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                  CONGRESSIONAL BUDGET OFFICE
                             COST ESTIMATE

                                                            September 28, 2017


                                  H.R. 918
              Veteran Urgent Access to Mental Healthcare Act

           As ordered reported by the House Committee on Veterans' Affairs
                                on July 19, 2017


SUMMARY

H.R. 918 would change the fees charged to veterans who obtain loans guaranteed by the
Department of Veterans Affairs (VA). CBO estimates that enacting the bill would
increase direct spending by $688 million over the 2026-2027 period. Because enacting
the bill would affect direct spending, pay-as-you-go procedures apply. Enacting the bill
would not affect revenues.

The bill also would require VA to provide an initial mental health assessment and
subsequent mental health care to certain former service members who are currently not
eligible for such care. CBO estimates that implementing that provision would cost
$15 million over the 2017-2022 period, assuming appropriation of the necessary
amounts.

CBO estimates that enacting H.R. 918 would not increase net direct spending or on-
budget deficits in any of the four consecutive 10-year periods beginning in 2028.

H.R. 918 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 effects of H.R. 918 are shown in the following table. The costs
of this legislation fall within budget function 700 (veterans benefits and services).

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