HR 5347 · Passed House · 07-13-26
Health Care Efficiency Through Flexibility Act
What does the Health Care Efficiency Through Flexibility Act do?
HR 5347 is a House bill sponsored by Rep. Vern Buchanan (R-FL). Requires Medicare to keep several ways of reporting quality data available to the doctor-and-hospital groups (called ACOs) that take part in the Medicare Shared Savings Program. It also tells Medicare to run a test program letting some of those groups report quality measures digitally.
Did HR 5347 pass? Where it stands
As of July 17, 2026, HR 5347 has passed the House.
Status: Passed House
Latest vote: House Passed by voice vote on June 29, 2026
Outlook: Possible
Key provisions
- What the Medicare Shared Savings Program Does
- Lets provider groups form ACOs to coordinate care for Medicare fee-for-service patients
- ACOs that hit quality standards can share in the savings they generate
- ACOs must report quality-of-care data in the form Medicare specifies
- Required Reporting Methods
- For performance years 2025-2029, three collection types must stay available
- Covers electronic clinical, MIPS clinical, and Medicare CQMs for ACOs
- Data not deemed unrepresentative solely because one ACO participant couldn't collect it
- Digital Reporting Pilot
- New pilot for performance years 2028-2032 using a digital collection type
- Selected ACOs report only 2 Medicare-specified measures, waiving the rest
- Public analysis and recommendations due by December 31, 2032
Last updated July 15, 2026