Overview of Health Care Changes in the FY2013 Budget Proposal Offered by House Budget Committee Chairman Ryan Page: 2 of 16
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Health Care Changes in the FY2013 Budget Proposal Offered by Chairman Ryan
On March 20, 2012, House Budget Committee Chairman Paul Ryan released the Chairman's
mark of the FY20 13 House budget resolution together with his report entitled "The Path to
Prosperity: A Blueprint for American Renewal," which outlines his budgetary objectives. On the
same day, CBO issued an analysis of the long-term budgetary impact of Chairman Ryan's budget
proposal based on specifications provided by House Budget Committee staff. The House Budget
Committee considered and amended the Chairman's mark on March 21, 2012, and voted to report
the budget resolution to the full House. H.Con.Res. 112 was introduced in the House March 23,
2012, and was accompanied by the committee report H.Rept. 112-42 1. H.Con.Res. 112 was
agreed to by the House on March 29, 2012.
A budget resolution provides general budgetary parameters; however, it is not a law. Changes to
programs that are assumed or suggested by the budget resolution would still need to be passed by
separate legislation. Chairman Ryan's budget proposal, as outlined in his report and in the CBO
analysis, suggests short-term and long-term changes to federal health care programs including
Medicare, Medicaid, and the health insurance exchanges established by the Patient Protection and
Affordable Care Act as amended (ACA, P L. 111-148, P L. 111-152).
Within the 10-year budget window (FY20 13-FY2022), the budget proposal assumes that certain
ACA provisions would be repealed, including those that expand Medicaid coverage to the non-
elderly with incomes up to 13300 of the federal poverty level, and those provisions that establish
health insurance exchanges. The proposal would also restructure Medicaid from an individual
entitlement program to a block grant program. Beyond the 10-year budget window, beginning in
2023, the budget proposal assumes an increase in the age of eligibility for Medicare and the
conversion of Medicare to a fixed federal contribution program.
This report summarizes the proposed changes to Medicare, Medicaid, and private health
insurance as described in H.Con.Res. 112, the accompanying committee report, Chairman Ryan's
"Path to Prosperity" report, and the CBO analysis. Additionally, it briefly examines the potential
impact of the proposed changes on health care spending and coverage.
Congressional Research Service
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Overview of Health Care Changes in the FY2013 Budget Proposal Offered by House Budget Committee Chairman Ryan, report, March 29, 2012; Washington D.C.. (https://digital.library.unt.edu/ark:/67531/metadc807899/m1/2/: accessed March 26, 2019), University of North Texas Libraries, Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.