H.R. 5347 · 119th Congress · Health
Health Care Efficiency Through Flexibility Act
How the House voted
Yea from the left, nay from the right, each side by party
House · Jun 29, 2026
Passed by voice vote.
Passed the House on June 29, 2026.
Latest action: Received in the Senate and Read twice and referred to the Committee on Finance
- IntroducedSep 15, 2025
- CommitteeSep 15, 2025
- Passed HouseJun 29, 2026
- Passed Senate
- Became law
On the record
- Cosponsors
- 4
- 1 Democrat, 3 Republicans
- Committees
- Senate Committee on FinanceHouse Committee on Energy and CommerceHouse Committee on Ways and Means
- Lobbying
- At least 4
- organizations named it2025 Q3 to 2026 Q3
What it does
This bill adjusts how Accountable Care Organizations report quality data under the Medicare Shared Savings Program.
This bill adjusts how Accountable Care Organizations report quality data under the Medicare Shared Savings Program. For performance years 2025 through 2029, it requires the Secretary of Health and Human Services to keep three specific quality-measure collection types available to ACOs for each required measure. For years beginning in 2026, it bars the Secretary from treating an ACO's data as unrepresentative of its performance solely because the data leaves out a participant that could not collect it through the ACO's chosen collection type, so long as the data otherwise meets completeness rules and the ACO shows the participant could not collect it. It also directs the Secretary to run a digital quality measure reporting pilot for performance years 2028 through 2032, under which selected ACOs report two specified measures digitally and are excused from reporting the others. It appropriates $8,000,000 for fiscal year 2026 to run these changes and offsets that by cutting the Medicare Improvement Fund from $2,062,000,000 to $2,054,000,000.
Each stop is a step the bill’s own record states, with the date it happened. A ring is a step not yet taken. A bill becomes law when the President signs it or Congress overrides a veto.
At least 4 organizations named this measure in a lobbying filing. A floor, not a total: they were counted by the client name on 15 quarterly reports filed by 4 organizations lobbying for themselves in 2025 Q3, 2025 Q4, 2026 Q1, 2026 Q2 and 2026 Q3. An organization that lobbied this measure without naming it is not counted here.
The filings record that lobbying was reported on the measure. The form has no per-bill dollar figure and no field for a position, so nothing here says how much was spent or which side an organization took.
The organizations named: Healthcare Leadership Council; National Association of Accountable Care Organizations; American Medical Association; America's Physician Groups. Listed as filed. They are every client name on the filings counted here.
From the LD-2 quarterly lobbying filings published at lda.gov by the Senate Office of Public Records. Read for 2025 Q1, 2025 Q2, 2025 Q3, 2025 Q4, 2026 Q1, 2026 Q2 and 2026 Q3. Our copy holds 24 fewer filings for 2025 Q1, 39 fewer filings for 2025 Q2, 42 fewer filings for 2025 Q3, 33 fewer filings for 2025 Q4, 28 fewer filings for 2026 Q1, 48 fewer filings for 2026 Q2 and 218 fewer filings for 2026 Q3 than the Senate's register counts, so those quarters are the filings we could read rather than every one filed. 2026 Q4 is still inside its filing window, so that quarter is only the filings posted so far.
Congress.gov bill status and cosponsor records; the House Clerk and Senate roll calls; lobbying reports filed under the Lobbying Disclosure Act (lda.gov); the plain summary and provisions are read from the bill text, each with its section.