Chart: Major CBO Estimates for House, Senate and President’s Proposals

By Kate Steadman

KHN Staff Writer

The Congressional Budget Office, an independent government agency, estimated the costs and revenues of the three major health overhaul proposals before Congress. The table below lays out key items in the bills, including the total cost, the amount the bills reduce the federal deficit and the different taxes and fees that help fund each bill. Other items “scored” by the CBO include the CLASS Act, a new long-term care insurance program, and the so-called “Cadillac tax“.



HOUSE BILL: Affordable Health Care for America Act* 

SENATE BILL: Patient Protection and Affordable Care Act* 


 Gross Cost of Coverage Provisions

 $891 billion

 $875 Billion

 Deficit Reduction

 $138 billion

 $118 Billion

 Start Year for Exchanges and Subsidies



 New Spending      

 $31 Billion

 $2 Billion


 $574 Billion

 $337 Billion

 Small Employer Tax Credit

 $25 Billion

 $37 Billion

 Medicaid Expansion

 $425 Billion

 $386 Billion

 Medical Malpractice Reform Pilots



 New Revenues      
 Changes to Medicare and Medicaid

 $396 Billion

 $430 Billion

 Penalities Paid By Employers and Uninsured Individuals

 $168 Billion

 $39 Billion

 Tax on High-Income Earners

 $460 Billion


 Fees on Certain Manufactuers and Insurers


 $101 Billion

 Hospital Insurance Tax


 $87 Billion

 ‘Cadillac Tax’


 $149 Billion

 Public Option

 $5 Billion



 $102 Billion

 $70 Billion

 Net Decrease In Uninsured

 36 Million**

 31 Million**



* Cost estimates are for the period 2010-2019

** In 2019