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CBO Estimates of Medicaid and SCHIP Proposals in the President's Budget for Fiscal Year 2008 [i] (March 2007)

handle is hein.congrec/cbo9295 and id is 1 raw text is: CBO Estimates of Medicaid and SCHIP Proposals in the President's Budget for Fiscal Year 2008 Figures are federal outlays by fiscal year, in millions of dollars. Costs or savings of less than $500,000 are shown with an asterisk. 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2007-12 2007-17 SCHIP reauthorization proposals Ill SCHIP Medicaid interaction Subtotal Match rate proposals Uniform 50% rate for administration Apply 50% rate to all TCM services Subtotal Prescription drug proposals Reduce FUL to 150% of lowest AMP Allow states to have closed formularies Require tamper-resistant prescription pads Replace best price with flat rebate Subtotal Reduce payments for administrative costs assumed in TANF block grant Asset verification demonstration project Set performance targets for estate recovery Set limit on allowable home equity at $500,000 Extend TMA through end of FY 2008 Medicaid SCHIP Subtotal Extend QI provision through end of FY 2008 Medicaid Medicare Subtotal Expand use of third-party recovery SSI-related proposals Extend SSI eligibility for certain refugees Funding for disability reviews /2/ Subtotal Total, all proposals 735 939 1,550 757 1,158 1,059 1,138 1,309 1,285 1,391 1,415 -287 -601 -860 -558 -771 -755 -782 -848 -873 -924 -957 448 338 690 199 387 304 356 461 412 467 458 0 -1,160 -1,420 -1,810 -1,930 -2,060 -2,190 -2,330 -2,490 -2,650 -2,820 0 -225 -245 -270 -300 -330 -365 -400 -470 -500 -530 0 -1,385 -1,665 -2,080 -2,230 -2,390 -2,555 -2,730 -2,960 -3,150 -3,350 0 -325 -400 -450 -500 -550 -625 -675 -750 -825 -925 0 -10 -20 -35 -50 -60 -65 -70 -80 -90 -100 0 -15 -30 -35 -35 -35 -40 -40 -40 -40 -45 0 0 0 0 0 0 0 0 0 0 0 0 -350 -450 -520 -585 -645 -730 -785 -870 -955 -1,070 0 -280 -320 -390 -390 -390 -390 -390 -390 -390 -390 0 -50 -80 -100 -110 -120 -130 -140 -150 -170 -180 0 0 0 0 -170 -180 -200 -220 -240 -260 -280 0 -70 -75 -80 -90 -100 -110 -120 -130 -150 -170 0 470 468 28 -1 -1 0 0 -6 -4 2 2 4 1 0 0 464 464 30 1 3 1 0 0 76 -76 0 0 0 0 0 0 0 0 0 293 47 0 0 0 0 0 0 0 0 0 369 -29 0 0 0 0 0 0 0 0 0 -40 -45 -45 -50 -55 -60 -65 -70 -75 -80 0 5 4 3 0 0 0 0 0 0 0 0 -48 -402 -570 -301 -181 -160 -143 -130 -116 -104 0 -43 -398 -567 -301 -181 -160 -143 -130 -116 -104 448 -1,047 -1,908 -3,553 -3,538 -3,757 -3,976 -4,132 -4,527 -4,798 -5,166 -13,355 -35,954 Memorandum: spending changes by program Medicaid Medicare SCHIP -287 -2,273 -3,501 -4,312 -4,698 -4,816 -5,118 -5,441 -5,813 -6,190 -6,581 -19,887 -49,030 0 293 47 0 0 0 0 0 0 0 0 340 340 735 933 1,546 759 1,160 1,059 1,142 1,309 1,285 1,392 1,415 6,192 12,736 Abbreviations: AMP = average manufacturer price; FUL = federal upper limit; QI = qualifying individual; SCHIP = State Children's Health Insurance Program; SSI = Supplemental Security Income; TANF = Temporary Assistance for Needy Families; TCM = targeted case management; TMA = transitional medical assistance Notes: /l/ The administration proposes to reauthorize SCHIP for five years and make the following changes to the program: (a) increase funding by $277 million in 2009 and by $1.5 billion in each of fiscal years 2010 through 2012, (b) shorten the availability of funds prior to redistribution from the current three years to one year, and (c) use the lower Medicaid match rate for spending on all adults other than pregnant women and on children and pregnant women with income greater than 200 percent of the federal poverty level. Consistent with statutory guidelines, CBO assumes in its estimate that funding for the program in later years would continue at the proposed 2012 level of $6.5 billion. /2/ These savings would not be scoreable because they would occur after the appropriation of additional funds for fiscal year 2008, and under scorekeeping guideline #3, such changes in mandatory spending cannot be scored to the appropriation act unless that act includes a substantive change in the mandatory spending program. /3/ All figures reflect changes in Medicaid spending unless otherwise noted. /4/ The change in budget authority for the proposals would be equal to the change in outlays for Medicaid and Medicare spending. For SCHIP, the change in budget authority would equal zero in 2007 and 2008, $277 million in 2009, and $1.512 billion in all subsequent years. /5/ Components may not sum to totals because of rounding. Congressional Budget Office March 6, 2007 6,198 12,736 -3,832 -8,216 2,366 4,520 -8,380 -20,860 -1,370 -3,635 -9,750 -24,495 -2,225 -175 -150 0 -2.550 -6,025 -580 -355 0 -6.960 -1,770 -3,720 -460 -1,230 -350 -1,550 -415 -1,095 965 -6 959 0 340 340 963 963 0 340 340 -235 -585 12 12 -1,502 -2,155 -1,490 -2,143

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