国会预算办公室-制定选定的健康保险政策对联邦预算和健康保险人数的估计影响（英）-2025.9-14页.pdf

CONGRESSIONALBUDGETOFFICEPhillipL.Swagel,Director

U.S.Congress

Washington,DC20515

September18,2025

HonorableChuckSchumerHonorableBernieSanders

DemocraticLeaderRankingMember

UnitedStatesSenateCommitteeonHealth,Education,

Washington,DC20510Labor,andPensions

UnitedStatesSenate

Washington,DC20510

HonorableJeffMerkleyHonorableRonWyden

RankingMemberRankingMember

CommitteeontheBudgetCommitteeonFinance

UnitedStatesSenateUnitedStatesSenate

Washington,DC20510Washington,DC20510

Re:TheEstimatedEffectsofEnactingSelectedHealthCoveragePolicieson

theFederalBudgetandontheNumberofPeopleWithHealthInsurance

DearLeaderSchumer,RankingMemberSanders,RankingMemberMerkley,

andRankingMemberWyden:

YouhaveaskedtheCongressionalBudgetOfficeforinformationconcerning

theestimatedeffectsonfederaldeficitsandhealthinsurancecoveragethat

wouldoccurifthefollowingchangestocurrentlawwereenactedon

September30,2025:

•Permanentlyexpandthepremiumtaxcreditstructureasprovidedinthe

AmericanRescuePlanActof2021(ARPA)andlaterextendedthrough

calendaryear2025inthe2022reconciliationact—increasingthe

deficitby$350billionfrom2026to2035andthenumberofpeople

withhealthinsuranceby3.8millionin2035,

•NullifyafinalrulepublishedinJune2025bytheDepartmentofHealth

andHumanServicesrelatedtothehealthinsurancemarketplaces

establishedbytheAffordableCareAc