H.R. 5347 · 119th Congress · pending
Health Care Efficiency Through Flexibility Act
Received in the Senate and Read twice and referred to the Committee on Finance.
Latest official action 2026-07-13 · Referred
The bill, briefly
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.
Congressional Research Service · 2025-09-15
Who reported lobbying on this bill?
Amount spent specifically on this bill: not disclosed
The reports below name this bill and disclose an organization’s overall lobbying expenses or a firm’s client income for the period. They can cover many bills and issues. These amounts are not payments to the bill or its politicians.
No matching lobbying report is imported yet. This is not evidence that no lobbying occurred.
2,409 latest lobbying reports imported. Some source imports are still in progress.
Politicians behind the bill
Sponsors and cosponsors from the official source, limited to members currently in office. Campaign amounts are cycle-wide and are not payments for this bill.
Sponsor
Vern Buchanan
House · FL District 16 · Republican
$537,704PAC receipts · 2025–2026
Cosponsor
Jimmy Panetta
House · CA District 19 · Democratic
$1,677,802PAC receipts · 2025–2026
Cosponsor
Dan Crenshaw
House · TX District 2 · Republican
$582,005PAC receipts · 2025–2026
Cosponsor
Darin LaHood
House · IL District 16 · Republican
$1,829,335PAC receipts · 2025–2026
Cosponsor
Michael Lawler
House · NY District 17 · Republican
$1,926,188PAC receipts · 2025–2026
4 of 4 source cosponsor records retrieved; only current officials and unwithdrawn sponsorships appear.
PAC donors to the listed sponsors
These are all-cycle contributions to the listed sponsors’ and cosponsors’ campaigns. FEC does not attribute them to this bill. A donation plus sponsorship does not establish why a politician acted.
AMERICAN COUNCIL OF ENGINEERING COMPANIES (ACEC/PAC)$40,750
Vern Buchanan · Sponsor · $2,000
Jimmy Panetta · Cosponsor · $10,000
Dan Crenshaw · Cosponsor · $5,000
Darin LaHood · Cosponsor · $13,750
Michael Lawler · Cosponsor · $10,000
Official PAC recordAMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS POLITICAL ACTION COMMITTEE$40,000
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $10,000
Dan Crenshaw · Cosponsor · $5,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordTHE COUNCIL OF INSURANCE AGENTS & BROKERS POLITICAL ACTION COMMITTEE$37,500
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $10,000
Dan Crenshaw · Cosponsor · $2,500
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordAMERICAN BANKERS ASSOCIATION PAC (BANKPAC)$35,000
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $7,500
Dan Crenshaw · Cosponsor · $2,500
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordERNST & YOUNG POLITICAL ACTION COMMITTEE$35,000
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordUBS AMERICAS INC. POLITICAL ACTION COMMITTEE (UBS PAC)$35,000
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $5,000
Dan Crenshaw · Cosponsor · $5,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordAMERICAN HOSPITAL ASSOCIATION PAC$33,000
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $6,000
Dan Crenshaw · Cosponsor · $5,000
Darin LaHood · Cosponsor · $7,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordDELOITTE POLITICAL ACTION COMMITTEE$32,500
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $7,500
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordNATIONAL MULTIFAMILY HOUSING COUNCIL AND REAL ESTATE TECHNOLOGY AND TRANSFORMATION CENTER POLITICAL ACTION COMMITTEE (NMHC PAC)$30,500
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $7,500
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $8,000
Official PAC recordAMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE POLITICAL ACTION COMMITTEE$30,472
Vern Buchanan · Sponsor · -$6
Jimmy Panetta · Cosponsor · $5,496
Dan Crenshaw · Cosponsor · $9,994
Darin LaHood · Cosponsor · $4,994
Michael Lawler · Cosponsor · $9,994
Official PAC recordMR. SOUTHERN MISSOURIAN IN THE HOUSE PAC$30,000
Vern Buchanan · Sponsor · $5,000
Dan Crenshaw · Cosponsor · $10,000
Darin LaHood · Cosponsor · $5,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordNATIONAL ASSOCIATION OF INSURANCE AND FINANCIAL ADVISORS POLITICAL ACTION COMM$30,000
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordNEW YORK LIFE INSURANCE COMPANY POLITICAL ACTION COMMITTEE$30,000
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $5,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordNATIONAL BEER WHOLESALERS ASSOCIATION POLITICAL ACTION COMMITTEE$29,500
Vern Buchanan · Sponsor · $2,500
Jimmy Panetta · Cosponsor · $10,000
Dan Crenshaw · Cosponsor · $1,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $6,000
Official PAC recordBUILD POLITICAL ACTION COMMITTEE OF THE NATIONAL ASSOCIATION OF HOME BUILDERS (BUILDPAC)$28,500
Jimmy Panetta · Cosponsor · $10,000
Dan Crenshaw · Cosponsor · $5,000
Darin LaHood · Cosponsor · $8,500
Michael Lawler · Cosponsor · $5,000
Official PAC recordNATIONAL ASSOCIATION OF REALTORS POLITICAL ACTION COMMITTEE$28,000
Vern Buchanan · Sponsor · $3,000
Jimmy Panetta · Cosponsor · $5,000
