H.R. 1148 would expand the use of remote (telehealth) services for Medicare stroke patients located in non-rural areas. CBO estimates that enacting H.R. 1148 would increase direct spending by $180 million over the 2018-2027 period.
Enacting H.R. 1148 would affect direct spending; therefore, pay-as-you-go procedures apply. The legislation would not affect revenues.
CBO estimates that enacting H.R. 1148 would not increase net direct spending or on-budget deficits by more than $5 billion in one or more of the four consecutive 10-year periods beginning in 2028.
H.R. 1148 contains no intergovernmental or private sector mandates as defined in the Unfunded Mandates Reform Act.