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1 H.R. 5306, Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care Act 1 (November 19, 2018)

handle is hein.congrec/cboempo0001 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE a COST ESTIMATE November 19, 2018 H.R. 5306 Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care Act As ordered reported by the House Committee on Energy and Commerce on September 13, 2018 SUMMARY H.R. 5306 would reauthorize and amend the Money Follows the Person (MFP) demonstration which provides states with an enhanced reimbursement for Medicaid services that promote the use of home and community-based health care services in place of institutional, long-term care services. CBO estimates that enacting H.R. 5306 would increase direct spending by $882 million over the 2019-2028 period. Because H.R. 5306 would affect direct spending pay-as-you-go procedures apply. H.R. 5306 would not affect revenues. The bill also would require the department of Health and Human Services (HHS) and the Medicaid and Children's Health Insurance Program Payment and Access Commission (MACPAC) to produce reports related to the demonstration. CBO estimates that producing the reports would cost about $1 million over the 2019-2023 period, assuming availability of appropriated funds. CBO estimates that enacting H.R. 5306 would not increase net direct spending or on- budget deficits by more than $5 billion in any of the four consecutive 10-year periods beginning in 2029. H.R. 5306 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act (UMRA). ESTIMATED COST TO THE FEDERAL GOVERNMENT The estimated budgetary effect of H.R. 5306 is shown in the following table. The costs of the legislation fall within budget function 550 (health).

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