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CONGRESSIONAL BUDGET OFFICE
COST ESTIMATE
October 25, 2017
Bipartisan Health Care Stabilization Act of 2017
As posted on the website of the Senate Committee on Health, Education, Labor,
and Pensions on October 19, 2017 (version TAM] 7K02)
SUMMARY
The Bipartisan Health Care Stabilization Act of 2017 would make several changes to the
state innovation waiver process established by the Affordable Care Act (ACA),
appropriate money for cost-sharing reductions (CSRs) through 2019, require many
insurers to pay rebates to individuals and the federal government related to premiums in
the nongroup health insurance market for 2018, allow anyone in the nongroup market to
purchase a catastrophic plan, and require some existing funding for health insurance
marketplace operations to be used specifically for outreach and enrollment activities for
2018 and 2019.
On net, CBO and the staff of the Joint Committee on Taxation (JCT) estimate that
implementing the legislation would reduce the deficit by $3.8 billion over the 2018-2027
period relative to CBO's baseline. The agencies estimate that the legislation would not
substantially change the number of people with health insurance coverage, on net,
compared with that baseline projection. Enacting the legislation would affect direct
spending and revenues; therefore, pay-as-you-go procedures apply.
CBO and JCT estimate that enacting the legislation would not increase net direct
spending or on-budget deficits in any of the four consecutive 10-year periods beginning
in 2028.
The legislation would impose an intergovernmental and private-sector mandate as
defined in the Unfunded Mandates Reform Act (UMRA). CBO estimates that the cost of
the mandates would fall below the annual thresholds established in UMRA ($78 million
for intergovernmental mandates and $156 million for private-sector mandates,
respectively, in 2017, adjusted annually for inflation).
ESTIMATED COST TO THE FEDERAL GOVERNMENT
The estimated budgetary effect of the legislation is shown in the following table. The
costs of this legislation fall within budget function 550 (health).](ViewImageLocal?handle=hein.congrec/cbo3833&div=1&collection=&method=preview&ext=.png&size=3)
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