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H.R. 1797, Pain-Capable Unborn Child Protection Act 1 (June 27, 2013)

handle is hein.congrec/cbo11205 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE
COST ESTIMATE
June 27, 2013
H.R. 1797
Pain-Capable Unborn Child Protection Act
As passed by the House of Representatives on June 18, 2013
SUMMARY
H.R. 1797 would ban abortions from being performed 20 weeks or more after fertilization,
except when the pregnancy is a result of reported rape or reported incest against a minor, or
is necessary to save the life of the mother. Violators of the act's provisions would be
subject to a criminal fine or imprisonment, or both.
CBO estimates that enacting H.R. 1797 would increase direct spending, primarily for
Medicaid in order to cover the costs of additional births under the act. Because the number
of abortions that would be averted due to the act is very uncertain, the extent of that
additional Medicaid spending is also very uncertain. Depending on the number of
additional births under H.R. 1797, such Medicaid costs could range from about $75 million
over the next 10 years to more than $400 million over that period. Using an assumption
that, under the act, about three-quarters of the abortions that would occur 20 weeks or more
after fertilization under current law would instead occur earlier, and the remaining
one-quarter would not occur so those pregnancies would be taken to term, CBO estimates
that federal spending for Medicaid would rise by $225 million over the 2014-2023 period.
Pay-as-you-go procedures apply because enacting the legislation would affect direct
spending and revenues; however, H.R. 1797 would have a negligible impact on revenues.
H.R. 1797 would impose both intergovernmental and private-sector mandates on
physicians who perform abortions and would preempt state and local laws that regulate
abortions. However, CBO estimates that the direct costs of the mandates would fall below
the annual thresholds established in UMRA for intergovernmental and private-sector
mandates. (Adjusted for inflation, those thresholds are $75 million and $150 million in
2013, respectively.)

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