S. 2840, Bipartisan Primary Care and Health Workforce Act
As reported by the Senate Committee on Health, Education, Labor, and Pensions on November 8, 2023
By Fiscal Year, Millions of Dollars
2024
2024-2028
2024-2033
Direct Spending (Outlays)
3,897
22,904
23,095
Revenues
0
1,884
7,025
Spending Subject to Appropriation (Outlays)
142
1,029
not estimated
Increases net direct spending in any of the four consecutive 10-year periods beginning in 2034?
No
Statutory pay-as-you-go procedures apply?
Yes
Mandate Effects
Increases on-budget deficits in any of the four consecutive 10-year periods beginning in 2034?
No
Contains intergovernmental mandate?
Yes, Over Threshold
Contains private-sector mandate?
Yes, Over Threshold
The bill would
Extend funding for the Teaching Health Center Graduate Medical Education Program, community health centers, and the National Health Service Corps
Authorize appropriations for new and existing health workforce programs
Prohibit private health insurers from using certain anticompetitive terms in their contracts and impose new billing requirements on health care providers
Reduce budget authority provided to the Prevention and Public Health Fund
Impose intergovernmental and private-sector mandates by restricting insurance contracting terms and limiting the collection of facility fees
Estimated budgetary effects would mainly stem from
Increased direct spending for graduate medical education programs, community health centers, and the National Health Service Corps
Reduced federal subsidies for private health insurance because lower average payments to health care providers would result in reduced premiums
Areas of significant uncertainty include
Forecasting the responses of providers, insurers, state governments, and enrollees to the bill’s provisions
Pinpointing the effects on private insurers’ billing and how new anticompetitive contracting terms would affect enrollment in private health insurance plans and spending by private insurers
