Congressional Budget Office

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Private Health Insurance

According to CBO's estimates, about 150 million Americans under the age of 65 currently have an employment-based health insurance plan as their primary source of coverage, and another 13 million people have primary health insurance coverage purchased directly from an insurer. Private insurance finances about one-third of the $2.4 trillion spent in this country in 2010 for health care services.
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Health Insurance Exchanges - March 2011 Baseline

data or technical information

March 18, 2011

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CBO Estimate of the Effects of the Insurance Coverage Provisions Contained in P.L. 111-148 and 111-152 - March 2011

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March 18, 2011

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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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The Effect of the March Health Legislation on Prescription Drug Prices

blog post

November 4, 2010


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Health Insurance Exchanges - August 2010 Baseline

data or technical information

August 25, 2010

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monthly archive

  • May 2013 (2)
  • April 2013 (14)
  • March 2013 (22)
  • February 2013 (10)
  • January 2013 (11)
  • December 2012 (4)
  • November 2012 (10)
  • October 2012 (4)
  • September 2012 (6)
  • August 2012 (5)
  • July 2012 (11)
  • June 2012 (8)
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Effects of the Patient Protection and Affordable Care Act on the Federal Budget and the Balance in the Hospital Insurance Trust Fund

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December 23, 2009


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  • Additional Analyses

  • Effects of the Patient Protection and Affordable Care Act on the Federal Budget and the Balance in the Hospital Insurance Trust Fund (December 23, 2009)
  • Estimated Effect of the Patient Protection and Affordable Care Act (Incorporating the Manager’s Amendment) on the Hospital Insurance Trust Fund (December 23, 2009)
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Patient Protection and Affordable Care Act, Incorporating the Manager's Amendment

cost estimate

December 19, 2009

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An Analysis of Health Insurance Premiums Under the Patient Protection and Affordable Care Act

report

November 30, 2009

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