| Report No: 517
Date: 11/16/2000
OMB COST ESTIMATE
FOR PAY-AS-YOU-GO CALCULATIONS
- LAW NUMBER: P.L.106-310 (H.R. 4365)
- BILL TITLE: Children's Health Act
- BILL PURPOSE: (1) Authorizes appropriations for a
wide variety of programs that
address specific childhood health problems and prenatal risk factors; (2) establishes a new
program to improve the health and safety of children in child care facilities; (3) authorizes
grants to develop and implement adoption counseling training programs; (4) reauthorizes
the drug abuse prevention and treatment and mental health services programs of the
Substance Abuse and Mental Health Administration; (5) permits the Drug Enforcement
Administration (DEA) to grant waivers to allow physicians to administer certain narcotic
drugs to individuals for maintenance or detoxification treatment; and (6) increases
criminal penalties for manufacturing methamphetamine, amphetamine, and
"Ecstasy."
- OMB ESTIMATE: P.L. 106-310 would
broaden the eligibility criteria for the national
vaccine injury compensation program to include individuals who require hospitalization
and surgical intervention for the treatment of vaccine-related injuries. Under prior law,
individuals with injuries lasting less than six months could not file for compensation.
OMB estimates that compensation payments of $7 million over 5 years will be paid as a
result of this change.
|
(Fiscal years; in millions of
dollars) |
|
2000 |
2001 |
2002 |
2003 |
2004 |
2005 |
Net costs............... |
0 |
2 |
3 |
2 |
* |
0 |
- CBO ESTIMATE: In addition to the changes to the vaccine compensation program
scored by OMB, CBO scores costs for provisions that permit physicians to dispense and
prescribe certain narcotic drugs for maintenance and detoxification treatment, under
certain conditions, without obtaining a separate DEA registration. CBO assumes that
these changes will lead to increases in medicaid costs for the treatment of drug addiction.
|
(Fiscal years; in millions of dollars) |
|
2000 |
2001 |
2002 |
2003 |
2004 |
2005 |
Net costs............... |
0 |
2 |
8 |
7 |
10 |
10 |
- EXPLANATION OF DIFFERENCES BETWEEN OMB AND CBO ESTIMATES:
CBO scores costs for the medicaid program related to changes in rules for distribution of
certain narcotics. OMB considers any changes in medicaid costs related to these
provisions to be indirect and not scorable for pay-as-you-go purposes.
- CUMULATIVE EFFECT OF DIRECT SPENDING AND REVENUE LEGISLATION
ENACTED TO DATE:
|
(Fiscal years; in millions of dollars) |
|
2000 |
2001 |
2002 |
2003 |
2004 |
2005 |
Outlay effect.............. |
34 |
540 |
1,332 |
1,357 |
1,464 |
1,531 |
Receipt effect............ |
-8 |
-620 |
-698 |
-746 |
-781 |
-768 |
Net costs.................... |
42 |
1,160 |
2,030 |
2,103 |
2,245 |
2,299 |
*$500,000 or less.
NOTE: The cumulative effect of direct
spending and revenue legislation enacted to date is
currently estimated to result in an end-of-session sequester. The Administration looks forward to
working with the Congress to ensure that an unintended sequester does not occur.
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