Table 1. Discretionary Appropriations, Fiscal Year 2018, with Cap Adjustments January 17, 2018 CBO ESTIMATE FOR DIVISIONS B OF RULES COMMITTEE PRINT 115-55—THE EXTENSION OF CONTINUING APPROPRIATIONS ACT, 2018 (DISCRETIONARY SPENDING ONLY) Fiscal Year 2018 Appropriations, in Millions of Dollars a ATB House Subcommittee Appropriations Totalc Cap Adjustmentsb Constrained by Caps Disaster Program Reductiond Total OCO/GWOT Relief Integrity Requirementse Emergency Agriculturee,f,g BA: O: 20,856 21,792 -153 -99 20,703 21,693 0 0 0 0 0 0 1,270 1,270 21,973 22,963 Commerce, Justice, Science BA: O: 52,575 64,291 -447 -291 52,128 64,000 0 0 0 0 0 0 0 0 52,128 64,000 Defensee BA: O: 520,157 529,020 -3,484 -2,103 516,673 526,917 83,000 41,203 0 0 0 0 4,486 801 604,159 568,921 Energy and Water BA: O: 37,969 38,464 -261 -153 37,708 38,311 0 0 0 0 0 0 0 0 37,708 38,311 Financial Servicese,g BA: O: 21,715 23,596 -160 -135 21,555 23,461 0 0 0 0 0 0 0 286 21,555 23,747 Homeland Securitye,h BA: O: 42,479 47,171 -295 -192 42,184 46,979 163 126 6,713 336 0 0 34,670 17,369 83,730 64,810 Interior and Environmente BA: O: 32,114 32,507 -196 -129 31,918 32,378 0 0 0 0 0 0 577 577 32,495 32,955 Labor, HHS, Educationf,i BA: O: 166,790 170,014 -1,155 -496 165,635 169,518 0 0 0 0 1,960 1,635 0 0 167,595 171,153 Legislative Branch BA: O: 4,436 4,378 -30 -25 4,406 4,353 0 0 0 0 0 0 0 0 4,406 4,353 Military Construction, Vae BA: O: 85,675 83,897 -584 -444 85,091 83,453 433 2 0 0 0 0 200 2 85,724 83,457 State, Foreign Operations BA: O: 36,850 46,597 -254 -111 36,596 46,486 20,784 6,461 0 0 0 0 0 0 57,380 52,947 Transportation, HUDe BA: O: 56,822 120,202 ¯¯¯¯¯¯¯¯ 1,078,438 -461 -376 ¯¯¯¯¯ -7,480 56,361 119,826 ¯¯¯¯¯¯¯¯ 1,070,958 0 0 ¯¯¯¯¯¯¯ 104,380 0 0 ¯¯¯¯¯ 6,713 0 0 ¯¯¯¯¯ 1,960 0 160 ¯¯¯¯¯¯ 41,203 56,361 119,986 ¯¯¯¯¯¯¯¯¯ 1,225,214 1,181,929 -4,554 1,177,375 47,792 336 1,635 20,465 1,247,603 Total BA: O: Source: Congressional Budget Office. Notes: ATB = Across the Board; BA = budget authority; O = outlays; HHS = Health and Human Services; HUD = Housing and Urban Development; VA = Veterans Affairs; OCO/GWOT = Overseas Contingency Operations/Global War on Terrorism. Rules Committee Print 115-55 (RCP 115-55), as posted on rules.house.gov on January 16, 2018, contains the text of House Joint Resolution 125 (H.J. Res. 125), as introduced. RCP 115-55 strikes the Senate Amendment to the Federal Register Printing Savings Act of 2017 (H.R. 195) and inserts four additional divisions: Division B contains the Extension of Continuing Appropriations Act, 2018; Division C contains authorizing provisions that would extend the Children's Health Insurance Program; Division D contains authorizing provisions to suspend certain health-related taxes; and, Division E provides for the budgetary treatment of divisions C and D. The Federal Register Printing Savings Act of 2017, as passed by the House on May 17, 2017, would prohibit the production of free copies of the Federal Register for Members of Congress and other employees of the U.S government. CBO estimates that eliminating those free copies of the Federal Register would reduce spending that is subject to appropriation by less than $1 million. Division B would amend Division D of P.L. 115-56 (the Continuing Appropriations Act, 2018) to, with certain exceptions, provide for the continuation through February 16, 2018, of the appropriations and authorities contained in the fiscal year 2017 appropriations acts, including Division A of P.L. 114-223, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017; Division B of P.L. 114-254, the Security Assistance