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1 1 (July 16, 2019)

handle is hein.congrec/lwrhthc0001 and id is 1 raw text is: July 16, 2019 S.1895, Lower Health Care Costs Act As ordered reported by the Senate Committee on Health, Education, Labor, and Pensions on June 26, 2019 Revenues 0 Net Increase or Decrease (-) in the Deficit Spending Subject to Appropriation (Outlays) Statutory pay-as-you-go procedures apply? Increases on-budget deficits in any of the four consecutive 10-year periods beginning in 2030? 8,940 9,408 0 0 Yes No 458 Mandate Effects Contains intergovernmental mandate? Contains private-sector mandate? The bill would * Protect patients from surprise medical billing and reduce payments to some health care providers working in facilities where surprise bills are likely * Allow some generic or biosimilar drugs to enter the market earlier, on average, than under current law * Impose new rules for insurers' contracts with pharmacy benefit managers and health care providers * Extend funding for community health centers and certain other federal health care programs * Increase access to health, cost, and quality information among patients, providers, and insurers, which would create new administrative responsibilities that increase costs for insurers and pharmacy benefit managers * Impose intergovernmental and private-sector mandates by prohibiting certain medical billing practices, limiting other commercial activities, and prohibiting the sale of tobacco products to anyone under the age of 21, among many other duties Estimated budgetary effects would primarily stem from * Reduced federal subsidies for health care and health insurance * Increased direct spending for community health centers and other federal health programs Areas of significant uncertainty include * Accurately anticipating the nature and effects of provider and insurer responses to the bill's provisions * Accurately projecting how federal and state agencies would implement the law * Estimating quantities, sales, and market effects of introductions of new pharmaceutical products * Determining how increased transparency would affect prices and private insurance premiums 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. '1 Congressional Budget Office 1W/ Cost Estimate By Fiscal Year, Millions of Dollars Direct Spending (Outlays) 2019 0 2019-2024 18,348 2019-2029 18,664 26,242 -7,578 not estimated Yes, Over Threshold Yes, Over Threshold

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