If Congress approves all the additional spending, that would push the 10-year cost of the overhaul above $1 trillion—an unofficial limit the Obama administration set early on.
The Congressional Budget Office said Tuesday the added spending includes $10 billion to $20 billion in administrative costs to federal agencies carrying out the law, as well as $34 billion for community health centers and $39 billion for American Indian health care.
The additional spending is not automatic, however. Congress would have to specifically release the funds.
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