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Letter to the Honorable George Miller 1 (November 2009)

handle is hein.congrec/cbo9349 and id is 1 raw text is: CONGRESSIONAL BUDGT OFFICE ougls . rnendorf, Drector U. S. Congress ashington, DC 20515 November 25, 2009 Honorable George Miller Chairman Committee on Education and Labor U.S. House of Representatives Washington, DC 20515 Dear Mr. Chairman: In response to several questions that CBO has received, this letter provides additional information on the budgetary effects of proposals to establish the Community Living Assistance Services and Supports (CLASS) Program. H.R. 3962, the Affordable Health Care for America Act, as passed by the House of Representatives, and the Patient Protection and Affordable Care Act proposed by Senator Reid contain very similar proposals regarding a new federal program for long-term care insurance. Both proposals would establish a voluntary program for such insurance, termed the Community Living Assistance Services and Supports program. The key difference between the two proposals is in the population eligible to enroll: H.R. 3962 would allow both active workers and nonworking spouses to enroll, while the Senate proposal would allow only active workers to participate. For both the House and Senate versions of CLASS, the Congressional Budget Office (CBO) estimates that the cash flows under the new program would generate budgetary savings (that is, a reduction in net federal outlays) for the 2010-2019 period and for the 10 years following 2019, followed by budgetary costs (an increase in net federal outlays) in subsequent decades. Because participation in the program would be voluntary, collections of insurance premiums under CLASS would be recorded as offsetting receipts (a credit against direct spending). On balance, CBO estimates that the version of CLASS specified in H.R. 3962 would reduce deficits by $102 billion over the 2010-2019 period, while the version contained in the Senate proposal would reduce deficits by $72 billion over that period. The following discussion provides additional information on CBO's estimates for those proposals, including information on their longer-term effects. 1See Congressional Budget Office, cost estimate for H.R. 3962, the Affordable Health Care for America Act (November 20, 2009); and cost estimate for the Patient Protection and Affordable Care Act (November 18, 2009). www.cbo.gov

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