Government belongs to the people.

If it governs your life, you should have a voice in it.

Official voting resourcesVote.gov ↗USA.gov ↗
Zebra mark
Zebra.
Register
All federal
19,857 total · sort: latest action
H.R. 1013 · HOUSE2d
Retirement Fairness for Charities and Educational Institutions Act of 2025
Rule H. Res. 1650 passed House.
H.Res. 1654 · HOUSE3d
Congratulating the Milwaukee Brewers, and the fans of the Milwaukee Brewers, on winning Major League Baseball's 2026 World Championship Series.
Referred to the House Committee on Oversight and Government Reform.
H.Res. 1653 · HOUSE3d
Honoring the service and sacrifice of America's veterans on Veterans Day, 2026.
Referred to the House Committee on Veterans' Affairs.
H.R. 10964 · HOUSE3d
To designate the facility of the United States Postal Service located at 2503 South Washington Avenue in Titusville, Florida, as the "Agent Kevin Morris Post Office".
Referred to the House Committee on Oversight and Government Reform.
H.R. 10967 · HOUSE3d
Diwali Day Act
Referred to the House Committee on Oversight and Government Reform.
H.Res. 1651 · HOUSE3d
Supporting the goals and ideals of "National Veterans Small Business Week".
Referred to the House Committee on Small Business.
H.R. 10963 · HOUSE3d
To eliminate the statute of limitations for certain Federal perjury offenses.
Referred to the House Committee on the Judiciary.
H.Res. 1652 · HOUSE3d
Expressing support for the designation of the week beginning on November 9, 2026, as "National School Psychology Week".
Referred to the House Committee on Education and Workforce.
H.Res. 1650 · HOUSE3d
Providing for consideration of the bill (H.R. 1013) to amend the Federal securities laws to enhance 403(b) plans, and for other purposes.
Placed on the House Calendar, Calendar No. 92.
H.R. 10961 · HOUSE3d
To direct the Secretary of Veterans Affairs to report on the Warrior Training Advancement Course of the Veterans Benefits Administration.
Referred to the House Committee on Veterans' Affairs.
H.R. 10968 · HOUSE3d
No Veteran Left Behind: Housing Retention Act of 2026
Referred to the House Committee on Veterans' Affairs.
H.R. 10966 · HOUSE3d
Supporting Veteran Mothers Act of 2026
Referred to the House Committee on Veterans' Affairs.
H.R. 10969 · HOUSE3d
Healthy Meal Time Act of 2026
Referred to the House Committee on Education and Workforce.
H.R. 10970 · HOUSE3d
Cardiovascular Disease Early Detection and Prevention Act of 2026
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently…
H.R. 10962 · HOUSE3d
Justification Oversight and Opportunities for Main Street Act of 2026
Referred to the House Committee on Armed Services.
Showing 15 of 19,857Load 50 more →
← Back to list
119th Congress · H.R. 5347 · Passed Origin

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.

Full bill text →

0
Voices Recorded
L3 verified 0
L2 verified 0
Why three axes? · 50-second explainer

1 / 10
Now you know how it works.
Your true verified voice
Your Stance
Should this happen?
0%
0%
0%
Fiscal Judgment
Where do you stand on this government spending?
0%
0%
0%
Authority — Multiple can be selected
Which authority should have control over this? Mark all that apply.
0%
0%
0%
0%
SubjectsComputers and information technologyGovernment information and archivesHealth care qualityMedicare

XML scalars

congress
119
type
HR
number
5347
originChamber
House
originChamberCode
H
introducedDate
2025-09-15
updateDate
2026-09-19T23:40:15Z
updateDateIncludingText
2026-09-19T23:40:15Z
title
Health Care Efficiency Through Flexibility Act
legislationUrl
https://www.congress.gov/bill/119th-congress/house-bill/5347

Constitutional authority statement (CDATA)

[Congressional Record Volume 171, Number 150 (Monday, September 15, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. BUCHANAN:H.R. 5347.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8[Page H4311]

Pipeline

Track
federal_presidential
Stage
Passed Chamber of Origin
Stage rank
2

Sponsor

  • Rep. Buchanan, Vern [R-FL-16] · [R-FL-16] · B001260
    Rep-FL-16 current · 10 terms · @VernBuchanan · 3 district offices

Sponsor record (congress_legislators)