Appropriations Act, 2017; and Divisions A-L of P.L. 115-31, the Consolidated Appropriations Act, 2017. Continued CBO ESTIMATE FOR DIVISIONS B OF RULES COMMITTEE PRINT 115-55—THE EXTENSION OF CONTINUING APPROPRIATIONS ACT, 2018 Continued The amounts shown in this report also include the fiscal year 2018 budgetary effects of supplemental appropriations for fiscal year 2017 that were provided in the Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Division B of P.L. 115-56), as well as supplemental appropriations provided for fiscal year 2018 by P.L. 115-72 and P.L. 115-96. Except where otherwise noted, the amounts shown in Table 1 are shown on an annualized basis. a. In fiscal year 2018, most discretionary budget authority is subject to limits as described in the Budget Control Act of 2011 (P.L. 112-25). In its Sequestration Update Report: August 2017, CBO estimated that those limits would total $1,064,806 million—$549,057 million for defense programs and $515,749 million for nondefense programs. b. Designated pursuant to section 251(b)(2) of the Deficit Control Act; spending limits for fiscal year 2018 would be adjusted to accommodate these amounts. c. CBO estimates that if the levels of budget authority provided by RCP 115-55 and other previously enacted appropriations legislation were extended for the remainder of fiscal year 2018, the amount of discretionary budget authority provided for fiscal year 2018 would exceed the limit on defense programs by $2,432 million and would exceed the limit on nondefense programs by $3,720 million; extending those levels of funding for the duration of fiscal year 2018 would require a sequestration. However, the authority in section 147 of P.L. 115-56, as amended, and continued by RCP 115-55, would delay any potential sequestration order until 15 days after the Continuing Appropriations Act, 2018, would expire. The authority to determine whether a sequestration is required and, if so, how to make the necessary cuts in budget authority rests with OMB. d. Section 101(b) of Division D of P.L. 115-56, as continued by RCP 115-55 contains an across-the-board reduction of 0.6791 percent, which would be applied to the amounts continued by Section 101(a) that are constrained by the discretionary caps. e. Division B of P.L. 115-56 provided $15,250 million in supplemental budget authority for disaster relief requirements for fiscal year 2017, resulting in estimated outlays of $3,406 million in fiscal year 2018. In addition, P.L. 115-72 and P.L. 115-96 provided an additional $41,203 million in combined budget authority resulting in estimated outlays of $17,059 million in fiscal year 2018. All three of these laws designated those amounts as emergency requirements pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 (Deficit Control Act). All amounts shown in this report as being for “Emergency Requirements” were, or would be, provided by appropriations or authorities in place for the entirety of fiscal year 2018. f. Pursuant to sections 1001-1004 of the 21st Century Cures Act (Public Law 114-255), certain funding provided to the Department of Health and Human Services (HHS)—in particular the Food and Drug Administration (FDA) and the National Institutes of Health (NIH)—in 2017 through 2026 shall not count for the purposes of the Deficit Control Act or the Congressional Budget and Impoundment Control Act of 1974. The amounts shown in this report do not include $866 million in budget authority and $706 million in associated outlays assumed to continue in fiscal year 2018 within the following subcommittees’ jurisdictions: $20 million in