Sponsor
Aaron Bean
Representative · R-FL
Representative · R-FL
The bill reduces federal administrative authority and spending by eliminating CMMI and restoring conventional rulemaking, but does so at the cost of slowing or halting federally supported experimentation and payment reforms that could improve care coordination, lower costs, and inform national policy—potentially harming beneficiaries and increasing long‑term program costs.
State governments and providers will have more conventional rulemaking authority and face fewer centrally imposed payment tests from CMS, restoring more traditional regulatory pathways and local control over payment policy.
Taxpayers may pay less federal administrative overhead because the federal program-management and model-testing bureaucracy (CMMI) is eliminated.
Hospitals and health systems (and some states) will no longer be subject to certain CMMI-directed demonstration requirements that some providers found burdensome or prescriptive.
Medicare beneficiaries (including people with chronic conditions) could lose access to new payment and delivery models that aimed to lower costs and improve care coordination, slowing potential quality and access improvements.
Eliminating CMMI risks increasing long-term Medicare and Medicaid spending if effective payment reforms are delayed or never tested and adopted, shifting costs back to taxpayers and beneficiaries.
Medicaid beneficiaries and state Medicaid programs may lose access to pilot models and federal support that facilitated payment/delivery innovations, slowing improvements in care coordination and cost control for low-income populations.
Based on analysis of 3 sections of legislative text.
Eliminates the Center for Medicare and Medicaid Innovation and repeals its statutory authority to run Medicare/Medicaid payment and delivery model tests.
Official title: To abolish the Center for Medicare and Medicaid Innovation.
Introduced April 15, 2026 by Aaron Bean · Last progress April 15, 2026
Abolishes the federal Center for Medicare and Medicaid Innovation (CMMI) by terminating the entity and repealing its statutory authorization in the Social Security Act. The bill removes the legal authority for the government to design, test, select, and evaluate payment and service-delivery models intended to reduce program spending while preserving or improving care quality. The measure is short and narrowly focused: it terminates the agency and repeals 42 U.S.C. §1315a without laying out transition rules, implementation steps, or timelines for winding down ongoing demonstrations or transferring responsibilities.