Sponsor
Aaron Bean
Representative · R-FL
Representative · R-FL
Eliminates the Center for Medicare and Medicaid Innovation and repeals 42 U.S.C. §1315a, ending its model-testing authorities for Medicare and Medicaid.
Eliminating the federal Center for Medicare & Medicaid Innovation reduces administrative overhead and limits centrally imposed payment tests—giving states and providers more conventional regulatory pathways—but risks slowing or blocking testing and adoption of payment and delivery reforms, creating disruption and potential long-term cost and quality harms for beneficiaries, providers, and taxpayers.
Taxpayers: federal administrative spending may fall because eliminating the CMMI removes program-management and model-testing overhead.
State governments and providers (hospitals and health systems): fewer centrally imposed payment tests and demonstration mandates, restoring more conventional rulemaking and reducing burdens some providers viewed as prescriptive.
Medicare beneficiaries (including people with chronic conditions): may lose or face delays in access to new payment and care-delivery models that aim to lower costs and improve care coordination and quality.
Medicaid beneficiaries and state Medicaid programs: may lose pilot models, federal supports, and momentum for payment/delivery reforms that improve coordination and reduce costs.
Hospitals and health systems: may lose predictable federal pathways and financial incentives for adopting alternative payment models, increasing revenue uncertainty and complicating care delivery planning.
Based on analysis of 3 sections of legislative text.
Official title: To abolish the Center for Medicare and Medicaid Innovation.
Introduced April 15, 2026 by Aaron Bean · Last progress April 15, 2026
Eliminates the federal Center for Medicare and Medicaid Innovation (CMMI) by terminating the entity and repealing the statutory authority that created it. The bill removes the legal foundation for CMMI’s model design, selection, testing, evaluation, and authority to limit or phase tests aimed at changing payment and service delivery for Medicare and Medicaid. The legislation does not include implementation details, transition rules, or deadlines, so it would end CMMI’s authorities immediately as written and leave open questions about ongoing tests, contracts, data, and program continuity.