The federal government forms for applying for health coverage under the Affordable Care Act

commentary

(The Commonwealth Fund Blog)

January 11, 2017

Repeal-and-Delay Would Make Budget Neutrality for ACA Replacement Difficult

Federal government forms for applying for health coverage under the Affordable Care Act

Photo by Jonathan Bachman/Reuters

by Christine Eibner

As Congress considers options to repeal and replace the Affordable Care Act (ACA), it will need to confront how the federal budget scoring process can affect the fate of legislation. The Congressional Budget Office (CBO) is required to produce a “score,” or budget estimate, for most bills approved by a full committee in both the House of Representatives and the Senate. Each score represents CBO's best estimate of the 10-year impact of legislation on the federal deficit. Bills scored as deficit-increasing may be difficult to pass given certain statutory and procedural rules intended to prevent new legislation from increasing the federal deficit.

The remainder of this commentary is available on commonwealthfund.org.

Christine Eibner is a senior economist at the nonprofit, nonpartisan RAND Corporation.

This commentary originally appeared on The Commonwealth Fund Blog on January 11, 2017.