About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline
LOG IN
LOG IN

1 S. 465, Independent outside Audit of the Indian Health Service Act of 2018 1 (November 29, 2018)

handle is hein.congrec/cboioa0001 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE a COST ESTIMATE November 29, 2018 S. 465 Independent Outside Audit of the Indian Health Service Act of 2018 As ordered reported by the Senate Committee on Indian Affairs on September 26, 2018 SUMMARY S. 465 would require the Secretary of the Department of Health and Human Services (HHS) to enter into one or more contracts with private entities to conduct an independent assessment of the health care delivery systems and financial management processes of the Indian Health Service (IHS). The independent audit would investigate a wide variety of activities within IHS, including the operations of IHS leadership, procurement and contracting policies, medical service provision at each IHS medical facility, and the productivity of each health care provider at IHS, among others. For those purposes, the bill would authorize HHS to spend funds from available appropriations that are not otherwise obligated. Because such spending would occur without further appropriation, it would be considered direct spending and CBO estimates that spending would total $56 million over the 2019-2023 period. Because the bill would affect direct spending, pay-as-you-go procedures apply. Enacting the bill would not affect revenues. CBO estimates that enacting the legislation would not increase direct spending or on- budget deficits in any of the four consecutive 10-year periods beginning in 2029. S. 465 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act (UMRA). ESTIMATED COST TO THE FEDERAL GOVERNMENT The estimated budgetary effect of S. 465 is shown in the following table. The costs of the legislation fall within budget function 550 (health).

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Short-term subscription options include 24 hours, 48 hours, or 1 week to HeinOnline.

Purchase Access

Contact us for annual subscription options:

Contact Us

Already a HeinOnline Subscriber?

Log In

profiles profiles most