budget authority and $12 million in outlays for the FDA (Agriculture); and $846 million in budget authority and $694 million in outlays for HHS, which includes $497 million in budget authority for state responses to the opioid abuse crisis, and $349 million for NIH (Labor, HHS, Education). g. Historically, the Appropriations Committee in each chamber has provided funding for the Commodity Futures Trading Commission in different subcommittees: the House proposes this funding within the Agriculture subcommittee’s jurisdiction, while the Senate includes their recommended levels within the Financial Services subcommittee’s jurisdiction. This report includes $250 million in budget authority and $261 million in associated outlays, proposed to be continued by Section 101(a) of the Continuing Appropriations Act, 2018, within the jurisdiction of the Financial Services subcommittee. Those amounts do not reflect the across-the-board reduction included in section 101(b). h. Sections 540-542 of the Department of Homeland Security Appropriations Act, 2017, extended several visa programs through the end of fiscal year 2017. CBO estimates that extending those authorities through th end of fiscal year 2018 would increase on-budget direct spending by $1 million in fiscal year 2018, $18 million over the 2018-2022 period, and $44 million over the 2018-2027 period. In addition, CBO estimates that continuing those authorities would decrease off-budget direct spending by $1 million over the 2018-2022 period, and by $7 million over the 2022-2027 period. Further, CBO estimates that continuing those authorities would increase revenues by $2 million in fiscal year 2018; would decrease revenues by $2 million over the 2018-2022 period; and would decrease revenues by $7 million over the 2018-2027 period. Those changes in revenues are not shown in this table. i. Section 226 of the Labor, Health and Human Services, and Education Act, 2017 (Division H of P.L. 115-31), delayed implementation of the recommendations of the United States Preventive Services Task Force with respect to breast cancer screening, mammography, and prevention through January 1, 2019. CBO estimates that extending that delay through January 1, 2020, would increase direct spending budget authority and outlays by $14 million in fiscal year 2019, and by $6 million in fiscal year 2020. In addition, CBO estimates that extending the delay through January 1, 2020, would decrease revenues by $23 million in fiscal year 2019 (of which $6 million would be off-budget) and would decrease revenues by $9 million in fiscal year 2020, (of which $2 million would be off-budget). Those amounts are not shown in this table. Table 2. Discretionary Appropriations Constrained by the Caps, Fiscal Year 2018, by Defense and Nondefense Funding January 17, 2018 CBO ESTIMATE FOR DIVISION B OF RULES COMMITTEE PRINT 115-55—THE EXTENSION OF CONTINUING APPROPRIATIONS ACT, 2018 (DISCRETIONARY SPENDING ONLY) Fiscal Year 2018 Appropriations Constrained by Caps, in Millions of Dollarsa,b,c Agriculture House Subcommittee BA: O: Defense 0 0 Nondefense 20,703 21,693 Total 20,703 21,693 Commerce, Justice, Science BA: O: 5,164 5,163 46,964 58,837 52,128 64,000 Defense BA: O: 516,538 526,764 135 153 516,673 526,917 Energy and Water BA: O: 19,907 19,801 17,801 18,510 37,708 38,311 Financial Services BA: O: 33 32 21,522 23,429 21,555 23,461 Homeland Security BA: O: 1,862 1,792 40,322 45,187 42,184 46,979 Interior and Environment BA: O: 0 0 31,918 32,378 31,918 32,378 Labor, HHS, Education BA: O: 0 0 165,635 169,518 165,635 169,518 Legislative Branch BA: O: 0 0 4,406 