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j   Congressional Budget Office
       Cost Estimate


May 28, 2019


By Fiscal Year, Millions of Dollars 2019             2019-2024            2019-2029
Direct Spending (Outlays)             0                   0                     0


Revenues

Deficit Effect


0

0


0

0


0

0


The Affordable Care Act, Public Law 111-148, allows certain Indian tribes, tribal
organizations, and urban Indian organizations to purchase health insurance through the
Federal Employees Health Benefits (FEHB) program for their employees. The Office of
Personnel Management administers the program, but the tribes or tribal organizations
purchase the insurance for their employees and must pay at least 70 percent of the premium.
The employees pay the rest.
S. 279 would allow tribal grant schools (as defined by the Tribally Controlled Schools Act of
1988) to participate in that arrangement. Because the schools would be paying the employer
share of the premiums for FEHB health insurance for their employees, enacting the bill
would not affect the federal budget.
The CBO staff contact for this estimate is Lori Housman. The estimate was reviewed by
Leo Lex, Deputy Assistant Director for Budget Analysis.












                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~gov/publication/42904.

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