Letter to the Honorable Paul Ryan | CBO

Congressional Budget Office. Letter to the Honorable Paul Ryan, March 19, 2010. [Full Text (pdf)]

Dear Congressman:
This letter responds to several questions you have asked about the effects of an amendment in the nature of a substitute to H.R. 4872, the Reconciliation Act of 2010, which was made public on March 18, 2010. That amendment (hereafter called “the reconciliation proposal”) represents one component of the health care legislation being considered by the Congress; the other component is a bill, H.R. 3590, that the Senate passed in December. The analysis provided in this letter is based on the preliminary estimate of the direct spending and revenue effects of that amendment that was prepared by the Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT)

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