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1 S. 382, Firefighter Cancer Registry Act of 2018 1 (June 12, 2018)

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                   CONGRESSIONAL BUDGET OFFICE

U                             COST ESTIMATE
                                                                    June 12, 2018


                                     S. 382
                    Firefighter Cancer Registry Act of 2018

     As reported by the Senate Committee on Health, Education, Labor, and Pensions
                                 on April 25, 2018


 S. 382 would require the Secretary of Health and Human Services, through the Centers
 for Disease Control and Prevention, to develop and maintain a registry to monitor cancer
 incidence among firefighters. The registry would incorporate information-including
 demographic characteristics, number and type of fire incidents attended, and health
 information relevant to cancer incidence-that would be linked to state cancer registries.
 S. 382 would authorize the appropriation of a total of $12.5 million for fiscal years 2018
 through 2022 to carry out those activities.

 Because appropriations for 2018 have already been enacted, CBO does not estimate
 spending for authorizations provided for that year. Based on historical spending for
 similar activities and assuming appropriation of the specified amounts over the 2019-
 2023 period ($10 million), CBO estimates that implementing S. 382 would cost about
 $9 million; the remainder would be spent in years after 2023. Enacting S. 382 would not
 affect direct spending or revenues; therefore, pay-as-you-go procedures do not apply.

 CBO estimates that enacting S. 382 would not increase net direct spending or on-budget
 deficits in any of the four consecutive 10-year periods beginning in 2029.

 S. 382 contains no intergovernmental or private-sector mandates as defined in the
 Unfunded Mandates Reform Act.

 On August 31, 2017, CBO transmitted a cost estimate for H.R. 931, the Firefighter
 Cancer Registry Act of 2017, as ordered reported by the House Committee on Energy
 and Commerce on July 27, 2017. CBO's estimate of the budgetary effects of
 implementing both pieces of legislation is similar except for the inclusion of an additional
 year in the budget window.

 The CBO staff contact for this estimate is Rebecca Yip. The estimate was approved by
 Leo Lex, Deputy Assistant Director for Budget Analysis.

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