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Letter to the Honorable Paul D. Ryan [i] (November 2010)

handle is hein.congrec/cbo8653 and id is 1 raw text is: OCONGRESSIONAL BUDGET OFFICE U.S. Congress Washington, DC 20515 Douglas W, Elmendorf, Director November 17, 2010 Honorable Paul D. Ryan Ranking Member Committee on the Budget U.S. House of Representatives Washington, DC 20515 Dear Congressman: The attachment to this letter responds to your request for analysis of the proposal that you and Alice Rivlin have put forward to substantially change federal payments under the Medicare and Medicaid programs. CBO has conducted a preliminary analysis of the major provisions of that proposal, the results of which are summarized in the attachment. I hope this information is helpful to you. If you have any questions, please contact me or CBO staff. The primary staff contact for this analysis is Philip Ellis. Sincerely, Douglas W. Elmendorf Attachment cc: Honorable John M. Spratt Jr. Chairman www.cbo.gov

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