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
Your members of Congress
Enter a ZIP to see where your representative and both senators stood on this bill.
Looked up on this device — your ZIP is never stored on our servers.
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.
The full analysis lists 4 implications of this text.
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.