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S. 2157, Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 1 (March 31, 2014)

handle is hein.congrec/cbo1558 and id is 1 raw text is: March 31, 2014

CBO Cost Estimate of S. 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014,
as Introduced on March 25, 2014
By Fiscal Year, in Billions of Dollars
2014- 201z
2014   2015  2016  2017   2018  2019   2020  2021 2022    2023  2024      2019   202
CHANGES IN DIRECT SPENDING
Estimated Budget Authority                                             6.5   14.6  15.4  15.0   15.0  16.2   17.5  18.8   19.9  20.8  20.6     82.7   180.
Estimated Outlays                                                      6.5   14.6  15.4  15.0   15.0  16.2   17.5  18.8   19.9  20.8  20.6     82.7   180.
Memorandum: Section 501 would limit discretionary appropriations for overseas contingency operations over the 2016-2021 period to a total of $404 billion.
Difference Between CBO's February 2014 Baseline Projection for Overseas
Contingency Operations (OCO) and the Proposed Caps Under Section 501,
Amendment to OCO Adjustmentsa

4
.3
.3

Estimated Authorization Level
Estimated Outlays

0      0  -10.2  -19.8  -29.2  -37.9  -46.2  -53.8    0
0      0   -5.0  -12.8  -21.6  -30.3  -38.7  -46.6  -24.2

a. The proposed limits on discretionary appropriations would not affect direct spending or revenues. The limits in section 501 are $197 billion below the $601 billion projected for such
operations over the 2016-2021 period in CBO's baseline. That $601 billion figure, however, is just a projection; such funding has not yet been provided, and there are no funds in the
Treasury set aside for that purpose. As a result, reductions relative to the baseline might simply reflect policy decisions that have already been made and that would be realized even
without such funding constraints. Moreover, if future policymakers believed that national security required appropriations above the capped amounts, they would almost certainly
provide emergency appropriations that would not, under current law, be counted against either the existing caps on discretionary funding or the proposed new caps on funding for
overseas contingency operations.
Note: S. 2157 would: replace the Sustainable Growth Rate (SGR) formula, which determines the annual updates to Medicare's payment rates for physician services, with new systems
for establishing those payment rates; extend a number of health care and human services programs and provisions that would otherwise expire; and make other modifications to
Medicare, Medicaid, the Children's Health Insurance Program, and several human services programs. In addition, S. 2157 would place a cap on discretionary appropriations for
overseas contingency operations. The provisions of S. 2157 affecting health care programs are very similar, but not identical, to S. 2110, the Medicare SGR Repeal and
Beneficiary Access Improvement Act of 2014.

0
-9.0

0
-3.3

-97.1 -197.1
-69.7 -191.5

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