H.R. 6690 would direct the Secretary of Health and Human Services (HHS) to implement a pilot program for smart cards in the Medicare program. CBO estimates that enacting H.R. 6690 would cost $40 million over the 2019-2023 period, assuming the availability of appropriated funds.
Enacting the bill would not affect direct spending or revenues; therefore, pay-as-you-go procedures do not apply.
CBO estimates that enacting H.R. 6690 would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2029.
H.R. 6690 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.