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1 H.R. 1425, State Health Care Premium Reduction Act, as Ordered Reported by the House Committee on Energy and Commerce on April 4, 2019 1 (August 20, 2019)

handle is hein.congrec/cbosthcpr0001 and id is 1 raw text is: 




j   Congressional Budget Office

        Cost Estimate


August 20, 2019


By Fiscal Year, Millions of Dollars      2019                2019-2024               2019-2029


Direct Spending (Outlays)


Revenues

Deficit Effect


17,967


0

0


4,211

13,756


43,280


8,855

34,425


The bill would
  * Appropriate $10 billion annually, beginning in 2020, to fund state or federal reinsurance programs in the
     nongroup insurance market or to establish state-run subsidy programs to reduce premiums and out-of-pocket
     costs for nongroup plans sold through the marketplaces established under the Affordable Care Act

Estimated budgetary effects would primarily stem from
  * Spending from the Improve Health Insurance Affordability Fund for states and insurers to implement
     reinsurance programs and for state-based subsidy programs for coverage purchased through the
     marketplaces
  * Reducing premiums for nongroup insurance coverage, which would lower the net cost of federal subsidies for
     coverage purchased through the marketplaces

Areas of significant uncertainty include
  * Identifying the number of states that would operate their own subsidy programs instead of reinsurance
  * Estimating the effects on costs, premiums, and coverage arising from various states' approaches to operating
     subsidy programs
  * Estimating the reductions to premiums that insurers might make in response to reinsurance programs

                               Detailed estimate begins on the next page.








                   See also CBO's Cost Estimates Explained, www.cbo.gov/publicationi54437;
  How CBO Prepares Cost Estimates, www.cbo.gov/publication/53519; and Glossary, www.cbo.govipublication/42904.

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