4,353 4,406 4,353 Military Construction, VA BA: O: 7,687 7,842 77,404 75,611 85,091 83,453 State, Foreign Operations BA: O: 0 0 36,596 46,486 36,596 46,486 Transportation, HUD BA: O: 298 298 ¯¯¯¯¯¯¯¯ 551,489 561,692 56,063 119,528 ¯¯¯¯¯¯¯¯ 519,469 615,683 56,361 119,826 ¯¯¯¯¯¯¯¯¯ 1,070,958 1,177,375 Total BA: O: Source: Congressional Budget Office. Notes: BA = budget authority; O = outlays; HHS = Health and Human Services; HUD = Housing and Urban Development; VA = Veterans Affairs. Rules Committee Print 115-55 (RCP 115-55), as posted on rules.house.gov on January 16, 2018, contains the text of House Joint Resolution 125 (H.J. Res. 125), as introduced. RCP 115-55 strikes the Senate Amendment to the Federal Register Printing Savings Act of 2017 (H.R. 195) and inserts four additional divisions: Division B contains the Extension of Continuing Appropriations Act, 2018; Division C contains authorizing provisions that would extend the Children's Health Insurance Program; Division D contains authorizing provisions to suspend certain health-related taxes; and, Division E provides for the budgetary treatment of divisions C and D. Division B would amend Division D of P.L. 115-56 (the Continuing Appropriations Act, 2018) to, with certain exceptions, provide for the continuation through February 16, 2018, of the appropriations and authorities contained in the fiscal year 2017 appropriations acts, including Division A of P.L. 114-223, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017; Division B of P.L. 114-254, the Security Assistance Appropriations Act, 2017; and Divisions A-L of P.L. 115-31, the Consolidated Appropriations Act, 2017. All of the amounts in Table 2 are shown on an annualized basis. a. Excludes amounts designated as funding for emergency requirements, overseas contingency operations, disaster relief, or program integrity efforts, and designated pursuant to section 251 of Deficit Control Act of 1985, or provided pursuant to sections 1001-1004 of the 21st Century Cures Act (P.L. 114-255). b. In fiscal year 2018, most discretionary budget authority is subject to limits as described in the Budget Control Act of 2011 (P.L. 112-25). In its Sequestration Update Report: August 2017 , CBO estimated that those limits would total $1,064,806 million—$549,057 million for defense programs and $515,749 million for nondefense programs. c. CBO estimates that if the levels of budget authority provided by RCP 115-55 and other previously enacted appropriations legislation were extended for the remainder of fiscal year 2018, the amount of discretionary budget authority provided for fiscal year 2018 would exceed the limit on defense programs by $2,432 million and would exceed the limit on nondefense programs by $3,720 million; extending those levels of funding for the duration of fiscal year 2018 would require a sequestration. However, the authority in section 147 of P.L. 115-56, as amended, and continued by RCP 115-55, would delay any potential sequestration order until 15 days after the Continuing Appropriations Act, 2018, would expire. The authority to determine whether a sequestration is required and, if so, how to make the necessary cuts in budget authority rests with OMB. Table 3. Authorizing Divisions January 17, 2018 CBO ESTIMATE FOR DIVISIONS C AND D OF RULES COMMITTEE PRINT 115-55—THE HEALTHY KIDS ACT AND SUSPENSION OF CERTAIN HEALTH-RELATED TAXES By Fiscal Year, in Millions of Dollars 2025 2026 2027 20182022 20182027 INCREASES OR DECREASES (-) IN DIRECT SPENDING Division C—HEALTHY KIDS Act Sec. 3001 - 3005 - Children's Health Insurance Program Estimated