On December 19, 2009, in a letter to the Honorable Harry Reid, Majority Leader of the United States Senate, the Congressional Budget Office (CBO) and Joint Committee on Taxation (JCT) noted that "Senate Amendment 2786 in the nature of a substitute to H.R. 3590  "…would produce total deficit reduction of $132 billion …" 

On page eight of that same letter, it states that by 2019, the CBO and JCT "estimate the number of nonelderly people who are uninsured would be reduced by 31 million, leaving 23 million nonelderly residents uninsured (about one-third of whom would be unauthorized immigrants)." 

In a document dated June 26, 2017 the CBO and JCT state that H.R. 1628 and a "Senate amendment in the nature of a substitute to H.R. 1628 would … reduce the deficit by $321 billion." In Table 4 of that same document, the estimate is that 43 million individuals would be uninsured. 

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