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1 Answers to Questions for the Record following a Hearing on Oversight of CBO Conducted by the Senate Committee on the Budget 1 (February 23, 2018)

handle is hein.congrec/aqovsh0001 and id is 1 raw text is: ...... FEBRUARY 23, 2018 Answers to Questions for the Record Following a Hearing on Oversight of CBO Conducted by the Senate Committee on the Budget On January 24, 2018, the Senate Committee on the Budget convened a hearing at which Keith Hall, Director of the Congressional Budget Office, testified about CBO's work in 2017 and its future plans.' After the hearing, Chairman Enzi, Senator Harris, and Senator Van Hollen submitted questions for the record. This document provides CBO's answers. It is available at www.cbo.gov/publication/5360 1. Chairman Enzi Question. Last year, both the House and Senate spent considerable time working on health care reform. Throughout the process, CBO was subject to heightened scrutiny and congres- sional demands. At times, senators became acutely aware of the constraints and limitations of your agency. For example, legislative proposals often took four to six weeks to model and then analyze. Can you help us better understand the constraints and limitations CBO experienced last year? How much time was dedicated to conceptualization and interpretation of data compared to actually running your health care model? How does CBO know when its conceptual work is complete? Are there any metrics CBO could use to make this process more efficient? Answer. CBO and staff of the Joint Committee on Taxation (JCT) analyzed several propos- als last year that would have made substantial changes to the way Americans pay for health care, and lawmakers made many other proposals that the agencies did not have the capacity to analyze. Because the proposals would have made such extensive changes, it took CBO and JCT weeks to develop a modeling strategy and undertake their analysis of the various proposals.2 That work included: Assessing each proposal's likely key effects and considering the pace at which those effects would occur; Researching how federal agencies, states, insurers, employers, individuals, doctors, hospitals, and other affected parties would respond to proposals; 1. See testimony of Keith Hall, Director, Congressional Budget Office, before the Senate Committee on the Budget, The Congressional Budget Office' Work in 2017and Plans for the Future (January 24, 2018), www.cbo. gov/publication/53481. 2. For additional discussion, see Congressional Budget Office, How CBO andJCTAnalyze Major Proposals That Would Affect Health Insurance Coverage, www.cbo.gov/publication/53571.

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