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The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic — CBO

Summary

A Congressional Budget Office publication dated September 2021 on the budgetary effects of two laws enacted in response to the 2020–2021 coronavirus pandemic: the Consolidated Appropriations Act, 2021, Divisions M and N (P.L. 116-260, enacted December 27, 2020) and the American Rescue Plan Act of 2021 (P.L. 117-2, enacted March 11, 2021). Its summary table estimates increases in the deficit over 2021–2030 of 868 and 1,856 billion dollars for the two laws. Following tables list discretionary outlays by agency and describe mandatory spending on unemployment benefits, assistance to individuals, assistance to businesses, state, local and tribal governments, and Medicare. Business items include $261 billion for PPP loans and $29 billion for grants to restaurants and bars. The publication closes with notes and a list of abbreviations.

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The Budgetary Effects of Major
Laws Enacted in Response to the                                                                                               Congressional Budget Office

2020–2021 Coronavirus Pandemic,
                                                                                                                            Nonpartisan Analysis for the U.S. Congress



December 2020 and March 2021
                                                                                                                                                     September 2021




In December 2020 and March 2021, two major laws were enacted in response to the
                                                                                                            Effects on the Budget                           p. 1
2020–2021 coronavirus pandemic. In the table below, the Congressional Budget Office
                                                                                                            Discretionary Outlays                           p. 2
summarizes their estimated effects on federal spending, revenues, and budget deficits.
                                                                                                            Mandatory Outlays                               p. 3
Subsequent tables provide more detail about discretionary outlays from appropriations in the
                                                                                                            Revenues                                        p. 13
laws and how the laws affect mandatory spending, revenues, and mandates imposed on the
private sector. The information is drawn from CBO’s cost estimates for the two laws.                        Mandates                                        p. 15
                                                                                                            Notes and Abbreviations                         p. 16
This publication is a companion to Congressional Budget Office, The Budgetary
Effects of Laws Enacted in Response to the 2020 Coronavirus Pandemic, March
and April 2020 (June 2020), www.cbo.gov/publication/56403.a

                                    ESTIMATED EFFECTS ON THE BUDGET, 2021–2030 (IN BILLIONS OF DOLLARS)
                                    Consolidated Appropriations Act, 2021, Divisions M and N b       American Rescue Plan Act of 2021c
                                                             P.L. 116-260                                          P.L. 117-2
                                                      Enacted December 27, 2020                              Enacted March 11, 2021
Increase in Discretionary Outlays                                185                                                   0
Increase in Mandatory Outlays                                    677                                             1,803
Decrease in Revenues                                                5                                                53
    Increase in the Deficit                                      868                                             1,856




                                                                            www.cbo.gov |   @uscbo                                                                  1
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                       September 2021




                                                DISCRETIONARY OUTLAYS FROM APPROPRIATIONS IN THE LAW, 2021–2030
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                      American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                    P.L. 117-2
                                                                     Enacted December 27, 2020                                        Enacted March 11, 2021

 Medical Care and Research                Public Health and Social Services Emergency Fund: $47 billion to prepare
 Related to the Pandemic                  for and respond to the pandemic
                                          Centers for Disease Control and Prevention: $8 billion to prepare for and
                                          respond to the pandemic
                                          Substance Abuse and Mental Health Services Administration: $4 billion for
                                          health surveillance and program support
                                          National Institutes of Health: $1 billion to prepare for and respond to the
                                          pandemic
                                          Food and Drug Administration: $0.1 billion to prepare for and respond to the
                                          pandemic

 Assistance to Individuals                Administration for Children and Families: $10 billion for the Child Care and
                                          Development Block Grant and $0.3 billion for Head Start programs
                                          Federal Emergency Management Agency: $2 billion for funeral expenses
                                          Administration for Community Living: $0.1 billion for aging and disability
                                          services

 Assistance to Businesses; State,         Department of Education: $82 billion for the Education Stabilization Fund
 Local, and Tribal Governments;           (including $54 billion for the Elementary and Secondary School Emergency
                                          Relief Fund and $23 billion for the Higher Education Emergency Relief Fund)
 Other Countries; and
 Institutions                             Federal Transit Administration: $14 billion for transit infrastructure grants
                                          Federal Highway Administration: $10 billion for highway infrastructure
                                          programs
                                          Department of Housing and Urban Development: $2 billion for Community
                                          Development Block Grants
                                          Federal Aviation Administration: $2 billion for grants to airports
                                          National Railroad Passenger Corporation: $1 billion for pandemic response
                                          National Oceanic and Atmospheric Administration: $0.3 billion to respond
                                          to the pandemic domestically and internationally




                                                                                             www.cbo.gov |      @uscbo                                                        2
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                    September 2021




                                                            HOW THE LAW AFFECTS MANDATORY OUTLAYS, 2021–2030
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                        American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                         P.L. 117-2
                                                                     Enacted December 27, 2020                                                             Enacted March 11, 2021

