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H.R. 1848, Veterans Affairs Medical Scribe Pilot Act of 2017 1 (May 19, 2017)

handle is hein.congrec/cbo3567 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE COST ESTIMATE May 19, 2017 H.R. 1848 Veterans Affairs Medical Scribe Pilot Act of 2017 As ordered reported by the House Committee on Veterans' Affairs on May 17, 2017 H.R. 1848 would require the Department of Veterans Affairs (VA) to establish a two-year pilot program to increase the number of medical scribes (or personal assistants to physicians) employed at the department. The bill also would require VA to report to the Congress every six months and would require the Government Accountability Office (GAO) to report, within 90 days of the program's termination, the results of the pilot program compared to similar programs in the private sector. Under the bill, CBO estimates that VA would need to hire 40 medical scribes (20 term employees and 20 contractors) in 10 medical centers. CBO expects that the pilot would run from the middle of fiscal year 2018 through the middle of fiscal year 2020 and that the GAO report would be completed in 2020. On the basis of information from VA on the average salary for medical support assistants, CBO estimates that pay and benefits for a medical scribe would be roughly $48,000 in 2018. After incorporating the effects of inflation, CBO estimates that implementing the two-year pilot program and preparing the required reports would cost $5 million over the 2018-2022 period; that spending would be subject to the availability of appropriated funds. Enacting the bill would not affect direct spending or revenues; therefore, pay-as-you-go procedures do not apply. CBO estimates that enacting H.R. 1848 would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2028. H.R. 1848 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act, and would not affect the budgets of state, local, or tribal governments. The CBO staff contact for this estimate is Ann E. Futrell. The estimate was approved by H. Samuel Papenfuss, Deputy Assistant Director for Budget Analysis.

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