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Posted by: thepinetree on 03/13/2017 01:52 PM Updated by: thepinetree on 03/13/2017 09:49 PM
Expires: 01/01/2022 12:00 AM
:

CBO Estimates Proposed Health Care Act Would Reduce Deficits By $337 Billion As Millions Choose To Be Uninsured!

Washington, DC...The Concurrent Resolution on the Budget for Fiscal Year 2017 directed the House Committees on Ways and Means and Energy and Commerce to develop legislation to reduce the deficit. The Congressional Budget Office and the staff of the Joint Committee on Taxation (JCT) have produced an estimate of the budgetary effects of the American Health Care Act, which combines the pieces of legislation approved by the two committees pursuant to that resolution. In consultation with the budget committees, CBO used its March 2016 baseline with adjustments for subsequently enacted legislation, which underlies the resolution, as the benchmark to measure the cost of the legislation.




Effects on the Federal Budget
CBO and JCT estimate that enacting the legislation would reduce federal deficits by $337 billion over the 2017-2026 period. That total consists of $323 billion in on-budget savings and $13 billion in off-budget savings. Outlays would be reduced by $1.2 trillion over the period, and revenues would be reduced by $0.9 trillion.

The largest savings would come from reductions in outlays for Medicaid and from the elimination of the Affordable Care Act’s (ACA’s) subsidies for nongroup health insurance. The largest costs would come from repealing many of the changes the ACA made to the Internal Revenue Code—including an increase in the Hospital Insurance payroll tax rate for high-income taxpayers, a surtax on those taxpayers’ net investment income, and annual fees imposed on health insurers—and from the establishment of a new tax credit for health insurance.

Pay-as-you-go procedures apply because enacting the legislation would affect direct spending and revenues. CBO and JCT estimate that enacting the legislation would not increase net direct spending or on-budget deficits by more than $5 billion in any of the four consecutive 10-year periods beginning in 2027.

Effects on Health Insurance Coverage
To estimate the budgetary effects, CBO and JCT projected how the legislation would change the number of people who obtain federally subsidized health insurance through Medicaid, the nongroup market, and the employment-based market, as well as many other factors.

CBO and JCT estimate that, in 2018, 14 million more people would be uninsured under the legislation than under current law. Most of that increase would stem from repealing the penalties associated with the individual mandate. Some of those people would choose not to have insurance because they chose to be covered by insurance under current law only to avoid paying the penalties, and some people would forgo insurance in response to higher premiums.
Later, following additional changes to subsidies for insurance purchased in the nongroup market and to the Medicaid program, the increase in the number of uninsured people relative to the number under current law would rise to 21 million in 2020 and then to 24 million in 2026. The reductions in insurance coverage between 2018 and 2026 would stem in large part from changes in Medicaid enrollment—because some states would discontinue their expansion of eligibility, some states that would have expanded eligibility in the future would choose not to do so, and per-enrollee spending in the program would be capped. In 2026, an estimated 52 million people would be uninsured, compared with 28 million who would lack insurance that year under current law.

Stability of the Health Insurance Market
Decisions about offering and purchasing health insurance depend on the stability of the health insurance market—that is, on having insurers participating in most areas of the country and on the likelihood of premiums’ not rising in an unsustainable spiral. The market for insurance purchased individually (that is, nongroup coverage) would be unstable, for example, if the people who wanted to buy coverage at any offered price would have average health care expenditures so high that offering the insurance would be unprofitable. In CBO and JCT’s assessment, however, the nongroup market would probably be stable in most areas under either current law or the legislation.

Under current law, most subsidized enrollees purchasing health insurance coverage in the nongroup market are largely insulated from increases in premiums because their out-of-pocket payments for premiums are based on a percentage of their income; the government pays the difference. The subsidies to purchase coverage combined with the penalties paid by uninsured people stemming from the individual mandate are anticipated to cause sufficient demand for insurance by people with low health care expenditures for the market to be stable.

Under the legislation, in the agencies’ view, key factors bringing about market stability include subsidies to purchase insurance, which would maintain sufficient demand for insurance by people with low health care expenditures, and grants to states from the Patient and State Stability Fund, which would reduce the costs to insurers of people with high health care expenditures. Even though the new tax credits would be structured differently from the current subsidies and would generally be less generous for those receiving subsidies under current law, the other changes would, in the agencies’ view, lower average premiums enough to attract a sufficient number of relatively healthy people to stabilize the market.

