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                  CONGRESSIONAL BUDGET OFFICE

U                            COST ESTIMATE
                                                              November 3, 2017


                                  H.R. 2601
            Veterans Increased Choice for Transplanted Organs
                          and Recovery Act of 2017

           As ordered reported by the House Committee on Veterans' Affairs
                               on November 2, 2017


 H.R. 2601 would expand the Veterans Choice Program (VCP) to include eligible veterans
 in need of organ transplants. Under current law, VCP pays for certain veterans to receive
 health care from participating providers in the private sector. At the beginning of fiscal
 year 2018, VCP had about $2 billion in available funds; CBO expects those funds to be
 completely committed by the end of the year. The program will terminate once its
 funding is exhausted. As a result, CBO estimates that implementing the bill would have
 no budgetary effect.

 Enacting H.R. 2601 would not affect direct spending or revenues; therefore, pay-as-you-
 go procedures do not apply.

 CBO estimates that enacting H.R. 2601 would not increase net direct spending or on-
 budget deficits in any of the four consecutive 10-year periods beginning in 2028.

 H.R. 2601 contains no intergovernmental or private-sector mandates as defined in the
 Unfunded Mandates Reform Act.

 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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