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H.R. 1628, the American Health Care Act, Incorporating Manager's Amendments 4, 5, 24, and 25 1 (March 23, 2017)

handle is hein.congrec/cbo3381 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE Keith Hall, Director U.S. Congress Washington, DC 20515 March 23, 2017 Honorable Paul Ryan Speaker of the House U.S. House of Representatives Washington, DC 20515 Dear Mr. Speaker: At your request, the Congressional Budget Office and the staff of the Joint Committee on Taxation (JCT) have prepared an estimate of the direct spending and revenue effects of H.R. 1628, the American Health Care Act, as posted on the website of the House Committee on Rules on March 22, 2017, incorporating manager's amendments 4, 5, 24, and 25. As a result of those amendments, this estimate shows smaller savings over the next 10 years than the estimate that CBO issued on March 13 for the reconciliation recommendations of the House Committee on Ways and Means and the House Committee on Energy and Commerce.' The estimated effects on health insurance coverage and on premiums for health insurance are similar to those estimated for the committees' recommendations. Effects on the Federal Budget CBO and JCT estimate that enacting H.R. 1628, with the proposed amendments, would reduce federal deficits by $150 billion over the 2017-2026 period; that reduction is the net result of a $1,150 billion reduction in direct spending, partly offset by a reduction of $999 billion in revenues (see Tables 1 and 2). The provisions dealing with health insurance coverage would reduce deficits, on net, by $883 billion (see Table 3); the noncoverage provisions would increase deficits by $733 billion, mostly by reducing revenues. 1. Congressional Budget Office, cost estimate for the American Health Care Act, Budget Reconciliation Recommendations of the House Committees on Ways and Means and Energy and Commerce, March 9, 2017 (March 13, 2017), www.cbogo/ubicatiO./52486

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