H.R. 1818 would direct the Secretary of Health and Human Services (HHS) to award demonstration grants to states to streamline procedures for licensing and certifying emergency medical technicians (EMT) who received similar certifications while serving in the armed forces.
CBO estimates that implementing H.R. 1818 would cost $30 million over the 2017-2021 period; any such spending would be subject to the availability of appropriated funds. Pay-as-you-go procedures do not apply to this legislation because it would not affect direct spending or revenues. CBO estimates that enacting H.R. 1818 would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2027.
H.R. 1818 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.
