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Published on
23C O N G R E S S I O N A L B U D G E T O F F I C E
Conclusions
■ Analysis used long-standing procedures, models, and estimates—
but applied them in a new way
■ There is substantial uncertainty about budgetary effects and
macroeconomic feedbacks
■ Over the next decade, the uncertainty is large enough that repealing
the ACA could reduce cumulative deficits—or increase them by
much more than estimated
■ ACA repeal includes large offsetting changes to spending and
revenues
■ In CBO’s analyses of other policies, macroeconomic feedback has
been less significant relative to the estimated cost without
macroeconomic feedback