The head of the Congressional Budget Office has told one of the agency's critics in the House that predicting how the lawmaker's Affordable Care Act (ACA) change proposals would work is hard.

Keith Hall, director of the Congressional Budget Office, gave the CBO's side today in a public letter addressed to Rep. Tom MacArthur, R-N.J.

"I can report that all of the people at CBO are tasked with maintaining a culture of objectivity, impartiality and nonpartisanship," Hall writes in the letter.

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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.