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CIVIC HERALD
HR 5347 · 119th Congress · HouseIn committee

Health Care Efficiency Through Flexibility Act

In plain language: 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.

Provisional: our plain-language summary, pending review.

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Timeline

How it moved.

  1. Jul 13, 2026Received in the Senate and Read twice and referred to the Committee on Finance.
  2. Jun 29, 2026Motion to reconsider laid on the table Agreed to without objection.
  3. Jun 29, 2026On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)
  4. 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)
  5. May 21, 2026Ordered to be Reported by the Yeas and Nays: 44 - 0.
  6. Sep 17, 2025Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.
  7. Sep 15, 2025Introduced in House
  8. Sep 15, 2025Introduced in House

Sources & provenance

Congress.govrefreshed 23 days ago

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