Growth in spending on federal health care programs is one of the central fiscal challenges facing the federal government. That growth is driven by rising enrollment in public programs deriving from the aging of the population coupled with expansions in insurance coverage and by rising health care spending per person (which has slowed recently but, during the past few decades, has significantly outpaced increases in economic output per person). Moreover, rapid growth in spending on health care is a key challenge not only for Medicare, Medicaid, and other federal programs, but also for state and local governments and for the private sector. CBO devotes a large share of its resources to studying proposals that would make narrow or broad changes in the nation’s systems for delivering and financing health care.
Jul 2014 - If current laws remained generally unchanged, federal debt held by the public would exceed 100 percent of GDP by 2039 and would be on an upward path relative to the size of the economy—a trend that could not be sustained indefinitely.
Updated Estimates of the Effects of the Insurance Coverage Provisions of the Affordable Care Act, April 2014
Apr 2014 - CBO and JCT have lowered their estimates of the net federal cost of the ACA’s insurance coverage provisions—to $1.4 trillion over the next decade, about $100 billion less than estimated in February.
Apr 2014 - The deficit will decrease to $492 billion in 2014, CBO projects. But under current law, deficits will begin rising again in 2016—and by 2024, debt will reach 78 percent of GDP, twice the average of the past 40 years.
Feb 2014 - Under current law, deficits will drop through 2015 but rise thereafter, boosting the already high federal debt, CBO projects. Economic growth will be solid in the near term, but unemployment will not drop below 6.0 percent until 2017.
Dec 2013 - Most of the 16 options that CBO examined would either decrease federal spending on health programs or increase revenues (or equivalently, reduce tax expenditures) as a result of changes in tax provisions related to health care.
Sep 2013 - CBO analyzes the ways two illustrative options for a premium support system for Medicare would affect federal spending and beneficiaries’ choices and payments.
S. 315, Paul D. Wellstone Muscular Dystrophy Community Assistance, Research, and Education Amendments of 2014Cost EstimateJuly 25, 2014
- Cost EstimateJuly 25, 2014
- Data or Technical InformationJuly 25, 2014
CBO Releases Updated and Complete Cost Estimate for H.R. 3230, the Veterans Access to Care Act of 2014, as Passed by the HouseBlog PostJuly 24, 2014
- Cost EstimateJuly 24, 2014
H.R. 594, Paul D. Wellstone Muscular Dystrophy Community Assistance, Research, and Education Amendments of 2014Cost EstimateJuly 23, 2014
- Cost EstimateJuly 23, 2014
- Cost EstimateJuly 23, 2014
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