H.R. 4290, Wakefield Act of 2014

Cost Estimate
July 22, 2014

As ordered reported by the House Committee on Energy and Commerce on July 15, 2014

H.R. 4290 would amend the Public Health Service Act to reauthorize activities intended to reduce child morbidity and mortality by improving emergency medical services for children. Those activities are supported by grants administered by the Health Resources and Services Administration.

The bill would authorize appropriations of about $30 million in 2015 and $152 million over the 2015-2019 period. CBO estimates that implementing H.R. 4290 would cost $135 million over the 2015-2019 period, assuming appropriation of the authorized amounts. Pay-as-you-go procedures do not apply to this legislation because it would not affect direct spending or revenues.

The bill contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.