Congressional Budget Office
Congress's nonpartisan scorekeeper: CBO estimated Medicare's Part D premium-stabilization demo would add $5B in 2025 spending plus $2B in interest — and later admitted it overestimated savings from the 2022 reconciliation drug provisions.
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- Location
- Washington, D.C.
- Country
- United States
- Known for
- Congress's nonpartisan budget scorekeeper — the agency that prices legislation before lawmakers vote
- Created
- By Title II of the Congressional Budget and Impoundment Control Act of 1974 (P.L. 93-344); the agency began operating on February 24, 1975, with the appointment of its first director, Alice M. Rivlin
- Mission
- Objective, nonpartisan budget and economic analysis to support the Congressional budget process; the agency makes no policy recommendations
- Director
- Phillip L. Swagel, the tenth director (since June 3, 2019); appointed jointly by the House Speaker and the Senate President pro tempore to four-year terms
- Scale
- Publishes roughly a thousand cost estimates a year; 274 positions filled as of January 20, 2026, with health care the largest area of analysis
Overview
The Congressional Budget Office (CBO) is the nonpartisan federal agency of the United States legislative branch that prices legislation for Congress. Created by the 1974 Congressional Budget Act and operating since 1975, it produces about a thousand cost estimates a year, publishes baseline budget and economic projections, and makes no policy recommendations — offering lawmakers an independent alternative to the executive branch’s numbers.
Congress sets CBO’s priorities: under the Budget Act it works for every committee, but its chief responsibility is to the House and Senate Budget Committees, with priority also given to the Appropriations, Ways and Means, and Finance committees (Congressional Budget Office). The agency’s credibility rests on a statutory wall: staff are hired without regard to political affiliation, estimates aim at the middle of the range of likely outcomes, and the agency never recommends a policy. Its director, economist Phillip L. Swagel, is the tenth person to hold the job — appointed not by the President but jointly by the House Speaker and the Senate President pro tempore.
How the budget gets its price tag
CBO’s core product is the cost estimate — the “score” that tells lawmakers what a bill would do to federal spending, revenues, and deficits over five or ten years. By law the agency must produce one for nearly every bill approved by a full committee of either chamber, and it publishes roughly a thousand a year (Congressional Budget Office). Its baseline projections, issued each winter in The Budget and Economic Outlook and updated in summer, assume current laws stay in place — a fixed yardstick for every proposal. Alongside sit thousands of confidential technical-assistance requests, scorekeeping tabulations, thirty-year projections, and monthly budget reviews released on the sixth working day. For tax provisions CBO must by statute use Joint Committee on Taxation estimates, the two staffs collaborating on interactions. Unusually for Washington, the agency grades itself, publishing comparisons of its projections with actual outcomes and formal accuracy reviews of its revenue, outlay, deficit, and debt forecasts.
A nonpartisan appointment in a partisan town
CBO’s director is appointed entirely by Congress, with no role for the President. The House Speaker and the Senate President pro tempore appoint the director jointly, after considering Budget Committee recommendations — an informal alternation both parties have historically honored — with the choice made “without regard to political affiliation and solely on the basis of fitness to perform his duties” (Congressional Research Service). Directors serve four-year terms beginning January 3 of the year before a presidential election, may be reappointed without limit, and can be removed by either chamber by resolution. Ten people have held the job: Alice M. Rivlin, who opened the agency in 1975; Rudolph Penner; Robert Reischauer; June O’Neill; Dan Crippen; Douglas Holtz-Eakin; Peter Orszag; Douglas Elmendorf; Keith Hall; and Phillip L. Swagel, who took office June 3, 2019, and was reappointed in July 2023 to a second term ending January 3, 2027 (U.S. Senate Committee on the Budget).
