The Blog

No Time for Actuary to Analyze Health Care Bill

2:40 PM, Mar 20, 2010 • By DANIEL HALPER
Widget tooltip
Single Page Print Larger Text Smaller Text Alerts

From the office of Senator Mitch McConnell: 

Administration Actuary Can’t Analyze Health Bill Before Final Vote

Even the Administration’s Chief Actuary at HHS cannot provide cost analysis of latest Democrat health spending bill before the vote

Chief Actuary: ‘I regret that my staff and I will not be able to prepare our analysis within this very tight time frame, due to the complexity of the legislation.’

WASHINGTON, DC – The Obama administration’s chief actuary at the Centers for Medicare and Medicaid Services (CMS) notified Republican leaders Saturday that the “very tight time frame” and “complexity” of the Democrats’ health spending bill would prevent them from fully analyzing the costs and efficacy of the bill before the House voted on the legislation. The letter was in response to a request from House and Senate Republicans.

The Chief Actuary, Richard S. Foster, wrote: “In your letter, you requested that we provide the updated actuarial estimates in time for your review prior to the expected House debate and vote on this legislation on March 21, 2010. I regret that my staff and I will not be able to prepare our analysis within this very tight time frame, due to the complexity of the legislation.”

Foster and his staff analyzed the Senate-passed bill and determined that it bent the cost curve up, estimating in a January 8 report that national health expenditures would increase by an estimated total of $222 billion, and that the additional demand for health services “could be difficult to meet” and “could lead to price increases, cost-shifting, and/or changes in providers’ willingness to treat patients with low-reimbursement health coverage.” Foster, in his letter today, expects the new health spending bill to be “generally similar.”

House Republican Leader John Boehner said: “The House of Representatives should not vote blindly on an issue that is so important to every American.  We deserve to have all the facts about how much this bill raise health care costs before we vote.  The decision to press ahead and jam this bill down the throats of the American people is just one more example of arrogance and irresponsibility from Washington Democrats.” 

Senate Republican Leader Mitch McConnell said: “Americans deserve to have a full analysis of this bill, but won’t because of the mad dash forced by the Democrat leaders in the House. We now know that even the Obama administration’s chief actuary predicts more government spending, more price increases for consumers and less care for low-income patients. This debate was supposed about lowering costs for Americans not making things worse.”

The letter to CMS was signed by McConnell, House Republican Leader John Boehner, Senate Republican Whip Jon Kyl, House Republican Whip Eric Cantor, Senate Budget Committee Ranking Member Judd Gregg, Senate Finance Committee Ranking Member Charles Grassley, Senate Health, Education, Labor and Pensions Committee Ranking Member Mike Enzi,  House Budget Committee Ranking Member Paul Ryan, House Ways and Means Committee Ranking Member Dave Camp, House Energy and Commerce Committee Ranking Member Joe Barton, and House Education and Labor Committee Ranking Member John Kline.


Full text of the letter to Republican leaders follows:

The Honorable Mitch McConnell

Republican Leader

United States Senate


Dear Senator McConnell:


This letter is in preliminary response to your inquiry of March 19 requesting an updated analysis by the Office of the Actuary of the Patient Protection and Affordable Care Act (as passed by the Senate) as it would be modified by the “Amendment in the Nature of a Substitute to H.R. 4872, the Reconciliation Act of 2010” (as released by the House Committee on Rules on March 18). The request was made jointly by yourself and 10 other members of the House and Senate Republican Leadership.


Recent Blog Posts

The Weekly Standard Archives

Browse 19 Years of the Weekly Standard

Old covers