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Explanation of Estimate of S. 812

CBO estimates approximately $4.7 trillion in total prescription drug expenditures in the U.S. over the ten-year period (2003 through 2012).

Approximately $320 billion (around 7 percent) of total expenditures could be saved over the ten-year period if all delays in the market entry of generics related to patent challenges were eliminated.

This legislation would reduce the delay by about 20 percent, thus reducing total drug spending by about $60 billion (or 1.3 percent) across the country over the next ten years.

Because the proportion of pharmaceuticals purchased or provided by the federal government is quite low, reducing the delay in the entry of generics would reduce federal direct spending for prescription drugs by $5.9 billion and increase federal revenues by $2.2 billion. (The revenue effect occurs, because with lower drug costs, a greater proportion of employees’ compensation would be in the form of taxable income.)

                             

Preliminary CBO Estimate of S. 812 as Modified by the Edwards-Collins Amendment
    2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002-
2007
2002-
2012

Change in Direct Spending  
 
  Federal Outlays for Prescription Drugs 0 (40) (100) (170) (270) (420) (570) (780) (960) (1,190) (1,430) (1,000) (5,930)
 
Change in Revenues  
 
  Income Taxes and HI Payroll Taxes (on-budget) 0 10 20 40 70 100 150 190 240 310 370 240 1,500
  Social Security Payroll Taxes (off-budget) 0 5 10 20 30 50 70 90 120 140 160 115 695
       Combined 0 15 30 60 100 150 220 280 360 450 530 355 2,195
 
Net Effect on Surplus  
  On-budget 0 50 120 210 340 520 720 970 1,200 1,500 1,800 1,240 7,430
  Combined 0 55 130 230 370 570 790 1,060 1,320 1,640 1,960 1,355 8,125
 
Memorandum:  
Percentage Change in Total Expenditures for Prescription Drugs (all payers) 0 -0.2% -0.3% -0.5% -0.8% -1.0% -1.3% -1.5% -1.7% -1.9% -2.0%    

Note: HI = Hospital Insurance (Part A of Medicare)