 Unemployment Benefits                    Extends PUA through March 14, 2021, and allows people to claim an                   Extends PUA from March 15, 2021, to September 6, 2021, and increases the
                                          additional 11 weeks of benefits, for a total of 50 weeks. (PUA, which was           total number of available weeks of benefits from 50 to 74
                                          established by the CARES Act, consists of unemployment benefits for people
                                                                                                                              Extends PEUC from March 15, 2021, to September 6, 2021, and increases
                                          who are unemployed, partially unemployed, or otherwise unable to work
                                                                                                                              the total number of available weeks of benefits from 24 to 49
                                          because of the pandemic but who would not otherwise have been eligible
                                          for unemployment benefits. Those people include self-employed workers,              Extends Federal Pandemic Unemployment Compensation at an additional
                                          independent contractors, and people without enough work history to qualify          $300 per week from March 15, 2021, until September 6, 2021
                                          for ordinary unemployment benefits.)
                                                                                                                              Provides an additional $100 each week from March 15, 2021, through
                                          Extends PEUC through March 14, 2021, and allows people to claim an                  September 6, 2021, to people who received at least $5,000 in self-
                                          additional 11 weeks of benefits, for a total of 24 weeks. (The PEUC program         employment income in the most recent tax year and who receive an
                                          provides additional weeks of benefits to people who have exhausted regular          unemployment benefit other than PUA
                                          state unemployment benefits.)
                                                                                                                              Extends the full federal financing of extended unemployment benefits
                                          Allows people receiving PUA and PEUC before March 14, 2021, to continue             through September 6, 2021
                                          to claim weeks of benefits through April 10, 2021
                                                                                                                              Extends increased federal funding for short-time compensation programs
                                          Reestablishes Federal Pandemic Unemployment Compensation by                         through September 6, 2021
                                          providing a weekly supplement of $300, for up to 11 weeks, to people in
                                          all unemployment benefit programs from December 27, 2020, through                   Temporarily waives the accrual of interest on federal loans to state
                                          March 14, 2021                                                                      unemployment trust funds

                                          Provides an additional $100 each week from December 27, 2020, through
                                          March 14, 2021, to people who received at least $5,000 in self-employment
                                          income in the most recent tax year and who receive an unemployment
                                          benefit other than PUA
                                          Extends the full federal financing of extended unemployment benefits
                                          through March 14, 2021
                                          Extends increased federal funding for short-time compensation programs
                                          through March 14, 2021
                                          Temporarily waives the accrual of interest on federal loans to state
                                          unemployment trust funds




                                                                                             www.cbo.gov |       @uscbo                                                                                    3
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                       September 2021




                                                            HOW THE LAW AFFECTS MANDATORY OUTLAYS, 2021–2030
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                         American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                          P.L. 117-2
                                                                     Enacted December 27, 2020                                                              Enacted March 11, 2021

 Assistance to Individuals                Provides funding resulting in outlays of:                                           Provides funding resulting in outlays of:
                                          • $25 billion for rental assistance to low-income households that are at risk       • $42 billion for rental and mortgage assistance, homeless services, and
                                               of housing instability and that have members who are unemployed or                 housing counseling
                                               have experienced financial hardship                                            • $1 billion for the Nutrition Assistance Program in Puerto Rico, the
                                          •    $0.6 billion for the Nutrition Assistance Program in Puerto Rico, the              Commonwealth of the Northern Mariana Islands, and American Samoa
                                               Commonwealth of the Northern Mariana Islands, and American Samoa               • $1 billion for a newly established Pandemic Emergency Fund, which
                                          •    $0.2 billion for meals offered through aging and disability services               makes grants to states and Indian tribes for nonrecurring short-term
                                               programs                                                                           benefits, such as cash and vouchers, for eligible low-income families
                                          Provides a refundable tax credit of $600 per qualifying adult and $600 per
                                                                                                                              •   $0.7 billion for housing assistance, infrastructure, economic
                                                                                                                                  development, and other services for Native Americans
                                          dependent for taxpayers with income below specified limits
                                                                                                                              •   $0.5 billion to fund an increase in certain benefits under the Special
                                          Makes certain modifications to the tax credits provided by the CARES Act                Supplemental Nutrition Program for Women, Infants, and Children and
                                                                                                                                  $0.4 billion for activities to increase participation in that program
                                          Increases SNAP benefits through June 2021
                                                                                                                              •   $0.5 billion for grants to help low-income households with the costs of
                                          Expands eligibility for SNAP                                                            drinking-water and wastewater services
                                                                                                                              •   $0.4 billion for the Emergency Food and Shelter Program
                                          Pays schools a portion of the reimbursements from the Child Nutrition               •   $0.3 billion for Assistance to Firefighters Grants and the Staffing for
                                          Program that they lost between March 2020 and June 2020 because of the                  Adequate Fire and Emergency Response program
                                          pandemic                                                                            •   $0.1 billion for continued assistance to railroad workers
                                          Simplifies determination of eligibility for the P-EBT program for children in       •   $0.1 billion for humanitarian relief
                                          qualifying day care facilities                                                      •   $0.04 billion for the Commodity Supplemental Food Program