Budget Authority 14,509 10,432 11,951 12,465 12,955 12,438 -7,695 -6,238 Estimated Outlays 1,203 3,452 2,498 346 125 49 -310 -141 0 2 0 0 62,313 7,623 60,818 7,223 2018 Sec. 3006 - Medicaid Improvement Fund Estimated Budget Authority Estimated Outlays 2019 2020 2021 2022 2023 2024 0 0 0 0 0 0 0 0 0 0 980 904 0 76 0 0 0 0 0 0 0 0 980 980 14,509 1,203 10,432 3,452 11,951 2,498 12,465 346 12,955 125 13,418 953 -7,695 -234 -6,238 -141 0 2 0 0 62,313 7,623 61,798 8,203 Division D—Suspension of Certain Health-Related Taxes Tax on High Cost Employer Plans Estimated Budget Authority 0 0 Estimated Outlays 0 0 -619 -619 -1,003 -1,003 -316 -316 0 0 0 0 0 0 0 0 0 0 -1,937 -1,937 -1,937 -1,937 11,333 1,879 11,463 -657 12,639 -191 13,418 953 -7,695 -234 -6,238 -141 0 2 0 0 60,375 5,686 59,860 6,265 Subtotal Division C Budget Authority Estimated Outlays Total Changes in Direct Spending Budget Authority Estimated Outlays 14,509 1,203 10,432 3,452 INCREASES OR DECREASES (-) IN REVENUES Division C—HEALTHY KIDS Act Children's Health Insurance Program 164 719 946 1,118 1,306 1,475 1,392 1,084 0 0 4,253 8,204 110 54 483 236 636 310 749 369 875 431 990 485 935 457 729 355 0 0 0 0 2,853 1,400 5,507 2,697 Division D—Suspension of Certain Health-Related Taxes Medical Device Tax -1,373 -1,900 Tax on High Cost Employer Plans 0 0 Tax on Insurance Providers 0 -12,712 Subtotal Division D -1,373 -14,612 -481 -4,324 0 -4,805 0 -8,452 0 -8,452 0 -3,950 0 -3,950 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -3,754 -3,754 -16,725 -16,725 -12,712 -12,712 -33,191 -33,191 -1,373 -14,612 0 0 -4,133 -672 -7,252 -1,200 -3,557 -393 0 0 0 0 0 0 0 0 0 0 -30,926 -30,926 -2,265 -2,265 -1,209 -13,893 -3,859 -7,334 -2,644 1,475 1,392 1,084 0 0 -28,938 -24,987 -1,263 -14,129 54 236 -3,497 -362 -6,503 -831 -2,682 38 990 485 935 457 729 355 0 0 0 0 -28,073 -25,419 -865 432 On-Budget a Off-Budget On-Budget a Off-Budget Total Changes in Revenues On-Budget a Off-Budget NET INCREASE OR DECREASE (-) IN THE DEFICIT FROM CHANGES IN DIRECT SPENDING AND REVENUES Impact on the deficit 2,412 17,345 5,738 6,677 2,453 -522 -1,626 -1,225 2 0 34,624 31,252 On-Budget Off-Budget a 2,466 -54 17,581 -236 5,376 362 5,846 831 2,491 -38 -37 -485 -1,169 -457 -870 -355 2 0 0 0 33,759 865 31,684 -432 Sources: Congressional Budget Office and staff of the Joint Committee on Taxation. Notes: Assumes enactment in January 2018; Numbers may not add up to totals because of rounding. Rules Committee Print 115-55 (RCP 115-55), as posted on rules.house.gov on January 16, 2018, contains the text of House Joint Resolution 125 (H.J. Res. 125), as introduced. RCP 115-55 strikes the Senate Amendment to the Federal Register Printing Savings Act of 2017 (H.R. 195) and inserts four additional divisions: Division B contains the Extension of Continuing Appropriations Act, 2018; Division C contains authorizing provisions that would extend the Children's Health Insurance Program; Division D contains authorizing provisions to suspend certain health-related taxes; and, Division E provides for the budgetary treatment of divisions C and D. Division C would extend federal funding for the Children's Health Insurance Program (CHIP) for six years and appropriate $980 million for the Medicaid Improvement Fund in 2023. The estimate for CHIP is relative to CBO’s baseline which, in accordance with the rules that govern the baseline, assumes the continuation of $5.7 billion of CHIP funding in each year over the 2018-2027 period. Division D would suspend certain health-related taxes. a. All off-budget effects would come from changes in Social Security revenues.