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

Report No: 581
Date: 07/13/2002

1. LAW NUMBER: P.L. 107-188 (H.R. 3448)
2. BILL TITLE: Public Health Security and Bioterrorism Preparedness and Response Act
3. BILL PURPOSE: Authorizes appropriations for programs and activities to improve the Nation's public health preparedness and response capability to combat bioterrorism.
4. OMB ESTIMATE: P.L. 107-188 makes minor changes to the Medicare program including allowing Medicare to pay out-of-network providers for services delivered to Medicare+Choice enrollees in the event of an emergency. Emergencies include certain natural disasters and other public health emergencies.

	(Fiscal years; in millions of dollars)
	2002	2003	2004	2005	2006	2007
Outlay effect.....................	0	*	*	*	*	*

 

5. CBO ESTIMATE:

	(Fiscal years; in millions of dollars)
	2002	2003	2004	2005	2006	2007
Outlay effect.....................	0	1	1	1	1	1

 

6. EXPLANATION OF DIFFERENCES BETWEEN OMB AND CBO ESTIMATES:

CBO assumes that slightly more physicians will seek reimbursement under the new rules.

7. CUMULATIVE EFFECT OF DIRECT SPENDING AND REVENUE LEGISLATION ENACTED TO DATE:

	(Fiscal years; in millions of dollars)
	2002	2003	2004	2005	2006	2007
Outlay effect..............	2,206	36,520	39,016	30,997	15,293	9,894
Receipt effect............	0	-86,865	-106,317	-107,742	-126,472	2
Net costs....................	2,206	123,385	145,333	138,739	141,765	9,892

*500,000 or less.