                                          Excludes emergency financial aid from gross income for tax purposes and             Provides a refundable tax credit of $1,400 per qualifying adult and $1,400
                                          prevents such aid from reducing tax credits for education                           per dependent for taxpayers with income below specified limits
                                                                                                                              Expands the child tax credit for 2021 and allows taxpayers to receive it
                                                                                                                              before filing tax returns
                                                                                                                              Provides payments to U.S. territories for the cost of the child tax credit,
                                                                                                                              beginning in 2021
                                                                                                                              Increases the amount of the EITC for taxpayers with no qualifying children,
                                                                                                                              and expands eligibility for the credit to higher-income taxpayers and to
                                                                                                                              certain childless taxpayers who are younger than 25 or older than 65, for tax
                                                                                                                              year 2021
                                                                                                                              Allows people to use earnings from tax year 2019 instead of from tax year
                                                                                                                              2021 to qualify for the EITC




                                                                                             www.cbo.gov |      @uscbo                                                                                        4
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                    September 2021




                                                            HOW THE LAW AFFECTS MANDATORY OUTLAYS, 2021–2030
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                        American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                        P.L. 117-2
                                                                     Enacted December 27, 2020                                                            Enacted March 11, 2021

 Assistance to Individuals                                                                                                    Allows taxpayers whose children fail to meet certain identification
 (Continued)                                                                                                                  requirements to claim the EITC for taxpayers with no qualifying children,
                                                                                                                              allows separated spouses to claim the EITC, and increases the amount of
                                                                                                                              investment income that disqualifies a taxpayer from receiving the EITC,
                                                                                                                              starting in tax year 2021
                                                                                                                              Makes payments to certain U.S. territories related to the cost of each
                                                                                                                              territory’s EITC
                                                                                                                              Expands the child and dependent care tax credit available to taxpayers for
                                                                                                                              tax year 2021
                                                                                                                              Increases SNAP benefits through September 2021
                                                                                                                              Expands eligibility for the Child and Adult Care Food Program at emergency
                                                                                                                              homeless shelters to people younger than 25 for the duration of the public
                                                                                                                              health emergency
                                                                                                                              Expands the P-EBT program by providing benefits in the summer once
                                                                                                                              schools have been closed for at least five consecutive days
                                                                                                                              Extends P-EBT for the duration of the public health emergency
                                                                                                                              Expands eligibility to children younger than 6 in households that receive
                                                                                                                              Nutrition Assistance Program benefits in Puerto Rico, the Commonwealth of
                                                                                                                              the Northern Mariana Islands, and American Samoa
                                                                                                                              Expands through 2030 the number of federal employees with COVID-19 who
                                                                                                                              are eligible for medical, wage replacement, and death benefits under the
                                                                                                                              Federal Employees’ Compensation Act
                                                                                                                              Extends enhanced benefits to unemployed railroad workers through
                                                                                                                              August 29, 2021




                                                                                             www.cbo.gov |      @uscbo                                                                                     5
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                      September 2021




                                                            HOW THE LAW AFFECTS MANDATORY OUTLAYS, 2021–2030
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                           American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                         P.L. 117-2
                                                                     Enacted December 27, 2020                                                             Enacted March 11, 2021

 Assistance to Businesses                 Provides funding resulting in outlays of:                                           Provides funding resulting in outlays of:
                                          • $261 billion for PPP loans                                                        • $29 billion for grants to restaurants and bars that lost revenue because
                                          • $20 billion for the Economic Injury Disaster Loan program to provide cash             of the pandemic
                                               advances to small businesses in low-income communities                         • $15 billion for passenger air carriers and related contractors
                                          •    $16 billion for passenger air carriers and related contractors                 • $15 billion for the Economic Injury Disaster Loan program to provide cash
                                          •    $15 billion for operators of live performance venues                               advances to small businesses in low-income communities
                                          •    $12 billion to support community development financial institutions and        • $9 billion for states, territories, and municipalities to fund financing
                                               minority depository institutions                                                   programs for small businesses
                                          •    $4 billion to pay borrowers’ principal and interest on SBA loans               • $8 billion for grants to airports for operations, debt service, and other costs
                                          •    $2 billion for fee reductions and other modifications to SBA loans             • $4 billion to expand eligibility for financial assistance through the PPP to
                                          •    $2 billion for certain transportation businesses, such as those that               certain nonprofit organizations and digital media companies
                                               operate passenger vessels or motor coaches                                     • $3 billion for payroll support to eligible aviation manufacturers and
                                          •    $1 billion to expand access to broadband Internet                                  maintenance firms
                                          •    $0.3 billion for telehealth services                                           • $2 billion for the National Railroad Passenger Corporation
                                          Extends the refundable credits against payroll taxes established under FFCRA
                                                                                                                              • $1 billion for grants to operators of live performance venues and to
                                                                                                                                  other entities
                                          to compensate employers for mandated paid sick leave and family and
                                          medical leave through March 31, 2021
                                                                                                                              • $0.2 billion for the Community Navigator Program to assist small
                                                                                                                                  businesses
                                          Extends the period in which the SBA may guarantee PPP loans                         • $0.2 billion for states and other entities to help small businesses take
                                                                                                                                  advantage of government resources available during the pandemic,
                                          Cancels $147 billion in budget authority that was previously provided in the            among other purposes
                                          CARES Act for the SBA’s PPP and debt relief programs
                                                                                                                              Extends and modifies the refundable credits against payroll taxes established
                                                                                                                              under FFCRA to compensate employers for mandated paid sick leave and
                                                                                                                              family and medical leave through September 30, 2021
                                                                                                                              Extends a refundable tax credit against payroll taxes to employers that shut
                                                                                                                              down because of coronavirus-related mandates, or that saw a significant
                                                                                                                              decline in revenue, through December 31, 2021




