S. 2278 would reauthorize a program to provide $12.5 million annually through fiscal year 2022 in grants to state offices of rural health.
CBO estimates that implementing S. 2278 would cost $47 million over the 2019-2023 period, assuming appropriation of the specified amounts.
Enacting the bill would not affect direct spending or revenues; therefore, pay-as-you-go procedures do not apply.
CBO estimates that enacting S. 2278 would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2029.
S. 2278 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.