Opponents of the health care law saw the delay as a sign that the implementation of the measure had run into serious problems, and some labor unions denounced it as a handout to big business. But employers welcomed the unexpected respite from complicated reporting rules that the administration concedes will require more time to work out. The White House says the rest of the law's provisions will roll out without delay.
Uninsured people without access to coverage at work will be able to start shopping for a health plan Oct. 1. Middle-class people will be able to pick from a range of private insurance plans, with new federal tax credits to help pay their premiums. Low-income people will be steered to an expanded version of Medicaid in states that accept it. Coverage takes effect Jan. 1.
At the same time, most Americans will face an individual requirement to carry health insurance or pay fines. That's designed to expand the number of healthy people in the pool, since the law forbids insurers from turning away people with pre-existing health problems.
All told, about 13 million of nearly 50 million uninsured U.S. residents are expected to gain coverage in 2014, according to the latest CBO estimates. That number is expected to gradually increase to between 25 million and 30 million people.
The budget office said fewer than half million people will have to forgo coverage as a consequence of the delay in the so-called employer mandate.
The government will lose $10 billion in fines that it would have collected from employers in the first year of the requirement, the report said. Other last-minute changes by the administration are estimated to add another $2 billion in costs, for a total increase in the cost of $12 billion over 10 years. But the impact on the bottom line does not appear to be major at least in terms of the federal budget. CBO estimated that the cost of expanding coverage under the law will rise to $1.375 billion from 2014 to 2023, an increase of less than 1 percent from the agency's previous cost estimate of $1.363 billion.