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Health Care

Growth in spending on health care programs is one of the central fiscal challenges facing the federal government. Health care spending per person has grown faster than the nation's economic output per person by about 1 1/2 percentage points per year, on average, for the past few decades. This rapid growth poses a challenge for federal health care programs like Medicare and Medicaid, and also for state and local governments and for the private sector. CBO devotes a large share of its resources to studying proposals that would make narrow or broad changes in the nation's systems for delivering and financing health care.

Sub-Topics:

  • Medicare
  • Medicaid and CHIP
  • Affordable Care Act
  • Private Health Insurance
  • Public Health and Preparedness
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Response to a Question About CBO's Cost Estimate for H.R. 2

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February 18, 2011

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CBO's Preliminary Analysis of H.R. 2, the Repealing the Job-Killing Health Care Law Act

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January 6, 2011


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Preliminary Analysis of H.R. 2, the Repealing the Job-Killing Health Care Law Act

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January 6, 2011

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Selected CBO Publications Related to Health Care Legislation, 2009-2010

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December 22, 2010


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Selected CBO Publications Related to Health Care Legislation, 2009-2010

report

December 22, 2010

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Highlights

In March 2010, the Congress passed and the President signed into law legislation that makes major changes to the U.S. health care and health insurance systems. That legislation came in two parts: the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. Among other things, those laws will establish a mandate for most legal residents of the United States to obtain health insurance; create insurance exchanges through which certain individuals and families will receive federal subsidies; significantly expand eligibility for Medicaid; reduce the growth of Medicare’s payment rates for most services; impose an excise tax on insurance plans with relatively high premiums; impose certain taxes on individuals and families with relatively high incomes; and make various other changes to the federal tax code, Medicare, Medicaid, and other programs. (In addition, the Reconciliation Act substantially alters federal programs governing loans and grants for postsecondary education.)

In the course of the deliberations over health care legislation, the Congressional Budget Office (CBO) provided a wide variety of estimates and other analyses regarding the impact of proposals on the federal budget and on aspects of health care and health insurance that were of interest to policymakers. In many cases, those estimates and analyses were produced in collaboration with the staff of the Joint Committee on Taxation (JCT). That process began in early 2009 and continued past the enactment of the legislation in March of this year.

Responding to many requests, this report compiles a set of those estimates and analyses for easy reference. The report begins with the cost estimate for the final legislation and several analyses related to that legislation. It also includes several cost estimates and analyses of earlier versions of that legislation and alternative proposals that were considered in the House and Senate before final passage. In addition, this report brings together analyses that CBO issued during this period concerning insurance premiums and premium subsidies, the budgetary accounting of proposals, changes to the medical malpractice system, and certain related topics that arose during the Congressional debate. A number of related cost estimates and publications are not included in this volume but are available on CBO’s Web site. In keeping with CBO’s mandate to provide objective, nonpartisan analysis, this report makes no recommendations.



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Preliminary Analysis of Rivlin-Ryan Health Care Proposal

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November 17, 2010

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The Effect of the March Health Legislation on Prescription Drug Prices

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November 4, 2010


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The Effect of the March Health Legislation on Prescription Drug Prices

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November 4, 2010

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Economic Effects of the March Health Legislation

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October 22, 2010


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Economic Effects of the March Health Legislation

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October 22, 2010

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Highlights

Director Elmendorf spoke to a conference sponsored by the Schaeffer Center for Health Policy and Economics at the University of Southern California. His remarks review CBO's analysis of the economic effects of the health legislation enacted in March. Those effects can be divided into two pieces: the effects on the five-sixths of the economy outside the health sector, and the effects on the health sector itself.

Slides from the Director's Testimony

Economic Effects of the March Health Legislation
View more presentations from Congressional Budget Office.


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