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S. 2417, Tribal Veterans Health Care Enhancement Act 1 (September 12, 2016)

handle is hein.congrec/cbo3220 and id is 1 raw text is: 




                 CONGRESSIONAL BUDGET OFFICE
                            COST ESTIMATE

                                                              September 12, 2016



                                   S. 2417
              Tribal Veterans Health Care Enhancement Act

              As reported by the Senate Committee on Indian Affairs
                                 on June 8, 2016


S. 2417 would allow the Indian Health Service (IHS) to cover the cost of any copayment
assessed by the Department of Veterans Affairs (VA) to an eligible Indian veteran who is
referred to the VA for treatment. Based on an analysis of information from an IHS report
regarding Indian veterans, CBO estimates that there would be, on average, about 5,000
Indian veterans treated annually at IHS facilities over the 2017 to 2021 period. Some of
these Indian veterans would be referred to VA health facilities for more complex care that
could not be provided at IHS facilities. A small percentage of those referred veterans would
make copayments to the VA based on their VA priority group. Using information provided
by the VA regarding the collection of copayments from veterans, CBO estimates that
S. 2417 would cost less than $500,000 over the 2017 to 2021 period; such spending would
be subject to the availability of appropriated funds. Enacting S. 2417 would not affect
direct spending or revenues; therefore, pay-as-you-go procedures do not apply.

CBO estimates that enacting S. 2417 would not increase net direct spending or on-budget
deficits in any of the four consecutive 10-year periods beginning in 2027.

S. 2417 contains no intergovernmental or private-sector mandates as defined in the
Unfunded Mandates Reform Act and would not affect the budgets of state, local, or tribal
governments. American Indian and Alaska Native military veterans would benefit from
provisions in the bill that authorize copayments for medical treatment received from the
VA.

The CBO staff contact for this estimate is Robert Stewart. The estimate was approved by
Holly Harvey, Deputy Assistant Director for Budget Analysis.

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