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1 1 (October 24, 2017)

handle is hein.congrec/cbo3843 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE a COST ESTIMATE October 24, 2017 H.R. 3271 Protecting Access to Diabetes Supplies Act of 2017 As ordered reported by the House Committee on Energy and Commerce on October 4, 2017 SUMMARY H.R. 3271 would codify certain requirements with respect to Medicare coverage of diabetic testing supplies (DTS). Based on current Medicare program and payment rules for DTS, CBO estimates that enacting H.R. 3271 would have no effect on the federal budget. Enacting H.R. 3271 would not affect direct spending or revenues; therefore, pay-as-you- go procedures do not apply. CBO estimates that enacting H.R. 3271 would not increase net direct spending or on-budget deficits in one or more of the four consecutive 10-year periods beginning in 2028. H.R. 3271 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act (UMRA). BASIS OF ESTIMATE Durable medical equipment (DME), which includes items like wheelchairs, hospital beds, and oxygen supplies, is a benefit within the Medicare program. The DME benefit includes supplies necessary to monitor blood sugar levels for people with diabetes, including glucose monitors and strips used to test blood samples-collectively called diabetic testing supplies (DTS). For some DME items, Medicare payment is based on a system in which suppliers compete to furnish DME, including DTS, to Medicare beneficiaries, with prices based on supplier bids. For DTS, Medicare payments are set for the nation as a whole and are pegged to prices for items delivered by mail-order suppliers. Beneficiaries can choose to receive DTS by mail or go to a local pharmacy.

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