The Atlantic

How Does Congressional Budget Office Scoring Work?

A conversation with a former director of the agency on the American Health Care Act vote and how health-care legislation is appraised by the federal government
Source: Pablo Martinez Monsivais / AP

The American Health Care Act is scheduled for a vote in the House Thursday afternoon. After weeks of setbacks and negotiations, the White House and GOP leaders in Congress seem confident that the amended law will have enough support among both moderate Republicans and the more conservative Freedom Caucus to pass and proceed to the Senate.

The decision to push for a vote this week has proved controversial, as there is little consensus on what the revised law will actually do. A collection of amendments added since its initial drafting—including one from Representative Tom MacArthur allowing states to , and two amendments that or increased costs for sick people. But House Republicans are invested in moving quickly—eschewing hearings on the law and allowing limited time for analysis and consideration. Perhaps more consequentially, they are voting before its specs can be reappraised by the Congressional Budget Office, the agency that evaluates a law’s potential outcomes.

You’re reading a preview, subscribe to read more.

More from The Atlantic

The Atlantic7 min readAmerican Government
Could South Carolina Change Everything?
For more than four decades, South Carolina has been the decisive contest in the Republican presidential primaries—the state most likely to anoint the GOP’s eventual nominee. On Saturday, South Carolina seems poised to play that role again. Since the
The Atlantic4 min read
Hayao Miyazaki’s Anti-war Fantasia
Once, in a windowless conference room, I got into an argument with a minor Japanese-government official about Hayao Miyazaki. This was in 2017, three years after the director had announced his latest retirement from filmmaking. His final project was
The Atlantic5 min readAmerican Government
What Nikki Haley Is Trying to Prove
This is an edition of The Atlantic Daily, a newsletter that guides you through the biggest stories of the day, helps you discover new ideas, and recommends the best in culture. Sign up for it here. Nikki Haley faces terrible odds in her home state of

Related Books & Audiobooks