May 26, 2026
Dear Representative,
We appreciate your leadership in advancing President Trump’s agenda to reduce government spending and restore accountability by reining in bureaucracy and rooting out waste, fraud, abuse and mismanagement in Washington.
That work is essential, and as you move forward to build on your success for the remainder of the 119th Congress, there is a clear opportunity to deliver more meaningful results by co-sponsoring and voting for H.R. 8293, the Abolish the Center for Medicare and Medicaid Innovation (CMMI) Act, introduced by Rep. Aaron Bean (R-Fla.).
CMMI was created under the Affordable Care Act with a narrow mandate to test limited payment “models” for Medicare, Medicaid, and the Children’s Health Insurance Program that would reduce costs and improve care. The Congressional Budget Office originally projected that CMMI would save $2.8 billion between 2011 and 2020. Instead, it lost $5.4 billion during that period and is projected to lose another $1.3 billion by 2030.
A June 2021 report found that only four of 174 CMMI models sufficiently met the required standards of reduced spending or improved quality to be expanded across Medicare nationwide. Common sense dictates that any federal program with such an abysmal rate of success should not be given any further opportunity to waste the taxpayers’ money.
Yet CMMI’s defenders argue the agency will eventually “get better.” Fifteen years of failure prove otherwise. No private enterprise with this record would be allowed to continue operating, let alone expand its authority.
Rather than correcting course, CMMI has expanded the scale, scope, and coerciveness of its models. They interfere with the decisions of doctors and patients about the best course of care, and override policy decisions made by Congress. They also disrupt care delivery and burden providers with administrative complexity and undermine patient choice.
CMMI has a guaranteed source of funding that gives unelected bureaucrats broad authority to make healthcare policy decisions without any obligation to succeed. The lack of accountability and transparency and disregard for outcomes are costly for taxpayers and dangerous for patients.
CMMI is a failure. We respectfully urge you to cosponsor and vote for H.R. 8293 to shut CMMI down.
Sincerely,
Tom Schatz
President, Council for Citizens Against Government Waste
Grover Norquist
President, Americans for Tax Reform
Steve Moore
Co-Founder, Unleash Prosperity Now
James L. Martin
Founder and Chairman, 60 Plus Association
Tim Chapman
President, Advancing American Freedom
Saulius Anuzis
President, American Association of Senior Citizens
Phil Kerpen
President, American Commitment
Dee Stewart
President & CEO, Americans for a Balanced Budget
Rebecca Weber
CEO, Association of Mature American Citizens
Melissa Ortiz
Founder & Principal, Capability Consulting
Anthony Zagotta
President, Center for American Principles
Ryan Ellis
President, Center for a Free Economy
Jeff Mazzella
President, Center for Individual Freedom
Ginevra Joyce-Myers
Executive Director, Center for Innovation and Free Enterprise
Andrew Langer
Executive Director, Coalition Against Socialized Medicine
Bob Johnson
Senior Advisor, Commitment to Seniors
Jeremy Nighohossian
Senior Fellow & Economist, Competitive Enterprise Institute
James Edwards
Executive Director, Conservatives for Property Rights
Gerard Scimeca
Chairman, Consumer Action for a Strong Economy
Joel White
President, Council for Affordable Health Coverage
George Landrith
President, Frontiers of Freedom
Beverly Gossage
President, HSA Benefits Consulting
Carol Davis
Chair, Illinois Conservative Union
Jerry Rogers
Vice President, Institute for Liberty
Tom Giovanetti
President, Institute for Policy Innovation
Seton Motley
President, Less Government
Colin Hanna
President, Let Freedom Ring
Tim Jones
Former Speaker, Missouri House of Representatives
Founder, Leadership for America Institute
Pete Sepp
President, National Taxpayers Union
Tami L. Fitzgerald, J.D.
Executive Director, NC Values Coalition
Drew White
Founder & CEO, Palisade Policy Group
Jon Decker
Senior Fellow, Parkview Institute
Paul Gessing
President, Rio Grande Foundation
Trent England
Executive Director, Save Our States
Karen Kerrigan
President & CEO, Small Business & Entrepreneurship Council
Kerri Toloczko
Founder & Chair, Southwest Florida Center-Right Coalition
Ross Marchand
Executive Director, Taxpayers Protection Alliance
Bob Carlstrom
President, The Carlstrom Group
Kent Kaiser
Executive Director, Trade Alliance to Promote Prosperity
Kevin Riffe
Chairman, West Virginia Center-Right Coalition