Speaker Johnson
521 Cannon House Office Building
Washington, DC 20515

Leader Jeffries
2267 Rayburn House Office Building
Washington, DC 20515

June 29, 2026

Dear Speaker Johnson and Leader Jeffries,

Accountable for Health is pleased to support H.R. 5347, important legislation that would reduce unnecessary administrative burden for accountable care organizations and support continued participation in value-based care.

ACOs are delivering better care, improving outcomes, and generating savings for Medicare, but overly rigid quality reporting requirements can divert time and resources away from patient care. This bill takes a practical step by preserving flexibility in how ACOs report quality measures while the health care system continues its transition toward digital quality measurement.

By maintaining multiple quality reporting options through 2029 and supporting a thoughtful path toward more modern reporting systems, the legislation recognizes both the promise of digital innovation and the realities of today’s health IT infrastructure. ACOs want to be held accountable for quality and outcomes, but reporting requirements must be workable, consistent, and designed to support participation in accountable care.

We thank the sponsors and Ways and Means Committee and its Members for their leadership and encourage lawmakers to work together to ensure the Health Care Efficiency Through Flexibility Act is enacted.

Sincerely,

Mara McDermott signature

Mara McDermott
CEO
Accountable for Health

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