<prompt> Translate the following text to EnglishKwa 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.  <response>: Utilizing 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. 