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1 Direct Spending Effects of Division F of Rules Committee Print 115-58 as Modified by Manager's Amendment #1 1 (February 6, 2018)

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Congressional Budget Office
Estimated   Direct  Spending Effects of Division F of Rules Committee Print 115-58
as Modified by Manager's Amendment #1-SUSTAIN Care Act of 2018, as Posted on docs.house.gov on Feb. 5, 2018


(Outlays in millions of dollars, by fiscal year)


February 6, 2018
          1:37 PM


                                                                            2018-    2018-
2018    2019   2020    2021   2022    2023   2024    2025   2026    2027     2022    2027


INCREASES OR DECREASES  (-) IN DIRECT SPENDING OUTLAYS


TITLE I-EXTENDERS AND  RELATED POLICIES
Subtitle A-Medicare Part A
   2101. Extension of the Medicare-dependent hospital program
   2102. Extension of increased inpatient hospital payment adjustment for certain
         low-volume hospitals
   2103. Hospital studies
   2104. Extension of home health rural add-on

Subtitle B-Medicare Part B
   2111. Ground ambulance services cost reporting requirement
   2112. Extension of work GPCI floor
   2113. Repeal of Medicare payment cap for therapy services; replacement with
         limitation to ensure appropriate therapy

Subtitle C-Miscellaneous
   2121. Providing continued access to Medicare Advantage special needs plans for
         vulnerable populations
   2122. Extension of certain MIPPA funding provisions; State health insurance
         assistance program reporting requirements
   2123. Extension of funding for quality measure endorsement, input, and
         selection; reporting requirements

TITLE II-ADDITIONAL MEDICARE  POLICIES RELATING TO EXTENDERS
   2201. Home  health payment reform
   2202. Information to satisfy documentation of Medicare eligibility for home
         health services
   2203. Voluntary settlement of home health claims
   2204. Extension of enforcement instruction on Medicare supervision
         requirements for outpatient therapeutic services in critical access and
         small rural hospitals
   2205. Technical amendments to Public Law 114-10
   2206. Revised Requirements for Intensive Cardiac Rehabilitation Programs


105     180     20


340     595     70       0      0
  0       0      0       0      0
  64    125    104      63     19


0       0      0       0      0       0      0      305      305


0
0
*


0       0
0       0
0       0


0
0
0


0     1,005   1,005
0        0        0
0      375      375


210     135    125     125    135     -65   -140    -160   -175    -200      730      -10
295     510    175     -25      0       0      0       0      0       0      955     955

410     580    610     630    705     705    685     720    715     710    2,935    6,470


0       6     13      13     14      14     15      16     16      17


46      125


38      38      0       0      0       0      0       0      0       0       75      75

5        8      3       0      0       0      0       0      0       0       15      15



0        0      0       0      0       0      0       0      0       0        0       0


0       2
2       3


2
2


2
0


0       0      0       0
0       0      0       0
0      10     10      10


2
0



0
0
5


2
0



0
0
5


2       2      2
0       0      0


0       0
0       0
5       5


0
0
5


2
0



0
0
5


8
6


20
6



0
0
65


0
0
35


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