Health Care Efficiency Through Flexibility Act
Latest action · Jul 13, 2026 Received in the Senate and Read twice and referred to the Committee on Finance.
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedSep 15, 2025
- Passed HouseJun 29, 2026
- Passed SenateNot reached
- To the PresidentNot reached
- Became lawNot reached
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.
Cosponsors 4
Members who signed on, in the order they did. Signatures ran from Sep 15, 2025 to Jan 12, 2026; 3 are original cosponsors, there from the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| R-TX | Dan Crenshaw | Original | Sep 15, 2025 |
| R-IL | Darin LaHood | Original | Sep 15, 2025 |
| D-CA | Jimmy Panetta | Original | Sep 15, 2025 |
| R-NY | Michael Lawler | Jan 12, 2026 |
Committees 3
Where it was sent and what each committee and subcommittee did with it, in order.
| Chamber | Committee | What it did |
|---|---|---|
| House | Energy and Commerce Committee | Referred Sep 15, 2025Markup May 21, 2026 |
| Health Subcommittee | Referred Sep 15, 2025Markup May 13, 2026Reported May 13, 2026 | |
| House | Ways and Means Committee | Referred Sep 15, 2025Markup Sep 17, 2025 |
| Senate | Finance Committee | Referred Jul 13, 2026 |
Actions 15
Everything that happened, newest first.
- Jul 13, 2026Received in the Senate and Read twice and referred to the Committee on Finance.
- 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)
- Jun 29, 2026Considered under suspension of the rules. (consideration: CR H4272-4273)
- Jun 29, 2026Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
- Jun 29, 2026DEBATE - The House proceeded with forty minutes of debate on H.R. 5347.
- Jun 29, 2026Motion to reconsider laid on the table Agreed to without objection.
- May 21, 2026Committee Consideration and Mark-up Session Held
- May 21, 2026Ordered to be Reported by the Yeas and Nays: 44 - 0.
- May 13, 2026Subcommittee Consideration and Mark-up Session Held
- May 13, 2026Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
- Sep 17, 2025Committee Consideration and Mark-up Session Held
- Sep 17, 2025Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.
- Sep 15, 2025Referred to the Subcommittee on Health.
- Sep 15, 2025Introduced in House
- 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.
In the Congressional Record 1
Days the Record’s own index lists this bill, newest first, with the pages and the members it names. Pages starting H are the House, S the Senate, E Extensions of Remarks.
| Where | In the Record | Members | Date |
|---|---|---|---|
| House | Debate and remarks H4272, H4273Text printed H4272 | Jason Smith R-MO, Thomas R. Suozzi D-NY, Vern Buchanan R-FL | Jun 29, 2026 |
Research
What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.
Constitutional authority
The sponsor’s statement, as printed in the Congressional Record, vol. 171, no. 150, September 15, 2025, page H4311.
Printed hearings 1
Hearings whose printed record names this bill, newest first: hearings on it, and wider hearings where it came up.
| Number | Hearing | Committee | Held |
|---|---|---|---|
| Serial No. 119-51 | LEGISLATIVE PROPOSALS TO SUPPORT PATIENT ACCESS TO MEDICARE SERVICES323 pages | Energy and Commerce Committee | Jan 8, 2026 |
Titles 5
Every title it has carried, official and short, at each stage.
- Official Title as Introduced
- 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.
- Short Title(s) as Introduced
- Health Care Efficiency Through Flexibility Act
- Short Title(s) as Passed House
- Health Care Efficiency Through Flexibility Act
- Short Titles from RFS (Referred to Senate) bill text
- Health Care Efficiency Through Flexibility Act
- Official Title from EH (Engrossed in House) bill text
- 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.
Subjects
Assigned by the Library of Congress. Policy area: Health.
Text 3
Each version as it was printed, newest first.
- Jul 13, 2026Referred in Senate
- Jun 29, 2026Engrossed in House
- Sep 15, 2025Introduced in House
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.
