01 — The Text
What.
- Delays new electronic reporting requirements for accountable care organizations (ACOs) managing Medicare patients through 2029.
- ACOs can keep using old reporting methods instead of switching to new CMS system in 2025.
- Creates pilot program testing alternative digital reporting methods from 2028-2032; CMS analyzes results and makes recommendations.
02 — The Stakes
So what?
- Healthcare networks get 4-year reprieve from expensive system overhaul, reducing administrative burden and costs.
- Medicare beneficiaries may benefit from ACOs' saved resources staying in care coordination vs. IT compliance.
- Tradeoff: Delays standardization that could improve data quality and program oversight across all ACOs.
03 — The Path
Now what?
- House passed it June 29, 2026 by voice vote (unanimous committee approval in May). Now heads to Senate.
- Call your senators' offices to express your position on healthcare administrative flexibility vs. standardization.
- Bill becomes law only if Senate passes identical version and president signs.
Legislative History
Actions.
- Jun 29, 2026 — Motion to reconsider laid on the table Agreed to without objection.
- Jun 29, 2026 — On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)
- Jun 29, 2026 — 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)
- Jun 29, 2026 — DEBATE - The House proceeded with forty minutes of debate on H.R. 5347.
- Jun 29, 2026 — Considered under suspension of the rules. (consideration: CR H4272-4273)
- Jun 29, 2026 — Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
- May 21, 2026 — Ordered to be Reported by the Yeas and Nays: 44 - 0.
- May 21, 2026 — Committee Consideration and Mark-up Session Held