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1 Direct Spending and Revenue Effects of Division E of Senate Amendment 1930, the Bipartisan Budget Act of 2018 1 (February 8, 2018)

handle is hein.congrec/dvseamb0001 and id is 1 raw text is: 




Congressional Budget Office

Estimated Direct Spending and Revenue Effects of Division E of Senate Amendment 1930, the Bipartisan Budget Act of 2018
Advancing  Chronic Care, Extenders, and Social Services (ACCESS) Act, 2018REPT\Supp\CRSupp.xml


February  8, 2018
          12:50 PM


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


(Outlays in millions of dollars, by fiscal year)


INCREASES OR  DECREASES (-) IN DIRECT SPENDING


TITLE I-CHIP
   50101. Funding extension of the Children's Health Insurance Program through fiscal
          year 2027
   50102. Extension of pediatric quality measures program
   50103. Extension of outreach and enrollment program

TITLE II-MEDICARE  EXTENDERS
   50201. Extension of work GPCI floor
   50202. Repeal of Medicare payment cap for therapy services; replacement with
          limitation to ensure appropriate therapy
   50203. Medicare ambulance services
   50204. Extension of increased inpatient hospital payment adjustment for certain low-
          volume hospitals
   50205. Extension of the Medicare-dependent hospital program
   50206. Extension of funding for quality measure endorsement, input, and selection;
          reporting requirements
   50207. Extension of funding outreach and assistance for low-income programs; state
          health insurance assistance program reporting requirements
   50208. Extension of home health rural add-on

TITLE III-CREATING HIGH-QUALITY RESULTS  AND
OUTCOMES NECESSARY TO IMPROVE CHRONIC CARE
   50301. Extending the Independence at Home demonstration program
   50302. Expanding access to home dialysis therapy
   50311. Providing continued access to Medicare Advantage special needs plans for
          vulnerable populations
   50321. Adapting benefits to meet the needs of chronically ill Medicare Advantage
          enrollees
   50322. Expanding supplemental benefits to meet the needs of chronically ill Medicare
          Advantage enrollees
   50323. Increasing convenience for Medicare Advantage enrollees through telehealth
   50324. Providing accountable care organizations the ability to expand the use of
          telehealth
   50325. Expanding the use of telehealth for individuals with stroke
   50331. Providing flexibility for beneficiaries to be part of an accountable care
          organization
   50341. Eliminating barriers to care coordination under accountable care organizations
   50342. GAO study and report on longitudinal comprehensive care planning services
          under Medicare Part B
   50351. GAO study and report on improving medication synchronization
   50352. GAO study and report on impact of obesity drugs on patient health and
          spending


  0        0         0        0
Included in above
Included in above


0      239       -12      -195     -292         0     -260


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
75        135      125       125      135       -70      -140     -160      -180      -200      595     -155

45        360      420       445      490        55         0        0         0        0     1,760    1,815
105       180      185       190      205        25         0        0         0        0       865      890


5          8        3

38        38        0
64       125      104


0


0


0         0        0        15       15


0          0        0         0        0         0         0       75       75
63        19        0         0        0         0         0      375      375


0         3        9        10        0         0        0         0         0        0        23       23
0         0        0         0        0         0        0         0         0        0         0        0

0         6       13        13       14        14        15       16        16       17        46      125

0         0       20        25        0         0        0         0         0        0        45      45

0         0        0         0        0         0        0         0         0        0         0        0
0         0      -10       -10       -10      -10       -10      -10       -10      -10       -30      -80

0         0        5         5        5         5         5        5        10       10        15       50
0         5       15        20       20        25       30        40        40       35        60     230

0         0        5         5        5         5         5        5        10       10        15       50
0         0        -5       -7        -7       -7        -7       -7        -7        -7      -19      -54

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


0         0        0         0


0


0         0        0


0


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