H.R. 5347 · Passed House · Health

Health Care Efficiency Through Flexibility Act

Sponsor: Vern Buchanan (R-FL)

What it does

• Delay reporting requirements for quality measures by accountable care organizations (ACOs) under the Medicare Shared Savings Program through 2029, allowing continued use of prior reporting methods.
• Require the Centers for Medicare & Medicaid Services (CMS) to establish a pilot program testing alternative digital reporting methods for ACOs from 2028 to 2032.
• Exempt ACOs that participate in the pilot program from mandatory use of other reporting methods during the pilot period.
• Require CMS to publicly post analysis of the pilot program and recommendations for using tested digital reporting methods.

Official summary

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.

Latest action

Jul 13, 2026: Received in the Senate and Read twice and referred to the Committee on Finance.

Committee: Senate Finance