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Indexing could blow up PPACA

PPACA could be much more expensive than it looks in official federal budget analyses because some of the automatic indexing provisions in the law could be unrealistic.

By Allison Bell | Updated on November 02, 2015
Building 877, the largest non-historic building on Governors Island, is imploded to make way for the new Governors Island park, Sunday, June 9, 2013 in New York. (AP Photo/Jason DeCrow)

The Patient Protection and Affordable Care Act of 2010 (PPACA) could turn out to be much more expensive than it looks in official federal budget analyses because some of the automatic indexing provisions in the law could turn out to be unrealistic.

Moves to put off implementation of mechanisms that were supposed to make PPACA a deficit-reducing law could cause the law to increase the deficit slightly starting around 2020 and could lead it to increase the deficit by a noticeable amount starting around 2031.

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