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H.R. 5347 House Health

Health Care Efficiency Through Flexibility Act

Introduced
Sep 15, 2025
Sponsor
Rep. Buchanan, Vern (R-FL-16)
View on Congress.gov

STAGE 4 OF 8 — HOUSE FLOOR

Currently in the House. Last action: received in the senate and read twice and referred to the committee on finance on Jul 13, 2026.

  1. House Referred to the Subcommittee on Health. Sep 15, 2025
  2. House Introduced in House Sep 15, 2025
  3. 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
  4. House Committee Consideration and Mark-up Session Held Sep 17, 2025
  5. House Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0. Sep 17, 2025
  6. House Subcommittee Consideration and Mark-up Session Held May 13, 2026
  7. House Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote. May 13, 2026
  8. House Committee Consideration and Mark-up Session Held May 21, 2026
  9. House Ordered to be Reported by the Yeas and Nays: 44 - 0. May 21, 2026
  10. House 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, 2026
  11. House Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended. Jun 29, 2026
  12. House Considered under suspension of the rules. (consideration: CR H4272-4273) Jun 29, 2026
  13. House DEBATE - The House proceeded with forty minutes of debate on H.R. 5347. Jun 29, 2026
  14. House Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. Jun 29, 2026
  15. House On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272) Jun 29, 2026
  16. House Motion to reconsider laid on the table Agreed to without objection. Jun 29, 2026
  17. Senate Received in the Senate and Read twice and referred to the Committee on Finance. Jul 13, 2026

Cosponsors

4

Subjects

Computers and information technologyGovernment information and archivesHealth care qualityMedicare

Committees

  • Finance Committee
    • [Referred To, Jul 13, 2026]
  • Energy and Commerce Committee
    • [Markup By, May 21, 2026]
    • [Referred To, Sep 15, 2025]
  • Ways and Means Committee
    • [Markup By, Sep 17, 2025]
    • [Referred To, Sep 15, 2025]

Summary

Health Care Efficiency Through Flexibility ActThis 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.

[Summary as of: Introduced in House]

Bill Text

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