HR-483 — Health Care Efficiency Through Flexibility Act

YourVoice.Now Summary

Medicare's Accountable Care Organizations (ACOs) — networks of doctors and hospitals that coordinate patient care — were scheduled to switch to a new electronic reporting format called electronic Clinical Quality Metrics (eCQMs) starting in 2025. This bill pushes that transition deadline back to January 1, 2030, giving practices more time to update their electronic health record systems, particularly smaller offices and those in rural or specialty care settings. While the delay is in effect, the Department of Health and Human Services would launch a pilot program by 2026 to test digital reporting methods with a voluntary subset of ACOs, and report findings and recommendations to Congress by 2028. ACOs that continue using existing reporting methods — including the CMS Web Interface and MIPS measures — face no penalties for not yet complying with eCQM requirements through 2029.

Congressional Summary

Health Care Efficiency Through Flexibility ActThis bill requires the Centers for Medicare & Medicaid Services (CMS) to delay certain requirements relating to the reporting of quality measures by accountable care organizations (ACOs) under the Medicare Shared Savings Program and to also test alternative reporting methods for ACOs. (The Medicare Shared Savings Program enables ACOs to receive payments for savings stemming from care coordination and management.)Specifically, the CMS must delay the requirement that ACOs use a specified electronic system for reporting quality measures until January 1, 2030. Additionally, the CMS must establish a pilot program to test other digital reporting methods; ACOs that participate in the pilot program are exempt from using the existing electronic system. The CMS must also implement standards for digital reporting by January 1, 2030, that ensure all electronic health record systems used by ACOs are able to support reporting across a range of practice sizes, specialties, and geographic locations. ACOs may use existing reporting methods until the standards are implemented.

Legislative Subjects

Administrative law and regulatory proceduresComputers and information technologyCongressional oversightDepartment of Health and Human ServicesHealth information and medical recordsHealth programs administration and fundingInternet, web applications, social mediaMedicaidMedicare

Details

Congress: 119th
Chamber: House
Status: summarized
Action: Introduced in House
Action Date: 2025-01-16
Date Added: 2026-06-25
Source: Congress.gov →

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