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S. 2122, Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 1 (March 24, 2014)

handle is hein.congrec/cbo1557 and id is 1 raw text is: Cost Estimate for S. 2122, the Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, as Introduced
(Billions of dollars, by fiscal year)                                                                                  March 24, 2014
2014-   2014-
2014    2015    2016    2017    2018    2019    2020    2021   2022    2023    2024    2019    2024
CHANGES IN DIRECT SPENDING a
Titles I_ IV b                     6.5    14.6    15.4    15.0    15.0    16.2    17.5    18.8    19.9   20.8    20.6    82.7   180.3
Title V c                         -4.6   -24.4   -38.2   -41.2   -43.0   -45.4   -48.3   -51.2   -53.8   -57.3  -61.1  -196.7  -468.5
Total Changes in Direct Spending   2.0    -9.7   -22.7   -26.2   -28.0   -29.3   -30.8   -32.4   -33.9  -36.5   -40.6  -114.0  -288.1
CHANGES IN REVENUES d
Titles I - V                       1.0     5.0     5.9     0.2    -1.6    -2.3    -2.1    -1.8    -1.7    -2.6   -3.6     8.1    -3.8
On-budget                        0.5     2.3     3.4    -0.9    -2.2    -2.9    -2.8    -2.7    -2.7    -3.2   -4.1     0.3   -15.2
Off-budget                       0.5     2.7     2.5     1.1     0.5     0.6     0.7     0.8     1.0     0.6     0.5     7.8   11.4
NET INCREASE OR DECREASE (-) IN THE DEFICT FROM CHANGES IN DIRECT SPENDING AND REVENUES
Net Changes in Deficits e          1.0   -14.7   -28.6   -26.4   -26.4   -27.0   -28.7   -30.6  -32.2   -33.9   -37.0  -122.1  -284.4
On-budget                        1.5   -12.1   -26.2   -25.3   -25.9   -26.4   -28.0   -29.7   -31.2  -33.3   -36.4  -114.3  -273.0
Off-budget                      -0.5    -2.7    -2.5    -1.1    -0.5    -0.6    -0.7    -0.8    -1.0    -0.6    -0.5    -7.8  -11.4
Sources: Congressional Budget Office; staff of the Joint Committee on Taxation (JCT).
Notes:   Components may not sum to totals because of rounding.
Estimates assume enactment near the end of March 2014 and are relative to CBO's February 2014 baseline.
S. 2122 combines the provisions of S. 2110, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014, as introduced,
with the provisions of S. 40, the American Liberty Restoration Act, as introduced. S. 2110 would replace the Sustainable Growth Rate
(SGR) formula, which determines the annual updates to Medicare's payment rates for physician services, with new systems for
establishing those payment rates; extend a number of health care and human services programs and provisions that would otherwise
expire; and make other modifications to Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and several human
services programs. S. 40 would eliminate the requirement that individuals purchase health insurance and penalties associated
with not complying with that requirement.
CBO and JCT estimate that enacting the legislation would increase the number of people without health insurance coverage in
2018-relative to current-law projections-by about 15 million people, resulting in 45 million uninsured in that year. That increase
in the uninsured population would consist of roughly 6 million fewer individuals with coverage under Medicaid or the Children's
Health Insurance Program, 1 million fewer individuals with employment-based coverage, and 8 million fewer individuals with
coverage obtained in the individual market (including individual policies purchased in the exchanges or directly from insurers in the
nongroup market). Similar changes in coverage would occur in most other years.
CBO and JCT estimate that premiums for policies in the individual market would increase by 10 percent to 20 percent relative
to current law in most years between 2015 and 2024.
a.    Budget authority equals outlays tor most mandatory provisions.
b.    Titles I - IV ot S. 2122 are estimated to have the same budgetary ettects as Titles I - IV ot S. 2110 (see www.cbo.gov/publication/45187).
S. 2110 included several provisions related to program integrity that would have nonscoreable ettects.
c.    Title V ot S. 2122 is estimated to have the same budgetary ettects as S. 40 (see www.cbo.gov/publication/45198).
d.    Almost all ot the ettects on revenues would result trom Title V ot S. 2122. Titles I -IV ot S. 2122 would increase revenues by
50.1 billion over the 2014-2024 period.
e.    Positive numbers indicate an increase in the deficit, negative numbers indicate a decrease in the deficit.

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