CBO: 2 million to quit jobs, reduce hours because of ACA

A report released this week by the nonpartisan Congressional Budget Office concludes that more than 2 million Americans who would otherwise  rely on a job for health insurance will quit working, reduce their hours or stop looking for employment because of new health benefits available under the Affordable Care Act (Source: “Health-care law will prompt over 2 million to quit jobs or cut hours, a CBO report says,” Washington Post, Feb. 4, 2014).

On the other hand, The CBO report also found that there was little evidence that businesses will significantly reduce head count or hours as a result of the law. Futhermore, the CBO projects that the law will reduce the number of uninsured Americans by 25 million when it is fully implemented.

The CBO predicts that the economy will have the equivalent of 2.3 million fewer full-time workers by 2021 as a result of the law — nearly three times previous estimates. After obtaining coverage under the health-care law, some workers will choose to forgo employment, the report said, while others will voluntarily reduce their hours. That is because insurance subsidies under the law become less generous as income rises, so workers will have less incentive to work more or at all.

The design of the subsidies — like many programs in the social safety net — represents “an implicit tax on additional work,” CBO Director Douglas Elmendorf said.

Attend HPIO's 2025 Health Policy Summit on Oct. 9, 2025

With limited resources and growing need, investing in policies that deliver the greatest impact is essential. This event will highlight strategies that improve health and wellbeing while reducing healthcare spending. Speakers will provide evidence-informed research responsive to today’s political climate, focusing on what works and why it matters now more than ever.

Register now