H.R. 3178 would modify several Medicare policies related to coverage and payment for services under Part B of the program. CBO estimates that enacting H.R. 3178 would reduce direct spending by $4 million over the 2018-2027 period.
Pay-as-you-go procedures apply because enacting the legislation would affect direct spending. The legislation 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 2028.
H.R. 3178 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act and would impose no costs on state, local, or tribal governments.
