<prompt> Translate the following text to SwahiliUtilizing figures from the Congressional Budget Office, it is estimated that the total annual direct impact of the MHPA would be to increase aggregate health plan expenditures by 1.  <response>: Kwa kutumia takwimu kutoka kwa Ofisi ya Bajeti ya Bunge, inakadiriwa kuwa athari ya moja kwa moja ya kila mwaka ya MHPA ingekuwa kuongeza jumla ya matumizi ya mpango wa afya kwa 1. 