This bill mandates a significant delay in the implementation of electronic clinical quality metrics for Accountable Care Organizations. Specifically, it directs the Secretary of Health and Human Services to postpone the requirement for ACOs to transition from the CMS Web Interface to **electronic clinical quality metrics (eCQMs)** until January 1, 2030. To facilitate this transition, the bill requires the establishment of a **pilot program** by January 1, 2026, designed to test new digital reporting methods for quality measures among a subset of ACOs. Participants in this pilot program will be exempt from mandatory eCQM reporting requirements and will receive technical assistance, with their participation not affecting existing payment incentives. A report on the pilot's findings and recommendations must be submitted to Congress by January 1, 2028. Furthermore, the legislation requires the Secretary to develop and implement **long-term digital quality reporting standards** by January 1, 2030, ensuring compatibility across various electronic health record systems and practice types. Until these new standardized digital methods are established, ACOs are permitted to continue using their current quality reporting methods, such as the CMS Web Interface, without incurring penalties for non-compliance with eCQM requirements.