H.R. 670 would amend title XIX of the Social Security Act to make various changes to the Medicaid program. The bill would permit qualified individuals to establish their own special needs trusts; extend access to tobacco cessation services to mothers of newborns; eliminate federal matching funds for prescription drugs used for cosmetic purposes; and provide funding for the program’s improvement fund.
CBO estimates that enacting H.R. 670 would reduce direct spending, on net, by $5 million over the 2017-2026 period. Pay-as-you-go procedures apply because enacting the legislation would affect direct spending. H.R. 670 would not affect revenues.
CBO estimates that enacting the legislation would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2027.
H.R. 670 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.