Congress moves to shut down Medicare and Medicaid innovation lab
H.R. 8293 — Abolish the CMMI Act · Filed by Aaron Bean (R-FL) · Introduced Apr 15, 2026 · Referred to committee
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What it does
This bill would shut down the Center for Medicare and Medicaid Innovation (CMMI), a federal agency within CMS that tests new payment and delivery models for Medicare and Medicaid. The bill repeals the statutory authority (Section 1115A of the Social Security Act) that created and empowers CMMI. The effect is to eliminate the agency's ability to run pilot programs, test cost-saving innovations, and conduct research on how Medicare and Medicaid can operate more efficiently.
Why we flagged it
The bill's sole operative function is to eliminate a federal agency (CMMI) by repealing its statutory authorization. It is a straightforward abolition proposal, not a regulatory carve-out, appropriations rider, or hidden mechanism.
What the text implies
- Eliminates CMMI's ongoing pilot programs mid-stream, potentially disrupting healthcare providers and beneficiaries currently enrolled in active innovation models.
- Removes federal capacity to test alternative payment models (bundled payments, value-based care, etc.), shifting innovation burden entirely to private sector or state-level initiatives.
- May trigger legal or contractual disputes with healthcare systems and providers currently under CMMI demonstration agreements.
- Reduces CMS's institutional flexibility to respond to emerging healthcare cost or quality crises through rapid-cycle testing and adaptation.
Section numbers refer to the bill text the analysis read — linked under Primary records below.
Who it affects
Ordinary citizens lose a federal institution designed to test cost-control and care-delivery innovations for Medicare and Medicaid. While CMMI is sometimes controversial for specific pilot outcomes, its abolition removes a mechanism for identifying and scaling payment reforms that could reduce costs or improve care quality. The bill offers no replacement mechanism, leaving Medicare and Medicaid with fewer tools to adapt to changing healthcare needs.
Named in the bill
Center for Medicare and Medicaid Innovation (CMMI), Centers for Medicare & Medicaid Services (CMS), Social Security Act Section 1115A, Medicare, Medicaid
Where it stands
- Apr 15, 2026 — Introduced · Congress.gov: “Introduced in House”
- Apr 15, 2026 — Referred to House Committee on Ways and Means and House Committee on Energy and Commerce · Congress.gov: “Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a…”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Money around this bill
4 lobbying clients named this bill on 4 disclosure filings across 1 quarter, Jun 2026 to Jun 2026. Those filings disclosed $310,000 in lobbying spend. A filing names 12 bills on average, so that figure is what each filing reported, not a share belonging to this bill.
More lobbying clients named this bill than 72% of bills with at least one filing.
Aaron Bean, the sponsor, reported $1,227,650 in PAC receipts in the 2026 cycle.
- Council for Citizens Against Government Waste — $140,000 on 1 filing
- Philanthropy Roundtable — $120,000 on 1 filing
- National Taxpayers Union — $30,000 on 1 filing
- Center for Individual Freedom — $20,000 on 1 filing
Lobbying Disclosure Act filings through Jul 20, 2026. A filing shows who paid to lobby on a bill it names, not what changed.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (294 characters) on Aug 20, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,222 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
Money — Senate Lobbying Disclosure Act filings whose specific-issue field names this bill for quarters ending Jun 2026 to Jun 2026. A filing's amount is reported whole beside the median number of bills a filing names; it is never divided across them. PAC receipts are FEC-reported contributions to the sponsor's candidate committee in the 2026 cycle.
As of — lobbying records through Jul 20, 2026 · page rendered 2026-10-20.
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