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Letter to the Honorable John D. Dingell 1 (November 2009)

handle is hein.congrec/cbo9366 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE Douglas W. Elmendorf, Director U.S. Congress Washington, DC 20515 November 20, 2009 Honorable John D. Dingell U.S. House of Representatives Washington, DC 20515 Dear Congressman: The Congressional Budget Office has revised its estimate of the net budgetary impact- transmitted on November 6, 2009-of H.R. 3962, the Affordable Health Care for America Act. In that November 6 letter, CBO and the staff of the Joint Committee on Taxation (JCT) estimated that changes in direct spending and revenues from enacting H.R. 3962 would yield a net reduction in federal budget deficits of $109 billion over the 2010-2019 period. CBO and JCT now estimate that the legislation would yield a net reduction in deficits of $138 billion over the 10-year period, correcting a mistake that CBO made in its earlier assessment of the impact of section 2581 of the legislation, which would establish the Community Living Assistance Services and Supports (CLASS) program. This revised estimate supersedes the cost estimate transmitted on November 6, 2009. Tables 1 through 4 enclosed with this letter present the revised estimate of the direct spending, revenue, and deficit effects of the Affordable Health Care for America Act. The only change reflected in those tables, as compared with the estimate transmitted on November 6, is the corrected estimate for the CLASS provision. (Table 3, pertaining to effects of the act on health insurance coverage, is included with this letter, but was unaffected by the change in CBO's estimate for the CLASS provision.) According to the CLASS provision in H.R. 3962, both active workers and their non- working spouses would be eligible to enroll in a voluntary federal program of long-term care insurance. Because of an oversight, CBO's original estimate of the CLASS provision did not reflect the inclusion of nonworking spouses. CBO anticipates that the average nonworking spouse who would enroll in the program would have more functional limitations than the average enrolled worker, which would make nonworking spouses more likely to qualify in the future for the program's benefits. CBO's corrected estimates are that the monthly premium for the CLASS program as it is specified in H.R. 3962 would average about $146 in 2011 (as compared with $123 in the original estimate) and www. cbo.gov

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