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Answers to Questions for the Record following a Hearing on the Budget and Economic Outlook for 2017 to 2027 Conducted by the Senate Committee on the Budget 1 (April 6, 2017)

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                     Answers to Questions for the Record
                           Following   a Hearing on the
               Budget  and  Economic Outlook for 2017 to 2027
             Conducted by the Senate Committee on the Budget



On  February 1, 2017, the Senate Committee on the Budget convened a hearing at which
Keith Hall, Director of the Congressional Budget Office, testified about CBO ' report The Budget
and Economic  Outlook: 2017  to 2027 (www.cbo.gov/publication/52370). After the hearing,
Chairman  Enzi, Ranking Member Sanders, and other Members of the Committee submitted
questions for the record. This document provides CBO ' answers.


Chairman  Enzi
Question. The budgetary impact of repealing the Affordable Care Act was briefly discussed
during the hearing, but not with respect to any specific legislative proposal. As you are aware,
CBO   has prepared a number of estimates of the budgetary effects of H.R. 3762, the
Restoring Americans' Healthcare Freedom Reconciliation Act of 2015. In CBO's most recent
cost estimate of that legislation (released on January 4, 2016), what was the estimated impact
of that legislation on the federal deficit? Please clarify what CBO's conclusions were regarding
the budgetary impact of H.R. 3762 with and without macroeconomic feedback effects.

Answer. On  January 4, 2016, CBO  released an estimate of the budgetary effects of
H.R. 3762, the Restoring Americans' Healthcare Freedom Reconciliation Act.' That estimate
included two components-one   that did not include the effects of any feedback to the budget
from economic  changes brought about by the bill (that is, the economic variables underlying
the estimate were held constant) and another that incorporated such macroeconomic
feedback.

Before accounting for macroeconomic feedback, CBO  and the staff of the Joint Committee
on Taxation (JCT) estimated that enacting H.R. 3762 would have reduced deficits by about
$318 billion over the 2016-2025 period. That estimate reflects a $1.4 trillion reduction in
outlays partially offset by a $1.1 trillion decrease in revenues.

After accounting for the effects of macroeconomic feedback on revenues and spending,
CBO   and JCT estimated that the legislation would have reduced federal deficits by a total


1. Congressional Budget Office, cost estimate for H.R. 3762, the Restoring Americans' Healthcare Freedom
   Reconciliation Act, as passed by the Senate on December 3, 2015, and following enactment of the
   Consolidated Appropriations Act, 2016 (January 4, 2016), www.cbo.gov/publication/51107.

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