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S. 2368, Audit & Appeals Fairness, Integrity, and Reforms in Medicare Act of 2015 1 (February 16, 2016)

handle is hein.congrec/cbo2793 and id is 1 raw text is: 




                 CONGRESSIONAL BUDGET OFFICE
                             COST ESTIMATE

                                                              February 16, 2016



                                  S. 2368
            Audit & Appeals Fairness, Integrity, and Reforms
                          in Medicare Act of 2015

        As reported by the Senate Committee on Finance on December 8, 2015


SUMMARY

S. 2368 would appropriate additional funding for the Office of Medicare Hearings and
Appeals (OMHA) and the Departmental Appeals Board (DAB) within the Department of
Health and Human Services (HHS). The bill also would modify the hearings and appeals
process for Medicare beneficiaries and health-care providers who challenge coverage and
payment decisions within that program.

CBO estimates that enacting S. 2368 would increase direct spending by about $1.7 billion
over the 2016-2026 period. In addition, implementing the bill would cost approximately
$35 million over that same period, assuming appropriation of the necessary amounts.
Pay-as-you-go procedures apply because enacting the legislation would affect direct
spending. The legislation would not affect revenues.

CBO estimates that enacting the legislation would not increase net direct spending or
on-budget deficits by more than $5 billion in any of the four consecutive 10-year periods
beginning in 2027.

S. 2368 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 S. 2368 is shown in the following table. The costs of this
legislation fall within budget function 570 (Medicare). For this estimate, CBO assumes
that S. 2368 will be enacted near the end of fiscal year 2016.

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