H.R. 5347 Passed the House Health

Health Care Efficiency Through Flexibility Act

To amend title XVIII of the Social Security Act to ensure the availability of appropriate collection types for quality reporting under the Medicare Shared Savings Program, and for other purposes.

  1. Introduced
  2. Committee
  3. Passed House
  4. Passed Senate
  5. To President
  6. Became law
Sponsor Rep. Buchanan, Vern [R-FL-16] Introduced September 15, 2025 Cosponsors 4 (3 R, 1 D) Latest action July 13, 2026

Summary

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.

Summary by the Congressional Research Service, Library of Congress.

Congress.gov

Actions

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

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