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Health Care

Growth in spending on federal health care programs is one of the central fiscal challenges facing the federal government. That growth is driven by rising enrollment in public programs deriving from the aging of the population coupled with expansions in insurance coverage and by rising health care spending per person (which has slowed recently but, during the past few decades, has significantly outpaced increases in economic output per person). Moreover, rapid growth in spending on health care is a key challenge not only for Medicare, Medicaid, and other federal programs, but 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

related publications


  • Dual-Eligible Beneficiaries of Medicare and Medicaid: Characteristics, Health Care Spending, and Evolving Policies

    June 06, 2013
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Glossary of Terms Related to Dual-Eligible Beneficiaries of Medicare and Medicaid

data or technical information

June 6, 2013

read complete document  (pdf, 52 kb)

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H.R. 1919, Safeguarding America’s Pharmaceuticals Act of 2013

cost estimate

June 3, 2013

read complete document  (pdf, 25 kb)

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H.R. 1919, Safeguarding America’s Pharmaceuticals Act of 2013

cost estimate

May 31, 2013

read complete document  (pdf, 38 kb)

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H.R. 1407, Animal Drug User Fee Amendments of 2013

cost estimate

May 24, 2013

read complete document  (pdf, 31 kb)

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S. 330, HIV Organ Policy Equity Act

cost estimate

May 22, 2013

read complete document  (pdf, 19 kb)

related publications


  • Updated Budget Projections: Fiscal Years 2013 to 2023

    May 14, 2013
  • The 2012 Long-Term Budget Outlook

    June 05, 2012
  • Updated Budget Projections: Fiscal Years 2012 to 2022

    March 13, 2012
  • Background Paper: CBO's Long-Term Model: An Overview

    June 26, 2009
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How CBO Prepares Long-Term Projections of Federal Spending for Social Security and Major Health Care Programs

presentation

May 21, 2013

read complete document  (pdf, 215 kb)

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Estimated Effects on Direct Spending and Revenues for Health Care Programs of Proposals in the President's 2014 Budget

data or technical information

May 17, 2013

read complete document  (pdf, 120 kb)

related publications


  • CBO’s Estimate of the Net Budgetary Impact of the Affordable Care Act’s Health Insurance Coverage Provisions Has Not Changed Much Over Time

    May 14, 2013
  • Effects of the Affordable Care Act on Health Insurance Coverage

    May 14, 2013
  • Letter to the Honorable John Boehner providing an estimate for H.R. 6079, the Repeal of Obamacare Act

    July 24, 2012
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H.R. 45, a bill to repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010

cost estimate

May 15, 2013

read complete document  (pdf, 28 kb)

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Medicaid—May 2013 Baseline

data or technical information

May 14, 2013

read complete document  (pdf, 136 kb)

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Medicare—May 2013 Baseline

data or technical information

May 14, 2013

read complete document  (pdf, 130 kb)

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