H.R. 5306 would reauthorize and amend the Money Follows the Person (MFP) demonstration which provides states with an enhanced reimbursement for Medicaid services that promote the use of home and community-based health care services in place of institutional, long-term care services. CBO estimates that enacting H.R. 5306 would increase direct spending by $882 million over the 2019-2028 period. Because H.R. 5306 would affect direct spending pay-as-you-go procedures apply. H.R. 5306 would not affect revenues.
The bill also would require the department of Health and Human Services (HHS) and the Medicaid and Children’s Health Insurance Program Payment and Access Commission (MACPAC) to produce reports related to the demonstration. CBO estimates that producing the reports would cost about $1 million over the 2019-2023 period, assuming availability of appropriated funds.
CBO estimates that enacting H.R. 5306 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. 5306 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.