A Senate Republican plan for a permanent doc fix would cost the treasury $180.3 billion over a decade, according to an analysis by the Congressional Budget Office (PDF). But it would bring in $468.5 billion in additional revenue. That's a net savings for the bill, sponsored by Sen. Orrin Hatch (R-Utah), of $288.1 billion.
Hatch's bill relies on a repeal of the Patient Protection and Affordable Care Act's individual mandate. That makes it a non-starter for Democrats and means the prospect of it coming up for a vote on the Senate floor is highly remote.
Hatch's bill would have significant ramifications for the health insurance marketplace, the CBO found. It would result in 15 million fewer individuals having coverage by 2018 and lead to premium spikes of 10% to 20% for plans sold in the individual marketplace over the next decade.