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Letter to the Honorable Don Nickles 1 (August 2003)

handle is hein.congrec/cbo9256 and id is 1 raw text is: August 29, 2003 Honorable Don Nickles Chairman Committee on the Budget United States Senate Washington, DC 20510 Dear Mr. Chairman: As you requested in your letter of July 28, 2003, the Congressional Budget Office (CBO) has prepared the enclosed cost estimates for H.R. 2475, the Veterans Health Care Full Funding Act, and H.R. 2318, the Assured Funding for Veterans Health Care Act of 2003. The legislation and our cost estimates are summarized below. You also requested that CBO estimate the costs for a variation of H.R. 2318 in which the appropriation for veterans' medical care would become a mandatory program and would be inflated by the Consumer Price Index for all Urban Consumers (CPI-U) for medical care. That estimate is contained in this letter, following a summary of the estimates for H.R. 2475 and H.R. 2318. H.R. 2475. This bill would establish the Veterans Health Care Funding Review Board, which would consist of three people with backgrounds and experience in health care policy or related fields who would be appointed by the Secretary of Veterans Affairs (VA). This board would be responsible for determining the resources necessary to adequately fund health care programs for veterans, under criteria listed in the bill. The board would submit its recommendations to the President and to the Congress. Under the bill, the President would be required to include the full amount determined by the board in his annual budget request to the Congress. Assuming that the bill is enacted this fall, that the board begins to operate during fiscal year 2004, and that the necessary amounts are appropriated, CBO estimates that expenses would total about $2 million a year beginning in 2004. These expenses would include compensation for the board members and costs of VA staff support to the board. Enacting the bill would not affect direct spending or receipts. (See the enclosed cost estimate for H.R. 2475 for more information.)

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