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S. 1461, a bill to provide for the extension of the enforcement instruction on supervision requirements 1 (July 9, 2015)

handle is hein.congrec/cbo2436 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE COST ESTIMATE July 9, 2015 S. 1461 A bill to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2015 As ordered reported by the Senate Committee on Finance on June 24, 2015 S. 1461 would require the Secretary of Health and Human Services to continue to apply, through calendar year 2015, an exception to requirements that certain outpatient therapeutic services furnished in critical access and small rural hospitals need to be provided under the direct supervision of physicians in the hospital. The Centers for Medicare and Medicaid Services (CMS) currently do not enforce federal requirements related to direct supervision for those services, and CBO anticipates that CMS would not initiate enforcement of such requirements in the near future under current law. (Those services are subject to supervision requirements established under state laws.) Because CBO expects that S. 1461 would not change how CMS enforces the direct supervision requirement, we estimate that enacting the bill would have no significant effect on the federal budget. Enacting S. 1461 would not affect direct spending or revenues; therefore, pay-as-you-go procedures do not apply. 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 Lori Housman. The estimate was approved by Holly Harvey, Deputy Assistant Director for Budget Analysis.

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