H.R. 3168 would permanently authorize insurers to offer special needs plans (SNPs) for institutionalized beneficiaries through the Medicare Advantage program and would extend the authorization for SNPs that enroll certain other beneficiaries until January 1, 2024. The bill also would require the Government Accountability Office (GAO) to issue several reports on SNPs and their enrollees.
CBO estimates that enacting H.R. 3168 would increase direct spending by $119 million over the 2017-2027 period. Pay-as-you-go procedures apply because enacting the legislation would affect direct spending. H.R. 3168 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.
H.R. 3168 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.