CBO Reports That Health Law Provision Called ‘Bailout’ By GOP Will Raise $8B
New findings from the may make it harder for Republicans to portray a provision in the health law designed to limit insurers鈥 losses and gains as a 鈥bailout鈥 for the industry.

The panel is scheduled to have a hearing Wednesday examining the 鈥 which limit plans’ exposure to possible upheavals caused by the transition to marketplaces that require health insurers to accept all comers, no matter how poor their health.聽聽Witnesses include Sen. Marco Rubio, R-Fla., who is sponsoring to repeal the risk corridors, which he and the bill鈥檚 co-sponsors have called a 鈥渂lank check for a bailout of insurance companies.鈥
Under the program, actual claims are compared to the claims insurers anticipated when they set their premiums.聽 The government collects money from plans with lower-than-expected claims to make payments to plans with higher-than-expected claims.聽 If claims exceed expected amounts,聽 the government makes up some of the difference.
The CBO鈥檚 budget outlook, released Tuesday,聽projected that the risk corridor program will actually produce $8 billion over its lifespan rather than cost taxpayers money.聽 Previously the nonpartisan agency the program as a cost or benefit to the government because it assumed that payments from insurers would offset payments made to other insurers.
That previous estimate, however, was made before President Barack Obama鈥檚 in November that some people in the individual market who received cancellation notices could keep their health plans for another year. Some analysts that change may keep healthy people out of the online marketplaces, which could聽increase premiums next year. Critics聽have said聽the flawed rollout of the health law, along with its design, meant the government聽would end up paying more money than it would ever recoup from insurers.
But the CBO reaches a different conclusion.聽 In its report, released Tuesday, CBO said that in a similar program set up as part of the Medicare prescription drug program, collections from insurers exceeded payments to health plans, yielding net collections that have averaged about $1 billion a year, or between 2 percent and 3 percent of total covered costs for drugs under Part D.
鈥淭hat experience suggests that plans鈥 premium bids in the [Affordable Care Act鈥檚] exchanges will probably exceed their costs by a few percent鈥 despite technical issues in the rollout, CBO said.
CBO also found that the health law鈥檚 two other programs to help insurers manage risk — risk adjustment and reinsurance — 聽are estimated to have no budget impact.
Don鈥檛 expect the CBO鈥檚 findings to stop the GOP鈥檚 campaign to repeal the law’s聽risk corridors. A 聽 released Tuesday by House Energy and Commerce Committee Chairman Fred Upton, R-Mich., raises questions about the administration鈥檚 ability to make payments to insurers without a budget appropriation from Congress allowing them to do so.