Re: Additional Follow-Up About the Budgetary Treatment of Cost-Sharing Reductions
CBO analyzed how premiums for 2018 had been affected by the lack of CSR payments in all states and the implications for the agency's baseline projections before those projections were finalized in
The approach CBO used allows the baseline projections to reflect what is actually happening in insurance markets, rather than the alternative of assuming the continuation of direct payments that were not being made.
I continue to welcome the opportunity to discuss with you in person issues like this one and any others that may concern you. Please contact me if you would like to talk directly or if I can provide any other assistance.
1 See Congressional Budget Office, letter to the Honorable