H.R. 5385 would amend the Public Health Service Act to authorize payments to children’s hospitals for operating training programs that provide graduate medical education (GME). H.R. 5385 would authorize the appropriation of $325 million per year for each of fiscal years 2019 through 2023 for those payments. CBO estimates that implementing the legislation would cost about $1.5 billion over the 2019-2023 period, assuming appropriation of the authorized amounts.
Enacting H.R. 5385 would not affect direct spending or revenues; therefore, pay-as-you-go procedures do not apply.
CBO estimates that enacting H.R. 5385 would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2029.
H.R. 5385 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.