What does Preamble of Health Care Efficiency Through Flexibility Act do?

This bill aims to amend title XVIII of the Social Security Act The amendment focuses on ensuring availability of appropriate collection types for quality reporting under the Medicare Shared Savings Program

What does SHORT TITLE. of Health Care Efficiency Through Flexibility Act do?

This bill is formally titled the Health Care Efficiency Through Flexibility Act

What does ENSURING AVAILABILITY OF APPROPRIATE COLLECTION TYPES FOR of Health Care Efficiency Through Flexibility Act do?

This section amends Section 1899(b)(3)(B) of the Social Security Act. For performance years 2025 through 2029, the Secretary must ensure the availability of specific collection types for quality reporting. The required collection types include electronic clinical quality measures, MIPS clinical quality measures, and Medicare Clinical Quality Measures for ACOs in the Medicare Shared Savings Program. The Secretary may not find an ACO's data unrepresentative solely because it excludes data from an ACO participant if the data otherwise meets completeness requirements and the ACO demonstrates the participant couldn't collect data using the selected collection type. The term 'ACO participant' is defined according to existing regulations.

What does PILOT PROGRAM FOR DIGITAL QUALITY MEASURE REPORTING. of Health Care Efficiency Through Flexibility Act do?

This section amends the Social Security Act to establish a pilot program for digital quality measure reporting. The pilot program, running from 2028 through 2032, requires selected Accountable Care Organizations (ACOs) to report specified quality measures through a digital collection type. The Secretary selects ACOs to participate based on submitted applications. The Secretary specifies two quality measures for each performance year. ACOs participating in the pilot program are not required to report other measures beyond those specified. Data submitted through the digital collection type will not be considered when determining whether an ACO meets quality performance standards or for quality performance scores. The Secretary is required to provide technical assistance to participating ACOs. By December 31, 2032, the Secretary must publicly post an analysis of the program, recommendations for increasing data submissions, and a proposed timeline for requiring measures to be submitted digitally.

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Health Care Efficiency Through Flexibility Act

Last updated: 5/21/2026 · Introduced: 9/15/2025

Author: Vern Buchanan (R-FL)

TL;DR (AI)

The bill requires the Secretary to ensure the availability of specific collection types for quality reporting under the Medicare Shared Savings Program for performance years 2025 through 2029.
The Secretary is prohibited from finding an ACO's data unrepresentative solely because it excludes data from an ACO participant if the data otherwise meets completeness requirements and the ACO demonstrates the participant couldn't collect data using the selected collection type.
A pilot program for digital quality measure reporting is established, requiring selected ACOs to report specified quality measures through a digital collection type from 2028 through 2032.

119th Congressin committeeOfficial page

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Other Sections

Includes provisions on preamble, short title., and 2 more.

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