CBO’s analyses of the health care legislation passed during the 111th Congress began in early 2009 and continued past the enactment of the Affordable Care Act (ACA, which consists of P.L. 111-148 as amended by P.L. 111-152) in March 2010. The agency's previous and ongoing work on ACA covers a wide range of topics, some related to specific legislative proposals and some with a broader perspective.
Affordable Care Act
featured work
Offsetting Effects of Prescription Drug Use on Medicare’s Spending for Medical ServicesNov 2012 - CBO estimates that greater use of prescription drugs by Medicare beneficiaries reduces Medicare’s spending on medical services.
Estimates for the Insurance Coverage Provisions of the Affordable Care Act Updated for the Recent Supreme Court DecisionJul 2012 - Updated estimates of the budgetary effects of the health insurance coverage provisions of the Affordable Care Act (ACA) taking into account the Supreme Court decision that essentially made the expansion of the Medicaid program under the ACA a state option.
Letter to the Honorable John Boehner providing an estimate for H.R. 6079, the Repeal of Obamacare ActJul 2012 - CBO and the JCT have estimated the direct spending and revenue effects of H.R. 6079, as passed by the House of Representatives on July 11, 2012.
Long-Term Budget OutlookJun 2012 - The explosive path of federal debt under the fiscal scenario that many budget analysts believe is more representative of fiscal policies that are now or have recently been in effect underscores the need for large policy changes to put the federal government on a sustainable course.
Employment- Based Health InsuranceMar 2012 - CBO and the Joint Committee on Taxation continue to expect that the Affordable Care Act will lead to a small reduction in the number of people receiving employment-based health insurance.
CBO's Analysis of the Major Health Care Legislation Enacted in March 2010Mar 2011 - Testimony before the Subcommittee on Health, Committee on Energy and Commerce, U.S. House of Representative
Selected CBO Publications Related to Health Care Legislation, 2009-2010Dec 2010 - This report compiles estimates and analyses for easy reference.
latest work
H.R. 1549, Helping Sick Americans Now Act
cost estimateApril 19, 2013How Has CBO’s Estimate of the Net Budgetary Impact of the Affordable Care Act’s Health Insurance Coverage Provisions Changed Over Time?
blog postMarch 20, 2013Growth in Means-Tested Programs and Tax Credits for Low-Income Households
reportFebruary 11, 2013Effects of the Affordable Care Act on Health Insurance Coverage—February 2013 Baseline
data or technical informationFebruary 5, 2013Letter to the Honorable Darrell E. Issa Providing Additional Information About CBO's Cost Estimate for H.R. 4872
reportDecember 6, 2012Offsetting Effects of Prescription Drug Use on Medicare’s Spending for Medical Services
reportNovember 29, 2012Payments of Penalties for Being Uninsured Under the Affordable Care Act
reportSeptember 19, 2012CBO Releases Two Analyses Related to the Affordable Care Act
blog postJuly 24, 2012
Use this menu to filter CBO's publications by topic. From January 2011 forward, all the agency's products are categorized by topic. Cost estimates released prior to the 112th Congress are not categorized by topic.