September 6, 2013
As passed by the House of Representatives on July 17, 2013
H.R. 2668 would delay the implementation of several provisions related to the expansion of health insurance coverage established by the Affordable Care Act (ACA, Public Law 111-148 and the health care provisions of P.L. 111-152). Title I of H.R. 2668 would delay for one year the requirement that most residents of the United States have health insurance coverage by January 1, 2014. Title I also would shift by one year the schedule of penalties for people who do not comply with that mandate.
In addition, title II of the legislation would delay for one year the imposition of penalties for certain large employers that do not offer health insurance coverage that meets the affordability standard defined in the ACA and two reporting requirements for certain large employers and health insurance coverage providers.
CBO and the staff of the Joint Committee on Taxation (JCT) estimate that enacting H.R. 2668 would reduce federal deficits by roughly $36 billion over the 2014-2018 period and by roughly $35 billion over the 2014-2023 period. Those budgetary effects would result entirely from title I. Title II would not affect direct spending or revenues since it essentially codifies changes announced by the Administration and subsequently incorporated into CBO’s baseline. Pay-as-you-go procedures apply because enacting the legislation would affect direct spending and revenues.
JCT has determined that H.R. 2668 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.