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1 CBO's Estimates of Enrollment in Short-Term, Limited-Duration Insurance 1 (September 25, 2020)

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CONGRESSIONAL  BUDGET OFFICE                        Phillip L. Swagel, Director
U.S. Congress
Washington, DC 20515



                                       September 25, 2020



Honorable  Tammy  Baldwin
United States Senate
Washington,  DC  20510

Re: CBO's  Estimates ofEnrollment in Short-Term, Limited-Duration
    Insurance

Dear Senator:

This letter responds to your request that the Congressional Budget Office
examine recent research about short-term, limited-duration insurance
(STLDI), reexamine  its characterization of STLDI, and update its estimates
of enrollment in STLDI accordingly.'

CBO  reviews its projections of health insurance coverage annually. After
performing its most recent review, which accounted for recent research on
STLDI,  the agency has concluded that the evidence available to date does
not warrant changing its expectation that there will be two categories of
STLDI  plans-those  that provide what CBO considers insurance coverage
and those that do not. CBO anticipates that the majority of people who
enroll in STLDI as a result of the most recent regulations will enroll in
plans that do provide insurance coverage. CBO continues to monitor
developments  in the market for STLDI and will revisit that assessment in
the future if new evidence supports doing so.

Background
Before 2014, the traditional role of STLDI was to provide temporary health
insurance for individuals, filling short gaps in coverage that might occur in

1 The Honorable Tanuny Baldwin and the Honorable Chris Murphy, United States Senate, letter to
Phillip Swagel, Director, Congressional Budget Office (August 13, 2020),
htps://go.usa.gov/xGVY5 (PDF, 68 KB).


www.cbo.gov