3.0.0 5347 2026-07-15T13:08:25Z 2026-07-15T13:51:54Z House H HR 2025-09-15 119 https://www.congress.gov/bill/119th-congress/house-bill/5347 [Congressional Record Volume 171, Number 150 (Monday, September 15, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. BUCHANAN:H.R. 5347.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8[Page H4311]]]> ssfi00 Finance Committee Senate Standing Referred To 2026-07-13T20:46:34Z hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Reported by 2026-05-13T14:59:28Z Markup by 2026-05-13T14:59:04Z Referred to 2025-09-15T14:58:17Z Markup By 2026-05-21T13:51:35Z Referred To 2025-09-15T16:02:15Z hswm00 Ways and Means Committee House Standing Markup By 2025-09-17T13:27:44Z Referred To 2025-09-15T16:02:10Z 2026-07-13 ssfi00 Finance Committee Senate Received in the Senate and Read twice and referred to the Committee on Finance. IntroReferral 2026-06-29 14:57:44 Motion to reconsider laid on the table Agreed to without objection. Floor H38310 2 House floor actions 2026-06-29 14:57:38 On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272) Floor H37300 2 House floor actions 2026-06-29 14:57:38 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) Floor 8000 9 Library of Congress 2026-06-29 14:46:44 DEBATE - The House proceeded with forty minutes of debate on H.R. 5347. Floor H8D000 2 House floor actions 2026-06-29 14:46:42 Considered under suspension of the rules. (consideration: CR H4272-4273) Floor H30000 2 House floor actions 2026-06-29 14:46:29 Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended. Floor H30300 2 House floor actions 2026-05-21 hsif00 Energy and Commerce Committee 1 House committee actions Ordered to be Reported by the Yeas and Nays: 44 - 0. Committee 2026-05-21 hsif00 Energy and Commerce Committee 1 House committee actions Committee Consideration and Mark-up Session Held Committee 2026-05-13 hsif14 Health Subcommittee 1 House committee actions Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote. Committee 2026-05-13 hsif14 Health Subcommittee 1 House committee actions Subcommittee Consideration and Mark-up Session Held Committee 2025-09-17 hswm00 Ways and Means Committee 1 House committee actions Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0. Committee 2025-09-17 hswm00 Ways and Means Committee 1 House committee actions Committee Consideration and Mark-up Session Held Committee 2025-09-15 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. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2025-09-15 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. IntroReferral H11100 2 House floor actions hswm00 Ways and Means Committee 2025-09-15 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2025-09-15 Introduced in House IntroReferral Intro-H 9 Library of Congress 2025-09-15 Introduced in House IntroReferral 1000 9 Library of Congress B001260 Rep. Buchanan, Vern [R-FL-16] Vern Buchanan R FL 16 N P000613 Rep. Panetta, Jimmy [D-CA-19] Jimmy Panetta D CA 19 2025-09-15 True C001120 Rep. Crenshaw, Dan [R-TX-2] Dan Crenshaw R TX 2 2025-09-15 True L000585 Rep. LaHood, Darin [R-IL-16] Darin LaHood R IL 16 2025-09-15 True L000599 Rep. Lawler, Michael [R-NY-17] Michael Lawler R NY 17 2026-01-12 False Health Computers and information technology 2025-09-24T20:22:33Z Government information and archives 2025-09-24T20:22:25Z Health care quality 2025-09-24T20:22:19Z Medicare 2025-09-24T20:22:13Z Health 2026-07-13T17:34:04Z 00 2025-09-15 Introduced in House 2026-06-24T16:14:36Z 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.

]]> Health Care Efficiency Through Flexibility Act Short Titles from RFS (Referred to Senate) bill text 255 Health Care Efficiency Through Flexibility Act 2026-07-15T13:08:25Z S Senate Referred in Senate RFS Short Title(s) as Passed House 104 Health Care Efficiency Through Flexibility Act 2026-07-01T03:53:27Z H House Engrossed in House EH Official Titles from EH (Engrossed in House) bill text 259 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. 2026-07-01T03:53:27Z H House Engrossed in House EH Display Title 45 Health Care Efficiency Through Flexibility Act 2025-09-16T08:23:20Z Short Title(s) as Introduced 101 Health Care Efficiency Through Flexibility Act 2025-09-16T08:23:18Z Introduced in House IH Official Title as Introduced 6 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. 2025-09-16T08:18:30Z Introduced in House IH Referred in Senate 2026-07-13T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-119hr5347rfs/xml/BILLS-119hr5347rfs.xml Engrossed in House 2026-06-29T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-119hr5347eh/xml/BILLS-119hr5347eh.xml Introduced in House 2025-09-15T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-119hr5347ih/xml/BILLS-119hr5347ih.xml 2026-07-13 Received in the Senate and Read twice and referred to the Committee on Finance. text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.