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Letter from Douglas W. Elmendorf to Chairman Paul Ryan [i] (February 2011)

handle is hein.congrec/cbo8006 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE Douglas W. Elmendorf, Director U.S. Congress Washington, DC 20515 February 18, 2011 Honorable Paul Ryan Chairman Committee on the Budget U.S. House of Representatives Washington, DC 20515 Dear Mr. Chairman: This letter responds to a question you asked about the effects of H.R. 2, the Repealing the Job-Killing Health Care Law Act, as passed by the House of Representatives on January 19, 2011. That act would repeal the Patient Protection and Affordable Care Act (PPACA, Public Law 111-148) and the provisions of the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152) that are related to health care. Both of those laws were enacted in March 2010. The analysis provided in this letter is based on the estimate of the direct spending and revenue effects of H.R. 2 that was prepared by the Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT).' You asked about the long-term effects on the federal budget of enacting H.R. 2 if certain provisions of PPACA and the Reconciliation Act would, as a result of subsequent legislation, not have taken effect as specified in PPACA and the Reconciliation Act. In particular, you asked about the effects of H.R. 2 in the 2022-2031 period if: * The excise tax on insurance policies with relatively high premiums-which was established by PPACA and the Reconciliation Act, and which will take effect in 2018- would have been repealed even in the absence of H.R. 2. ' See Congressional Budget Office, letter to the Honorable John Boehner about the budgetary effects of H.R. 2, the Repealing the Job-Killing Health Care Law Act (February 18, 2011).

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