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Helping Families in Mental Health Crisis Act of 2015 1 (July 5, 2016)

handle is hein.congrec/cbo3012 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE Keith Hall, Director U.S. Congress Washington, DC 20515 July 5, 2016 Honorable Fred Upton Chairman Committee on Energy and Commerce U.S. House of Representatives Washington, DC 20515 Re: Helping Families in Mental Health Crisis Act of 2015 Dear Mr. Chairman: The Congressional Budget Office has estimated the direct spending effects of H.R. 2646, the Helping Families in Mental Health Crisis Act of 2016, as reported by the House Committee on Energy and Commerce on June 15, 2016. CBO estimates that enacting H.R. 2646 would reduce net direct spending in the Medicaid program by $5 million over the 2017-2026 period (see enclosed table). Pay-as-you-go procedures apply because enacting the legislation would affect direct spending. H.R. 2646 would not affect revenues. Implementing the legislation also would affect spending subject to appropriation mostly because it would reauthorize and make changes to several grant programs administered by the Substance Abuse and Mental Health Services Administration. However, CBO has not yet completed an estimate of the effects the bill would have on discretionary spending. 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. Providing Services to Children in Institutions of Mental Disease Section 206 of the bill would allow federal reimbursement for certain medical services (such as screening, diagnostic, and treatment services) for

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