Health Care Efficiency Through Flexibility Act

Sponsor: Vern Buchanan (Republican-FL)September 15, 2025

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Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

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

Medicare healthcare groups would get more flexible ways to report patient care quality.

This bill would give healthcare groups that work with Medicare more choices in how they report on patient care quality from 2025 to 2029. It would also prevent penalties for some incomplete data and start a pilot program for digital reporting, making it easier for some groups to share information.

What Would Change

Today, Medicare healthcare groups (ACOs) must report patient care quality, but specific digital and electronic reporting options are not guaranteed, and strict rules apply to data completeness. After this bill, specific digital and electronic reporting options would be guaranteed for ACOs from 2025 to 2029. Also, starting in 2025, ACOs would have more flexibility regarding incomplete data from their participating providers, and a pilot program for digital quality reporting would run from 2028 to 2032.

Key Provisions

Requires the government to offer specific ways for Medicare healthcare groups to report patient care quality from 2025 to 2029.
Prevents Medicare from penalizing healthcare groups for incomplete quality data if a participant couldn't collect it and other rules are met, starting in 2025.
Creates a pilot program from 2028 to 2032 for some Medicare healthcare groups to try out digital quality reporting.
Lets groups in the pilot program skip reporting other quality measures and ensures their pilot data won't affect their performance scores.
Requires the government to provide technical help to groups in the digital reporting pilot program.
Requires the government to publicly share an analysis and recommendations about the digital reporting pilot program by December 31, 2032.

View on Congress.gov

HR 5347 · 119th Congress · September 15, 2025 · AI Summary by gemini-2.5-flash · 9/10

Lobbying Activity

5 filings mentioned this bill

Top Lobbying Clients

NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS

2 filings

AMERICAN MEDICAL ASSOCIATION

3 filings

Top Lobbying Firms

1.AMERICAN MEDICAL ASSOCIATION3 filings

2.NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS2 filings

Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.