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1 1 (September 22, 2017)

handle is hein.congrec/cbo3845 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE COST ESTIMATE September 22, 2017 H.R. 3727 Increasing Telehealth Access in Medicare Act As ordered reported by the Committee on Ways and Means on September 13, 2017 SUMMARY H.R. 3727 would allow Medicare Advantage (MA) plans to include the cost of providing telehealth services in their bids and increase funding in the Medicare Improvement Fund. CBO estimates that enacting H.R. 3727 would increase direct spending by $46 million over the 2018-2022 period and decrease direct spending by $4 million over the 2018-2027 period. Pay-as-you-go procedures apply because enacting H.R. 3727 would affect direct spending. Enacting the bill would not affect revenues. CBO estimates that enacting the legislation would not increase net direct spending or on-budget deficits by more than $5 billion in any of the four consecutive 10-year periods beginning in 2028. The bill 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. 3727 is shown in the following table. The effects of this legislation fall within budget function 570 (Medicare). By Fiscal Year, in Millions of Dollars 2017- 2017- 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2022 2027 INCREASES OR DECREASES (-) IN DIRECT SPENDING OUTLAYS Telehealth Costs in Medicare Advantage Bids 0 0 0 -10 -10 -10 -10 -10 -10 -10 -10 -30 -80 Medicare Improvement Fund 0 0 0 0 48 28 0 0 0 0 0 76 76 Total Changes 0 0 0 -10 38 18 -10 -10 -10 -10 -10 46 -4 Note: Budget authority is equal to outlays. a

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