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ICongressional Budget Office
       Cost Estimate


February 18, 2020


By Fiscal Year, Millions of Dollars 2020             2020°2025             2020-2030
Direct Spending (Outlays)              0                   0                     0


Revenues
Increase or Decrease (°)
in the Deficit


0

0


0

0


0

0


S. 123 would require the Department of Veterans Affairs (VA) to enter into a contract with
an independent entity to review the quality of health care provided by VA employees who
have had their medical license revoked in any state. In addition, the bill would require VA to
notify all veterans who were treated by those health care providers, if the department
determines that the medical services they received did not meet VA's quality standards.

Currently, VA contracts with several companies to review the medical practices of the
department's health care providers. In 2019, those contractors reviewed the work of 17
medical providers at VA to evaluate the quality of the care they provided because of
concerns about their clinical competence. CBO expects that as part of those evaluations, VA
would review the performance of providers whose licenses were revoked. Additionally, the
department has systems in place to communicate with veterans about the care they receive.
Thus, S. 123 would codify VA's current practices. As a result, CBO estimates that
implementing the bill would not affect the federal budget.

The CBO staff contact for this estimate is Ann E. Futrell. The estimate was reviewed by
Leo Lex, Deputy Director of Budget Analysis.







                See also CBO's Cost Estimates Explained, www,cbo.gov/publication/54437;
  How CBO Prepares Cost Estimates, www.cbo.gov/publication/53519; and Glossary, www cbo~govipubicationi42904.

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