                                                                                             www.cbo.gov |      @uscbo                                                                                            6
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                       September 2021




                                                            HOW THE LAW AFFECTS MANDATORY OUTLAYS, 2021–2030
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                        American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                         P.L. 117-2
                                                                     Enacted December 27, 2020                                                             Enacted March 11, 2021

 Assistance to State, Local, and          Provides funding resulting in outlays of $0.1 billion to states for the             Provides funding resulting in outlays of:
 Tribal Governments                       administration of SNAP                                                              • $362 billion for the Coronavirus State and Local Fiscal Recovery Funds
                                                                                                                              • $28 billion for Federal Transit Administration grants to transit agencies
                                                                                                                              • $8 billion for state, local, and territorial public health workforces
                                                                                                                              • $3 billion for Economic Development Administration grants to
                                                                                                                                  economically distressed communities
                                                                                                                              • $1 billion for states for the administration of SNAP
                                                                                                                              • $0.9 billion by the Bureau of Indian Affairs for tribal housing
                                                                                                                                  improvements and government services
                                                                                                                              • $0.1 billion for the Medical Reserve Corps
                                                                                                                              • $0.03 billion for improvements in online purchasing and technology
                                                                                                                                  for SNAP

 Medicare                                 Increases payment rates for physicians in 2021                                      Modifies the floor on the geographic wage index for states designated
                                                                                                                              all-urban
                                          Eliminates cuts that sequestration would otherwise have required through
                                          March 2021                                                                          Modifies certain payments to ambulance providers for the duration of the
                                                                                                                              public health emergency




                                                                                             www.cbo.gov |          @uscbo                                                                                    7
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                     September 2021




                                                            HOW THE LAW AFFECTS MANDATORY OUTLAYS, 2021–2030
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                        American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                         P.L. 117-2
                                                                     Enacted December 27, 2020                                                             Enacted March 11, 2021

 Medicaid and CHIP                                                                                                            Increases the federal matching rate for Medicaid by 5 percentage points for
                                                                                                                              two years for states that newly expand coverage to adults made eligible by
                                                                                                                              the Affordable Care Act
                                                                                                                              Eliminates a statutory cap on the rebates that manufacturers must pay
                                                                                                                              Medicaid on covered outpatient drugs, beginning in 2024
                                                                                                                              Increases the federal matching rate by 10 percentage points from April 1,
                                                                                                                              2021, through March 31, 2022, for Medicaid spending on home- and
                                                                                                                              community-based services
                                                                                                                              Allows states, for a five-year period, to extend coverage to women enrolled
                                                                                                                              in Medicaid and CHIP for 12 months after the birth of a child
                                                                                                                              Increases the federal matching rate to 100 percent in Medicaid and CHIP
                                                                                                                              for coronavirus vaccinations until one year after the end of the public health
                                                                                                                              emergency; over the same period, requires states to provide coverage,
                                                                                                                              without cost sharing, for vaccinations and for related prevention and
                                                                                                                              treatment
                                                                                                                              Increases the federal matching rate to 85 percent in Medicaid, for 12 fiscal
                                                                                                                              quarters, for mobile and community-based crisis intervention services
                                                                                                                              Increases the annual allotment that states receive for Disproportionate Share
                                                                                                                              Hospital payments in Medicaid for any fiscal year in which the public health
                                                                                                                              emergency is in effect

 Premium Tax Credits and Other                                                                                                Provides funding resulting in outlays of $0.02 billion for states to modernize
 Health Insurance                                                                                                             the health insurance marketplaces established under the Affordable Care Act
                                                                                                                              For coverage through the health insurance marketplaces established under
                                                                                                                              the Affordable Care Act, increases premium tax credits for most currently
                                                                                                                              eligible people, and expands eligibility to include people with income above
                                                                                                                              400 percent of the federal poverty level, through 2022
                                                                                                                              Increases premium tax credits for people receiving unemployment
                                                                                                                              compensation in 2021
                                                                                                                              Provides premium assistance to some COBRA enrollees through
                                                                                                                              September 30, 2021




                                                                                             www.cbo.gov |      @uscbo                                                                                         8
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                      September 2021




                                                            HOW THE LAW AFFECTS MANDATORY OUTLAYS, 2021–2030
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                        American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                         P.L. 117-2
                                                                     Enacted December 27, 2020                                                             Enacted March 11, 2021

