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H.R. 1628, Better Care Reconciliation Act of 2017 1 (July 26, 2017)

handle is hein.congrec/cbo3699 and id is 1 raw text is: Table 1 - ESTIMATE OF THE DIRECT SPENDING AND REVENUE EFFECTS OF SELECTED PROVISIONS FROM H.R. 1628, THE BETTER CARE RECONCILIATION ACT OF 2017, AN AMENDMENT IN THE NATURE OF A SUBSTITUTE [ERN175001 2017- 2017- Billions of Dollars, by Fiscal Year 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2021 2026 ESTIMATED CHANGES IN DIRECT SPENDINGb Coverage Provisions Estimated Budget Authority -1.0 -11.7 -19.5 -21.8 -26.3 -28.8 -30.8 -33.1 -34.9 -37.7 -80.3 -245.7 Estimated Outlays -1.0 -11.7 -19.5 -21.8 -26.3 -28.8 -30.8 -33.1 -34.9 -37.7 -80.3 -245.7 On-Budget -1.0 -11.7 -19.5 -21.8 -263 -28.8 -30.8 -33.1 -34.9 -37.7 -80.3 -245.7 Off-Budget 0 0 0 0 0 0 0 0 0 0 0 0 Sec. 104 - Individual Mandate Estimated Budget Authority included in estimate of coverage provisions Estimated Outlays included in estimate of coverage provisions Sec. 105 - Employer Mandate Estimated Budget Authority included in estimate of coverage provisions Estimated Outlays included in estimate of coverage provisions Sec. 123 - Federal Payment to States' Estimated Budget Authority * -0.1 * * * * * * * * -0.2 -0.1 Estimated Outlays * -0.1 * * * * * * * * -0.2 -0.1 Sec. 201 - Prevention and Public Health Fund Estimated Budget Authority 0 0 -0.9 -1.0 -1.0 -1.5 -1.0 -1.7 -2.0 -2.0 -2.9 -11.1 Estimated Outlays 0 0 -0.1 -0.4 -0.8 -1.0 -1.1 -1.3 -1.4 -1.7 -1.3 -7.9 Sec. 203 - Community Health Center Program Estimated Budget Authority 0.4 0 0 0 0 0 0 0 0 0 0.4 0.4 Estimated Outlays 0 0.2 0.2 * 0 0 0 0 0 0 0.4 0.4 Total Changes in Direct Spending Estimated Budget Authority -0.6 -11.9 -20.4 -22.8 -27.3 -30.3 -31.8 -34.8 -36.9 -39.7 -83.0 -256.5 Estimated Outlays -1.0 -11.7 -19.5 -22.2 -27.0 -29.9 -31.9 -34.4 -36.3 -39.4 -81.4 -253.3 On-Budget -1.0 -11.7 -19.5 -22.2 -27.0 -29.9 -31.9 -34.4 -363 -39.4 -81.4 -253.3 Off-Budget 0 0 0 0 0 0 0 0 0 0 0 0 ESTIMATED CHANGES IN REVENUESd Coverage Provisions -5.1 -9.2 -10.9 -7.4 -9.2 -10.9 -11.9 -12.5 -13.0 -13.5 -41.7 -103.5 On-Budget -5.4 -15.0 -164 -12.5 -14.3 -162 -17.4 -18.4 -19.4 -20.2 -63.7 -155.3 Off-Budget 0.3 5.8 5.5 5.2 5.1 5.2 5.5 5.9 64 67 22.0 51.8 Sec. 104 - Individual Mandate included in estimate of coverage provisions Sec. 105 - Employer Mandate included in estimate of coverage provisions Sec. 113 - Repeal of Medical Device Excise Tax 0 -1.4 -1.9 -2.0 -2.1 -2.2 -2.3 -2.4 -2.6 -2.7 -7.4 -19.6 Total Changes in Revenues -5.1 -10.6 -12.8 -9.4 -11.3 -13.1 -14.2 -15.0 -15.6 -16.2 -49.0 -123.1 On-Budget -5.4 -164 -18.3 -14.5 -164 -18.4 -19.7 -20.9 -22.0 -22.9 -71.0 -174.9 Off-Budget 0.3 5.8 5.5 5.2 5.1 5.2 5.5 5.9 64 67 22.0 51.8 INCREASE OR DECREASE (-) IN THE DEFICIT FROM CHANGES IN DIRECT SPENDING AND REVENUES Net Increase or Decrease (-) in the Deficit 4.0 -1.1 -6.7 -12.8 -15.8 -16.7 -17.7 -19.4 -20.7 -23.2 -32.4 -130.2 On-Budget 4.4 4.7 -1.2 -7.7 -10.7 -11.5 -12.2 -13.5 -14.3 -165 -10.4 -78.4 Off-Budget -0.3 -5.8 -5.5 -5.2 -5.1 -5.2 -5.5 -5.9 -6.4 -6.7 -22.0 -51.8 Sources: Congressional Budget Office; staff of the Joint Committee on Taxation. Numbers may not add up to totals because of rounding. * - between -$50 million and $50 million. a. Selected provisions requested by the Democratic staff of the Senate Committees on Finance and Health, Education, Labor, and Pensions. b. For outlays, a positive number indicates an increase (adding to the deficit) and a negative number indicates a decrease (reducing the deficit). c. CBO expects that this provision would be implemented in a way that the prohibition would apply only if at least one entity, affiliate, subsidiary, successor, or clinic satisfied all of the criteria specified in the legislation; CBO identified only one organization that would be affected: Planned Parenthood Federation of America and its affiliates and clinics. If the provision was implemented in a way that affiliates, subsidiaries, successors, and clinics could satisfy the criteria separately, then the provision could apply to more organizations, perhaps many more. d. For revenues, a positive number indicates an increase (reducing the deficit) and a negative number indicates a decrease (adding to the deficit).

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