Appropriations and Fund Transfers in the Affordable Care Act (ACA)

Implementation of the Patient Protection and Affordable Care Act (Affordable Care Act, or ACA) is having a significant impact on federal mandatory, also known as direct, spending. Most of the projected spending under the law is for expanding health insurance coverage. In addition, the ACA included n...

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Bibliographic Details
Published in:Policy File 2015
Main Author: Redhead, C Stephen
Format: Report
Language:English
Subjects:
Budgets/Expenditures
Federation of American Scientists
Government
Health care policy
Online Access:Request full text
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Summary:Implementation of the Patient Protection and Affordable Care Act (Affordable Care Act, or ACA) is having a significant impact on federal mandatory, also known as direct, spending. Most of the projected spending under the law is for expanding health insurance coverage. In addition, the ACA included numerous appropriations that have provided billions of dollars in mandatory funds to support new and existing grant programs and other activities. The ACA established four special funds and appropriated substantial amounts to each one. Federal outlays on insurance expansion coverage under the ACA, which constitutes most of the law's mandatory spending, are almost entirely exempt from sequestration. However, the mandatory appropriations in the ACA are, in general, fully sequestrable at the percentage rate applicable to nonexempt nondefense mandatory spending. Besides the mandatory appropriations discussed in this report, the ACA also is having an effect on federal discretionary spending, which is controlled by the annual appropriations acts.