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Letter to the Honorable Michael B. Enzi 1 (September 2009)

handle is hein.congrec/cbo9375 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE Douglas W. Elmendorf, Director U.S. Congress Washington, DC 20515 September 10, 2009 Honorable Michael B. Enzi Ranking Member Committee on Health, Education, Labor, and Pensions United States Senate Washington, DC 20510 Dear Senator: This letter responds to several questions that you raised following my appearance before the Committee on Health, Education, Labor, and Pensions (HELP) during its consideration of the Affordable Health Choices Act. The Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT) issued a preliminary and partial analysis of that legislation as it was introduced on July 1, 2009.' We have not completed an assessment of the legislation as it was ultimately approved by the committee, including the amendments that were adopted during markup of the bill. Effects of Expanding the Medicaid Program You asked what the total cost would be of combining the committee's legislation with an expansion of eligibility for Medicaid for all legal U.S. residents with income below 150 percent of the federal poverty level (FPL). As you know, the Affordable Health Choices Act, as introduced, would not expand eligibility for Medicaid, but an earlier draft included language indicating that such an expansion would be added by the Senate Finance Committee (which has jurisdiction over Medicaid). Because our analysis of the introduced legislation examined only the changes in law that would result from it, we could not presume an expansion of eligibility for Medicaid or other new subsidies for health insurance beyond those that were specified. Overall, our preliminary assessment was that the provisions of the legislation pertaining to insurance coverage (contained in title I of the ' Congressional Budget Office, letter to the Honorable Edward M. Kennedy providing CBO's preliminary analysis of title I of the Affordable Health Choices Act (July 2, 2009). www.cbo.gov

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