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Health Care Efficiency Through Flexibility Act

H.R. 5347, 119th Congress

Status
Passed one chamber
Introduced
09/15/2025
Cosponsors
4
Latest action
07/13/2026

About this bill

Official title
Health Care Efficiency Through Flexibility Act
Introduced in
House
Policy area
Health
Committees
Finance Committee, Energy and Commerce Committee, Ways and Means Committee
Latest action
Received in the Senate and Read twice and referred to the Committee on Finance.

Full text and history on Congress.gov

Summary

Congressional Research Service, Introduced in House (09/15/2025)

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.

Actions

Newest first

  1. 07/13/2026 · Senate

    Received in the Senate and Read twice and referred to the Committee on Finance.

  2. 06/29/2026 · House

    Motion to reconsider laid on the table Agreed to without objection.

  3. 06/29/2026 · House

    On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)

  4. 06/29/2026

    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)

  5. 06/29/2026 · House

    DEBATE - The House proceeded with forty minutes of debate on H.R. 5347.

  6. 06/29/2026 · House

    Considered under suspension of the rules. (consideration: CR H4272-4273)

  7. 06/29/2026 · House

    Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.

  8. 05/21/2026 · House

    Ordered to be Reported by the Yeas and Nays: 44 - 0.

  9. 05/21/2026 · House

    Committee Consideration and Mark-up Session Held

  10. 05/13/2026 · House

    Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.

  11. 05/13/2026 · House

    Subcommittee Consideration and Mark-up Session Held

  12. 09/17/2025 · House

    Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.

  13. 09/17/2025 · House

    Committee Consideration and Mark-up Session Held

  14. 09/15/2025 · 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.

  15. 09/15/2025 · House

    Referred to the Subcommittee on Health.

  16. 09/15/2025

    Introduced in House

Subjects: Computers and information technology, Government information and archives, Health care quality, Medicare.

Source: U.S. Government Publishing Office, GovInfo Bill Status; Congressional Research Service summaries · Last updated 07/13/2026

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