Committee for a Responsible Federal Budget

Updated Health Care Charts


CRFB has updated its health care chart, detailing the ten-year costs and savings from the most recent legislation passed by the House and the bill introduced by Senator Reid in the Senate yesterday. To compare the most recent Senate bills with the previous HELP and Finance Committee bills, click here.

View our comparison chart below.

Provisions10-Year Costs
House Bill
Senate Bill
Individual Penalties $33 $8
Employer Payments $135 $28
Mandate Provisions $168 $36
Exchange Subsidies ($602) ($447)
Medicaid Expansion ($425) ($374)
Small Business Credits ($25) ($27)
Coverage Expansion ($1052) ($848)
Physician Payment Updates n/a ($11)
Medicare Prescription Drug Coverage n/a# ($23)
Measures to Slow Health Care Cost Growth ($31) ($17)
Other Spending Changes ($195) ($42)
Other Spending ($226) ($93)
Prescription Drug Cost Reductions $83# $51
Medicare Advantage Cuts $170 $119
Reductions in Provider Payment Updates $173 $160
Medicare Premium Increase n/a $36
Medicare Payment Commission n/a $23
Measures to Slow Overall Health Care Cost Growth $37 $26
Measures to Reduce Federal Health Care Spending $106 $129
Spending Offsets $569 $544
Excise Tax on High Cost Insurance n/a $149
Tax Gap and Loopholes Closing $60 $17
Surtax on High Earners $461 n/a
Limits to Health Care Tax Benefits $22 $43
Fees on Health Care Companies $20 $108
Medicare Payroll Tax Increase for High Earners n/a $54
Tax Increases $563 $370
Interactions and Other Spending and Taxes
 $15 $48
Budgetary Impact Subtotal $37 $57
CLASS Act+ $102 $72
Total Budgetary Impact $138 $130
Tenth Year Deficit $12 $8
Deficit Reduction in Second Decade 0% to 0.25% of GDP 0.25% of GDP
Reduction in Uninsured 36 Million 31 Million

Numbers in billions, with positive numbers representing a reduction in the deficit. Numbers may not add due to rounding.
Sources: Congressional Budget Office, Joint Committee on Taxation, and Authors' Calculations.
#Cost of expanding prescription drug coverage incorporated into savings estimate for reducing payments.
+The CLASS Act makes available government-sponsored long-term care insurance. Because this insurance would have a "vesting period," the provision appears to raise considerable amounts of revenue over the next decade. However, these revenues must ultimately be used to cover the program's costs, and therefore do nt belong in the bill as an offset.