Potential Costs and Impact of Health Provisions in the Build Back Better Act

(By Cynthia Cox, Robin Rudowitz, Juliette Cubanski, Karen Pollitz, MaryBeth Musumeci, Usha Ranji, Michelle Long, and Meredith Freed for Kaiser Family Foundation Published: Nov 16, 2021)

Congress is considering a broad package of health, social, and environmental programs supported by President Biden, called the Build Back Better Act. The total cost of the original package had been pegged at $3.5 trillion (much of which would be offset by savings and new revenue), though the legislation has since changed in ways that will likely reduce the total. This brief summarizes major health provisions as of the bill reported to the House Rules Committee on November 3, 2021, which, at the time of publication, has not yet received a CBO score. Negotiations are ongoing and there may be future changes.

Here, we walk through 10 of the major health coverage and financing provisions of the Build Back Better Act, with discussion of the potential implications for people and the federal budget. We summarize provisions relating to the following areas and provide data on the people most directly affected by each provision and the potential costs or savings to the federal government.  Continue reading here…

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