Affordable Care Act
- Cost Estimate
Estimated Budgetary Effects of H.R. 1834
As amended by amendment no. 1 and published in the Congressional Record, Vol. 171, No. 191 (November 12, 2025, p. H4668)
- Report
Sensitivity of the Distribution of Household Income to the Treatment of Health Insurance From 1979 to 2021
CBO provides details about how health insurance spending is measured in the agency's Distribution of Household Income report series.
- Cost Estimate
Estimated Budgetary Effects of H.R. 6703, the Lower Health Care Premiums for All Americans Act
As introduced in the House of Representatives on December 12, 2025
- Cost Estimate
Estimated Budgetary Effects of S. 3385, the Lower Health Care Costs Act
As introduced in the Senate on December 8, 2025
- Report
Testimony on Growth in the 340B Drug Pricing Program and Its Implications for the Federal Budget
Aditi Sen, Chief of CBO's Health Policy Studies Unit, testifies before the Senate Committee on Health, Education, Labor, and Pensions.
- 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
Growth in the 340B Drug Pricing Program
CBO examines drug purchases made through the 340B program in 2021, growth in such purchases from 2010 to 2021, and factors that contributed to that growth. CBO also assesses how the 340B program affects the federal budget.
- 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.
- Blog Post
Upcoming Presentations by Staff of CBO’s Health Analysis Division
This summer, analysts in CBO's Health Analysis Division will present their work in three sessions at the 14th Annual Conference of the American Society of Health Economists (ASHEcon) in Nashville, Tennessee.
- Report
Federal Mandatory Spending for Means-Tested Programs and Tax Credits
CBO provides information concerning outlays for the government's major mandatory programs and tax credits that are primarily means-tested and provide assistance to people with relatively low income or few assets.