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H.R. 5347 · 119th Congress

Health Care Efficiency Through Flexibility Act

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IntroducedPassed one chamberPassed both chambersBecame law (gold)Resolution agreed to (full, dark)Failed or vetoed (gray)

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Passed the House without a recorded vote. It passed by voice vote or unanimous consent, which don't record how each member voted. Its text can still change before it becomes law.

4 cosponsors · 1 D, 3 R

3 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.

  1. House Introduced Sep 15, 2025
  2. House Passed Jun 29, 2026

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.

What it does: CRS summary · Introduced in House · Sep 15, 2025

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.

Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov

About this bill and sources

Official title: Health Care Efficiency Through Flexibility Act

Latest action (Jul 13, 2026): Received in the Senate and Read twice and referred to the Committee on Finance.

Policy area: Health · Origin: House · Introduced: Sep 15, 2025

Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)

  1. House Introduced Sep 15, 2025
  2. House Passed Jun 29, 2026

No recorded floor vote found.