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Letter to the Honorable Don Nickles [i] (November 25, 2003)

handle is hein.congrec/cbo9258 and id is 1 raw text is: November 20, 2003 Honorable Don Nickles Chairman Committee on the Budget United States Senate Washington, DC 20510 Dear Mr. Chairman: As you requested, I am pleased to provide additional information about CBO's cost estimate for the conference agreement on H.R. 1, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Table 1 provides year-by-year details on CBO's projections of the major elements of the prescription drug program that would be established under title I. Table 2 displays additional information about the impact of H.R. I on Medicare beneficiaries. Table 3 summarizes the estimated impact of the legislation on state Medicaid costs-a net savings of $17.2 billion over the 2004-2013 period. Table 4 presents information about the number of beneficiaries eligible for and expected to participate in the low-income subsidies provided under title I. CBO estimates that, of those participants in the Medicare prescription drug program who will have relatively generous employer-sponsored drug benefits under current law, about 2.7 million would not receive supplemental drug benefits from those employer-sponsored plans under H.R. 1. That number represents about 23 percent of participants in the prescription drug program who will have such employer-sponsored drug benefits under current law (the approach used in CBO's original cost estimate for H.R. I and S. 1). Other Part B enrollees have employer-sponsored drug benefits under current law and would generally not participate in the prescription drug program. In particular, CBO assumes that active workers and those with prescription drug coverage through the Federal Employees Health Benefits program and the Tricare for Life program would continue to receive prescription drug coverage through those programs and would generally choose not to participate in the Medicare prescription drug program. Relative to all Part B enrollees who will

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