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H.R. 8293: Abolish the CMMI Act

This bill, titled the "Abolish the CMMI Act," aims to eliminate the Center for Medicare and Medicaid Innovation (CMMI). Established under the Affordable Care Act, CMMI is responsible for testing and promoting new healthcare delivery models and payment systems designed to improve quality and reduce costs in Medicare and Medicaid programs.

Abolishing the CMMI

The core provision of the bill is straightforward: it mandates the abolition of CMMI. This means that the organization would no longer exist or operate within the federal healthcare framework. As a result, various initiatives and experimental programs that CMMI has endorsed or implemented could be terminated or hindered, potentially affecting the way healthcare services are delivered to Medicare and Medicaid beneficiaries.

Impact on Healthcare Delivery

The dissolution of CMMI could lead to significant changes in healthcare delivery models. These models often focus on value-based care, which encourages healthcare providers to deliver high-quality services while managing costs effectively. Without CMMI, the focus might shift back to more traditional fee-for-service payment structures, impacting how providers are reimbursed for their services.

Technical Revisions

To facilitate the abolition of CMMI, the bill also includes provisions to repeal Section 1115A of the Social Security Act. This section originally established CMMI, so its repeal would formally remove the legislative basis for the center's operations and initiatives.

Potential Consequences

The removal of CMMI could lead to a decrease in innovative approaches to healthcare that aim to improve patient outcomes and lower costs. Initiatives that were being tested or those that successfully streamlined care could be impacted, meaning that beneficiaries of Medicare and Medicaid might experience changes in their care processes, access to new treatment options, or continuity of care practices.

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Actions

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Date Action
Apr. 15, 2026 Introduced in House
Apr. 15, 2026 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

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