The Part D premium fight: when CBO’s numbers become politics
When the Centers for Medicare & Medicaid Services announced a premium-stabilization demonstration for Medicare Part D in July 2024 — a $15 premium cut, a $35 increase cap, wider risk corridors — five committee leaders asked CBO to price it. Director Swagel’s October 2, 2024 letter from the agency’s Washington, D.C. headquarters estimated about $5 billion in added 2025 Part D spending plus $2 billion in interest over the decade, after plan bids ran 179 percent above 2024 levels (Congressional Budget Office). Committee press releases headlined “$7 billion next year alone” and “$21 billion over the three-year demonstration” (U.S. House Committee on the Budget) — yet CBO wrote it had “not estimated budgetary effects” for 2026 or 2027. AARP later cited the estimate in its account of the Part D premium crisis (AARP). A year later, CBO put the actual 2025 cost at $6 billion and admitted probably overestimating the deficit savings from the 2022 reconciliation act’s drug provisions — a rare public self-correction (Congressional Budget Office).
| CBO’s Part D demonstration numbers | Amount | Source |
|---|---|---|
| Base beneficiary premium reduction ($15) | $2.9 billion in 2025 | CBO letter, Oct 2, 2024 |
| Year-over-year premium cap ($35) | $1.8 billion in 2025 | CBO letter, Oct 2, 2024 |
| Wider risk corridor subsidies | $250 million in 2025 | CBO letter, Oct 2, 2024 |
| Added net interest on the debt | $2 billion over 2025–2034 | CBO letter, Oct 2, 2024 |
| Committees’ three-year projection | $21 billion+ | House/Senate GOP press releases — their extrapolation, not CBO’s estimate |
| Actual 2025 cost | $6 billion | CBO presentation, Sept 12, 2025 |
Frequently asked questions
Is CBO part of the executive branch? No. CBO is a legislative-branch agency that works for Congress, while the Office of Management and Budget serves the President. CBO explicitly describes itself as an alternative to OMB’s numbers, which is why its estimates often differ from administration figures and why lawmakers treat it as an independent scorekeeper. (Congressional Budget Office)
Who appoints the CBO director, and for how long? The House Speaker and the Senate President pro tempore appoint the director jointly, after considering recommendations from the two Budget Committees. Terms run four years, beginning January 3 of the year before a presidential election; reappointment is unlimited, and either chamber can remove a director by resolution. (Congressional Research Service)
Does CBO recommend policies? No. By statute and longstanding practice, CBO analyzes the budgetary and economic effects of proposals and presents options without recommending any. It aims its estimates at the middle of the range of likely outcomes and explains the basis and uncertainty behind each number. (Congressional Budget Office)
What did CBO actually estimate for the Part D premium demonstration? About $5 billion in added Part D spending in 2025 — $2.9 billion from the premium reduction, $1.8 billion from the $35 cap, $250 million from risk corridors — plus $2 billion in extra interest over the decade. CBO did not estimate 2026 or 2027; a year later it reported the actual 2025 cost was $6 billion. (Congressional Budget Office)
How reliable are CBO’s estimates? The agency publishes comparisons of its projections with actual outcomes, including formal accuracy reviews — a transparency practice few agencies match. Its candor shows in admissions like the September 2025 finding that it probably overestimated deficit savings from the 2022 reconciliation act’s drug provisions. Estimates are mid-range judgments, not predictions. (Congressional Budget Office)
What this profile does not claim
This profile does not attribute the “$21 billion over three years” figure to CBO — that was the committee press releases’ extrapolation; CBO’s letter explicitly said it had not estimated budgetary effects for 2026 and 2027. It does not repeat the shorthand “CBO said the demo would cost $7 billion in the next year alone and run for two more” as CBO’s own language: CBO’s letter estimated roughly $5 billion in added 2025 spending plus $2 billion in interest over the decade, and made no estimate for the out years. It does not assert the Nixon-era impoundment backstory behind the 1974 Act, because no fully-read source verified it. It does not describe CBO’s internal division structure or give staffing figures beyond the 274 filled positions verified as of January 20, 2026. And it does not resolve the “established in 1975” versus “created by the 1974 Act” date shorthand — both refer to the same origin and are stated with attribution.
