About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline



CBO's Analysis of the Health Insurance Initiatives in the Mid-Session Review 1 (July 2000)

handle is hein.congrec/cbo0668 and id is 1 raw text is: Page 1 of 12


        CBO's Analysis of the Health Insurance

           Initiatives in the Mid-Session Review

                                        July 18, 2000

The President's Mid-Session Review of the budget incorporates modifications to the health insurance
initiatives that were included in the budget submitted in February.(1) The Congressional Budget
Office (CBO) estimates that those initiatives, as modified, would increase direct spending by $4.7
billion in 2001, $129 billion over the 2001-2005 period, and $429 billion over the 2001-2010 period
(see Table 1).(2) The modified proposals would also reduce revenues by $9 billion through 2010.
Because the proposals would affect direct spending and revenues, pay-as-you-go procedures would
apply to them.

T-LE97.
TEN-YEAR ESTIMATES OF CHANGES IN SPENDING AND REVENUES IN THE PRESIDENT'S
HEALTH INSURANCE PROPOSALS (In billions of dollars)
                                                                 Administration's    CBO's
                                                                    Estimate        Estimate
                                         Direct Spending
 Medicaid and SCHIP (Federal payments)
 FamilyCare                                                           76.0            56.2
 Other Medicaid/SCHIP proposals                                       14.4            18.1
 Effect of Medicare prescription drug benefit                         20,3            40.7
 Effect of'higher drug prices on Medicaid                                0            1.4
   Subtotal                                                          110.7           116.4
 Medicare
 Prescription drug benefit                                           232.4           297.0
 Changes to traditional Medicare                                      17.9            26.8
 Expanded eligibility for Medicare                                     2.9             0.2
 Medicare competitive defined benefit                                -11.9           -13.7
   Subtotal                                                          241.4           310.4
 Other Federal Programs
 Diabetes research                                                     0.3             0.3
 Ricky Ray Hemophilia Relief Trust Fund                                0.5             0.5
 Effect of higher drug prices on FEHB program (For annuitants)          0              0.1
   Subtotal                                                            0.8             0.9
   Social Security outlays for expanded eligibility for Medicare (Off-budget)  1.1     1.4
   Total (Including off-budget)                                      354.0           429.1
                                            Revenues
 Tax Credits for Expanded Eligibility for Medicare                     -1.6           -8.4
 Income Taxes and Medicare Payroll Taxes (On-budget)                    0             -0.6
 Social Security Payroll Taxes (Off-budget)                             0             -0.3
    Total (Including off-budget)                                       -1.6           -9.2
                                 Spending Subject to Appropriations
 Medicare Administrative Costs for Prescription Drug Benefit            0              5.6
                                       Total Budgetary Effect


Decrease in the Total Budget Surplus Over 10 Years


355.6           443.9