Adjustments for Discretionary Spending Limits
Under section 251(b) (BBEDCA), the discretionary spending limits set forth in subsection (c) of that section, may be adjusted by the Office of Management and Budget if certain circumstances are met. Section 251(b)(2)(C) (BBEDCA) allows for an adjustment for “Health Care Fraud and Abuse Control”.
See also Cap Adjustments.
Health Care Fraud and Abuse Control
The following is the legislative text for the adjustment for health care fraud and abuse control.
(C) Health care fraud and abuse control.—
(i) If a bill or joint resolution making appropriations for a fiscal year is enacted that specifies an amount for the health care fraud abuse control program at the Department of Health and Human Services (75–8393–0–7–571), then the adjustments for that fiscal year shall be the amount of additional new budget authority provided in that Act for such program for that fiscal year, but shall not exceed—
(I) for fiscal year 2012, $270,000,000 in additional new budget authority;
(II) for fiscal year 2013, $299,000,000 in additional new budget authority;
(III) for fiscal year 2014, $329,000,000 in additional new budget authority;
(IV) for fiscal year 2015, $361,000,000 in additional new budget authority;
(V) for fiscal year 2016, $395,000,000 in additional new budget authority;
(VI) for fiscal year 2017, $414,000,000 in additional new budget authority;
(VII) for fiscal year 2018, $434,000,000 in additional new budget authority;
(VIII) for fiscal year 2019, $454,000,000 in additional new budget authority;
(IX) for fiscal year 2020, $475,000,000 in additional new budget authority; and
(X) for fiscal year 2021, $496,000,000 in additional new budget authority.
(ii) As used in this subparagraph, the term “additional new budget authority” means the amount provided for a fiscal year, in excess of $311,000,000, in an appropriation Act and specified to pay for the costs of the health care fraud and abuse control program.
OMB Definition of Cap Adjustment
Cap adjustment means either an increase or a decrease that is permitted to the statutory cap limits for each fiscal year under BBEDCA on the budget authority and outlays (only if applicable) provided by discretionary appropriations only if certain conditions are met. These conditions may include providing for a base level of funding, a designation of the increase or decrease by the Congress, (and in some circumstances, the President) pursuant to a section of the BBEDCA, or a change in concepts and definitions of funding under the cap. Changes in concepts and definitions require consultation with the Congressional Appropriations and Budget Committees. See the OMB Glossary of Budget Terms.
Office of Management and Budget, Budget of the U.S. Government, Fiscal Year 2018: Analytical Perspectives (May 23, 2017), pp. 88-91.
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