Enacting the bill would increase net direct spending by $488 million over the 2021-2030 period. Those effects arise from five provisions:
During a national emergency, section 723 would allow the Department of Defense (DoD) to waive the statutes and regulations that govern the military health system;
Section 602 would require DoD to provide hazardous-duty pay for military service related to the COVID-19 emergency;
Section 707 would require DoD to conduct a pilot program for drug pricing;
Section 551 would result in the award of additional Medals of Honor; and
Section 1413 would allow retirees from the reserve components to reside at the Armed Forces Retirement Home.
S. 4049 also would change net revenues by less than $500,000, CBO estimates. Sections 526, 532, 703, and 1043 would change the amount of fines and penalties collected by the government. Section 1047 would reduce amounts collected from visa fees.