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H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013 1 (September 13, 2013)

handle is hein.congrec/cbo11333 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE COST ESTIMATE September 13, 2013 H.R. 2810 Medicare Patient Access and Quality Improvement Act of 2013 As ordered reported by the House Committee on Energy and Commerce on July 31, 2013 SUMMARY H.R. 2810 would replace the Sustainable Growth Rate (SGR) formula, which determines the annual updates to Medicare's payment rates for physician services, with new systems for establishing those payment rates. CBO estimates that enacting H.R. 2810 would increase direct spending by about $175 billion over the 2014-2023 period. Pay-as-you-go procedures apply to this legislation because it would affect direct spending. (The legislation would not affect federal revenues.) H.R. 2810 would impose an intergovernmental mandate as defined in the Unfunded Mandates Reform Act (UMRA) by preempting state laws governing the evidentiary rules and practices of medical malpractice claims. CBO estimates that the costs of the intergovernmental mandate would be small and would not exceed the threshold established in UMRA ($75 million in 2013, adjusted annually for inflation). The bill contains no private-sector mandates as defined in UMRA. ESTIMATED COST TO THE FEDERAL GOVERNMENT The estimated budgetary impact of H.R. 2810 is shown in the following table. The costs of this legislation fall within budget functions 570 (Medicare) and 550 (health). By Fiscal Year, in Billions of Dollars 2014- 2014- 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2018 2023 a CHANGES IN DIRECT SPENDING Estimated Budget Authority 9.0 13.5 13.5 13.5 14.0 16.5 19.5 22.0 25.5 28.5 63.5 175.5 Estimated Outlays 9.0 13.5 13.5 13.5 14.0 16.5 19.5 22.0 25.5 28.5 63.5 175.5

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