 Other Health and Human                                                                                                       Provides funding resulting in outlays of:
 Services                                                                                                                     • $47 billion by HHS to test for, monitor, and trace infections
                                                                                                                              • $39 billion for the Child Care and Development Block Grant program,
                                                                                                                                  including $24 billion for the new Child Care Stabilization Fund for
                                                                                                                                  assistance to providers
                                                                                                                              •   $15 billion for vaccine activities of HHS
                                                                                                                              •   $10 billion for the purchase, production, and distribution of medical
                                                                                                                                  supplies to respond to the pandemic and future health emergencies
                                                                                                                              •   $9 billion for health care providers’ expenses and revenues lost because
                                                                                                                                  of the pandemic
                                                                                                                              •   $8 billion for community health centers
                                                                                                                              •   $6 billion by the Indian Health Service for pandemic-related activities and
                                                                                                                                  care
                                                                                                                              •   $5 billion for the Low Income Home Energy Assistance Program
                                                                                                                              •   $4 billion for community mental health services, youth suicide
                                                                                                                                  prevention, and certified community behavioral health clinics
                                                                                                                              •   $3 billion by the Centers for Disease Control for genomic sequencing,
                                                                                                                                  global activities, and data modernization
                                                                                                                              •   $1 billion for programs authorized by the Older Americans Act
                                                                                                                              •   $1 billion for Head Start
                                                                                                                              •   $1 billion by the Corporation for National and Community Service, mainly
                                                                                                                                  to make new grants to community service programs and to increase the
                                                                                                                                  living allowances of AmeriCorps volunteers
                                                                                                                              •   $0.8 billion by the National Health Service Corps
                                                                                                                              •   $0.7 billion to support coronavirus infection control and residents’ and
                                                                                                                                  employees’ safety in skilled nursing facilities
                                                                                                                              •   $0.5 billion for programs authorized by the Family Violence Prevention
                                                                                                                                  and Services Act and for other programs to support survivors of sexual
                                                                                                                                  assault and domestic violence
                                                                                                                              •   $0.5 billion for rural hospitals and clinics to offer testing and vaccination,
                                                                                                                                  increase health care capacity, and engage in other pandemic-related
                                                                                                                                  efforts
                                                                                                                              •   $0.4 billion for programs authorized by the Child Abuse Prevention and
                                                                                                                                  Treatment Act
                                                                                                                              •   $0.3 billion for programs authorized by the Elder Justice Act




                                                                                             www.cbo.gov |      @uscbo                                                                                             9
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                   September 2021




                                                            HOW THE LAW AFFECTS MANDATORY OUTLAYS, 2021–2030
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                        American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                         P.L. 117-2
                                                                     Enacted December 27, 2020                                                             Enacted March 11, 2021

 Other Health and Human                                                                                                       • $0.3 billion for graduate medical education at health centers
 Services (Continued)                                                                                                         • $0.2 billion by the Nurse Corps
                                                                                                                              • $0.1 billion for the Maternal, Infant, and Early Childhood Home Visiting
                                                                                                                                  program
                                                                                                                              • $0.05 billion for family planning
                                                                                                                              • $0.01 billion by HHS’s Office of Inspector General
                                                                                                                              • $0.01 billion to establish a National Technical Assistance Center for
                                                                                                                                  Grandfamilies and Kinship Families
                                                                                                                              Permanently increases funding for the Child Care Entitlement to States from
                                                                                                                              $2.9 billion to $3.6 billion annually
                                                                                                                              Provides, for two years, a 100 percent federal matching rate for services to
                                                                                                                              Medicaid enrollees who get care in the Urban Indian Health Programs or the
                                                                                                                              Native Hawaiian Health Care System

 Education                                                                                                                    Provides funding resulting in outlays of:
                                                                                                                              • $170 billion for education, including $123 billion for the Elementary and
                                                                                                                                  Secondary School Emergency Relief Fund and $40 billion for the Higher
                                                                                                                                  Education Emergency Relief Fund
                                                                                                                              •   $7 billion to support emergency educational connections and devices

 Agriculture                              Provides funding resulting in outlays of:                                           Provides funding resulting in outlays of:
                                          • $11 billion for support payments to producers of commodity crops,                 • $4 billion to purchase and distribute food and agricultural commodities
                                               specialty crops, dairy, livestock, poultry, renewable fuels, and timber and        and to maintain and improve the food supply chain
                                               for supplemental funding for existing farm support programs                    • $4 billion to pay off certain loans taken out by farmers and ranchers
                                          •    $0.5 billion for dairy margin payments                                             who are members of socially disadvantaged groups and to provide
                                          •    $0.4 billion for a dairy donation program                                          an additional cash payment equal to 20 percent of the outstanding
                                          •    $0.2 billion for nutrition research                                                indebtedness of those producers
                                          •    $0.1 billion for specialty crops                                               •   $1 billion to develop programs to assist socially disadvantaged farmers,
                                          •    $0.1 billion for local agricultural markets                                        ranchers, and owners and operators of forest land and to help institutions
                                          •    $0.08 billion for the Farming Opportunities Training and Outreach program          of higher education support socially disadvantaged groups
                                          •    $0.08 billion for a nutrition incentive program                                •   $0.8 billion for U.S. food assistance to meet global food needs
                                          •    $0.06 billion for improvements to meat and poultry facilities                  •   $0.05 billion for Department of Agriculture administrative expenses and
                                          •    $0.03 billion for farm stress programs                                             oversight of pandemic-related programs




                                                                                             www.cbo.gov |      @uscbo                                                                                       10
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                    September 2021




                                                            HOW THE LAW AFFECTS MANDATORY OUTLAYS, 2021–2030
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                        American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                         P.L. 117-2
                                                                     Enacted December 27, 2020                                                             Enacted March 11, 2021

