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Options to Expand Federal Health, Retirement, and Education Activities 1 (June 2000)

handle is hein.congrec/cbo06652 and id is 1 raw text is: Page 1 of37 OPTIONS TO EXPAND FEDERAL HEALTH, RETIREMENT, AND EDUCATION ACTIVITIES June 2000 NOTES Unless otherwise indicated, all years referred to in this report are fiscal years. Numbers in the text and tables may not add up to totals because of rounding. Preface For nearly three decades, lawmakers fought persistent federal budget deficits. Over the past few years, however, those deficits have disappeared and been replaced with large and growing surpluses. The surprising speed with which those surpluses have emerged has caused a major shift in the public and political debate over federal budget policy. The budget debate is no longer dominated by initiatives to reduce the deficit; it now focuses on various alternatives for using projected surpluses. This Congressional Budget Office (CBO) men'orandum, which first appeared as Chapter I in CBO's March 2000 Budget Options volume, examines a range of major policy initiatives for expanding the scope of federal activities in health, retirement, and education. (In a few instances, it has been updated from the March 2000 version to reflect revised cost estimates and changes in federal laws.) The memorandum was prepared by the Health and Human Resources Division under the direction of Joseph Antos. Sandra Christensen and Joseph Antos wrote the section on Medicare. Ralph Smith prepared the section on Social Security. Joseph Antos, Jennifer Bullard, and Rekha Ramesh collaborated on the discussion of health insurance coverage. Joseph Antos and Stuart Hagen wrote the section on long-term care. Bruce Vavrichek, Michelle Jewett, and Nabeel Alsalam prepared the section on education. Arlene Holen, Thomas Bradley, Paul Cullinan, Jeanne De Sa, Douglas Hamilton, Steven Lieberman, Audra Millen, and Kathy Ruffing provided helpful comments and suggestions. Sherry Snyder edited the memorandum, and Christine Bogusz proofread it. Ronald Moore prepared earlier drafts, and Kathryn Quattrone prepared the memorandum for publication. Georgia Brown prepared the electronic versions for CBO's World Wide Web site (www.cbo.gov).

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