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Bill · 119th Congress · HR 5347

Health Care Efficiency Through Flexibility Act

Refreshed 4 h ago

Introduced 2025-09-15Topic: health care · technology privacy · budget

Summary

Summary by the Congressional Research Service

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.

Full text and official record on Congress.gov

Sponsors

Action history

DateChamberActionStatus effect
2026-07-13SenateReceived in the Senate and Read twice and referred to the Committee on Finance.refer
2026-06-29HouseMotion to reconsider laid on the table Agreed to without objection.
2026-06-29HouseOn motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)
2026-06-29Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)floor pass
2026-06-29HouseDEBATE - The House proceeded with forty minutes of debate on H.R. 5347.
2026-06-29HouseConsidered under suspension of the rules. (consideration: CR H4272-4273)
2026-06-29HouseMr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
2026-05-21HouseOrdered to be Reported by the Yeas and Nays: 44 - 0.refer
2026-05-21HouseCommittee Consideration and Mark-up Session Heldrefer
2026-05-13HouseForwarded by Subcommittee to Full Committee (Amended) by Voice Vote.refer
2026-05-13HouseSubcommittee Consideration and Mark-up Session Heldrefer
2025-09-17HouseOrdered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.refer
2025-09-17HouseCommittee Consideration and Mark-up Session Heldrefer
2025-09-15HouseReferred 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.refer
2025-09-15HouseReferred 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.refer
2025-09-15HouseReferred to the Subcommittee on Health.refer
2025-09-15Introduced in Houseintroduce
2025-09-15Introduced in Houseintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-09-20. Provisions and opinion polling arrive in a later release.