Politiparty
Politiparty

119th Congress Health

H.R. 5347: Health Care Efficiency Through Flexibility Act

Passed HouseJun 29, 2026

  1. Passed House (completed)Jun 29, 2026
  2. Passed Senate (not reached)
  3. To the President (not reached)
  4. Became law (not reached)

Summary

Introduced in House, Sep 15, 2025

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.

Written by the Congressional Research Service, Library of Congress.

Roll calls

0 votes on this bill

No roll call votes have been held on this bill.

Amendments

0 offered

No amendments were offered to this bill.

Cosponsors

4

Bipartisan support.

Who scored on this bill

64 points earned
  1. 1Vern Buchanan R-FL SponsorDrew cross-party cosponsors, introduced, marked up, passed House4 events+48
  2. 2Dan Crenshaw R-TXCosponsored; cosponsored bill passed2 events+4
  3. 2Darin LaHood R-ILCosponsored; cosponsored bill passed2 events+4
  4. 2Michael Lawler R-NYCosponsored; cosponsored bill passed2 events+4
  5. 2Jimmy Panetta D-CACosponsored; cosponsored bill passed2 events+4
See all scorers and every scoring event

Introductions and cosponsorships count toward weekly caps and show no points.

Other bills by Vern Buchanan

History

  1. Jun 29, 2026Passed the House by voice vote.
  2. Sep 15, 2025Introduced in the House by Vern Buchanan.
Show the full action history (19 actions)
  1. Jul 13, 2026Received in the Senate and Read twice and referred to the Committee on Finance.
  2. 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)
  3. Jun 29, 2026Considered under suspension of the rules. (consideration: CR H4272-4273)
  4. Jun 29, 2026On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)
  5. Jun 29, 2026Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
  6. Jun 29, 2026Considered under suspension of the rules.
  7. Jun 29, 2026DEBATE - The House proceeded with forty minutes of debate on H.R. 5347.
  8. Jun 29, 2026Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.
  9. Jun 29, 2026On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.
  10. Jun 29, 2026Motion to reconsider laid on the table Agreed to without objection.
  11. May 21, 2026Committee Consideration and Mark-up Session Held
  12. May 21, 2026Ordered to be Reported by the Yeas and Nays: 44 - 0.
  13. May 13, 2026Subcommittee Consideration and Mark-up Session Held
  14. May 13, 2026Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
  15. Sep 17, 2025Committee Consideration and Mark-up Session Held
  16. Sep 17, 2025Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.
  17. Sep 15, 2025Introduced in House
  18. Sep 15, 2025Referred to the Subcommittee on Health.
  19. 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.