White House Budget Includes Spending Jump for Exchanges

In its budget proposal released this week, the White House said it expects to spend about $606 billion from 2014 to 2021 on insurance exchange subsidies under the Affordable Care Act. The figure is a nearly 27% jump from an estimate in the fiscal year 2013 budget proposal and a 65% jump from the FY 2012 proposal. Experts cite the U.S. Supreme Court's ruling allowing states to opt out of the ACA's Medicaid expansion as the main reason for the increase.

• "Cost of Exchanges Shoots Up" (Norman, Politico, 4/12).