By NextBestFitRemaining federal general revenue requirement
Spending the named sources do not cover. It must come from additional taxes or federal borrowing; the financing page lists options.
Result
$97.2B
$0.0B → $97.2B
Per resident, per year
$285
÷ 341.1M people
Per household
$735
÷ 132.2M households
Range
−$370.2B–$842.8B
Lean and costly scenarios.
How it's calculated
| # | Step | Arithmetic | Value |
|---|---|---|---|
| 1 | Total uses of funds under the plan | $5.19T | |
| 2 | Minus every named source (all other lines) | −$5.10T | |
| 3 | Remaining general-revenue requirement | $5,193.9B − $5,096.7B | $97.2B |
Trade-off: A new, visible tax replaces premiums and out-of-pocket costs. It is proportional to income or payroll instead of flat per person.
Sources: CMS Office of the Actuary (2025)