H.R. 6124 would allow Indian tribes to enter into agreements with the Social Security Administration (SSA) to provide Social Security and Medicare Hospital Insurance coverage for members of tribal councils.
CBO and the staff of the Joint Committee on Taxation (JCT) estimate that enacting
H.R. 6124 would increase revenues by $13 million and would increase direct spending by an insignificant amount over the 2019-2028 period. Because enacting H.R. 6124 would affect direct spending and revenues, pay-as-you-go procedures apply.
CBO estimates that enacting H.R. 6124 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 2029.
CBO and the staff of JCT have not reviewed H.R. 6124 for intergovernmental or private-sector mandates. Section 4 of the Unfunded Mandates Reform Act (UMRA) excludes from the application of that act any legislative provisions that relates to the old-age, survivors, and disability insurance program under title II of the Social Security Act (including taxes imposed by sections 3101(a) and 311(a) of the Internal Revenue Code of 1986). CBO and the staff of JCT have determined that H.R. 6124 falls within that exclusion.