Congressional Budget Office

National Academy of Social Insurance Elects New Board Leadership, Adds Nationally Recognized Policy Leader to its Staff

Retrieved on: 
Tuesday, February 20, 2024

“Having the opportunity to serve as Board Chair of the National Academy of Social Insurance and to be colleagues with the exceptional scholars and policymakers who work in the various areas of social insurance has been a tremendous honor,” said Renée Landers. “Sustaining the ability of the Academy to inform the public and to participate in the policy dialogue on traditional and emerging social insurance policies is important given how essential these policies and programs are to the economic security of individuals and families. I have confidence that--with Paul Van de Water, Josie Kalipeni, Douglas Holtz-Eakin joining Merrill Friedman - leading the Board at a time of staff transition--the Academy's future will thrive through excellent stewardship.”

Key Points: 
  • Washington, Feb. 20, 2024 (GLOBE NEWSWIRE) -- The National Academy of Social Insurance is pleased to announce the election of several of the nation’s top social insurance experts to steer its Board of Directors , as well as the addition of a former longtime Board member and nationally renowned social insurance leader to its staff to increase the organization’s policy impact.
  • Van de Water is a well-respected, longtime leader on Medicare, Social Security, and health coverage.
  • “Having the opportunity to serve as Board Chair of the National Academy of Social Insurance and to be colleagues with the exceptional scholars and policymakers who work in the various areas of social insurance has been a tremendous honor,” said Renée Landers.
  • A Founding Member of the Academy, he was Vice President for Health Policy from 2005 to 2008.

Former White House Economists to Discuss Social Security, National Debt to Kick Off 'Finance Grand Challenges' Series at UMD Smith

Retrieved on: 
Friday, February 2, 2024

Swagel, CBO director since 2019, previously served on the UMD School of Public Policy faculty and as a senior fellow for Smith's Center for Financial Policy .

Key Points: 
  • Swagel, CBO director since 2019, previously served on the UMD School of Public Policy faculty and as a senior fellow for Smith's Center for Financial Policy .
  • Goodspeed, like Faulkender and Swagel, served in the White House — on the Council of Economic Advisers, including as acting chairman from 2020-2021.
  • He previously served on the council as chief economist for macroeconomic policy and senior economist for tax, public finance and macroeconomics.
  • To register to attend the free event and for more information, go to the Finance Grand Challenges Speaker Series website.

Americans for Prosperity Launches New Ad Campaign in Support of the ACCESS Act

Retrieved on: 
Thursday, February 1, 2024

ARLINGTON, Va., Feb. 1, 2024 /PRNewswire/ -- Today, Americans for Prosperity launched a digital ad campaign to promote H.R. 5608, The ACCESS Act. This innovative legislation led by U.S. Reps. Greg Steube (FL-17) and Kat Cammack (FL-3) would allow lower-income Americans on ACA plans to put a portion of their CSR subsidies into a health savings account. This increases access to affordable health care and empowers individuals with more options to choose from.

Key Points: 
  • ARLINGTON, Va., Feb. 1, 2024 /PRNewswire/ -- Today, Americans for Prosperity launched a digital ad campaign to promote H.R.
  • This increases access to affordable health care and empowers individuals with more options to choose from.
  • The ACCESS Act would establish a tax-free health savings account (HSA) option for about 5 million lower-income families eligible for CSRs under the Affordable Care Act.
  • Click here to learn more about The ACCESS Act , health savings accounts , and AFP's vision for health care reform, the Personal Option .

Lower Costs, Better Value, Greater Access: CED Provides Rx for Health Care

Retrieved on: 
Tuesday, October 31, 2023

It examines urgent health care policy issues that the pandemic exposed and magnified and provides recommendations for both the public and private sectors.

Key Points: 
  • It examines urgent health care policy issues that the pandemic exposed and magnified and provides recommendations for both the public and private sectors.
  • While our nation offers the best care in the world and conducts unparalleled research, millions of Americans still lack access to health care or cannot afford it," said Dr. Lori Esposito Murray, President of CED.
  • "Enacting CED's solutions will help develop a system that yields affordable and accessible care and better outcomes."
  • A greater focus on preventative care and wellness, rather than treating problems once they occur, will improve the quality of health care and overall health outcomes and lower costs in the system over time.

Kong Research Forecasts API Monetization to Grow by 115% by 2027

Retrieved on: 
Wednesday, October 25, 2023

SAN FRANCISCO, Oct. 25, 2023 /PRNewswire/ -- Kong Inc., a leading developer of cloud API technologies, today announced its most recent study, the company's "2023 API Impact Report." The research, undertaken by Kong experts and an economist from Brown University, explores the expanding macroeconomic influence of APIs and associated technologies in the U.S. and globally. By leveraging survey insights with economic data, the report underscores the growing influence that APIs will have on global economies and enterprises in the coming years. Moreover, the study also analyzes the escalating risks of cybersecurity threats aimed at inadequately secured API technology infrastructures.

