S. 3765 would reauthorize the appropriation of $24.3 million each year from 2025 through 2029 for the Health Resources and Services Administration (HRSA) to provide grants to support the expansion and improvement of emergency medical services for children who need treatment for trauma or critical care. In 2024, HRSA allocated $24 million for those activities. Based on historical spending patterns for those activities and assuming the appropriation of the authorized amounts, CBO estimates that implementing the bill would cost $94 million over the 2025-2029 period and $26 million after 2029.
The costs of the legislation, detailed in Table 1, fall within budget function 550 (health).
Table 1.
Estimated Increases in Spending Subject to Appropriation Under S. 3765
By Fiscal Year, Millions of Dollars
2025
2026
2027
2028
2029
2025-2029
Authorization
24
24
24
24
24
122
Estimated Outlays
5
18
23
24
24
94
The CBO staff contact for this estimate is Julianna Mack. The estimate was reviewed by Emily Stern, Senior Adviser for Budget Analysis.