Bio (legislators)

bioguide
B001260
status
current
official_full
Vern Buchanan
first
Vern
middle
null
last
Buchanan
suffix
null
nickname
null
birthday
1951-05-08
gender
M

Current term (10 total)

type
rep
state
FL
district
16
class
null
party
Republican
caucus
null
start
2025-01-03
end
2027-01-03
end_type
null
how
null
url
https://buchanan.house.gov
address
2409 Rayburn House Office Building Washington DC 20515-0916
office
2409 Rayburn House Office Building
phone
202-225-5015
fax
null
contact_form
null
rss_url
http://buchanan.house.gov/index.php?option=com_bca-rss-syndicator&feed_id=2

Leadership roles (0)

none

Committee memberships (4)

  • Health (house) · house · Chair · rank 1
  • House Committee on Ways and Means (house) · house · rank 2 · site
  • Trade (house) · house · rank 2
  • Joint Committee on Taxation (joint) · joint · rank 2 · site

Social media

District offices (3)

  • 510 Vonderburg Drive, Suite 303, Brandon, FL, 33511 · 813-657-1013 · fax 771-200-5798 · By appointment only · 27.930656,-82.2892269
  • 8433 Enterprise Circle, Suite 210, Bradenton, FL, 34202 · 941-951-6643 · fax 771-200-5798 · 27.3876393,-82.43503079999999
  • 5370 Gulf of Mexico Drive, Suite 210, Longboat Key, FL, 34228 · 941-951-6643 · By appointment only · 27.4111492,-82.6563195

Other names (0)

none

Sponsor FEC record (fec_live)

Candidate record (candidates) · cycle 2026

candidate_id
H6FL13148
cycle
2026
name
BUCHANAN, VERNON
party
REPUBLICAN PARTY
office
House
state
FL
district
16
incumbent_challenge
Incumbent
candidate_status
C
active_through
2026
election_year
null
first_file_date
2005-07-01
last_file_date
2025-01-15
last_f2_date
2025-01-15
address
null

Candidate summary (candidate_summaries) · cycle 2026

cycle
2026
total_receipts
$929,859.45
total_disbursements
$983,349.77
cash_on_hand_end_period
$995,723.03
debts_owed_by_committee
$0.00
coverage_start_date
2025-01-01
coverage_end_date
2026-06-30

Connected committees (0)

none

Cosponsors (4)

  • Rep. Panetta, Jimmy [D-CA-19] · [D-CA-19] · P000613 · Co-sponsored 2025-09-15 · original
    Dem-CA-19 current · 5 terms · @RepJimmyPanetta · 4 district offices
  • Rep. Crenshaw, Dan [R-TX-2] · [R-TX-2] · C001120 · Co-sponsored 2025-09-15 · original
    Rep-TX-2 current · 4 terms · @RepDanCrenshaw · 2 district offices
  • Rep. LaHood, Darin [R-IL-16] · [R-IL-16] · L000585 · Co-sponsored 2025-09-15 · original
    Rep-IL-16 current · 6 terms · @RepLaHood · 3 district offices
  • Rep. Lawler, Michael [R-NY-17] · [R-NY-17] · L000599 · Co-sponsored 2026-01-12
    Rep-NY-17 current · 2 terms · @RepMikeLawler · 2 district offices

Committees (3)

  • Finance Committee [Senate Standing]
    2026-07-13T20:46:34ZReferred To
  • Energy and Commerce Committee [House Standing]
    2026-05-21T13:51:35ZMarkup By
    2025-09-15T16:02:15ZReferred To
    ↳ Health Subcommittee
  • Ways and Means Committee [House Standing]
    2025-09-17T13:27:44ZMarkup By
    2025-09-15T16:02:10ZReferred To

Actions — from XML (18)