Key Points: 
  • SAN FRANCISCO, Oct. 25, 2023 /PRNewswire/ -- Kong Inc., a leading developer of cloud API technologies, today announced its most recent study, the company's " 2023 API Impact Report ."
  • The research, undertaken by Kong experts and an economist from Brown University, explores the expanding macroeconomic influence of APIs and associated technologies in the U.S. and globally.
  • Moreover, the study also analyzes the escalating risks of cybersecurity threats aimed at inadequately secured API technology infrastructures.
  • This study examined both economic trends in API infrastructure and related technologies, as well as the cost of various API security vulnerabilities.

Citizens Against Government Waste Releases $4 Trillion in Prime Waste-Cutting Recommendations

Retrieved on: 
Thursday, October 5, 2023

Today, Citizens Against Government Waste (CAGW) released Prime Cuts 2023 , the latest edition of the group’s comprehensive recommendations to eliminate waste, fraud, abuse, and mismanagement in the federal government.

Key Points: 
  • Today, Citizens Against Government Waste (CAGW) released Prime Cuts 2023 , the latest edition of the group’s comprehensive recommendations to eliminate waste, fraud, abuse, and mismanagement in the federal government.
  • Total savings from Prime Cuts 2023 are $402.3 billion in the first year and $4 trillion over five years.
  • There are 543 recommendations from bipartisan and nonpartisan sources, including the Government Accountability Office, Congressional Budget Office, and the budgets of former Presidents Trump and Obama.
  • Since CAGW’s inception in 1984, implementation of the group’s recommendations has helped save taxpayers more than $2.4 trillion.

GOP shutdown threat is the wrong way to win a budget war − history shows a better strategy for reducing the deficit

Retrieved on: 
Wednesday, September 27, 2023

While fiscal discipline has long been the rallying cry for shutdown supporters, the tactic isn’t necessarily effective at reducing the government’s deficit.

Key Points: 
  • While fiscal discipline has long been the rallying cry for shutdown supporters, the tactic isn’t necessarily effective at reducing the government’s deficit.
  • History shows that shutdowns are counterproductive – at least as measured by their own defenders’ goals.
  • Fortunately, the past also provides a proven way to reduce the deficit, which I agree is a laudable goal.

Deficits are too high

    • When House Republicans say America’s finances are in bad shape, they do have a point.
    • The deficit, currently estimated at US$1.5 trillion, and debt held by the public, estimated at $25.8 trillion, are both dangerously high.
    • For one thing, large deficits are inflationary and put pressure on the Federal Reserve to raise interest rates.
    • That would make interest rates spike and could create a major economic collapse.

Fighting the wrong battle

    • I would argue that now is the wrong time for Republicans to take a stand on reducing the deficit, for two reasons.
    • The U.S. has had 21 shutdowns over the past five decades, three of which have been major.
    • These have all caused real harm to the U.S. economy, but they haven’t led to the spending levels Republicans wanted.
    • The bottom line is that they’re ignoring national defense and mandatory spending, which together represent 75% of total spending.

How to get results

    • Over the past 40 years, there have been six serious budget negotiations that resulted in deficit reductions.
    • One in 2011, negotiated by then-President Barack Obama and House Majority Leader John Boehner, was likely the most successful from a fiscal perspective.
    • When it was finally enacted, it generated $1.95 trillion in deficit reduction over nine years.
    • These examples show that budget negotiations without threatening a shutdown can be effective at enacting major deficit-reduction plans into law.

Maine Mobile Bioscience Lab to Launch in Early 2024 for Maine Middle Schools

Retrieved on: 
Wednesday, September 20, 2023

PORTLAND, Maine, Sept. 20, 2023 /PRNewswire/ -- Portland-based nonprofit organization Educate Maine, in partnership with Bioscience Association of Maine, Northeastern University's Roux Institute and Learning Undefeated, has announced plans to build a mobile bioscience laboratory for Maine students that will increase interest in and awareness of bioscience content and careers. Funding for this initiative has been provided in the Congressional Budget of the 2024 fiscal year, thanks to legislation introduced and supported by Maine Senators Susan Collins and Angus King.

Key Points: 
  • "We are grateful to Senator Collins and Senator King for their strong and forward-thinking support of Maine students."
  • Agnieszka Carpenter, Executive Director of Bioscience Association of Maine agrees, "Life sciences is one of the fastest growing industries in Maine.
  • Educate Maine has partnered with nonprofit organization Learning Undefeated , a thought leader in immersive education environments, to design and build the mobile bioscience lab that will serve Maine students.
  • The Maine bioscience lab is expected to begin serving schools in spring 2024, with an initial focus on grades 5 to 8.

Congress needs to pass 12 funding bills in 11 days to avert a shutdown – here’s why that isn’t likely

Retrieved on: 
Tuesday, September 5, 2023

Congress has just 11 days when it’s in session before the next federal fiscal year begins on Oct. 1, 2023.

