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H.R. 3762, Restoring Americans' Healthcare Freedom Reconciliation Act, with an Amendment in the Nature of a Substitute (S.A. 2874) 1 (December 2, 2015)

handle is hein.congrec/cbo2671 and id is 1 raw text is: 




ESTIMATE OF DIRECT SPENDING AND REVENUE EFFECTS OF H.R. 3762, THE RESTORING AMERICANS'
HEALTHCARE FREEDOM RECONCILIATION ACT, WITH AN AMENDMENT IN THE NATURE OF A SUBSTITUTE
[S.A. 2874]'


                                                                                  By Fiscal Year, in Billions of Dollars
                                                                                                                                  2016-  2016-
                                                     2016    2017   2018    2019   2020    2021   2022    2023    2024   2025  2020  2025

                                      ESTIMATED CHANGES WITHOUT MACROECONOMIC FEEDBACK


Changes in Direct Spending

Title I-Finance
Medicaid
    Estimated Budget Authority
    Estimated Outlays

Eliminate Individual and Employer Mandate Penalties
    Estimated Budget Authority
    Estimated Outlays


Repeal Excise Tax on Certain
High-Premium Insurance Plans
    Estimated Budget Authority
    Estimated Outlays

Elimination of Limitation on Subsidy Recapture
    Estimated Budget Authority
    Estimated Outlays

Title II-Health, Education, Labor and Pensions
Prevention and Public Health Fund
    Estimated Budget Authority
    Estimated Outlays


-0.2      *       *                                                   0       -0.2     -0.2
-0.2      *       *                                                   0       -0.2     -0.2


-7.5  -14.3   -17.7   -21.0  -23.2   -25.2  -27.3   -29.0  -30.9   -32.6
-7.5  -14.3   -17.7   -21.0  -23.2   -25.2  -27.3   -29.0  -30.9   -32.6




  0       0    -0.7    -0.9   -1.4    -1.6   -2.4    -3.1   -3.9    -1.2
  0       0    -0.7    -0.9   -1.4    -1.6   -2.4    -3.1   -3.9    -1.2



-1.8    -3.3   -3.8    -3.9   -3.9    -4.0   -4.2    -4.4   -4.6    -4.8
-1.8    -3.3   -3.8    -3.9   -3.9    -4.0   -4.2    -4.4   -4.6    -4.8




-1.0    -1.0   -1.3    -1.3   -1.5    -1.5   -2.0    -2.0   -2.0    -2.0
-0.2    -0.5   -0.9    -1.1   -1.3    -1.4   -1.6    -1.8   -1.9    -2.0


-83.9    -228.8
-83.9    -228.8




-3.0      -15.3
-3.0      -15.3



-16.6     -38.5
-16.6     -38.5




-6.0      -15.5
-4.1      -12.7


Community  Health Center Program
    Estimated Budget Authority
    Estimated Outlays

    Total Changes in Direct Spending
        Estimated Budget Authority
        Estimated Outlays


Changes in Revenues

Title I-Finance
Eliminate Individual and Employer Mandate Penalties

Repeal Medical Device Tax


Repeal Excise Tax on Certain
High-Premium Insurance Plans

Elimination of Limitation on Subsidy Recapture

Interaction within Title I

    Total Changes in Revenues
        On-Budget
        Off-Budgetb


0.2     0.2      0
0.1     0.2    0.1


0       0      0       0      0       0      0       0.5       0.5
*       0      0       0      0       0      0       0.5       0.5


10.3   -18.4  -23.5   -27.1  -30.0   -32.3  -35.9   -38.5   -41.4  -40.6
-9.7   -17.9  -23.0   -26.9  -29.7   -32.2  -35.5   -38.3   -41.3  -40.6





10.3    -8.9   -8.0    -9.0   -9.1    -9.3  -10.3   -10.9   -11.2  -11.5

-1.4    -2.0   -2.1    -2.2   -2.3    -2.5   -2.6    -2.8    -2.9   -3.1



  0       0    -2.9    -8.1   -9.7   -11.5  -14.0   -17.1   -20.8   -8.9

  0.3    1.2    1.5     1.6    1.5     1.5    1.5     1.6    1.6     1.7

  0       0       *     2.1    2.0     1.7    1.7     1.6    1.6     1.4

11.4    -9.7  -11.5   -15.6  -17.6   -20.1  -23.7   -27.6   -31.7  -20.4
12.8   -13.5  -15.5   -19.6  -21.5   -23.7  -26.8   -30.3   -33.9  -25.4
1.4     3.8     4.0    4.0     3.9     3.6    3.2     2.7    2.2     5.0


Net Increase or Decrease (-) in the Deficit Without Macroeconomic Feedback'


Impact on Deficit
    On-Budget
    Off-Budgetb


1.7    -8.3   -11.5   -11.3  -12.1   -12.0  -11.8   -10.6   -9.6   -20.1
3.1    -4.4    -7.5    -7.3   -8.2    -8.5   -8.6    -8.0   -7.4   -15.2
-1.4   -3.8    -4.0    -4.0   -3.9    -3.6   -3.2    -2.7   -2.2    -5.0


-109.3    -297.9
-107.3    -295.1





-45.4      -98.6

-10.0      -23.9



-20.8      -93.2

   5.9     14.0

   4.1     12.1


-66.2
-83.3
17.1




-41.1
-24.1
-17.1


-189.6
-223.2
  33.6




-105.5
-71.9
-33.6


Sources: Congressional Budget Office; staff of the Joint Committee on Taxation.

Notes:  Numbers may not add up to totals because of rounding; * = an increase or decrease between zero and $50 million.

        This amendment triggers the requirement for a macroeconomic analysis. However, because of the very short time available to prepare this estimate,
        CBO  and JCT have determined that it is not practicable to provide that analysis at this time.

a.  For outlays, a positive number indicates an increase (adding to the deficit) and a negative number indicates a decrease (reducing the deficit);
    for revenues, a positive number indicates an increase (reducing the deficit) and a negative number indicates a decrease (adding to the deficit);
    for the deficit, a positive number indicates an increase and a negative number indicates a reduction.

b.  Excluding macroeconomic feedback, all off-budget effects would come from changes in revenues. (The payroll taxes for Social Security are classified as
    off-budget.)

c.  Excluding macroeconomic feedback, the agencies estimate that enacting title I or title II of the amendment would not increase net direct spending or on-budget
    deficits in any year after 2025 or in any of the four consecutive 10-year periods beginning in 2026.

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