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H.R. 670, Special Needs Trust Fairness and Medicaid Improvement Act 1 (September 12, 2016)

handle is hein.congrec/cbo3195 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE COST ESTIMATE September 12, 2016 H.R. 670 Special Needs Trust Fairness and Medicaid Improvement Act As ordered reported by the House Committee on Energy and Commerce on July 13, 2016 SUMMARY H.R. 670 would amend title XIX of the Social Security Act to make various changes to the Medicaid program. The bill would permit qualified individuals to establish their own special needs trusts; extend access to tobacco cessation services to mothers of newborns; eliminate federal matching funds for prescription drugs used for cosmetic purposes; and provide funding for the program's improvement fund. CBO estimates that enacting H.R. 670 would reduce direct spending, on net, by $5 million over the 2017-2026 period. Pay-as-you-go procedures apply because enacting the legislation would affect direct spending. H.R. 670 would not affect 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. 670 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 H.R. 670 is shown in the following table. The costs of this legislation fall within budget functions 550 (health) and 600 (income security). C

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