Health Care Efficiency Through Flexibility Act
Introduced Sep 15, 2025 by Rep. Vern Buchanan
The House passed it. The Senate has to pass it before it can reach the President.
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.
Summary by the Congressional Research Service.
No recorded roll-call vote on this bill — it may have passed by voice vote or unanimous consent, which don't record individual votes.
- Jul 13, 2026Received in the Senate and Read twice and referred to the Committee on Finance.
- Jun 29, 2026Motion to reconsider laid on the table Agreed to without objection.
- Jun 29, 2026On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)
- Jun 29, 2026Passed/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, 2026DEBATE - The House proceeded with forty minutes of debate on H.R. 5347.
- Jun 29, 2026Considered under suspension of the rules. (consideration: CR H4272-4273)
- Jun 29, 2026Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
- May 21, 2026Ordered to be Reported by the Yeas and Nays: 44 - 0.
- May 21, 2026Committee Consideration and Mark-up Session Held
- May 13, 2026Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
- May 13, 2026Subcommittee Consideration and Mark-up Session Held
- Sep 17, 2025Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.
- Sep 17, 2025Committee Consideration and Mark-up Session Held
- Sep 15, 2025Referred 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, 2025Referred to the Subcommittee on Health.
- Sep 15, 2025Introduced in House