"What Would Be the Major Effects of
Repealing the ACA?
CBO and JCT estimate that repealing the ACA would
have several major effects, relative to the projections
under current law:
Including the budgetary effects of macroeconomic
feedback, repealing the ACA would increase federal
budget deficits by $137 billion over the 2016–2025
period (see Table 1). That estimate takes into account
the proposal’s impact on federal revenues and direct
(or mandatory) spending, incorporating the net effects
of two components:
• Excluding the effects of macroeconomic
feedback—as has been done for previous estimates
related to the ACA (and most other CBO cost
estimates)—CBO and JCT estimate that federal
deficits would increase by $353 billion over the
2016–2025 period if the ACA was repealed.
• Repeal of the ACA would raise economic output,
mainly by boosting the supply of labor; the
resulting increase in GDP is projected to average
about 0.7 percent over the 2021–2025 period.
Alone, those effects would reduce federal deficits
by $216 billion over the 2016–2025 period, CBO
and JCT estimate, mostly because of increased
federal revenues
Affordable Care Act
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