  • 2026-07-13IntroReferralvia Senate
    Received in the Senate and Read twice and referred to the Committee on Finance.
  • 2026-06-29 14:57:44FloorH38310via House floor actions
    Motion to reconsider laid on the table Agreed to without objection.
  • 2026-06-29 14:57:38FloorH37300via House floor actions
    On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)
  • 2026-06-29 14:57:38Floor8000via Library of Congress
    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)
  • 2026-06-29 14:46:44FloorH8D000via House floor actions
    DEBATE - The House proceeded with forty minutes of debate on H.R. 5347.
  • 2026-06-29 14:46:42FloorH30000via House floor actions
    Considered under suspension of the rules. (consideration: CR H4272-4273)
  • 2026-06-29 14:46:29FloorH30300via House floor actions
    Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
  • 2026-05-21Committeevia House committee actions
    Ordered to be Reported by the Yeas and Nays: 44 - 0.
  • 2026-05-21Committeevia House committee actions
    Committee Consideration and Mark-up Session Held
  • 2026-05-13Committeevia House committee actions
    Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
  • 2026-05-13Committeevia House committee actions
    Subcommittee Consideration and Mark-up Session Held
  • 2025-09-17Committeevia House committee actions
    Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.
  • 2025-09-17Committeevia House committee actions
    Committee Consideration and Mark-up Session Held
  • 2025-09-15IntroReferralH11100via House floor actions
    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.
  • 2025-09-15IntroReferralH11100via House floor actions
    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.
  • 2025-09-15Committeevia House committee actions
    Referred to the Subcommittee on Health.
  • 2025-09-15IntroReferralIntro-Hvia Library of Congress
    Introduced in House
  • 2025-09-15IntroReferral1000via Library of Congress
    Introduced in House

Actions — from bill_actions table (0)

none

Titles

  • Display Title2026-09-19T23:40:15Z
    Health Care Efficiency Through Flexibility Act
  • Short Titles from RFS (Referred to Senate) bill textRFSS2026-07-15T13:08:25Z
    Health Care Efficiency Through Flexibility Act
  • Short Title(s) as Passed HouseEHH2026-07-01T03:53:27Z
    Health Care Efficiency Through Flexibility Act
  • Official Title from EH (Engrossed in House) bill textEHH2026-07-01T03:53:27Z
    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.
  • Short Title(s) as IntroducedIH2025-09-16T08:23:18Z
    Health Care Efficiency Through Flexibility Act
  • Official Title as IntroducedIH2025-09-16T08:18:30Z
    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.

Text versions (from XML)

Versions — from bill_versions table (0)

none

Policy area

Health

Summaries

00 · 2025-09-15 · Introduced in House

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.

Related bills

none

Amendments (0)

none

Laws

none

Committee reports

none

Calendar number

null

CBO cost estimates

none

Latest action

Date
2026-07-13
Text
Received in the Senate and Read twice and referred to the Committee on Finance.
Time
null

Dublin Core

format
text/xml
language
EN
rights
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
contributor
Congressional Research Service, Library of Congress
description
This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.

Row fields (debug)

id
4360
congress
119
bill_type
hr
bill_number
5347
bill_slug
hr-5347-119
title
Health Care Efficiency Through Flexibility Act
short_title
Health Care Efficiency Through Flexibility Act
sponsor_bioguide_id
B001260
sponsor_name
Rep. Buchanan, Vern [R-FL-16]
sponsor_party
R
sponsor_state
FL
introduced_date
2025-09-15
latest_action_date
2026-07-13
latest_action_text
Received in the Senate and Read twice and referred to the Committee on Finance.
status
Committee
policy_area
Health
subjects_json
[
  "Computers and information technology",
  "Government information and archives",
  "Health care quality",
  "Medicare"
]
govinfo_billstatus_path
BILLSTATUS-119hr5347
raw_billstatus_xml
<?xml version="1.0" encoding="utf-8" standalone="no"?> <billStatus> <version>3.0.0</version> <bill> <number>5347</number> <updateDate>2026-09-19T23:40:15Z</updateDate> <updateDateIncludingText>2026-09-19T23:40:15Z</updateDateIncludingText> <originChamber>House</originChamber> <originChamberCode>H</originChamberCode> <type>HR</type> <introducedDate>2025-09-15</int…
summary_lede
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 …
topic_primary
health
topic_secondary_json
[]
action_family
committee_active
response_available
0
response_type
null
response_deadline
null
importance_score
null
consequence_score
null
urgency_score
null
overall_score
null
in_canopy
0
canopy_expires_at
null
pipeline_track
federal_presidential
pipeline_stage
passed_origin
pipeline_stage_rank
2
stable_action_id
hr-5347-119
jurisdiction
federal
lock_status
open
lock_at
null
content_hash
15f0849a64167a7e53cf652d11fa0dfeb45f198e5c3ebb27e0f942e8ce2cb782
anchored_at
null
anchor_merkle_root
null
source_kind
api_fill
first_seen_at
2026-04-20T08:15:57.988066+00:00
last_seen_at
2026-09-27T11:30:22.070413+00:00
⎔ Anchored0x0000…0000Epoch 2026-Q4