Reconciliation
- Cost Estimate
Budgetary Determination for Section 1564 of S. 2296, the National Defense Authorization Act for Fiscal Year 2026, as Passed by the Senate on October 9, 2025
In this letter, CBO discusses the effects of enacting section 1564 of S. 2296, as passed by the Senate.
- Report
Testimony on How CBO Supported Congress During the 2025 Budget Reconciliation Process
CBO's Director, Phillip Swagel, testifies before the House Committee on the Budget.
- Cost Estimate
Public Law 119-21, to Provide for Reconciliation Pursuant to Title II of H. Con. Res. 14 Title VII, Finance, Subtitle B, Health, Chapter 1, Medicaid
As enacted on July 4, 2025
- Cost Estimate
Revised Estimate of Changes Under the 2025 Reconciliation Act for Exemptions From Medicare Price Negotiations for Orphan Drugs
CBO responds to questions regarding the orphan drug exemption under Public Law 119-25, the 2025 reconciliation act.
- Report
The Estimated Effects of Enacting Selected Health Coverage Policies on the Federal Budget and on the Number of People With Health Insurance
CBO estimates that permanently extending the expanded premium tax credit, nullifying a marketplace final rule, and repealing policies in the 2025 reconciliation act would increase deficits and the number of people with health insurance.
- Report
CBO's Current View of the Economy From 2025 to 2028
CBO provides details about its latest economic projections through 2028, which reflect several substantial changes in federal policy and economic developments that have occurred this year.
- Presentation
Medicaid State-Directed Payments: An Update on CBO's Modeling
Presentation by Cyrus Ekland, Claire Hou, Aaron Pervin, and Rajan Topiwala, analysts in CBO's Budget Analysis and Health Analysis Divisions, at a meeting of CBO's Panel of Health Advisers.
- Report
Clarifications of Marketplace Coverage and Eligibility Under Public Law 119-21 (H.R. 1) and the 2025 Marketplace Integrity and Affordability Rule
CBO provides information about the effects of P.L. 119-21 (H.R. 1) on health insurance purchased through the ACA marketplaces and on improper receipt of subsidies, and the effects of a final rule published by HHS on marketplace subsidies.
- Report
CBO's Estimates of the Statutory Pay-As-You-Go Effects of Public Law 119-21
CBO provides information concerning the effects of a potential sequestration in accordance with the Statutory Pay‑As‑You‑Go Act of 2010 that could occur as a result of the enactment of the 2025 reconciliation act (Public Law 119-21).