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1 (October 2007)

handle is hein.congrec/cbo9292 and id is 1 raw text is: CONGRESSIONAL BUDGT OFFICE Peter R. Orszag, C U .S. Congress ashington, DC 20515 October 10, 2007 Honorable Jim McCrery Ranking Republican Committee on Ways and Means U.S. House of Representatives Washington, DC 20515 Dear Congressman: At your request, CBO is providing additional information regarding its cost estimate for Title IV of H.R. 3162, the Children's Health and Medicare Protection Act of 2007 (the CHAMP Act), as passed by the House of Representatives on August 1, 2007.1 Enrollment effects. CBO projects that enacting the CHAMP Act would result in a significant decrease in enrollment in Medicare Advantage (MA) plans. Most of that change would arise from the provisions of section 401, which would lower the plan benchmarks over the years 2009-2011, remove spending for payments for indirect medical education from the benchmarks, and eliminate the regional plan stabilization fund.2 Of those provisions, the reduction in plan benchmarks would have the greatest budgetary and enrollment effects. CBO has previously reported that reducing the MA benchmarks to the level of per capita Medicare spending in the fee-for-service (FF S) sector would reduce MA enrollment in 2012 by approximately 6.2 million beneficiaries relative to our baseline projection of 12.5 million beneficiaries. Because the CHAMP 1. That estimate was transmitted on August 1, 2007. For background information on these topics and others related to the Medicare Advantage program, see statement of Peter R. Orszag, Director, Congressional Budget Office, before the House Budget Committee (June 28, 2007), and Congressional Budget Office, Medicare Advantage. Private Plans in Medicare (June 28, 2007). 2. The benchmarks are the maximum payments that the government will make for enrollees in private plans.

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