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H.R. 5347 119th Congress House

Health Care Efficiency Through Flexibility Act

Official title: 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.

Introduced: September 15, 2025 Introduced by: Vern Buchanan Republican · Florida See on congress.gov
Health Computers and information technologyGovernment information and archivesHealth care qualityMedicare
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 Everywhere this bill has been 16 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 13, 2026
Received in the Senate and Read twice and referred to the Committee on Finance.
Jun 29, 2026 · 2:57 PM EDT
Motion to reconsider laid on the table Agreed to without objection.
Jun 29, 2026 · 2:57 PM EDT
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)
Jun 29, 2026 · 2:57 PM EDT
Passed/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, 2026 · 2:46 PM EDT
DEBATE - The House proceeded with forty minutes of debate on H.R. 5347.
Jun 29, 2026 · 2:46 PM EDT
Considered under suspension of the rules. (consideration: CR H4272-4273)
Jun 29, 2026 · 2:46 PM EDT
Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
May 21, 2026
Ordered to be Reported by the Yeas and Nays: 44 - 0.
May 21, 2026
Committee Consideration and Mark-up Session Held
May 13, 2026
Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
May 13, 2026
Subcommittee Consideration and Mark-up Session Held
Sep 17, 2025
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.
Sep 17, 2025
Committee Consideration and Mark-up Session Held
Sep 15, 2025
Referred 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, 2025
Referred to the Subcommittee on Health.
Sep 15, 2025
Introduced in House
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What's happening now July 13, 2026

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

 Plain-English summary Congressional Research Service

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.

 Hearings & markups 3
 Bill text 3 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
 Lobbying activity 15

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

Bodies those filers lobbied

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 15 filings →
 Cosponsors 4
All 4 Democratic 1 Republican 3
R
Lawler, Michael
New York · Jan 12, 2026
 R
Crenshaw, Dan
Texas · Sep 15, 2025
 R
LaHood, Darin
Illinois · Sep 15, 2025
 D
Panetta, Jimmy
California · Sep 15, 2025
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APA
U.S. Congress. (2026). H.R. 5347: Health Care Efficiency Through Flexibility Act. 119th Congress. Open America. https://openamerica.io/bill/119-HR-5347/
MLA
"H.R. 5347: Health Care Efficiency Through Flexibility Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-5347/.
Bluebook (legal)
H.R. 5347, 119th Cong. (2026), https://openamerica.io/bill/119-HR-5347/.
Markdown link
[H.R. 5347: Health Care Efficiency Through Flexibility Act](https://openamerica.io/bill/119-HR-5347/)
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