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Alliance for Health Reform: Briefing July 31, 2009 G. William Hoagland VP Public Policy, CIGNA Show Me the Money!

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Presentation on theme: "Alliance for Health Reform: Briefing July 31, 2009 G. William Hoagland VP Public Policy, CIGNA Show Me the Money!"— Presentation transcript:

1 Alliance for Health Reform: Briefing July 31, 2009 G. William Hoagland VP Public Policy, CIGNA Show Me the Money!

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3 Congressional Budget Totals: FY 2008 – 2014 S. Con. Res. 13 (In Billions of Dollars – % of GDP) 2008200920102011201220132014 % annual 2008-2014 Receipts2,5242,1862,3222,6242,8563,0573,298 + 4.6 % Spending2,9833,8793,5553,5413,4763,6393,821 + 4.2 % Deficits % of GDP 459 3.2% 1,693 12.0% 1,233 8.5% 916 6.1% 620 3.9% 581 3.5% 523 3.0% NA Public Debt % GDP Debt Subject to Limit % GDP 5,803 41% 9,986 70% 7,723 55% 12,016 85% 8,778 61% 13,233 92% 9,683 64% 14,349 95% 10,345 66% 15,277 97% 10,931 66% 16,160 98% 11,499 67% 17,022 99% + 12.1% + 9.3% Source: Concurrent Resolution on the Budget for FY 2010, S.Con.Res. 13. April 29, 2009. Congressional Budget Office, A Preliminary Analysis of the Presidents Budget and an Update of CBOs Economic Outlook. March 2009.

4 Concurrent Resolution on the Budget FY 2010 Health Care Reserve Funds U. S. House of Representatives: Passed April 29 – 233 to 193 U.S. Senate: Passed April 29 – 53 to 43. Subtitle A – Senate Reserve Funds Sec. 301: Deficit-Neutral Reserve Fund to Transform and Modernize Americas Health Care System. The Chairman of the Committee on the Budget may revise allocations…aggregates…limits in this resolution ….provided such legislation would not increase the deficit over either the period of the total of fiscal years 2009 through 2014 or the period of the total of the fiscal years 2009 through 2019. Subtitle B – House Reserve Funds Sec. 321: Deficit-Neutral Reserve Fund for Health Care Reform. The Chairman of the House Committee on the Budget may revise allocations …aggregates…levels in this resolution …if such measure would not increase the deficit or decrease the surplus for either time period provided in clause 10 of rule XXI of the Rules of the House of Represenatives. (Clause 10, Rule 21 = Pay-Go) Title III – Reserve Funds

5 National Health Expenditure Amounts Cumulative Federal Costs for Medicare and Medicaid 2008-2019 2019 Cumulative Federal Medicare/Medicaid Estimate $1,223B 2019 Total National Health Expenditure Amounts Estimate $4,643B Federal Medicaid Federal Medicare Other Public/Private Expenditures $2,379B $586B $3,311B $900B

6 House of RepresentativesSenate (H.R. 3200) 2010–2019 (H.R. 3200) 2019 HELP 2010–2019 HELP 2019Finance Coverage Impact Exchange Subsidies +773+160 +723+140? Employee Payments/Net Subsidies -208-51 -52-9? Payments by Uninsured Individuals -29-5 -36-7? Medicaid/CHIP +438+84 -36 (+500)* -4 (+100)* ? Small Business Tax Credits +53+10 +56+8? Associated Tax Revenues -15+4 -10-5? Class Act/Reinsurance –- -48-3? Net Coverage Impact+1,042+202 +597 (+1,097)* +120 (+220) ? Change in Other Programs/Provisions Medicare Advantage -162-27 –* ? SGR Reform +228+38 – –? Part A & B Market Basket/Home Health/etc. -282-56 – –? Waste/Fraud/Abuse **0 – –? Other -3-6 – –? Net Change in Other Programs -219-51 –* ? Change in Revenues +583+86 –* ? Deficit Impact +239+65 +597 (+1,097)* +120 (+220) ? * = Committee has no jurisdiction over Medicaid, Medicare or tax policy. However, policy assumption expressed is to expand Medicaid eligibility to 150% Federal Poverty Level. Numbers in ( ) reflect this policy. ** = Less than $100 million. Sources: CBO July 17 letter to Chairman Charles Rangel. CBO July 1 Table to HELP Committee members. G. William Hoagland authors aggregation. Preliminary Estimates of Health Care Reform on the Federal Deficit: FY 2010 – 2019 (In Billions of Dollars)

7 © The New Yorker Collection 1996 Peter Steiner from cartoonbank.com. All rights reserved. Royalty fee has been paid for this presentation.


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