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                   CONGRESSIONAL BUDGET OFFICE

  U                           COST ESTIMATE
                                                             September 22, 2017


                                 H.R. 1222
          Congenital Heart Futures Reauthorization Act of 2017

        As ordered reported by the House Committee on Energy and Commerce
                                on June 7, 2017


SUMMARY

H.R. 1222 would direct the Secretary of Health and Human Services (HHS), through the
Centers for Disease Control and Prevention (CDC), to enhance surveillance capabilities to
track the epidemiology of congenital heart disease (CHD) and to provide grants to study
the epidemiology of CHD across the lifespan. In addition, the legislation would require the
Secretary to produce a report to Congress on CHD that includes information on the
demographics and health care utilization of individuals with the disease. H.R. 1222 would
authorize the appropriation of a total of $20 million for fiscal years 2018 through 2022 to
carry out those activities. Additionally, the bill would reauthorize research on CHD at the
National Institutes of Health (NIH) and would require NIH to produce a report on its
research efforts on CHD. CBO estimates that implementing all the provisions in H.R. 1222
would cost $131 million over the 2018-2022 period, assuming appropriation of the
necessary and specified amounts. Pay-as-you-go procedures do not apply to this legislation
because it would not affect direct spending or revenues.

CBO estimates that enacting H.R. 1222 would not increase net direct spending or
on-budget deficits in any of the four consecutive 10-year periods beginning in 2028.

H.R. 1222 contains no intergovernmental or private-sector mandates as defined in the
Unfunded Mandates Reform Act (UMRA) and would impose no costs on state, local, or
tribal governments.


ESTIMATED COST TO THE FEDERAL GOVERNMENT

The estimated budgetary effect of H.R. 1222 is shown in the following table. The costs of
this legislation fall within budget function 550 (health).

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