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H.R. 4111, Rural Health Care Connectivity Act of 2015 1 (May 17, 2016)

handle is hein.congrec/cbo2952 and id is 1 raw text is: 




                  CONGRESSIONAL BUDGET OFFICE
                              COST   ESTIMATE

                                                                    May 17, 2016


                                  H.R.   4111
                Rural  Health  Care  Connectivity   Act of 2015

As ordered reported by the House Committee on Energy and Commerce on April 28, 2016


SUMMARY

H.R. 4111 would make certain skilled nursing facilities (SNFs) eligible for grants under the
Universal Service Fund's Rural Health Care (RHC) program. The Universal Service
program is administered by the Federal Communications Commission (FCC) and is
intended to promote the availability of telecommunications services at affordable rates.
The cash flows of the fund appear in the budget as direct spending (for amounts distributed
from the fund) and as revenues (for fund collections).

CBO  estimates that enacting H.R. 4111 would increase direct spending by $193 million
and revenues by $212 million over the 2017-2026 period, resulting in an estimated net
reduction in the deficit of $19 million. CBO estimates that implementing the bill would
have no significant discretionary costs. Pay-as-you-go procedures apply because enacting
the legislation would affect direct spending and revenues.

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

H.R. 4111 contains no intergovernmental mandates as defined in the Unfunded Mandates
Reform  Act (UMRA).

Because CBO  expects the FCC would increase fee collections associated with the
Universal Service Fund, the bill would increase the cost of an existing mandate on private
entities required to pay those fees. Based on information from the FCC, CBO estimates that
the incremental cost of the mandate would amount to no more than $25 million in any of
the next five years. Thus, the aggregate cost of the mandate would fall below the annual
threshold established in UMRA for private-sector mandates ($154 million in 2016,
adjusted annually for inflation).

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