Dan Crenshaw · Cosponsor · $5,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $5,000
Official PAC recordCHEVRON EMPLOYEES POLITICAL ACTION COMMITTEE - CHEVRON CORPORATION$27,500
Vern Buchanan · Sponsor · $5,000
Dan Crenshaw · Cosponsor · $2,500
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordMASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY POLITICAL ACTION COMMITTEE$27,500
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $7,500
Michael Lawler · Cosponsor · $5,000
Official PAC recordHONEYWELL INTERNATIONAL INC. TECHNOLOGIES PUBLIC AFFAIRS COUNCIL (HONPAC)$27,000
Vern Buchanan · Sponsor · $2,000
Jimmy Panetta · Cosponsor · $10,000
Dan Crenshaw · Cosponsor · $5,000
Darin LaHood · Cosponsor · $10,000
Official PAC recordNATIONAL APARTMENT ASSOCIATION POLITICAL ACTION COMMITTEE$26,500
Jimmy Panetta · Cosponsor · $4,000
Dan Crenshaw · Cosponsor · $2,500
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordSECURITIES INDUSTRY AND FINANCIAL MARKETS ASSOCIATION POLITICAL ACTION COMMITTEE$26,500
Vern Buchanan · Sponsor · $1,500
Jimmy Panetta · Cosponsor · $5,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordAMERICAN PHYSICAL THERAPY ASSOCIATION PHYSICAL THERAPY POLITICAL ACTION COMMITTEE (PT-PAC)$26,000
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $1,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordFINSECA PAC$25,500
Vern Buchanan · Sponsor · $4,500
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $4,500
Michael Lawler · Cosponsor · $6,500
Official PAC recordINDEPENDENT INSURANCE AGENTS & BROKERS OF AMERICA, INC. POLITICAL ACTION COMMITTEE (INSURPAC)$25,500
Vern Buchanan · Sponsor · $2,000
Jimmy Panetta · Cosponsor · $3,500
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordABBOTT LABORATORIES EMPLOYEE POLITICAL ACTION COMMITTEE$25,000
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $10,000
Official PAC recordAFLAC POLITICAL ACTION COMMITTEE (AFLAC PAC)$25,000
Jimmy Panetta · Cosponsor · $10,000
Dan Crenshaw · Cosponsor · $2,500
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $2,500
Official PAC recordAMERICAN CRYSTAL SUGAR COMPANY POLITICAL ACTION COMMITTEE$25,000
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $5,000
Official PAC recordPRICEWATERHOUSECOOPERS POLITICAL ACTION COMMITTEE I$25,000
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $5,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordTHE HOME DEPOT INC. POLITICAL ACTION COMMITTEE$25,000
Vern Buchanan · Sponsor · $2,500
Jimmy Panetta · Cosponsor · $5,000
Dan Crenshaw · Cosponsor · $5,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $2,500
Official PAC recordAMERICAN DENTAL ASSOCIATION POLITICAL ACTION COMMITTEE$24,500
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $3,500
Dan Crenshaw · Cosponsor · $1,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $5,000
Official PAC recordKPMG PARTNERS/PRINCIPALS AND EMPLOYEES PAC$24,000
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $9,500
Michael Lawler · Cosponsor · $4,500
Official PAC recordMARSH & MCLENNAN COMPANIES, INC. POLITICAL ACTION COMMITTEE (MARSH PAC)$23,500
Jimmy Panetta · Cosponsor · $8,500
Darin LaHood · Cosponsor · $5,000
Michael Lawler · Cosponsor · $10,000
Official PAC recordNATIONAL ELECTRICAL CONTRACTORS ASSOCIATION POLITICAL ACTION COMMITTEE$23,500
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $6,000
Michael Lawler · Cosponsor · $2,500
Official PAC recordUNITED PARCEL SERVICE, INC. PAC (UPSPAC)$23,500
Vern Buchanan · Sponsor · $3,500
Jimmy Panetta · Cosponsor · $5,000
Dan Crenshaw · Cosponsor · $5,000
Darin LaHood · Cosponsor · $10,000
Official PAC recordWINE AND SPIRITS WHOLESALERS OF AMERICA, INC. POLITICAL ACTION COMMITTEE$23,500
Vern Buchanan · Sponsor · $5,000
Jimmy Panetta · Cosponsor · $10,000
Dan Crenshaw · Cosponsor · $2,000
Darin LaHood · Cosponsor · $6,000
Michael Lawler · Cosponsor · $500
Official PAC recordENGINEERS POLITICAL EDUCATION COMMITTEE (EPEC)/INTERNATIONAL UNION OF OPERATING ENGINEERS$22,500
Jimmy Panetta · Cosponsor · $5,000
Darin LaHood · Cosponsor · $7,500
Michael Lawler · Cosponsor · $10,000
Official PAC recordINVESTMENT COMPANY INSTITUTE POLITICAL ACTION COMMITTEE (ICI PAC)$22,500
Vern Buchanan · Sponsor · $0
Jimmy Panetta · Cosponsor · $9,500
Darin LaHood · Cosponsor · $5,000
Michael Lawler · Cosponsor · $8,000
Official PAC recordMACHINISTS NON PARTISAN POLITICAL LEAGUE OF THE INTERNATIONAL ASSOCIATION OF MACHINISTS & AEROSPACE WORKERS$22,500
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $2,500
Michael Lawler · Cosponsor · $10,000
Official PAC recordNATIONAL STONE, SAND & GRAVEL ASSOCIATION ROCKPAC$22,500
Jimmy Panetta · Cosponsor · $10,000
Darin LaHood · Cosponsor · $7,500
Michael Lawler · Cosponsor · $5,000
Official PAC recordGOOGLE LLC NETPAC$22,000
Jimmy Panetta · Cosponsor · $6,000
Darin LaHood · Cosponsor · $10,000
Michael Lawler · Cosponsor · $6,000
Official PAC recordThe largest 40 donor totals appear here. Open each politician for their complete, paginated PAC donor list.
What happened after enactment?
This bill is not enacted. Post-enactment results do not apply yet.