S. 870 would affect the Medicare and Medicaid programs in several ways. Specifically, the bill would:
Modify and extend programs that provide services to beneficiaries with chronic conditions or other special needs,
Expand use of remote (telehealth) services, and
Rescind funding dedicated to improving the Medicare fee-for-service program and the management of the Medicaid program.
CBO estimates that enacting S. 870 would not affect direct spending in fiscal year 2018; would reduce direct spending for the Medicare and Medicaid programs by $217 million over the 2018-2022 period; and would have no significant effect on total direct spending over the 2018-2027 period. Pay-as-you-go procedures apply because enacting S. 870 would affect direct spending. Enacting the bill would not affect revenues.
CBO estimates that enacting the legislation would not increase net direct spending or on-budget deficits by more than $5 billion in any of the four consecutive 10-year periods beginning in 2028.
The bill contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.