CBO scores House health care bill
October 30th, 2009The Congressional Budget Office, working with the Joint Committee on Taxation (JCT), has run the numbers on HR 3962, the Affordable Health Care for America Act. While acknowledging “substantial uncertainty” in its projections of the bill’s budgetary impact, CBO said in its preliminary analysis that the bill would cost just under $900 billion over 10 years, reduce the federal budget deficit by $104 billion over that period, and raise the percentage of nonelderly legal residents with insurance coverage from 83 percent to 96 percent.
Excerpts from CBO’s blog post:
“According to CBO and JCT’s assessment, enacting H.R. 3962 would result in a net reduction in federal budget deficits of $104 billion over the 2010–2019 period…
The estimate includes a projected net cost of $894 billion over 10 years for the proposed expansions in insurance coverage…
Over the 2010–2019 period, the net cost of the coverage expansions would be more than offset by the combination of other spending changes, which CBO estimates would save $426 billion, and receipts resulting from the income tax surcharge on high-income individuals and other provisions, which JCT and CBO estimate would increase federal revenues by $572 billion over that period.
By 2019, CBO and JCT estimate, the number of nonelderly people who are uninsured would be reduced by about 36 million, leaving about 18 million nonelderly residents uninsured (about one-third of whom would be unauthorized immigrants). Under H.R. 3962, the share of legal nonelderly residents with insurance coverage would rise from about 83 percent currently to about 96 percent.”
CBO said it expected the bill would continue to reduce budget deficits “slightly” over the second decade after enactment, but cautioned that those long-term projections “assume that the provisions of HR 3962 are enacted and remain unchanged throughout the next two decades, which is often not the case for major legislation. For example, the ‘sustainable growth rate’ mechanism governing Medicare’s payments to physicians has frequently been modified to avoid reductions in those payments, and legislation to do so again is currently under consideration in the Congress.”
