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1 Opioid Legislation as Ordered Reported by the House Committee on Ways and Means on May 16, 2018 1 (June 6, 2018)

handle is hein.congrec/opidlgor0001 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE COST ESTIMATE June 6, 2018 Opioid Legislation As ordered reported by the House Committee on Ways and Means on May 16, 2018 SUMMARY On May 16, 2018, the House Committee on Ways and Means ordered seven bills to be reported related to the nation's response to the opioid epidemic. Generally, the bills would: * Expand Medicare coverage of treatment for opioid use disorder; * Give Medicare providers and health plans additional tools to curtail inappropriate prescribing and use of opioids; * Require the completion of studies and reports related to opioid use and misuse in Medicare; and * Require the United States Postal Service and Customs and Border Protection (CBP) to reduce illegal shipment of opioids across international borders. Because the bills are related, CBO is publishing a single comprehensive document that includes estimates for each piece of legislation. CBO estimates that enacting four of the bills would affect direct spending; therefore, pay- as-you-go procedures apply for those bills. None of the bills would affect revenues. CBO estimates that although enacting one bill of the seven included in this document (H.R. 5776) would increase net direct spending and on-budget deficits over the four consecutive 10-year periods beginning in 2029, those effects would not exceed the threshold established by the Congress for long-term costs. CBO estimates that none of the remaining bills would increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2029. None of the bills contain intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act (UMRA).

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