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Congressional Budget Office
Preliminary   Cost Estimate


2020    2021    2022   2023    2024    2025    2026    2027   2028    2029

                 Increases or Decreases (-) in Direct Spending


Sec. 2 - Extension of Money Follows the Person Rebalancing
Demonstration Program
   Budget Authority
   Estimated Outlays

Sec. 3 - Clarifying authority of state Medicaid fraud and abuse
control units to investigate and prosecute cases of Medicaid
patient abuse and neglect in any setting a
   Estimated Budget Authority
   Estimated Outlays

Sec. 4 - Extension of protection for Medicaid recipients of home
and community-based services against spousal impoverishment


Estimated Budget Authority
Estimated Outlays


417     450     450    450     225       0       0       0
  0      13     159    359     436     434     349     169


8       8       9     11      12      13      14      16
8       8       9     11      12      13      14      16


26      47      71     74      63      37      13
26      47      71     74      63      37      13


0        0
34       0


18      20
18      20


0       0       0
0       0       0


Sec. 5 - Extension of the Community Mental Health Services
Demonstration Program
   Estimated Budget Authority
   Estimated Outlays

Sec. 6 - Preventing inappropriately low rebates under the
Medicaid drug rebate program
   Estimated Budget Authority
   Estimated Outlays


Sec. 7 - Medicaid improvement fund
   Estimated Budget Authority
   Estimated Outlays

Total Changes In Direct Spending
   Estimated Budget Authority
   Estimated Outlays


Memorandum
Non-scoreable outlays


218      90      78    134     108
218      90      78    134     108


1       0       0      0       0
1       0       0      0       0


-50    -220    -280   -300    -320    -340    -360    -380
-50    -220    -280   -300    -320    -340    -360    -380


-400    -430
-400    -430


0      40       0      0       0       0       0       0      0       0
0      40       0      0       0       0       0       0      0       0


619     414     328    370      87    -289    -333    -364
202     -23      37    278     298     145      16    -195




  -3     -6     -10     -14     -16    -18     -19     -21


-382    -410
-348    -410




-23      -26


Note: Components may  not sum to totals because of rounding; * = between -$500,000 and $0.


a. The Conference Report to the Balanced Budget Act of 1997 (P.L. 105-33) established a series of scorekeeping rules. Rule 14 states that no increase in receipts or decrease in
   direct spending will be scored as a result of provisions of a law that provide direct spending for administrative or program management activities.


June  17, 2019


-49     -156

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