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S. 3391, Taking Essential Steps to Testing Act [1] (September 19, 2012)

handle is hein.congrec/cbo10910 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE
COST ESTIMATE
September 19, 2012
S. 3391
Taking Essential Steps for Testing Act
As ordered reported by the Senate Committee on Health, Education, Labor, and Pensions
on September 19, 2012
S. 3391 would amend the Public Health Service Act to revise sanctions that the Centers for
Medicare and Medicaid Services (CMS) must impose on clinical laboratories under certain
circumstances. To demonstrate their proficiency, laboratories are required to perform tests
on samples periodically. Under current law, if CMS determines that a laboratory has
intentionally referred such a sample to another laboratory for testing, CMS is required to
revoke the laboratory's certification for at least one year and may impose other
intermediate sanctions, including requiring laboratories to implement plans for corrective
action, pay civil penalties, or pay for the costs of onsite monitoring. S. 3391 would revise
those sanctions to allow CMS the flexibility to choose whether or not to revoke the
laboratory's certification. Other intermediate sanctions would continue to be available.
Enacting S. 3391 would not affect direct spending or revenues; therefore, pay-as-you-go
procedures do not apply. While the legislation could have the effect of increasing the
number of laboratories retaining certification compared with current law, CBO estimates
that the bill would result in a shift of laboratory services among certified laboratories rather
than increasing the number of laboratory services provided. Therefore, programs funded
by the federal government, such as Medicare and Medicaid, would not be affected.
The bill would not impose intergovernmental or private-sector mandates as defined in the
Unfunded Mandates Reform Act and would impose no costs on state, local, or tribal
governments.
The CBO staff contact for this estimate is Lisa Ramirez-Branum. The estimate was
approved by Holly Harvey, Deputy Assistant Director for Budget Analysis.

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