A skeptical Jeff Sessions, R., Ala., requested that a report be conducted because he did not believe President Obama when he professed, “I will not sign it if it adds one dime to the deficit now or in the future.” The report seeks to extrapolate the costs of the Affordable Care Act beyond the typical 10-year window used by the GAO. After running two simulations of a 75 year period, one where federal laws remain unchanged and another that was subject to the volatility of Washington’s changing policy trends, the GAO concluded through the second simulation that “primary deficit” increased by 0.7 percent over the 75-year period.

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