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H.R. 4701, Tick-Borne Disease Research Accountability and Transparency Act of 2014 1 (September 5, 2014)

handle is hein.congrec/cbo1879 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE
COST ESTIMATE
September 5, 2014
H.R. 4701
Tick-Borne Disease Research Accountability and Transparency
Act of 2014
As ordered reported by the House Committee on Energy and Commerce
on July 30, 2014
SUMMARY
H.R. 4701 would amend the Public Health Service Act to require the Secretary of the
Department of Health and Human Services (HHS) to conduct or support research of Lyme
and other tick-bome diseases. The National Institutes of Health (NIH) currently
administers research programs related to such diseases. The authority for discretionary
research programs at the NIH expired at the end of fiscal year 2009. For each year from
2010 through 2014, however, the Congress appropriated funds for the NIH to continue
operating its discretionary programs across all areas of research.
The bill also would require that the Secretary of HHS (in its biennial reports to the
Congress) describe actions taken by NIH to support research of Lyme and other tick-bome
diseases and report on the progress toward improving the outcomes of such diseases. In
addition, the bill would require the Secretary to establish a permanent interagency working
group on Lyme and tick-borne diseases and to periodically submit to the Congress a
strategic plan for the conduct and support of tick-borne disease research.
CBO estimates that implementing H.R. 4701 would cost $338 million over the 2015-2019
period, assuming appropriation of amounts similar to appropriations provided in recent
years for NIH activities related to Lyme and other tick-bome diseases. Pay-as-you-go
procedures do not apply to this legislation because it would not affect direct spending or
revenues.
H.R. 4701 contains no intergovernmental or private-sector mandates as defined in the
Unfunded Mandates Reform Act (UMRA).

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