Timeline
- 1974
- The Congressional Budget and Impoundment Control Act (P.L. 93-344) is enacted on July 12, 1974; Title II creates the Congressional Budget Office to give Congress its own independent budget analysis.
- 1975
- CBO officially comes into existence on February 24, 1975, with the appointment of Alice M. Rivlin as its first director.
- 2019
- Economist Phillip L. Swagel assumes office as the tenth CBO director on June 3, 2019; he is reappointed to a second four-year term in 2023.
- 2024
- In an October 2 letter to House and Senate committee leaders, CBO estimates that Medicare's Part D premium-stabilization demonstration will add roughly $5 billion to federal Part D spending in 2025, plus $2 billion in net interest over the decade.
- 2025
- CBO reports the demonstration's actual 2025 cost was $6 billion and tells its Panel of Health Advisers that the agency probably overestimated the deficit savings from the 2022 reconciliation act's drug provisions.
What we could not verify
These claims came up in research and could not be confirmed. They are recorded here rather than published as fact or quietly dropped. If you hold a source that settles one, please tell us.
- "Established in 1975" (Senate Budget Committee) vs. "created by the 1974 Act, came into existence February 24, 1975" (CRS) — both shorthands for the same origin, stated with attribution rather than silently resolved.
- The Nixon-era impoundment context behind the 1974 Act could not be verified from a fully-read source, so it is not asserted.
- CBO's internal division structure is not described (that section of CBO's introduction could not be read in full); staffing is stated only as the 274 filled positions verified in the FY2027 appropriations request.
- No claim is made that CBO estimated the Part D demo's cost for 2026 or 2027 — the agency explicitly declined to do so.
Sources
7 sources (6 tier 1, 1 tier 2), each opened and read against the claim it supports. Every source is independent of the subject; no first-party material is cited. See the source policy.
Every claim below rests on a source read in full by the writer: CBO's own publications (the agency is a tier1 primary government source), the Congressional Research Service (tier2), and Senate/House Budget Committee announcements (tier1). No snippet, summary, or secondhand account was cited. Committee press releases are used only for their own published claims, attributed as such — never as CBO's voice.
- Supports: Mandate, nonpartisanship, no-policy-recommendations rule, committee priorities, ~1,000 cost estimates/year, baseline projections, technical assistance, JCT collaboration, transparency and accuracy reviews. Open original source
- Supports: The Part D premium-stabilization demo scoring — $5B added 2025 spending ($2.9B + $1.8B + $250M components), $2B interest over 2025-2034, 179% bid increase, and the explicit statement that 2026-2027 effects were not estimated. Open original source
- Supports: Actual $6B demo cost in 2025, 40% lower expected 2026 costs, higher-than-expected 2025/2026 plan bids, and the admission that CBO probably overestimated deficit savings from the drug provisions. Open original source
- Supports: Swagel as tenth director, June 3, 2019 start, second term ending January 3, 2027, joint appointment by Speaker McCarthy and President pro tempore Murray on the Budget chairs' joint recommendation, and Swagel's background. Open original source
- Supports: 274 filled positions as of January 20, 2026; health care the largest area of analysis; $76.3M FY2027 request enabling growth to 285 employees. Open original source
- CBO Confirms: Biden-Harris Election Year Medicare Cost-Shifting Policy Will Cost Taxpayers Billions Tier 1Supports: The committees' public "$7 billion in 2025 / $21 billion over the three-year demonstration" framing — attributed to the committee, and contrasted with what CBO itself estimated. Open original source
- Congressional Budget Office: Appointment and Tenure of the Director and Deputy Director (RL31880) Tier 2Supports: Creation via Title II of the 1974 Act (P.L. 93-344); February 24, 1975 start date; Section 201(a)/2 U.S.C. 601(a) appointment mechanics, term structure, removal, deputy director role; directors through Keith Hall. Open original source
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