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1 1 (October 20, 2017)

handle is hein.congrec/cbo3837 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE COST ESTIMATE October 20, 2017 H.R. 1148 Furthering Access to Stroke Telemedicine Act of 2017 As ordered reported by the House Committee on Energy and Commerce on October 4, 2017 SUMMARY H.R. 1148 would expand the use of remote (telehealth) services for Medicare stroke patients located in non-rural areas. CBO estimates that enacting H.R. 1148 would increase direct spending by $180 million over the 2018-2027 period. Enacting H.R. 1148 would affect direct spending; therefore, pay-as-you-go procedures apply. The legislation would not affect revenues. CBO estimates that enacting H.R. 1148 would not increase net direct spending or on- budget deficits by more than $5 billion in one or more of the four consecutive 10-year periods beginning in 2028. H.R. 1148 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. 1148 is shown in the following table. The costs of this legislation fall within budget function 570 (Medicare). By Fiscal Year, in Millions of Dollars 2018- 2018- 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2022 2027 INCREASES IN DIRECT SPENDING Estimated Budget Authority 0 0 0 10 15 20 25 30 35 45 25 180 Estimated Outlays 0 0 0 10 15 20 25 30 35 45 25 180 a

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