H.R. 7654, Advance Global Health Act

April 17, 2026

Cost Estimate

As ordered reported by the House Committee on Foreign Affairs on March 26, 2026

H.R. 7654, Advance Global Health Act As ordered reported by the House Committee on Foreign Affairs on March 26, 2026
By Fiscal Year, Millions of Dollars		2026	2026-2031	2026-2036
Direct Spending (Outlays)		0	0	0
Revenues		0	0	0
Increase or Decrease (-) in the Deficit		0	0	0
Spending Subject to Appropriation (Outlays)		*	*	*
Increases net direct spending in any of the four consecutive 10-year periods beginning in 2037?	No	Statutory pay-as-you-go procedures apply?		No
	No	Mandate Effects
Increases on-budget deficits in any of the four consecutive 10-year periods beginning in 2037?	No	Contains intergovernmental mandate?		No
	No	Contains private-sector mandate?		No
* = between -$500,000 and zero.

H.R. 7654 would direct the Bureau of Global Health Security and Diplomacy in the Department of State to consolidate several Congressional reports into one annual report to be submitted not later than September 30^th of each year. The bill would require the annual report to contain all the statutorily required information.

Because H.R. 7654 would neither eliminate nor modify any of the analytical requirements of those reports, CBO expects that any savings by consolidating them into a single report would be minor. CBO estimates that implementing H.R. 7654 would reduce costs by less than $500,000 over the 2026-2031 period. Any resulting savings would be subject to appropriations action consistent with the reduction in the number of individual reports.

The CBO staff contact for this estimate is David Rafferty. The estimate was reviewed by Christina Hawley Anthony, Deputy Director of Budget Analysis.

Phillip L. Swagel Director, Congressional Budget Office

Phillip L. Swagel

Director, Congressional Budget Office