OMB COST ESTIMATE
FOR PAY-AS-YOU-GO CALCULATIONS

Report No: 570
Date: 01/25/2002

1. LAW NUMBER: P.L.107-121 (S. 1741)
2. BILL TITLE: Native American Breast and Cervical Cancer Treatment Technical Amendment Act
3. BILL PURPOSE: Clarifies current law to allow States to provide Medicaid benefits to certain Native American women who have been diagnosed with breast or cervical cancer through a Center for Disease Control and Prevention (CDC) screening program.

 

4. OMB ESTIMATE: The Breast and Cervical Cancer Prevention and Treatment Act gave States the option of providing Medicaid coverage to women who are under the age of 65, do not have creditable health insurance coverage, and have been diagnosed with breast or cervical cancer under the CDC screening program. Since Native American women are eligible to receive care from the Indian Health Service (IHS) and tribal health programs, which are included under the definition of creditable health insurance coverage, they were effectively ineligible for Medicaid coverage under the cancer treatment program. P.L. 107-121 removes IHS and tribal health programs from the definition of creditable health insurance only for the purpose of allowing Native American women to receive Medicaid coverage for this cancer treatment program.

	(Fiscal years; in millions of dollars)
	2001	2002	2003	2004	2005	2006
Outlays. . . . . . . . . . . . . . . . . . . . .	0	2	2	3	3	4

 

5. CBO ESTIMATE:

	(Fiscal years; in millions of dollars)
	2001	2002	2003	2004	2005	2006
Outlays. . . . . . . . . . . . . . . . . . . . .	0	0	0	1	1	1

 

6. EXPLANATION OF DIFFERENCES BETWEEN OMB AND CBO ESTIMATES: The differences between OMB and CBO estimates are the result of different baselines and estimating models.
7. CUMULATIVE EFFECT OF DIRECT SPENDING AND REVENUE LEGISLATION ENACTED TO DATE:

	(Fiscal years; in millions of dollars)
	2001	2002	2003	2004	2005	2006
Outlay effect..............	5,503	18,467	23,827	23,536	22,825	8,222
Receipt effect............	-69,768	-34,950	-84,840	-104,135	-105,311	-123,752
Net costs....................	75,271	53,417	108,667	127,671	128,136	131,974