January 7, 2015 - Cost
Estimate
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As introduced in the House of
Representatives on January 6, 2015
H.R. 30 would change how
penalties are imposed under the Affordable Care Act (ACA) on employers that do
not offer insurance (or offer insurance that does not meet certain criteria)
and that have at least one full-time employee receiving a subsidy through a
health insurance exchange. The legislation would raise the threshold
that defines full-time employment from 30 hours per week under current law to
40 hours per week, and it would apply that higher threshold in two ways in the
calculation of penalties.
As a result, H.R. 30 would
reduce the number of employers that are assessed penalties and lower the
penalties assessed against some employers, which would decrease the amount of
penalties collected. Because of the changes in who would pay penalties and the
amounts they would pay, CBO and the staff of the Joint Committee on Taxation
(JCT) estimate that enacting H.R. 30 would also change the sources of health
insurance coverage for some people, and those changes would have further
budgetary effects. Specifically, in years after 2015, CBO and JCT estimate that
the legislation would:
- Reduce the number of people receiving employment-based coverage—by about 1 million people;
- Increase the number of people obtaining coverage through Medicaid, the Children’s Health Insurance Program (CHIP), or health insurance exchanges—by between 500,000 and 1 million people; and
- Increase the number of uninsured—by less than 500,000 people.
As a consequence of the
changes in penalties and in people’s sources of insurance coverage, CBO and JCT
estimate that enacting H.R. 30 would increase budget deficits by $18.1 billion
over the 2015-2020 period and by $53.2 billion over the 2015-2025 period. The
2015-2025 total is the net of $66.4 billion in additional on-budget costs and
$13.2 billion in off-budget savings (the latter attributable to increased
revenues). Although
enacting H.R. 30 would affect direct spending and revenues, the provisions of the
Statutory Pay-As-You-Go Act of 2010 do not apply to the legislation because it
includes a provision that would direct the Office of Management and Budget to
exclude the estimated changes in direct spending and revenues from the
scorecards used to enforce the pay-as-you-go rules.
Source: Congressional Budget Office
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