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American Health Care Act 1 (March 13, 2017)

handle is hein.congrec/cbo3331 and id is 1 raw text is: 




                 CONGRESSIONAL BUDGET OFFICE
                             COST ESTIMATE

                                                                  March 13, 2017


                         American Health Care Act

 Budget Reconciliation Recommendations of the House Committees on Ways and Means
                     and Energy and Commerce, March 9, 2017


SUMMARY

The Concurrent Resolution on the Budget for Fiscal Year 2017 directed the House
Committees on Ways  and Means and Energy and Commerce to develop legislation to
reduce the deficit. The Congressional Budget Office and the staff of the Joint Committee
on Taxation (JCT) have produced an estimate of the budgetary effects of the American
Health Care Act, which combines the pieces of legislation approved by the two committees
pursuant to that resolution. In consultation with the budget committees, CBO used its
March 2016 baseline with adjustments for subsequently enacted legislation, which
underlies the resolution, as the benchmark to measure the cost of the legislation.

Effects on the Federal Budget

CBO  and JCT estimate that enacting the legislation would reduce federal deficits by
$337 billion over the 2017-2026 period. That total consists of $323 billion in on-budget
savings and $13 billion in off-budget savings. Outlays would be reduced by $1.2 trillion
over the period, and revenues would be reduced by $0.9 trillion.

The largest savings would come from reductions in outlays for Medicaid and from the
elimination of the Affordable Care Act's (ACA's) subsidies for nongroup health insurance.
The largest costs would come from repealing many of the changes the ACA made to the
Internal Revenue Code-including an increase in the Hospital Insurance payroll tax rate
for high-income taxpayers, a surtax on those taxpayers' net investment income, and annual
fees imposed on health insurers-and from the establishment of a new tax credit for health
insurance.

Pay-as-you-go procedures apply because enacting the legislation would affect direct
spending and revenues. CBO and JCT estimate that enacting the legislation would not
increase net direct spending or on-budget deficits by more than $5 billion in any of the four
consecutive 10-year periods beginning in 2027.

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