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H.R. 4290, Wakefield Act of 2014 1 (July 22, 2014)

handle is hein.congrec/cbo1814 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE COST ESTIMATE July 22, 2014 H.R. 4290 Wakefield Act of 2014 As ordered reported by the House Committee on Energy and Commerce on July 15, 2014 SUMMARY H.R. 4290 would amend the Public Health Service Act to reauthorize activities intended to reduce child morbidity and mortality by improving emergency medical services for children. Those activities are supported by grants administered by the Health Resources and Services Administration (HRSA). The bill would authorize appropriations of about $30 million in 2015 and $152 million over the 2015-2019 period. CBO estimates that implementing H.R. 4290 would cost $135 million over the 2015-2019 period, assuming appropriation of the authorized amounts. Pay-as-you-go procedures do not apply to this legislation because it would not affect direct spending or revenues. The bill 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 effect of H.R. 4290 is shown in the following table. The costs of this legislation fall within budget function 550 (health). By Fiscal Year, in Millions of Dollars 2015- 2015 2016 2017 2018 2019 2019 CHANGES IN SPENDING SUBJECT TO APPROPRIATION Authorization Level 30 30 30 30 30 152 Estimated Outlays 15 25 30 30 30 135 Note: Numbers may not sum to totals because of rounding.

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