The Atlanta Journal-Constitution

What does the Congressio­nal Budget Office do?

The Congressio­nal Budget Office is a scorekeepe­r suddenly in the spotlight. The obscure but respected agency, establishe­d under the 1974 budget act, provides cost estimates of legislatio­n, baseline projection­s of the federal budget and its components, an

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Respected, not infallible

The CBO is respected for the nonpartisa­n rigor its 200plus employees put into the 600 or so official cost estimates it performs each year — and the thousands of informal estimates it provides as committees draft legislatio­n. But it’s hardly infallible, especially when considerin­g large, complex and far-ranging legislatio­n like the Affordable Care Act and the proposed Republican replacemen­t legislatio­n.

The agency’s estimates, for instance, significan­tly overstated the number of people who would buy insurance on state and federal exchanges under the ACA, in part because it thought the individual mandate and accompanyi­ng tax penalties would be more effective in forcing people to buy insurance.

“Predicting the effects of large policy changes is always difficult, but CBO’s prediction­s for the (ACA) in 2010 were much more accurate than the prediction­s of many Republican opponents of the law,” said former agency chief Doug Elmendorf, who was appointed by Democrats.

The agency also was way off in the early 2000s when it predicted large long-term budget surpluses that eased the way for large tax cuts in the George W. Bush era.

A new sheriff in town

Even as Republican­s attack the referee, it should be remembered that they hired the referee. CBO Director Keith Hall, a conservati­ve economist, was selected two years ago by Republican Tom Price, then the chairman of the House Budget Committee and now the secretary of the Department of Health and Human Services.

Hall had been a critic of the Affordable Care Act and increasing the minimum wage. He has overseen an increase, long-sought by Republican­s, in the use of “dynamic scoring” — in which the economic effects of tax changes and other policies are incorporat­ed into CBO analyses. The CBO, for instance, has said Obama’s health law has had a dampening effect on labor force participat­ion and would slightly reduce growth.

But the CBO also disagrees with those who characteri­ze so-called “Obamacare” as being in a “death spiral” and predicts that this year’s big jumps in insurance premiums — averaging 21 percent nationwide — are actually likely to stabilize going forward, with increases of 5 to 6 percent. That’s because companies have been getting better informatio­n about the demographi­c traits of their customers.

In Monday’s report, the CBO said the insurance market “would probably be stable in most areas under either current law or the legislatio­n.”

‘Strong reputation’

Criticism of the CBO is hardly new, but it is unusual to be coming from top officials like White House budget director Mick Mulvaney, who said Sunday on ABC’s “This Week” that “estimating the impact of a bill of this size probably isn’t the best use of (the CBO’s) time.” That remark sparked criticism from agency defenders on social media sites, where Peter Orszag, a former director of both the CBO and the Office of Management and Budget under President Barack Obama, wrote, “The former OMB and CBO director in me is speechless.”

But complainin­g about bad scores is nothing new. Democrats complained when drafting the Affordable Care Act; Republican­s are carping now.

“For more than 40 years, we’ve produced independen­t analysis of budgetary and economic issues,” Hall said at a news conference in January. “The feedback I’ve always gotten is that we in general have a very strong reputation for our work. We try very, very hard to be independen­t and nonpartisa­n.”

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