BUDGETARY IMPACT OF THE "MEDICARE, MEDICAID, AND S-CHIP BALANCED BUDGET REFINEMENT ACT OF 1999"

House-Senate Agreement:

------------------ CBO ESTIMATE ----------------

PROGRAM REFINEMENT 5 YEAR

(in billions)

10 YEAR

(in billions)

Hospitals 3.4 5.3
Skilled Nursing Facilities 2.1 2.1
Outpatient Therapy Services 0.6 0.6
Home Health & Hospice 1.3 1.4
Dialysis & Durable Medical Equipment 0.3 0.8
Pap Smears & Immunosuppressive Drugs 0.2 0.4
Medicare+Choice 1.9 2.5
Medicaid 0.7 1.2
S-CHIP 0.2 0.4
Part B Interaction and Medicare+Choice Interaction 0.8 1.8
TOTAL SPENDING (reflecting House-Senate agreement)* 12.4 17.1

Addition Per Administration's Request:

Administration's Request for Hospital Outpatient PPS Clarification** 3.9 9.6
TOTAL SPENDING (reflecting Administration's request)* 16.0 27.0

* Components may not add to total due to rounding.

** Request detailed in letters from the OMB (11/5/99) and the White House (11/15/99). Clarification will not be scored by OMB on its baseline.