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S. 131, Women Veterans and Other Health Care Improvements Act of 2013 1 (August 21, 2013)

handle is hein.congrec/cbo11266 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE COST ESTIMATE August 21, 2013 S. 131 Women Veterans and Other Health Care Improvements Act of 2013 As ordered reported by the Senate Committee on Veterans'Affairs on July 24, 2013 SUMMARY S. 131 would expand the types and availability of infertility treatment provided by the Department of Veterans Affairs (VA). CBO estimates that implementing the bill would cost $578 million over the 2014-2018 period, assuming appropriation of the estimated amounts. Enacting S. 131 would not affect direct spending or revenues; therefore, pay-as-you go procedures do not apply. S. 131 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 impact of S. 131 is shown in the following table. The costs of this legislation fall within budget function 700 (veterans benefits and services). BASIS OF ESTIMATE For this estimate, CBO assumes the legislation will be enacted early in fiscal year 2014, that the necessary amounts will be appropriated for each year, and that outlays will follow historical spending patterns for similar and existing programs. Infertility Treatment for Veterans Section 2 would expand the types of infertility treatments provided by VA to include assisted reproductive technology (ART) procedures, of which in vitro fertilization (IVF) is the most widely used. Under current policy, VA provides veterans with limited assistance for infertility treatments and covers the costs for delivery and newborn care for eligible veterans. CBO's estimate of the cost of this provision includes two components: the cost of providing the additional fertility services and the cost of providing additional delivery services for the resulting pregnancies.

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