H.R. 5347

119th Congress

In Committee

Health Care Efficiency Through Flexibility Act

Sponsored byRepublican:Rep. Buchanan, Vern [R-FL-16]FL· Introduced 15 September 2025
Open on Congress.gov

4

Cosponsors

18

Actions

0

Amendments

2

Committees

—

Since introduced

Introduced
Committee
Passed Chamber
Passed Both
Enacted
Step 1 of 0
Latest action

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

13 July 2026·1 week ago

Summary

Introduced in House · Updated 24 June 2026

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.

Timeline

18 actions

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

    13 July 2026 · IntroReferral

  2. Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.

    29 June 2026 · Floor

  3. On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.

    29 June 2026 · Floor

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

    29 June 2026 · Floor

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

    29 June 2026 · Floor

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

    29 June 2026 · Floor

  7. Considered under suspension of the rules.

    29 June 2026 · Floor

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

    29 June 2026 · Floor

  9. Committee Consideration and Mark-up Session Held

    21 May 2026 · Committee

  10. Committee Consideration and Mark-up Session Held

    21 May 2026 · Committee

  11. Committee Consideration and Mark-up Session Held

    21 May 2026 · Committee

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

    21 May 2026 · Committee

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

    21 May 2026 · Committee

  14. Subcommittee Consideration and Mark-up Session Held

    13 May 2026 · Committee

  15. Subcommittee Consideration and Mark-up Session Held

    13 May 2026 · Committee

  16. Subcommittee Consideration and Mark-up Session Held

    13 May 2026 · Committee

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

    13 May 2026 · Committee

  18. Subcommittee Consideration and Mark-up Session Held

    13 May 2026 · Committee

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

    13 May 2026 · Committee

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

    13 May 2026 · Committee

Sponsorship

4 cosponsors

Sponsor

Republican:Rep. Buchanan, Vern [R-FL-16]FL

Cosponsors

  • Democrat125%
  • Republican375%

Classification

Policy area

Health

Legislative subjects

Computers and information technologyGovernment information and archivesHealth care qualityMedicare

Committees

2

  • Energy and Commerce Committee

    House · Standing

    • Referred To15 Sept 2025
    • Markup By21 May 2026

    • Health Subcommittee

      • Referred to15 Sept 2025
      • Markup by13 May 2026
      • Reported by13 May 2026

  • Ways and Means Committee

    House · Standing

    • Referred To15 Sept 2025
    • Markup By17 Sept 2025

Cosponsor momentum

Cumulative over time

Cosponsors grew from 3 on 15 September 2025 to 4 on 12 January 2026.

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