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CONGRESSIONAL BUDGET OFFICE
            COST ESTIMATE


December 15, 2017


                                  H.R. 2465
                 Steve Gleason Enduring Voices Act of 2017

        As ordered reported by the House Committee on Energy and Commerce
                               on October 4, 2017


SUMMARY

H.R. 2465 would modify Medicare coverage and payment rules for speech-generating
devices (SGDs). CBO estimates that enacting H.R. 2465 would increase direct spending
by $12 million over the 2018-2027 period.

Pay-as-you-go procedures apply because enacting the legislation would affect direct
spending. The legislation would not affect revenues.

CBO estimates that enacting H.R. 2465 would not increase net direct spending or on-
budget deficits by more than $2.5 billion in any of the four consecutive 10-year periods
beginning in 2028.

H.R. 2465 contains no intergovernmental or private sector mandates as defined in the
Unfunded Mandates Reform Act (UMRA).


ESTIMATED COST TO THE FEDERAL GOVERNMENT

The estimated budgetary effect of H.R. 2465 is shown in the following table. The costs of
this legislation fall within budget function 570 (Medicare).


                 By Fiscal Year, in Millions of Dollars
                                                 2018- 2018-
2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2022 2027


                           INCREASES IN DIRECT SPENDING
Estimated Budget Authority 0 1   1    1    1    1    1    2    2   2    4    12
Estimated Outlays      0    1    1    1    1    1    1    2    2   2    4    12


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