As joint federal-state programs, Medicaid provides medical care for certain poor and low-income people, and the Children’s Health Insurance Program (CHIP) provides coverage mostly for children in low-income families that do not qualify for Medicaid. Federal spending for Medicaid and CHIP was $265 billion and $9 billion, respectively, in 2013. By CBO’s projections, federal Medicaid spending will rise rapidly over the coming decade because of expanding eligibility under the Affordable Care Act (see CBO’s ongoing work on that legislation), the aging of the population, and rising costs per beneficiary. The agency’s work on Medicaid and CHIP includes projections of future federal spending for the programs, cost estimates of specific legislative proposals, and analyses with a broader perspective.
Medicaid and CHIP
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.
Sep 2013 - Federal debt would grow to 100 percent of GDP by 2038 under current law, CBO projects, and would be on an upward path relative to the size of the economy—a trend that could not be sustained indefinitely.
Dual-Eligible Beneficiaries of Medicare and Medicaid: Characteristics, Health Care Spending, and Evolving Policies
Jun 2013 - People eligible for both Medicare and Medicaid benefits—known as “dual-eligible beneficiaries”—are a varied group, but many have extensive health care needs and account for a disproportionate share of spending on Medicare and Medicaid.
Mar 2013 - In 2011, the federal government provided $607 billion in grants to state and local governments, accounting for 17 percent of federal outlays and a quarter of spending by states and localities. Nearly half of that amount was for Medicaid.
Feb 2013 - During the past 40 years, federal spending for major means-tested programs and tax credits for low-income households more than tripled as a share of gross domestic product. In 2012, such spending totaled $588 billion.
Letter to the Honorable John Boehner providing an estimate for H.R. 6079, the Repeal of Obamacare Act
Jul 2012 - CBO and the JCT have estimated the direct spending and revenue effects of H.R. 6079, as passed by the House of Representatives on July 11, 2012.
The Long-Term Budgetary Impact of Paths for Federal Revenues and Spending Specified by Chairman Ryan
Mar 2012 - The calculations presented here represent CBO's assessment of how the specified paths would alter the trajectories of federal debt, revenues, spending, and economic output relative to the trajectories under two scenarios that CBO has analyzed previously.
Estimated Effects on Direct Spending and Revenues for Health Care Programs of Proposals in the President's 2015 Budgetdata or technical informationApril 17, 2014
Updated Estimates of the Effects of the Insurance Coverage Provisions of the Affordable Care Act, April 2014reportApril 14, 2014
- cost estimateMarch 19, 2014
- blog postMarch 10, 2014
- blog postMarch 4, 2014
- blog postFebruary 28, 2014
- presentationFebruary 27, 2014
- reportFebruary 11, 2014
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