 Funding for Federal Agencies to                                                                                              Provides funding resulting in outlays of:
 Respond to the Pandemic                                                                                                      • $47 billion by the Federal Emergency Management Agency to respond to
                                                                                                                                  major disasters and to cover funeral expenses related to COVID-19
                                                                                                                              • $10 billion for global response to the pandemic, Department of State
                                                                                                                                  operations, and operations of the United States Agency for International
                                                                                                                                  Development
                                                                                                                              •   $2 billion by the Department of Labor for administrative and program
                                                                                                                                  integrity activities associated with unemployment compensation
                                                                                                                                  programs
                                                                                                                              •   $1 billion by the IRS for activities related to tax credits and taxpayer
                                                                                                                                  assistance and for modernizing and securing systems
                                                                                                                              •   $1 billion by the SBA to administer programs and by the SBA’s Office of
                                                                                                                                  Inspector General
                                                                                                                              •   $0.4 billion by the IRS to facilitate advance payments of child tax credits
                                                                                                                                  to taxpayers
                                                                                                                              •   $0.4 billion by the Emergency Federal Employee Leave Fund to
                                                                                                                                  reimburse agencies for pandemic-related leave taken by employees
                                                                                                                              •   $0.2 billion by the Department of Labor for worker protection
                                                                                                                              •   $0.1 billion by the Environmental Protection Agency for countering
                                                                                                                                  pollution and environmental harm to minority and low-income
                                                                                                                                  populations
                                                                                                                              •   $0.08 billion by the Government Accountability Office to prevent, prepare
                                                                                                                                  for, and oversee the federal response to COVID-19
                                                                                                                              •   $0.07 billion for SBA disaster loans
                                                                                                                              •   $0.05 billion for ensuring the safety of consumer products, including
                                                                                                                                  those related to COVID-19
                                                                                                                              •   $0.04 billion by the Pandemic Response Accountability Committee for
                                                                                                                                  oversight of pandemic-related spending
                                                                                                                              •   $0.03 billion by the Federal Trade Commission
                                                                                                                              •   $0.02 billion for the Federal Aviation Administration’s and the
                                                                                                                                  Transportation Security Administration’s emergency leave funds
                                                                                                                              •   $0.01 billion by the White House to respond to COVID-19

 Veterans                                                                                                                     Provides funding resulting in outlays of $17 billion by the Department of
                                                                                                                              Veterans Affairs for health care, job training, and administration




                                                                                             www.cbo.gov |      @uscbo                                                                                     11
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                  September 2021




                                                            HOW THE LAW AFFECTS MANDATORY OUTLAYS, 2021–2030
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                        American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                         P.L. 117-2
                                                                     Enacted December 27, 2020                                                             Enacted March 11, 2021

 Miscellaneous                            Provides funding resulting in outlays of $2 billion by the FCC to reimburse         Provides funding resulting in outlays of:
                                          communications providers for the cost of removing and replacing equipment           • $3 billion for the Economic Adjustment Assistance program
                                          or services made or provided by entities that are deemed to pose a national         • $1 billion by the Technology Modernization Service
                                          security risk                                                                       • $0.6 billion by the National Science Foundation
                                          Rescinds certain amounts appropriated by the CARES Act for loans,
                                                                                                                              • $0.6 billion by the Cybersecurity and Infrastructure Security Agency
                                          loan guarantees, and grants, including assistance provided through the
                                                                                                                              • $0.5 billion for grants to fund arts and humanities, libraries and
                                                                                                                                  museums, and the preservation and maintenance of Native American
                                          Federal Reserve
                                                                                                                                  languages
                                                                                                                              •   $0.2 billion by the National Institute of Standards and Technology
                                                                                                                              •   $0.2 billion by the Corporation for Public Broadcasting
                                                                                                                              •   $0.2 billion by the United States Digital Service
                                                                                                                              •   $0.2 billion for the Federal Citizen Services Fund
                                                                                                                              •   $0.1 billion by the Fish and Wildlife Service
                                                                                                                              •   $0.1 billion for Emergency Management Performance Grants
                                                                                                                              •   $0.03 billion by the Railroad Retirement Board for technology
                                                                                                                                  improvements and staff
                                                                                                                              Provides assistance to certain multiemployer defined benefit pension plans
                                                                                                                              and reduces funding requirements for single-employer pension plans
                                                                                                                              Extends certain customs fees




                                                                                             www.cbo.gov |      @uscbo                                                                                     12
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                    September 2021




                                                                               HOW THE LAW AFFECTS REVENUES
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                        American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                        P.L. 117-2
                                                                     Enacted December 27, 2020                                                            Enacted March 11, 2021

