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1 H.R. 3429, HEARTS and Rural Relief Act, as Ordered Reported by the House Committee on Ways and Means on June 26, 2019 1 (September 10, 2019)

handle is hein.congrec/cboheartsrr0001 and id is 1 raw text is: j Congressional Budget Office Cost Estimate September 10, 2019 By Fiscal Year, Millions of Dollars 2019 2019-2024 2019-2029 Direct Spending (Outlays) 0 23 43 Revenues Deficit Effect 0 0 0 23 0 43 The bill would * Modify the rules for coordinating coverage between Medicare and TRICARE, the military health benefits plan * Make the DNA specimen provenance assay (DSPA) for prostate cancer screening a Medicare-covered service * Make funding available to improve fee-for-service benefits in Medicare * Prohibit Medicare payment adjustments for some durable medical equipment (DME) * Change supervision requirements for some outpatient services Estimated budgetary effects would primarily stem from * Changing the rules for Medicare and TRICARE coordination * Adding Medicare coverage for the DSPA * Excluding Medicare payment adjustments for some DME * Spending of funds deposited into the Medicare Improvement Fund Areas of significant uncertainty include * Projecting the number of military retirees who would forgo enrollment in Medicare Part B * Anticipating trends in prostate cancer testing and treatment Detailed estimate begins on the next page. 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.gov/publication/42904.

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