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Letter to the Honorable Paul Ryan 1 (January 2010)

handle is hein.congrec/cbo9379 and id is 1 raw text is: January 27, 2010 Honorable Paul Ryan Ranking Member Committee on the Budget U.S. House of Representatives Washington, DC 20515 Dear Congressman: At your request, the Congressional Budget Office (CBO) has analyzed the Roadmap for America's Future Act of 2010, which would make comprehensive changes to the Social Security program; to federal involvement in health care, including Medicare, Medicaid, and the tax treatment of health insurance; to other federal spending; and to other features of the tax system. CBO's analysis is based on the legislation that you introduced today, as modified pursuant to specifications provided by your staff. In particular, the specifications for Medicaid and the tax system that CBO analyzed are highly stylized versions of the more detailed provisions in the bill. This letter summarizes the agency's analysis of the impact that the bill (along with the simplifying specifications) would have on federal outlays, budget deficits, and debt during the next 75 years. The analysis is subject to a great deal of uncertainty, because of both the complexity of the proposal and the very long time horizon over which its many provisions would unfold. The analysis does not represent a cost estimate for the legislation, which would require much more detailed analysis and would be much more limited in the time span that could be examined. Major Specifications of the Proposal That CBO Analyzed The Roadmap encompasses changes to Social Security, federal involvement in and spending on health care, other government spending, and tax provisions, as follows: Social Security. The Roadmap would modify the Social Security program for future beneficiaries in three main ways:

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