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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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.