Key Points: 
  • Congress has just 11 days when it’s in session before the next federal fiscal year begins on Oct. 1, 2023.
  • And in that time, it will need to enact all 12 appropriation bills to ensure that government agencies and departments have funding to keep programs going – or face a potential government shutdown.
  • This is due to the magnitude of the differences not only between the two parties but also between the House and Senate.

One down, many to go

    • But just before the House broke for August recess, it passed one appropriation bill, for military construction.
    • The problem is the military construction bill is traditionally the easiest to pass, as it is very small – this year it stood at US$19.1 billion in spending.
    • This is substantially less than the largest bill, which is usually the Labor, Health, Human Services and Education bill.

Ideological impasse

    • These will be vehemently opposed by Democrats and potentially create an impasse in negotiations.
    • Another complicating factor is that, recently, the administration submitted to Congress a request for a $45 billion supplemental appropriation that includes $24 billion for the war in Ukraine.
    • In the past, these measures would often be attached to either an individual appropriation bill or what is known as a continuing resolution.
    • While, constitutionally, appropriation bills must start in the House, they have to be reconciled with whatever version the Senate passes.

A history of shutdowns

    • This approach has been endorsed by the White House to give time to negotiate a permanent solution.
    • But the Freedom Caucus has indicated it will oppose such a measure unless it can attach many of its ideological riders.
    • Since the 1974 Budget Act, there have been 22 such gaps or shutdowns due to the inability of Congress to enact all the appropriation bills.
    • This shutdown lasted 35 days – the longest in history.

A record shutdown?

    • Politically, the Republicans received virtually nothing beneficial from the 1995 or 2018 shutdowns, and were in fact blamed for both.
    • Similarly, Republicans received little in 2013 but also seemed to receive less blame.
    • Congress has just 11 working days to pass these bills, and that seems virtually impossible, especially in the current political climate.
    • I even wouldn’t rule out a much longer shutdown of a couple of months that exceeds the record 35 days during the Trump administration.

Medicare starts a long road to cutting prices for drugs, starting with 10 costing it $50.5 billion annually – a health policy analyst explains why negotiations are promising but will take years

Retrieved on: 
Thursday, August 31, 2023

The drugs are purchased through Medicare Part D, a prescription drug coverage program for Americans ages 65 and older.

Key Points: 
  • The drugs are purchased through Medicare Part D, a prescription drug coverage program for Americans ages 65 and older.
  • The 10 medications accounted for more than US$50.5 billion in gross costs between June 1, 2022, and May 31, 2023.
  • Pending successful negotiations, these changes would amount to what researchers estimated to be net savings of about $1.8 billion in 2026.
  • Negotiations are expected to begin in October and continue until August 2024, with lower prices going into effect in 2026.

Cutting drug costs for Medicare enrollees

    • The Inflation Reduction Act allows the Centers for Medicare & Medicaid Services to negotiate prices with the companies that make some of the most expensive drugs in the Medicare program, including life-saving cancer and diabetes treatments like Imbruvica and Januvia.
    • The Biden administration hopes that these cost savings will be passed down to Americans 65 and older through reduced Medicare Part D premiums and lower out-of-pocket costs.
    • The Inflation Reduction Act also includes a separate provision that requires drugmakers, under certain conditions, to provide the Medicare program with rebates if drug price increases outpace inflation, starting in January of 2023.

Penalties for companies that won’t negotiate

    • Pharmaceutical companies have to sign agreements to participate in the upcoming negotiations by October 2023.
    • If drugmakers don’t negotiate, they will face stiff penalties in the form of a tax, reaching as high as 95% of U.S. pharmaceutical product sales.
    • Alternatively, the companies may pull their drugs from the Medicare and Medicaid markets, meaning that seniors on Medicare would lose access to them.

Why US drug prices are so high

    • While Americans spent more than $1,100 a year in 2019, Germans paid $825, the British paid $285 and Australians paid $434 per person.
    • Of course, many other countries also directly set prices for drugs or use their monopoly on health services to drive down costs.
    • For example, Dulera, an asthma drug, costs 50 times more in the U.S. than the international average.
    • Januvia, a diabetes drug that is among the first 10 drugs up for price negotiation, and Combigan, a glaucoma drug, cost about 10 times more.

Strong resistance

    • This is because potential Republican wins in the 2024 presidential and congressional elections could unravel or severely curtail the new drug negotiation policy.
    • Indeed, Republicans have been working feverishly on designing a strategy to use the negotiations against Democrats in the upcoming elections.

Weighing the prospects

    • For now, the effect will likely be small because patients already receive discounts on the listed drugs, bringing the net savings down substantially.
    • However, the potential for real savings for Americans ages 65 and older will undoubtedly grow as more drugs become subject to negotiation.
    • Moreover, drugmakers could also simply pull their drugs from Medicare and Medicaid to force the government’s hand.