H.R. 3325 would allow states to receive an enhanced level of federal Medicaid funding for one year for health home programs that specialize in coordinating care for children with complex medical conditions. After that time, states could continue providing this benefit at the state’s regular Medicaid matching rate. In addition, the legislation would provide $25 million for states to plan for those programs. CBO estimates that enacting H.R. 3325 would increase direct spending by $302 million over the 2019-2028 period.
The bill also would require the Secretary of Health and Human Services (HHS) to issue guidance to states on coordinating care for children by out-of-state providers and direct the Medicaid and Children’s Health Insurance Program Payment and Access Commission (MACPAC) to issue a report about children with complex medical conditions. CBO estimates that implementing those provisions would cost $2 million over the 2019-2023 period, assuming appropriation of the necessary amounts.
Enacting H.R. 3325 would affect direct spending; therefore, pay-as-you-go procedures apply. Enacting the bill would not affect revenues.
CBO estimates that enacting H.R. 3325 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.
H.R. 3325 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.