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1 1 (2020)

handle is hein.congrec/cbohexlt0001 and id is 1 raw text is: j Congressional Budget Office Cost Estimate February 20, 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 Under current law, Department of Veterans Affairs (VA) may pay for neonatal health care for up to seven days after birth for newborn children of female veterans who receive maternity care from the department. Section 3 of S. 3182 would authorize VA to pay for more than seven days of neonatal health care provided to those children. It also would allow the department to reimburse those veterans for the cost of emergency transportation of those newborn children by ambulance or airlift to receive neonatal care. Implementing the bill would cost $135 million over the 2020-2025 period, CBO estimates. Such spending would be subject to the availability of appropriated funds. Using data from VA, CBO estimates that 15 percent (or about 580) of the 3,840 births covered by VA each year are complicated births (for example, premature delivery, low birth weight, and fetal-growth retardation) that require neonatal care for more than seven days. According to the Agency for Healthcare Research and Quality, complicated births require inpatient neonatal care for an average of 18 days. On the basis of information from VA, CBO estimates that the average daily cost for complicated births is about $3,800. After adjusting for anticipated inflation and assuming enactment in the second half of 2020, CBO estimates that removing the seven-day limit on payments for neonatal care would cost $131 million over the 2020-2025 period. See also CBO's Cost Estimates Explained, www cbo gov/publication /54437; How CBO Prepares Cost Estimates, www.cbo.gov/publicationi53519; and Glossary, www cbo~govipubication/42904.

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