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The Congressional Budget Office

Yesterday, a revised version of the American Health Care Act, intended to reverse a number of insurance measures enacted as part of the President Barack Obama-era Affordable Care Act, narrowly passed the U.S. House of Representatives on Thursday afternoon, in a 217-213 vote. The bill passed despite vocal opposition from citizens concerned about a return to heightened insurance rates for patients with pre-existing conditions, as well as pushback from both health care providers and the insurance industry itself.

The controversial House bill now heads to the U.S. Senate, which is expected to draft its own version of Affordable Care Act repeal-and-replace legislation. As the Washington Post noted today, though, the future of such legislation in the Senate is uncertain. One major reason? The Senate cannot take up consideration of the bill until the Congressional Budget Office completes its report:
First, the Senate's parliamentarian — or rules-keeper — cannot review the legislation and determine the rules of debate until the CBO submits its official estimate, which could take several more weeks to complete, according to congressional aides. That would mean that official Senate debate on the bill could not begin until June.
The Congressional Budget Office is an independent office in the legislative branch which provides non-partisan analysis of proposed legislation's budgetary effects. Established in 1974 by the Congressional Budget Act, CBO analyses are cited by Congress as useful assessments of a particular legislative proposal's effects. An earlier version of the American Health Care Act was pulled from a House vote in March after the CBO estimated that an additional 24 million Americans could be uninsured by 2024 as a result of its passage. The version which passed the House yesterday was voted on without a revised CBO score.

CBO reports are available on the office's website, back to its 1975 Testimony on Long Range Budget Projections. The federal Documents collections at the Goodson Law Library and elsewhere on campus also contain hard copies of many CBO publications, which can be found with an author search of the Duke University Libraries catalog for congressional budget office. More background about the CBO and its work can be found in the United States Government Manual.

For help locating information about the CBO or federal legislation, be sure to Ask a Librarian.

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