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House bill · H.R. 5347 (119th Congress)

Health Care Efficiency Through Flexibility Act

U.S. House of Representatives

Latest action Jul 13, 2026

Sponsor: Vern Buchanan (U.S. Representative, FL-16, Republican)

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From Congress.gov and official rosters. This record was last updated Aug 3, 2026. About our data

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.

Summary from the Congressional Research Service. How we handle summaries

Where it stands

Passed one of the two chambers; it still needs the other.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

Committee

House Committee on Energy and Commerce · U.S. House of Representatives

Also referred to House Committee on Ways and Means · U.S. House of Representatives.

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Cosponsors

4

Cosponsors listed on Congress.gov, shown A to Z.

  • Republican3
  • Democratic1

This bill has cosponsors from more than one party.

Shown in neutral colors by design; Agora is non-partisan.

Full history

  1. Jul 13, 2026

    Sent to the executive

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

    U.S. Senate

  2. Jun 29, 2026

    Considered Under Suspension of the rules. (consideration: cr H4272-4273)

    Considered under suspension of the rules. (consideration: CR H4272-4273)

  3. Jun 29, 2026

    Considered Under Suspension of the rules. (consideration: cr H4272-4273)

    Considered under suspension of the rules. (consideration: CR H4272-4273)

  4. Jun 29, 2026

    Considered Under Suspension of the rules. (consideration: cr H4272-4273)

    Considered under suspension of the rules. (consideration: CR H4272-4273)

  5. Jun 29, 2026

    Debate - the House Proceeded With Forty Minutes of Debate on H.R. 5347.

    DEBATE - The House proceeded with forty minutes of debate on H.R. 5347.

    U.S. House of Representatives

Show full history (28 earlier events)
  1. Jun 29, 2026

    Passed a chamber

    Motion to reconsider laid on the table Agreed to without objection.

  2. Jun 29, 2026

    Passed a chamber

    Motion to reconsider laid on the table Agreed to without objection.

  3. Jun 29, 2026

    Passed a chamber

    Motion to reconsider laid on the table Agreed to without objection.

  4. Jun 29, 2026

    Introduced

    Motion to reconsider laid on the table Agreed to without objection.

    U.S. House

  5. Jun 29, 2026

    Passed a chamber

    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)

    U.S. House of Representatives

  6. May 21, 2026

    Committee vote

    Committee Consideration and Mark-up Session Held

  7. May 21, 2026

    Committee vote

    Committee Consideration and Mark-up Session Held

  8. May 21, 2026

    Committee vote

    Committee Consideration and Mark-up Session Held

  9. May 21, 2026

    Reported out of committee

    Ordered to be Reported by the Yeas and Nays: 44 - 0.

  10. May 21, 2026

    Reported out of committee

    Ordered to be Reported by the Yeas and Nays: 44 - 0.

  11. May 21, 2026

    Reported out of committee

    Ordered to be Reported by the Yeas and Nays: 44 - 0.

  12. May 13, 2026

    In committee

    Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.

  13. May 13, 2026

    In committee

    Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.

  14. May 13, 2026

    In committee

    Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.

  15. May 13, 2026

    Committee vote

    Subcommittee Consideration and Mark-up Session Held

  16. May 13, 2026

    Committee vote

    Subcommittee Consideration and Mark-up Session Held

  17. May 13, 2026

    Committee vote

    Subcommittee Consideration and Mark-up Session Held

  18. Jan 12, 2026

    Introduced

    Introduced in U.S. House

    U.S. House

  19. Sep 17, 2025

    Committee vote

    Committee Consideration and Mark-up Session Held

  20. Sep 17, 2025

    Committee vote

    Committee Consideration and Mark-up Session Held

  21. Sep 17, 2025

    Committee vote

    Committee Consideration and Mark-up Session Held

  22. Sep 17, 2025

    Reported out of committee

    Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.

  23. Sep 17, 2025

    Reported out of committee

    Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.

  24. Sep 17, 2025

    Reported out of committee

    Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.

  25. Sep 15, 2025

    Introduced

    Introduced in House

    U.S. House of Representatives

  26. Sep 15, 2025

    Referred to committee

    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.

  27. Sep 15, 2025

    Referred to committee

    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.

  28. Sep 15, 2025

    Referred to committee

    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.

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