Effects on Premiums
The legislation would tend to increase average premiums in the nongroup market prior to 2020 and lower average premiums thereafter, relative to projections under current law. In 2018 and 2019, according to CBO and JCT’s estimates, average premiums for single policyholders in the nongroup market would be 15 percent to 20 percent higher than under current law, mainly because the individual mandate penalties would be eliminated, inducing fewer comparatively healthy people to sign up.

Starting in 2020, the increase in average premiums from repealing the individual mandate penalties would be more than offset by the combination of several factors that would decrease those premiums: grants to states from the Patient and State Stability Fund (which CBO and JCT expect to largely be used by states to limit the costs to insurers of enrollees with very high claims); the elimination of the requirement for insurers to offer plans covering certain percentages of the cost of covered benefits; and a younger mix of enrollees. By 2026, average premiums for single policyholders in the nongroup market under the legislation would be roughly 10 percent lower than under current law,

CBO and JCT estimate.
Although average premiums would increase prior to 2020 and decrease starting in 2020, CBO and JCT estimate that changes in premiums relative to those under current law would differ significantly for people of different ages because of a change in age-rating rules. Under the legislation, insurers would be allowed to generally charge five times more for older enrollees than younger ones rather than three times more as under current law, substantially reducing premiums for young adults and substantially raising premiums for older people.

Uncertainty Surrounding the Estimates
The ways in which federal agencies, states, insurers, employers, individuals, doctors, hospitals, and other affected parties would respond to the changes made by the legislation are all difficult to predict, so the estimates in this report are uncertain. But CBO and JCT have endeavored to develop estimates that are in the middle of the distribution of potential outcomes.

Macroeconomic Effects
Because of the magnitude of its budgetary effects, this legislation is “major legislation,” as defined in the rules of the House of Representatives. Hence, it triggers the requirement that the cost estimate, to the greatest extent practicable, include the budgetary impact of its macroeconomic effects. However, because of the very short time available to prepare this cost estimate, quantifying and incorporating those macroeconomic effects have not been practicable.

Intergovernmental and Private-Sector Mandates
JCT and CBO have reviewed the provisions of the legislation and determined that they would impose no intergovernmental mandates as defined in the Unfunded Mandates Reform Act (UMRA).

JCT and CBO have determined that the legislation would impose private-sector mandates as defined in UMRA. On the basis of information from JCT, CBO estimates the aggregate cost of the mandates would exceed the annual threshold established in UMRA for private-sector mandates ($156 million in 2017, adjusted annually for inflation).


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Health care
Posted on: 2017-03-13 14:16:45   By: Anonymous
 
You poor saps who voted for this LIAR are screwed IF (and it won't) this new health care passes. He doesn't care a thing about you (nor do most Republicans) if you haven't figured that out yet then you are truly as dumb as we all thought. GOOD JOB you idiots!!!!!

[Reply ]

    REPUBES...
    Posted on: 2017-03-13 14:22:00   By: Anonymous
     

    The Repubes have their little deplorables by the "short and curlies..."


    [Reply ]

      Re: REPUBES...
      Posted on: 2017-03-13 14:25:19   By: Anonymous
        Edited By: thepinetree
      On: 2017-03-13 14:35:13


      [Reply ]

        GOP Plan- Just Die Already
        Posted on: 2017-03-13 14:37:01   By: Anonymous
         
        How Christian of the GOP.
        Those oozing $ get a Tax Break, so that the middle class/poor can die an early death.

        That's Christian values ya'll.

        When will the Dump cultists wake up to the fact the Death Panels are the GOP, and Dump?

        [Reply ]

          Re: GOP Plan- Just Die Already
          Posted on: 2017-03-13 15:01:34   By: Anonymous
           
          Yes, and where do you think the savings of $337 BILLION is coming from? US! You and me! WE will be paying for it! Good luck everyone, and stay healthy!

          [Reply ]

          Re: GOP Plan- Just Die Already
          Posted on: 2017-03-13 15:03:29   By: Anonymous
           
          My 350 a month premium allows me to pay cash for ALL of my care until I spend 7500 out of pocket. I may have a card but I don't have coverage. I am in the 25-40K bracket. The only thing my premium is designed to do is buy coverage for people who will vote democrap for life. LBJ said it best. Look it up you lazy sponges.

