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1 Opioid Legislation, as Ordered Reported by the House Committee on Energy and Commerce on May 9 and May 17, 2018 1 (June 6, 2018)

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                  CONGRESSIONAL BUDGET OFFICE
                             COST ESTIMATE

                                                                    June 6, 2018


                            Opioid Legislation

         As ordered reported by the House Committee on Energy and Commerce
                            on May 9 and May 17, 2018


SUMMARY

On May  9 and May 17, 2018, the House Committee on Energy and Commerce ordered
59 bills to be reported related to the nation's response to the opioid epidemic. Generally,
the bills would:

   *  Provide grants to facilities and providers that treat people with substance use
      disorders,

   *  Direct various agencies within the Department of Health and Human Services
      (HHS) to explore nonopioid approaches to treating pain and to educate providers
      about those alternatives,

   *  Modify requirements under Medicaid and Medicare for prescribing controlled
      substances,

   *  Expand Medicaid coverage for substance abuse treatment, and

   *  Direct the Food and Drug Administration (FDA) to modify its oversight of opioid
      drugs and other medications that are used to manage pain.

Because of the large number of related bills ordered reported by the Committee, CBO is
publishing a single comprehensive document that includes estimates for each piece of
legislation.

CBO  estimates that enacting 20 of the bills would affect direct spending, and 2 of the
bills would affect revenues; therefore, pay-as-you-go procedures apply for those bills.

CBO  estimates that enacting H.R. 4998, the Health Insurance for Former Foster Youth
Act, would increase net direct spending by more than $2.5 billion and on-budget deficits
by more than $5 billion in at least one of the four consecutive 10-year periods beginning

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