H.R. 931 would require the Secretary of Health and Human Services, through the Centers for Disease Control and Prevention, to develop and maintain a voluntary registry to monitor cancer incidence among firefighters. The registry would incorporate relevant information—including demographic characteristics, number and type of fire incidents attended, and health information relevant to cancer incidence—that would be linked to state cancer registries. H.R. 931 would authorize the appropriation of a total of $12.5 million for fiscal years 2018 through 2022 to carry out those activities.
Based on historical spending for similar activities, CBO estimates that implementing H.R. 931 would cost $10 million over the 2018-2022 period; the remainder would be spent in years after 2022. Enacting H.R. 931 would not affect direct spending or revenues; therefore, pay-as-you-go procedures do not apply.
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. 931 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.