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Estimated Effect on Direct Spending and Revenues of Title IV of Division B of the American Recovery and Reinvestment Act of 2009 (Public Law 111-5): Health Information Technology [i] (2009)

handle is hein.congrec/cbo9363 and id is 1 raw text is: Estimated Effect on Direct Spending and Revenues of Title IV of Division B of the American Recovery and Reinvestment Act of 2009 (Public Law 111-5): Health Information Technology (by fiscal years; in billions of dollars) 2009- 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2019 Medicare Bonuses and Penalties Physician Bonuses Hospital Bonuses Physician Penalties Hospital Penalties Subtotal Medicaid Bonuses Physician Bonuses Hospital Bonuses Subtotal Spending on Benefits Medicare Medicaid FEHB (on-budget) Subtotal, On-budget FEHB (off-budget) Subtotal, Unified budget Mandatory Administrative Funding Medicare Medicaid Other Mandatory Provisions Other Medicare Provisions MIF (interacted with MA and Premiums) Total Changes On-budget Unified Budget Income and HI Payroll Taxes (on-budget) Social Security Payroll Taxes (off-budget) Total Changes (Unified budget) CHANGES IN DIRECT SPENDING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.3 3.5 3.7 2.9 1.8 0.8 0.1 0 0 15.2 1.5 2.1 2.0 1.6 1.0 0.5 0.1 0 0 8.7 0 0 0 0 -0.1 -0.2 -0.3 -0.3 -0.3 -1.3 0 0 0 0 -0.2 -0.5 -0.7 -0.7 -0.6 -2.6 3.9 5.6 5.7 4.4 2.4 0.6 -0.7 -1.0 -0.9 20.0 0.7 1.1 1.5 1.7 1.6 1.7 0.9 0.6 0.3 10.3 0.6 0.6 0.6 0.4 0.2 0.1 0 0 0 2.3 1.3 1.7 2.1 2.1 1.8 1.8 0.9 0.6 0.3 12.7 -0.1 -0.3 -0.5 -0.6 -0.6 -0.6 -0.6 -0.5 -0.5 -4.5 -0.4 -0.6 -0.8 -0.9 -1.0 -1.0 -1.0 -1.1 -1.0 -8.0 * * -0.1 -0.1 -0.1 -0.1 -0.1 -0.1 -0.1 -0.5 -0.5 -1.0 -1.4 -1.6 -1.7 -1.7 -1.7 -1.7 -1.6 -13.0 * * * * * * * * * -0.2 -0.6 -1.0 -1.5 -1.6 -1.7 -1.7 -1.7 -1.7 -1.6 -13.2 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 * 0 0 0.7 * 0 0 0.3 0.3 * * 0 0 0 0 0 0 0 0 0 0 0 0 9.2 1.2 -6.3 -3.4 -0.7 0 0.3 0 0.0 0.4 0.2 4.8 6.5 6.5 14.3 3.9 -5.5 -5.0 -2.8 -2.2 21.0 0.4 0.2 4.7 6.5 6.5 14.2 3.8 -5.5 -5.0 -2.8 -2.2 20.8 CHANGES IN REVENUES 0 0 0 0 0 0 0.1 0.2 0.2 0.3 0.3 0.3 0.3 0.3 0.3 2.1 0.0 0.1 0.1 0.1 0.2 0.2 0.1 0.1 0.1 1.1 0.1 0.3 0.4 0.4 0.4 0.4 0.4 0.4 0.4 3.3 CHANGES IN DEFICITS On-budget Unified budget Memorandum: Average Reduction in Health Care Spending Adoption Rate under Prior Law Physicians Hospitals Critical Access Hospitals Adoption Rate under Current Law Physicians Hospitals Critical Access Hospitals 0.4 0.2 4.7 6.3 6.3 14.0 3.6 -5.8 -5.2 -3.0 -2.5 18.9 0.4 0.2 4.6 6.2 6.1 13.8 3.4 -6.0 -5.4 -3.2 -2.6 17.6 0.3% 2009 20% 10% 5% 2014 40% 25% 15% 85% 55% 45% 2019 65% 45% 20% 90% 70% 50% Notes: * = between -$50 million and $50 million. Details may not add to totals because of rounding. FEHB is the Federal Employees Health Benefits program (most FEHB spending for annuitants of the U.S. Postal Service is off-budget); MA is Medicare Advantage; MIF is the Medicare Improvement Fund; HI is the Medicare Hospital Insurance program (Part A).

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