Introduced
Committee
Floor Vote
Other Chamber
Signed
Motion to reconsider laid on the table Agreed to without objection.

Sponsor

Rep. Buchanan, Vern [R-FL-16](R-FL-16)
4 cosponsors

Summary

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.

Subjects

Computers and information technologyGovernment information and archivesHealth care qualityMedicare

Actions (17)

Motion to reconsider laid on the table Agreed to without objection.
Jun 29, 2026House floor actions
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)
Jun 29, 2026House floor actions
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)
Jun 29, 2026Library of Congress
DEBATE - The House proceeded with forty minutes of debate on H.R. 5347.
Jun 29, 2026House floor actions
Considered under suspension of the rules. (consideration: CR H4272-4273)
Jun 29, 2026House floor actions
Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
Jun 29, 2026House floor actions
Ordered to be Reported by the Yeas and Nays: 44 - 0.
May 21, 2026House committee actions
Committee Consideration and Mark-up Session Held
May 21, 2026House committee actions
Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
May 13, 2026House committee actions
Subcommittee Consideration and Mark-up Session Held
May 13, 2026House committee actions
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.
Sep 17, 2025House committee actions
Committee Consideration and Mark-up Session Held
Sep 17, 2025House committee actions
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, 2025House floor actions
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, 2025House floor actions
Referred to the Subcommittee on Health.
Sep 15, 2025House committee actions
Introduced in House
Sep 15, 2025Library of Congress
Introduced in House
Sep 15, 2025Library of Congress
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