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Budgetary Effects of H.R. 3762, the Restoring Americans' Healthcare Freedom Reconciliation Act, as Passed by the Senate on December 3, 2015 1 (December 11, 2015)

handle is hein.congrec/cbo2701 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE Keith Hall, Director U.S. Congress Washington, DC 20515 December 11, 2015 Honorable Mike Enzi Chairman Committee on the Budget United States Senate Washington, DC 20510 Re: Budgetary Effects of H.R. 3762, the Restoring Americans' Healthcare Freedom Reconciliation Act, as Passed by the Senate on December 3, 2015 Dear Mr. Chairman: At your request (and that of Chairman Tom Price, M.D.), CBO and the staff of the Joint Committee on Taxation (JCT) have estimated the budgetary effects of H.R. 3762, the Restoring Americans' Healthcare Freedom Reconciliation Act, as passed by the Senate. CBO and JCT estimate that enacting H.R. 3762 would decrease deficits by about $474 billion over the 2016-2025 period. That estimate includes two components: Excluding macroeconomic feedback effects, the act would reduce deficits by about $282 billion. In addition, the changes in economic output and other macroeconomic variables that would result from enacting the legislation would reduce deficits by about $193 billion, CBO and JCT estimate. The budgetary effects of the act would result from changes to both direct spending and revenues. (CBO has not estimated any effects this act might have on discretionary spending.) The largest budgetary effects of enacting the legislation would stem from: * Repealing subsidies for health insurance coverage obtained through exchanges beginning in 2018 and, prior to that year, eliminating the limitation on the amount people would have to repay if the premium tax credit they receive during the year exceeds the allowed amount based on their actual income; * Repealing the optional expansion of eligibility for Medicaid that was established in the Affordable Care Act (ACA), beginning in 2018; * Eliminating penalties associated with the requirements that most people obtain health insurance coverage and that large employers offer their employees health insurance coverage that meets specified standards, while keeping those requirements in place, beginning in 2016;

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