Congressional Budget Office Testimony

Congressional Budget Office

The Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT) have completed an estimate of the direct spending and revenue effects of an amendment in the nature of a substitute to H.R. 4872, the Reconciliation Act of 2010. The amendment discussed in this letter (hereafter called “the reconciliation proposal”) is the one that was made public on March 18, 2010, as ...

Congress of the United States Congressional Budget Office

Statement of Paul B. Ginsburg Chief, Health and Veterans Affairs Unit Congressional Budget Office

Does the Congressional Budget Office underestimate savings from reform? A review of the historical record.

When the Congressional Budget Office (CBO) "scores" legislation, or assesses the likely cost impact, it requires substantial evidence that a cost-saving initiative has historically achieved savings. The agency has difficulty addressing the impact of multiple changes made simultaneously without historical precedent where there is an interaction effect among proposed changes. This study examines ...

Determining the economic value of disease management programs for employers.

report issued by the Congressional Budget Office (CBO) on October 13, 2004 set in motion a national debate on the economic value of disease management (DM) programs and sent shock waves through the industry with the statement that “there was insufficient evidence to conclude that disease management programs can generally reduce overall health spending.”1 The Congressional Budget Office left lit...