FY2026-2035 · CBO February 2026 baseline

Cap Employer Health Exclusion

Cap tax exclusion for employer health insurance at $50K. Raises ~$450B over 10 years.

Ten-year deficit effect, conventional-$449.5Breduces the deficit
With macroeconomic feedback and debt service-$503.7BFRB/US-Lite (Federal Reserve calibrated)
Checked against

Published score -$450.0B; this estimate is 0.1% away (calibrated reference). Calibrated to reproduce -$450B (CBO) — agreement is by construction, not an independent test.

Typical error for this kind of policy: -$481.4B to -$417.6B, from 2 out-of-sample tax expenditure cases.

Out-of-sample accuracy, tax expenditure: 2 pre-registered rows miss their published scores by 7.1% on average (median 7.1%), worst 12.8% — 1 of the 2 falls inside the average. On this figure that is -$481.4B to -$417.6B typical, -$507.0B to -$392.0B at the worst row. Read off the out-of-sample tier only — not the calibrated tiers, whose agreement is by construction. It is the observed spread of this model against published scores for this class of policy, not a confidence interval.

Year by year

billions, conventional
Fiscal yearRevenueDeficit, conventionalMacro feedbackDebt serviceDeficit, dynamic
2026+$31.2B-$37.4B-$6.6B-$1.5B-$32.3B
2027+$32.4B-$38.9B-$7.7B-$3.1B-$34.3B
2028+$33.7B-$40.5B-$6.8B-$4.7B-$38.3B
2029+$35.1B-$42.1B-$5.4B-$6.4B-$43.1B
2030+$36.5B-$43.8B-$4.1B-$8.1B-$47.8B
2031+$38.0B-$45.6B-$3.0B-$9.9B-$52.5B
2032+$39.5B-$47.4B-$2.1B-$11.8B-$57.1B
2033+$41.1B-$49.3B-$1.5B-$13.8B-$61.6B
2034+$42.7B-$51.2B-$1.0B-$15.8B-$66.1B
2035+$44.4B-$53.3B-$0.7B-$18.0B-$70.6B

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Who pays

first year, by income group
Total tax change, 2026+$31.2Bpeople pay more
Returns paying more59.7%
Returns paying less0.0%
Income groupReturnsAverage changeShare of incomeShare of totalPaying morePaying lessTax rate beforeTax rate after
Lowest Quintile62.8M+$350.26%7.0%35.0%0.0%2.6%2.9%
Second Quintile35.4M+$850.18%9.6%48.0%0.0%5.8%5.9%
Middle Quintile26.0M+$2040.28%17.0%85.0%0.0%8.3%8.6%
Fourth Quintile16.8M+$3860.32%20.8%95.0%0.0%11.2%11.4%
Top Quintile20.3M+$7020.23%45.6%95.0%0.0%20.3%20.5%

Approximate bracket method: this policy cannot run through the return-level microsimulation, so read the shape as directional rather than as a validated table. Groups are ranked by adjusted gross income per return. Average change is in dollars per return; positive means the group pays more tax.

Economic effects

difference from the CBO baseline
GDP, summed over the window-0.56percent-years
Jobs at the largest effect-70K
Deficit effect of the GDP change+$38.9Bless tax collected
Deficit effect of interest on the debt-$93.1Bless debt, less interest
Fiscal yearGDP levelJobsUnemployment10-year rateGDP change, deficitInterest, deficit
2026-0.094%-60K+0.05 pt-0.00 pt+$6.6B-$1.5B
2027-0.110%-70K+0.06 pt-0.01 pt+$7.7B-$3.1B
2028-0.098%-62K+0.05 pt-0.01 pt+$6.8B-$4.7B
2029-0.077%-50K+0.04 pt-0.02 pt+$5.4B-$6.4B
2030-0.058%-37K+0.03 pt-0.02 pt+$4.1B-$8.1B
2031-0.042%-27K+0.02 pt-0.03 pt+$3.0B-$9.9B
2032-0.030%-19K+0.02 pt-0.03 pt+$2.1B-$11.8B
2033-0.021%-14K+0.01 pt-0.04 pt+$1.5B-$13.8B
2034-0.015%-9K+0.01 pt-0.04 pt+$1.0B-$15.8B
2035-0.010%-7K+0.01 pt-0.05 pt+$0.7B-$18.0B

FRB/US-Lite (Federal Reserve calibrated). Demand effects fade over five to seven years as monetary policy responds; there is no supply-side channel. The dynamic score is the conventional score, plus the deficit effects of the GDP change and of interest on the debt: -$449.5B + $38.9B - $93.1B = -$503.7B.

Other scoring models

exploratory
ModelTen-year deficit effectMethod
CBO-Style-$449.5BStatic + ETI behavioral response + optional FRB/US dynamic feedback
TPC-Microsim PilotCannot score thisCap Employer Health Exclusion at $50K (TaxExpenditurePolicy) does not map onto current microsim pilot reforms (income-tax rates, CTC, EITC, SALT, std deduction, AMT exemption).

No pilot model returned distributional output; the comparison is aggregate-only.

CBO-Style is the model behind the headline above. The TPC-style microsimulation is a pilot: where the two disagree, the gap tells you how much the answer depends on method. It is not an official range.

Limitations

Cite asWilse-Samson, Laurence. “Cap Employer Health Exclusion.” Fiscal Policy Calculator, CBO February 2026 baseline, FY2026-2035. https://fiscal.lwilsesamson.com/explore/cap-employer-health-exclusion