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1 Answers to Questions for the Record following a Hearing Conducted by the House Committee on the Budget on the Budget and Economic Outlook: 2019-2029 1 (March 20, 2019)

handle is hein.congrec/cboansfh0001 and id is 1 raw text is: M AR CH 2 0, 20 19 Answers to Questions for the Record Following a Hearing Conducted by the House Committee on the Budget on The Budget and Economic Outlook: 2019 to 2029 On January 29, 2019, the House Committee on the Budget convened a hearing at which Keith Hall, Director of the Congressional Budget Office, testified about CBO's report The Budget and Economic Outlook: 2019 to 2029.' After the hearing, Congressman Roy and Congresswoman Schakowsky submitted questions for the record. This document provides CBO's answers. It is available at www.cbo.gov/publication/55033. Congressman Roy Question. In your letter to Rep. Meadows of September 27, 2018, you claimed that, in changing the budgetary treatment of cost-sharing reductions (CSRs), CBO analyzed how premiums for 2018 had been affected by the lack of CSR payments in all states and the implications for the agency's baseline projections before those projections were finalized in March 2018. However, in response to state public records requests, not only did the insurance commissioners' offices in North Dakota, Vermont, and the District of Columbia- states that did NOT adjust premium rates to reflect the lack of CSR payments in 2018- indicate that they had no documents related to any dealings with CBO on this issue, they each noted that no one from CBO had ever contacted their offices. Which officials did CBO consult with in these specific states about the impact of CSR payments on 2018 premiums- and when did it do so? If CBO cannot provide any evidence that it undertook due diligence about the impact of CSRs in states that did NOT adjust premiums to reflect the lack of payments in 2018 prior to releasing its 2018 baseline projections, then it cannot claim to have upheld its statutory remit under 2 U.S.C. 907(b)(1), which requires CBO to assume that funding for entitlement authority is ... adequate to make ALL payments required. Moreover, a lack of due diligence surrounding these specific states would raise additional questions about whether CBO provided full, complete, and accurate responses to questions from Rep. Meadows and other Members of Congress about this issue over the course of the past year. Answer. In preparing its baseline budget projections early in 2018, CBO analyzed how pre- miums for 2018 had been affected by the lack of payments for CSRs in all states. For many states, including North Dakota and Vermont, as well as the District of Columbia, CBO relied on information provided by the National Association of Insurance Commissioners and the Commonwealth Fund and on information in insurers' public rate filings for the 1. See testimony of Keith Hall, Director, Congressional Budget Office, before the House Committee on the Budget, The Budget andEconomic Outlook: 2019 to 2029 (January 29, 2019), www.cbo.gov/ publication/54944.

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