          [Reply ]

    Re: Health care
    Posted on: 2017-03-13 17:40:28   By: Anonymous
     
    You do understand the Electoral College System and how it works, right? Some of those folks were democrats who switched sides so Hillary wouldn't become President and sell out America. Who you voted for don't me squat.

    [Reply ]

      Re: Health care
      Posted on: 2017-03-13 22:22:13   By: Anonymous
       

      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.




































































































































































































































































































































































































      Millions of Trump minions are going to find the ER as their mew primary care provider. These sheep-like deplorables continue to follow their shepherd to the slaughter of the U.S.A.





































      [Reply ]

What I Read in this Article
Posted on: 2017-03-13 15:15:06   By: Anonymous
 
Medicaid support will be reduced. Equals a reduction in federal expense. States will either reduce Medicaid benefits or find a way to continue supporting at a cost to State residents.
High income taxpayers will get a tax break. Equals reduced revenue for feds.
14m will be uninsured immediately; 21m in 2020, 24m in 2026 (or is it 52m in 2020 as compared to 28m under the ACA). Presumably they'll do what they previously did. Go to hospital emergency rooms so those in real need of emergency services will get the short straw.
Gov't subsidy for lower income earners goes away.
Patient & State Liability Act: limits costs to insurers; removes req't they offer plans that cover a specified % of select benefits (like cancer treatment); and more . . .
Change from income base to age base rates: Young, singles pay the lowest premiums; the older you get, the more you pay in premiums, estimate is 5x more under new plan in 2020 whereas current plan estimate is 3x more in 2020.
This is a good plan for Trump's desire to increase military spending; it is a good plan for medical insurance providers; it is a good plan for those under 30 and healthy; it is a good plan for higher income earners. In every other way, it is not a good plan.
Thank goodness many GOP congress persons don't support it. Ryan and Trump can go around beating the drum in favor of it, but it is not an affordable health plan for most Americans.

[Reply ]

    Re: What I Read in this Article
    Posted on: 2017-03-13 15:21:21   By: Anonymous
     
    I am one of those you asshat! The mandate is that I currently pay 10,000 a year for any medical care before ODUMMYCARE starts to kick in.Yes you will be counting me as one of those left "uninsured' in the short term. Thank goodness for that!

    [Reply ]

      Re: What I Read in this Article
      Posted on: 2017-03-13 15:28:07   By: Anonymous
       

      You'll die of cancer and beg for Obamacare to come bck...


      [Reply ]

        Re: What I Read in this Article
        Posted on: 2017-03-13 15:33:46   By: Anonymous
         
        Obamacare didn't cure cancer.

        [Reply ]

        Re: What I Read in this Article
        Posted on: 2017-03-13 15:44:24   By: Anonymous
         
        As usual you ignore the facts. Obamacare is only for votes of the gimmie crowd. It does nothing for those in the middle who pay for it. Like I said 10K a yr. for NOTHING!!!!!! It has failed. If Obama wrote the current proposal you would love it and call me names if I didn't like it. BTW, funny how Pelosi says we need to read it this time. Remember when she said "we need to pass it to see what's in it" ? KMA.

        [Reply ]

      Re: What I Read in this Article
      Posted on: 2017-03-13 15:53:33   By: Anonymous
       
      Total BS. You are either the world's most stupid insurance buyer or you are just making that post up. I'm betting it's the latter. Remember all the false Obamacare disaster stories Fox News aired? All turned out to be false and people either got a subsidy or had just made up the whole thing.

      Your president is a LIAR and so are YOU.

      [Reply ]

        Re: What I Read in this Article
        Posted on: 2017-03-13 15:58:06   By: Anonymous
         
        People like me are paying for NOTHING! You and your comrades only have Soros' talking points . Weak sauce.

        [Reply ]

No Subject
Posted on: 2017-03-14 00:11:49   By: Anonymous
 
WE saved all this money and all we had to do was cut out 24 million people...- not acceptable! That's gonna be a lot of PO'd people asking questions. Don't thing Kelly Ann Sleletot can BS her way out of that.

[Reply ]


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