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Direct Spending Effects of Title V of H.R. 2646, the Helping Families in Mental Health Crisis Act of 2015 1 (November 3, 2015)

handle is hein.congrec/cbo2605 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE Keith Hall, Director U.S. Congress Washington, DC 20515 November 3, 2015 Honorable Fred Upton Chairman Committee on Energy and Commerce U.S. House of Representatives Washington, DC 20515 Dear Mr. Chairman: The Congressional Budget Office has completed a preliminary analysis of the direct spending effects of title V of H.R. 2646, the Helping Families in Mental Health Crisis Act of 2015, as introduced on June 4, 2015. As described below, title V contains language that makes the implementation of certain provisions contingent on a certification by the Chief Actuary of the Centers for Medicare and Medicaid Services (CMS) that the provisions would not increase net costs. At the request of your staff, CBO estimated the cost of those provisions with and without this language. CBO estimates that, as introduced, title V of H.R. 2646 would increase direct spending by about $3 billion over the 2016-2024 period. Without the language that makes implementation of certain provisions contingent on the certification by the Chief Actuary of CMS, CBO estimates that the title would increase direct spending by between $46 billion and $66 billion over the 2016-2025 period. Title V of the bill would: * Expand the number and type of mental health services that states may cover under Medicaid if the Chief Actuary of CMS certifies that a certain provision would not increase net Medicaid spending; * Prohibit both Part D plans under Medicare and state Medicaid programs from using certain tools to restrict access to drugs used to treat mental health disorders;

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