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.
Affordable Care Act
ReportCBO 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.
ReportCBO 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 PostCBO published updated baseline projections of health insurance coverage and federal subsidies for it. The projections are described in an article published in the journal "Health Affairs" and a presentation on CBO’s website.
ReportIn 2023, federal subsidies for health insurance are estimated to be $1.8 trillion, or 7.0 percent of gross domestic product (GDP). In CBO and JCT’s projections, those net subsidies reach $3.3 trillion, or 8.3 percent of GDP, in 2033.
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Blog Post
CBO released updated projections of health insurance coverage for people under age 65 in the journal Health Affairs.
ReportIn CBO and JCT’s projections, net federal subsidies in 2022 for insured people under age 65 are $997 billion. In 2032, that annual amount is projected to reach $1.6 trillion.
ReportCBO describes the key design considerations for a federally administered nongroup health insurance plan—often referred to as a public option—and some of their major implications.
ReportCBO presents its projections of what federal deficits, debt, spending, and revenues would be for the next 30 years if current laws governing taxes and spending generally did not change.
ReportUnder 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.