CONGRESSIONAL BUDGET OFFICE Letter To Paul Ryan $WLP

CBO estimates that enacting all three pieces of legislation would add $59 billion to budget deficits over the 2010–2019 period

CBO estimates that enacting H.R. 3961, by itself, would cost about $208 billion over the 2010–2019 period.


CBO estimates that enacting H.R. 3961 together with those two bills would add
$59 billion to budget deficits over the 2010–2019 period. That amount is about
$10 billion less than the figure that would result from summing the effects of
enacting the bills separately. The $10 billion difference occurs primarily because
H.R. 3590 and the reconciliation proposal would modify how the government’s
payments to Medicare Advantage plans are set. The higher payment rates for
physicians that would stem from the enactment of H.R. 3961 would, under current
law, result in higher payments to those plans. But the changes made by the o I ther
bills would moderate that increase.

 The Budgetary Impact of Enacting the Reconciliation Proposal and
H.R. 3590 with Some Provisions Altered

You also asked about the effects on the federal budget beyond the 2010–2019
period of enacting the reconciliation proposal (the amendment to H.R. 4872) and
the Senate-passed health bill (H.R. 3590) if several provisions were altered, either
now or at some point in the future. In particular, you asked about the effects if:


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