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1 Additional Information about CBO's Estimates of the Labor, Health and Human Services, Education, and Related Agencies Appropriation Bill and the Effects of the Hyde Amendment 1 (July 28, 2021)

handle is hein.congrec/cboalhhedr0001 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE Phillip L. Swagel, Director U.S. Congress Washington, DC 20515 July 28, 2021 Honorable Roy Blunt Ranking Member Subcommittee on Labor, Health and Human Services, Education, and Related Agencies Committee on Appropriations United States Senate Washington, DC 20510 Re: Additional Information About CBO's Estimates of the Labor, Health and Human Services, Education, and Related Agencies Appropriation Bill and the Effects of the Hyde Amendment Dear Senator: This letter responds to your request for additional information about the Congressional Budget Office's estimates for the Labor, Health and Human Services, Education, and Related Agencies appropriation bill and the effects of the Hyde amendment. That amendment bars the use of federal funds to pay for abortions other than to save the life of the woman or if the pregnancy arises from incest or rape. The amendment historically has been included in annual appropriation acts but was not incorporated into the language contained in the President's budget request for fiscal year 2022. CBO's estimate reflects the assumption that the budgetary effects of the Hyde amendment would be in place for one year because that amendment's language applies to just one year at a time. That approach is consistent with CBO's treatment of such estimates in the past. For example, to account for the effects of the Hyde amendment as enacted under the Consolidated Appropriations Act, 2021, in its baseline projections for fiscal year 2021, CBO estimated a reduction in Medicaid spending of $19 million. That effect results from the prevention of federal reimbursements in that year to states that provide abortion services (beyond the exceptions allowed under the Hyde amendment) to women enrolled in the Medicaid program. Beginning in fiscal year 2022, however, CBO's baseline incorporates the assumption that those states would be allowed to request and receive Medicaid reimbursement for such services. CBO's analysis of the

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