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Long-Term Analysis of a Budget Proposal by Chariman Ryan 1 (April 2011)

handle is hein.congrec/cbo8015 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE

Long-Term Analysis of a
Budget Proposal by Chairman Ryan
April 5, 2011
On April 8, 2011, CBO corrected a
sentence on page 9, as noted there.
Over the next several decades, the continued aging of the population and the growth
of health care costs will, under current law, almost certainly boost federal spending
significantly relative to the output of the economy. According to the Congressional
Budget Office's (CBO's) most recent long-term projections, which were issued in June
2010 and were based on the assumption that then-current law would generally remain
in place, spending on Social Security and the government's major mandatory health
care programs-Medicare, Medicaid, the Children's Health Insurance Program
(CHIP), and health insurance subsidies to be provided through insurance
exchanges-will increase from roughly 10 percent of gross domestic product (GDP)
today to about 15 percent 20 years from now.' If revenues and federal spending apart
from those programs remain near their past levels relative to GDP, the increase in
spending on Social Security and the health care programs will lead to rapidly growing
budget deficits and mounting federal debt.
At the request of the Chairman of the House Budget Committee, Congressman Paul
Ryan, CBO has analyzed a proposal that would substantially change federal payments
under the Medicare and Medicaid programs, eliminate the subsidies to be provided
through new insurance exchanges under last year's major health care legislation, leave
Social Security as it would be under current law, and set paths for all other federal
spending (excluding interest) and federal tax revenues based on specified growth rates
or specified percentages of GDP CBO has conducted a long-term analysis of the
major provisions of the proposal as described by the Chairman's staff. The specifica-
tions may differ in some ways from the plan released today by Chairman Ryan in The
Path to Prosperity: Restoring America's Promise.
CBO has not reviewed legislative language for the proposal, so this analysis does not
represent a cost estimate for legislation that might implement the proposal. Rather, it
is an assessment of the broad, long-term budgetary impacts of the proposal, with
results spanning several decades and measured as a share of GDP. It is therefore quite
1. See Congressional Budget Office, The Long- Term Budget Outlook (June 2010, revised August
2010). For the purpose of that analysis, CBO assumed that scheduled benefits for Social Security
and Part A of Medicare would continue to be paid even if the trust funds for those programs
became exhausted. Mandatory spending is generally controlled through authorizing legislation by
setting eligibility rules, benefit formulas, and other parameters. Discretionary spending is con-
trolled through the annual appropriation process.

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