 Unemployment Benefits                    Decreases revenues by partially reimbursing states that waive the one-week          Decreases revenues by fully reimbursing states that waive the one-week
                                          waiting period for the first week of regular unemployment benefits through          waiting period for the first week of regular unemployment benefits through
                                          March 14, 2021                                                                      September 6, 2021
                                          Decreases revenues by shifting funding from the states to the federal               Decreases revenues by shifting funding from the states to the federal
                                          government for a portion of the regular unemployment compensation                   government for a portion of the regular unemployment compensation
                                          benefits paid between December 27, 2020, and March 14, 2021, to people              benefits paid between March 15, 2021, and August 29, 2021, to people who
                                          who worked for public-sector entities and nonprofit organizations                   worked for public-sector entities and nonprofit organizations
                                          Increases revenues because states respond to smaller balances in their              Excludes from taxable income up to $10,200 of unemployment compensation
                                          unemployment trust fund accounts by increasing their future collections of          per recipient in 2020 for taxpayers with income below a certain threshold
                                          unemployment taxes (which are recorded as federal revenues)
                                                                                                                              Increases revenues because states respond to smaller balances in their
                                                                                                                              unemployment trust fund accounts by increasing their future collections of
                                                                                                                              unemployment taxes (which are recorded as federal revenues)

 Assistance to Individuals                Provides a refundable tax credit of $600 per qualifying adult and $600 per          Provides a refundable tax credit of $1,400 per qualifying adult and $1,400
                                          dependent for taxpayers with income below specified limits                          per dependent for taxpayers with income below specified limits
                                          Makes certain modifications to the tax credits provided by the CARES Act            Expands the child tax credit for 2021 and allows taxpayers to receive it
                                                                                                                              before filing tax returns
                                          Clarifies that personal protective equipment and supplies can be claimed as
                                          part of the tax deduction for educators’ expenses                                   Increases the amount of the EITC for taxpayers with no qualifying children,
                                                                                                                              and expands eligibility for the credit to higher-income taxpayers and to
                                          Excludes emergency financial aid from gross income for tax purposes and             certain childless taxpayers who are younger than 25 or older than 65, for tax
                                          prevents such aid from reducing tax credits for education                           year 2021
                                          Expands a waiver of early distribution penalties in certain pension plans that      Allows people to use earnings from tax year 2019 instead of from tax year
                                          was specified in the CARES Act                                                      2021 to qualify for the EITC
                                                                                                                              Allows taxpayers whose children fail to meet certain identification
                                                                                                                              requirements to claim the EITC for taxpayers with no qualifying children,
                                                                                                                              allows separated spouses to claim the EITC, and increases the amount of
                                                                                                                              investment income that disqualifies a taxpayer from receiving the EITC,
                                                                                                                              starting in tax year 2021; expands the child and dependent care tax credit
                                                                                                                              available to taxpayers for tax year 2021




                                                                                             www.cbo.gov |      @uscbo                                                                                     13
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                    September 2021




                                                                               HOW THE LAW AFFECTS REVENUES
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                        American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                        P.L. 117-2
                                                                     Enacted December 27, 2020                                                            Enacted March 11, 2021

 Assistance to Businesses                 Extends the refundable credits against payroll taxes established under FFCRA        Extends and modifies the refundable credits against payroll taxes established
                                          to compensate employers for mandated paid sick leave and family and                 under FFCRA to compensate employers for mandated paid sick leave and
                                          medical leave through March 31, 2021                                                family and medical leave through September 30, 2021
                                          Extends repayment deadlines for certain deferred payroll taxes                      Extends a refundable tax credit against payroll taxes to employers that shut
                                                                                                                              down because of coronavirus-related mandates, or that saw a significant
                                                                                                                              decline in revenue, through December 31, 2021

 Medicaid, CHIP, and Other                                                                                                    Provides premium assistance to some COBRA enrollees through
 Health Care Programs                                                                                                         September 30, 2021
                                                                                                                              For coverage through the health insurance marketplaces established under
                                                                                                                              the Affordable Care Act, increases premium tax credits for most currently
                                                                                                                              eligible people, and expands eligibility to include people with income above
                                                                                                                              400 percent of the federal poverty level, through the end of 2022
                                                                                                                              Increases premium tax credits for people receiving unemployment
                                                                                                                              compensation in 2021
                                                                                                                              Eliminates the requirement that people repay any overpayments of premium
                                                                                                                              tax credits received for plan year 2020

 Miscellaneous                            Provides assistance to certain pension plans                                        Eliminates the ability of corporations based in the United States to elect
                                                                                                                              worldwide allocation of their interest expenses in calculating their income
                                                                                                                              from foreign sources to determine their allowable foreign tax credits
                                                                                                                              Provides assistance to certain multiemployer defined benefit pension plans
                                                                                                                              and reduces funding requirements for single-employer pension plans
                                                                                                                              Increases the number of employees for whom the limitation on the
                                                                                                                              deductibility of compensation of highly paid employees applies, starting in
                                                                                                                              tax years beginning after December 31, 2026
                                                                                                                              Modifies exceptions for reporting third-party network transactions described
                                                                                                                              in section 6050W of the Internal Revenue Code
                                                                                                                              Extends the limitation on how much noncorporate taxpayers may reduce
                                                                                                                              their income, for tax purposes, as a result of excess business losses




                                                                                             www.cbo.gov |      @uscbo                                                                                       14
The Budgetary Effects of Major Laws Enacted in Response to the 2020–2021 Coronavirus Pandemic, December 2020 and March 2021                                                                     September 2021




                                                                HOW THE LAW IMPOSES PRIVATE-SECTOR MANDATES d
                                              Consolidated Appropriations Act, 2021, Divisions M and N b                                        American Rescue Plan Act of 2021c
                                                                            P.L. 116-260                                                                         P.L. 117-2
                                                                     Enacted December 27, 2020                                                             Enacted March 11, 2021

 Mandate Costs                            CBO estimates that the mandates’ aggregate cost exceeds the UMRA                    CBO and the staff of the Joint Committee on Taxation estimate that the
                                          threshold.e                                                                         mandates’ aggregate cost exceeds the UMRA threshold.e

 Defense Production Act                                                                                                       Section 4 of UMRA excludes from the application of that act any legislative
                                                                                                                              provisions that are necessary for national security, and CBO has determined
                                                                                                                              that the provisions of the American Rescue Plan Act that amend the Defense
                                                                                                                              Production Act of 1950 fall under that exclusion.

