As reported by the Senate Committee on Health, Education, Labor, and Pensions on April 25, 2018
S. 382 would require the Secretary of Health and Human Services, through the Centers for Disease Control and Prevention, to develop and maintain a registry to monitor cancer incidence among firefighters. The registry would incorporate 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. S. 382 would authorize the appropriation of a total of $12.5 million for fiscal years 2018 through 2022 to carry out those activities.
Because appropriations for 2018 have already been enacted, CBO does not estimate spending for authorizations provided for that year. Based on historical spending for similar activities and assuming appropriation of the specified amounts over the 2019-2023 period ($10 million), CBO estimates that implementing S. 382 would cost about $9 million; the remainder would be spent in years after 2023. Enacting S. 382 would not affect direct spending or revenues; therefore, pay-as-you-go procedures do not apply.
CBO estimates that enacting S. 382 would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2029.
S. 382 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.
On August 31, 2017, CBO transmitted a cost estimate for H.R. 931, the Firefighter Cancer Registry Act of 2017, as ordered reported by the House Committee on Energy and Commerce on July 27, 2017. CBO’s estimate of the budgetary effects of implementing both pieces of legislation is similar except for the inclusion of an additional year in the budget window.