Medicaid and CHIP
- Working Paper
Key Methods That CBO Used to Estimate the Macroeconomic Effects of the 2025 Reconciliation Act: Working Paper 2026-01
The 2025 reconciliation act included a wide range of provisions that affect policies governing federal revenues and spending. This working paper describes the key methods that CBO used to estimate the law's macroeconomic effects.
- Report
The Budget and Economic Outlook: 2026 to 2036
In CBO's projections, the federal budget deficit in fiscal year 2026 is $1.9 trillion, and federal debt rises to 120 percent of GDP in 2036. Economic growth strengthens in 2026 and moderates in later years.
- Cost Estimate
H.R. 3492, Protect Children’s Innocence Act
As passed by the House of Representatives on December 17, 2025
- Report
The Opioid Crisis: Federal Policy Approaches to Reduce Supply, Demand, and Harm
CBO describes three types of policy approaches to address the ongoing opioid crisis and assesses their effectiveness and likely budgetary effects.
- 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.
- 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
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.
- Cost Estimate
Information Concerning Medicaid-Related Provisions in Title IV of H.R. 1
CBO estimates that enacting the Medicaid provisions in title IV of H.R. 1 would increase the number of people without health insurance by 7.8 million in 2034 relative to baseline projections under current law.
- 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.
- Report
Distributional Effects of H.R. 1, the One Big Beautiful Bill Act
CBO responds to a request for an analysis of the distributional effects of H.R. 1, the One Big Beautiful Bill Act, and updates the preliminary analysis it provided in a letter dated May 20, 2025.