 Agriculture                              Requires livestock dealers to hold revenues and proceeds from cash sales in
                                          a trust for the sellers’ benefit until full payment has been disbursed

 Group Health Insurance Plans                                                                                                 Requires group health insurance plans to provide additional information
                                                                                                                              about COBRA eligibility and assistance

 Businesses                               Increases the cost of an existing mandate on commercial entities to pay fees        Eliminates the ability of corporations based in the United States to elect
                                          if the FCC increases annual fee collections                                         worldwide allocation of their interest expenses in calculating their income
                                                                                                                              from foreign sources to determine their allowable foreign tax credits
                                                                                                                              Modifies exceptions for reporting third-party network transactions described
                                                                                                                              in section 6050W of the Internal Revenue Code
                                                                                                                              Increases the cost of an existing mandate on commercial entities required
                                                                                                                              to pay fees if the FCC increases annual fee collections to offset the costs of
                                                                                                                              implementing provisions in the act

 Landlords                                Extends an existing executive order prohibiting landlords and owners of
                                          residential properties from evicting residents




                                                                                             www.cbo.gov |      @uscbo                                                                                         15
The Budgetary Effects of Major Laws Enacted in Response to the 2020-2021 Coronavirus Pandemic, December 2020 and March 2021 September 2021

Notes
Data sources: Congressional Budget Office; staff of the Joint Committee on Taxation.

Both laws shown provide mandatory spending for programs that typically are funded through the appropriation process. Those provisions and projected
outlays are included in the section dealing with mandatory outlays.

These estimates do not include the costs of implementing provisions that would be subject to subsequent appropriations.
Numbers may not add up to totals because of rounding.

In general, the increases in discretionary spending stemming from division M of the Consolidated Appropriations Act, 2021, are designated as emergency require-
ments in accordance with section 251 of the Balanced Budget and Emergency Deficit Control Act of 1985. The Office of Management and Budget has adjusted
the limits on discretionary budget authority for 2021, which were established by the Budget Control Act of 2011 (as amended), to accommodate that funding.

a. The laws analyzed in that publication were the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, P.L. 116-123 (which will
increase the deficit by $8 billion over the 2020-2030 period, CBO estimates); the Families First Coronavirus Response Act, P.L. 116-127 ($192 billion); the
Coronavirus Aid, Relief, and Economic Security Act, P.L. 116-136 ($1,721 billion); and the Paycheck Protection Program and Health Care Enhancement Act,
P.L. 116-139 ($483 billion).

b. Includes all spending and revenue provisions in division M (the Coronavirus Response and Relief Supplemental Appropriations Act, 2021) and division N
(Additional Coronavirus Response and Relief) of the Consolidated Appropriations Act, 2021. Other divisions of the law may also contain pandemic-related
spending and revenue provisions; those are not included here. CBO’s cost estimates for divisions M and N are available at www.cbo.gov/publication/56916
and www.cbo.gov/publication/56961.

c. Includes all spending and revenue provisions in the bill passed by the Senate on March 6, 2021. CBO’s cost estimate for the bill is available at
www.cbo.gov/publication/57056.

d. There are no intergovernmental mandates in either law. Also, this publication does not include analysis by the Joint Committee on Taxation of mandates in
the Consolidated Appropriations Act, 2021.

e. CBO is required to estimate whether the annual cost of intergovernmental and private-sector mandates in legislation would exceed thresholds established
in UMRA. In 2020, those thresholds were $84 million for intergovernmental mandates and $168 million for private-sector mandates. The thresholds are
adjusted annually for inflation.

Abbreviations
CARES Act = Coronavirus Aid, Relief, and FFCRA = Families First Coronavirus Response Act PUA = Pandemic Unemployment Assistance
Economic Security Act HHS = Department of Health and Human Services = SBA= Small Business Administration

CHIP = Children’s Health Insurance Program IRS = Internal Revenue Service SNAP = Supplemental Nutrition Assistance
COBRA = Consolidated Omnibus Budget P-EBT = Pandemic Electronic Benefit Transfer Program

Reconciliation Act PEUC = Pandemic Emergency Unemployment UMRA = Unfunded Mandates Reform Act
EITC = earned income tax credit Compensation
FCC = Federal Communications Commission PPP = Paycheck Protection Program

This publication is available on CBO’s website at www.cbo.gov/publication/57343. CBO continually seeks feedback to make its work as useful as possible.
Please send any comments to communications@cbo.gov.

www.cbo.gov | OQ auscbo 16

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