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Repealing the Affordable Care Act: Implications for Medicare Spending and Beneficiaries

A number of Republican proposals to repeal the 2010 health reform law, the Patient Protection and Affordable Care Act (ACA), include the elimination of the law’s Medicare provisions. This Data Note reviews the impact of repealing those provisions for Medicare beneficiaries and program spending. If the ACA were repealed, Medicare spending would increase by an additional $716 billion over 10 years, Medicare’s hospital trust fund would be projected to be insolvent beginning four years from now, in 2016, which is eight years earlier than current projections, and many beneficiaries could see increases in premiums and costs for other services.

Data Note (.pdf)