Affordable Care Act
CBO’s Record of Projecting Subsidies for Health Insurance Under the Affordable Care Act: 2014 to 2016December 7, 2017
This report assesses the accuracy of projections that CBO and JCT made in 2010 and 2013 of federal spending for people made newly eligible for Medicaid by the ACA and of subsidies for health insurance purchased through the ACA marketplaces.
ReportNovember 8, 2017
CBO and the JCT estimate that, by itself, repealing the mandate would reduce federal deficits by about $338 billion over the 2018–2027 period and increase the number of uninsured people by 4 million in 2019 and 13 million in 2027.
Cost EstimateOctober 25, 2017
CBO and the JCT estimate that enacting the legislation would reduce the deficit by $3.8 billion over the 2018–2027 period without substantially changing the number of people with health insurance coverage, on net.
Cost EstimateSeptember 25, 2017
Over the 2017-2026 period, CBO and JCT estimate, the legislation would reduce the on-budget deficit by at least $133 billion and result in millions fewer people with comprehensive health insurance that covers high-cost medical events.
ReportSeptember 14, 2017
CBO and JCT project that the federal subsidies, taxes, and penalties associated with health insurance coverage for people under age 65 will result in a net subsidy from the federal government of $705 billion in 2017.
ReportAugust 15, 2017
CBO and the Joint Committee on Taxation estimated the effects on the federal budget, health insurance coverage, market stability, and premiums if payments for cost-sharing reductions would end after December 2017.
ReportJune 29, 2017
Medicaid spending under the Better Care Reconciliation Act of 2017 would be about 35 percent lower in 2036 compared with CBO’s extended baseline. Such spending under the bill would increase each year throughout the next two decades.
ReportMarch 30, 2017
If current laws remained generally unchanged, the United States would face steadily increasing federal budget deficits and debt over the next 30 years—reaching the highest level of debt relative to GDP ever experienced in this country.
How Repealing Portions of the Affordable Care Act Would Affect Health Insurance Coverage and PremiumsJanuary 17, 2017
CBO reports on the estimated changes in health insurance coverage and premiums that would result from leaving the Affordable Care Act’s insurance market reforms in place while repealing the law’s mandate penalties and subsidies.
ReportFebruary 11, 2016
Premiums for private health insurance, which are high and rising, are affected by various federal subsidies and regulations. In 2016, the federal government will subsidize most premiums, at a cost of roughly $300 billion.
ReportJune 19, 2015
CBO and the staff of the Joint Committee on Taxation estimate that, over the next decade, a repeal of the Affordable Care Act would probably increase budget deficits with or without considering the effects of macroeconomic feedback.
ReportJune 5, 2014
Under the ACA, most legal residents must get health insurance or pay a penalty. CBO and JCT estimate that 30 million will be uninsured in 2016, but most will be exempt from the penalty; 4 million will make payments totaling $4 billion.