H.R. 5347 · 119th Congress

Health Care Efficiency Through Flexibility Act

Introduced on Sep 15, 2025 by Vern Buchanan (R-FL-16). 4 cosponsors, 1 of them from another party. Latest action (Jul 13, 2026): Received in the Senate and Read twice and referred to the Committee on Finance.

Stage
Passed one chamber
Introduced
Sep 15, 2025
Cosponsors
4
1 from the other party
Policy area
Health
Open in the Congress explorerCongress.govAlert me

Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. Reported by committee
  3. Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

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.

Subjects

  • Computers and information technology
  • Government information and archives
  • Health care quality
  • Medicare

Summary

By the Congressional Research Service (Introduced in House, Sep 15, 2025). Public domain.

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.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Vern BuchananR-FL-16Sponsor

Democrats · 1

Republicans · 3

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Sep 15, 2025Introduced in House
  2. Sep 15, 2025Introduced in House
  3. Sep 15, 2025 · HouseReferred to the Subcommittee on Health.
  4. Sep 15, 2025 · HouseReferred 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.
  5. Sep 15, 2025 · HouseReferred 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.
  6. Sep 17, 2025 · HouseCommittee Consideration and Mark-up Session Held
  7. Sep 17, 2025 · HouseOrdered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.
  8. May 13, 2026 · HouseSubcommittee Consideration and Mark-up Session Held
  9. May 13, 2026 · HouseForwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
  10. May 21, 2026 · HouseCommittee Consideration and Mark-up Session Held
  11. May 21, 2026 · HouseOrdered to be Reported by the Yeas and Nays: 44 - 0.
  12. Jun 29, 2026 · HouseMr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
  13. Jun 29, 2026 · HouseConsidered under suspension of the rules. (consideration: CR H4272-4273)
  14. Jun 29, 2026 · HouseDEBATE - The House proceeded with forty minutes of debate on H.R. 5347.
  15. 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)
  16. Jun 29, 2026 · HouseOn motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)
  17. Jun 29, 2026 · HouseMotion to reconsider laid on the table Agreed to without objection.
  18. Jul 13, 2026 · SenateReceived in the Senate and Read twice and referred to the Committee on Finance.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. American Medical Association4 reports
    $23.2M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  2. NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS4 reports
    $627.5K reported (all issues)
  3. AMERICA'S PHYSICIAN GROUPS1 report
    $110K reported (all issues)
  4. Healthcare Leadership Council1 report
    $200K reported (all issues)

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.