Bill Overview
Title: Continuing Appropriations and Health Extenders Act of 2022
Description: This bill provides continuing FY2023 appropriations to federal agencies through February 3, 2023. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2023 appropriations bills have not been enacted when the existing CR expires on December 16, 2022. The bill also extends several expiring programs and authorities, including several health programs.
Sponsors: Sen. Lee, Mike [R-UT]
Target Audience
Population: Individuals in the United States
Estimated Size: 330000000
- The bill provides funding to prevent government shutdown, which affects all federal employees and contractors who rely on government funding.
- By extending health programs, it directly impacts all users of these health programs, which often includes low-income individuals, children, and the elderly.
- Federal agencies' continued operation impacts all US residents as it involves services critical to daily life and national infrastructure.
Reasoning
- The population distribution includes federal employees and contractors, health program beneficiaries, and general residents.
- The budget constraints require us to consider differentiated impacts based on direct dependency on federal services or programs.
- The Continuing Appropriations and Health Extenders Act primarily stabilizes operations that would prevent a well-being decline due to sudden discontinuation of services rather than introduce new enhancements.
- Some individuals may experience higher direct impacts than others, depending on how closely linked they are to federal funding and health programs.
Simulated Interviews
Federal Employee (Washington, D.C.)
Age: 45 | Gender: male
Wellbeing Before Policy: 5
Duration of Impact: 1.3 years
Commonness: 5/20
Statement of Opinion:
- I depend on government appropriations for my salary, so avoiding a shutdown is crucial for me.
- The continuation of health programs, although not directly impacting me, seems necessary for public health stability.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 3 |
| Year 2 | 6 | 3 |
| Year 3 | 6 | 4 |
| Year 5 | 5 | 4 |
| Year 10 | 5 | 4 |
| Year 20 | 5 | 4 |
Medicaid Beneficiary (California)
Age: 37 | Gender: female
Wellbeing Before Policy: 4
Duration of Impact: 2.0 years
Commonness: 3/20
Statement of Opinion:
- The extension of health programs is vital for my ongoing medical care.
- Any lapse in services would be detrimental to my health and finances.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 3 |
| Year 2 | 6 | 3 |
| Year 3 | 5 | 3 |
| Year 5 | 5 | 3 |
| Year 10 | 4 | 3 |
| Year 20 | 4 | 3 |
Retired (Florida)
Age: 62 | Gender: female
Wellbeing Before Policy: 6
Duration of Impact: 5.0 years
Commonness: 4/20
Statement of Opinion:
- Medicare extensions are reassuring, but not immediately life-changing for me.
- Continuity in these programs is important for peace of mind.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 5 |
| Year 2 | 6 | 5 |
| Year 3 | 6 | 5 |
| Year 5 | 6 | 5 |
| Year 10 | 5 | 5 |
| Year 20 | 5 | 5 |
Small Business Owner (Texas)
Age: 29 | Gender: male
Wellbeing Before Policy: 7
Duration of Impact: 0.0 years
Commonness: 8/20
Statement of Opinion:
- The federal budget continuity is important, but I don't depend much on it directly.
- My business feels the effects only indirectly, through market stability.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 7 |
| Year 2 | 7 | 7 |
| Year 3 | 7 | 7 |
| Year 5 | 7 | 6 |
| Year 10 | 6 | 6 |
| Year 20 | 6 | 6 |
Contractor for a Federal Agency (New York)
Age: 55 | Gender: male
Wellbeing Before Policy: 6
Duration of Impact: 2.0 years
Commonness: 2/20
Statement of Opinion:
- A government shutdown would mean a halt in operations, directly impacting my income.
- The CR is crucial to maintain ongoing projects and financial stability.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 8 | 4 |
| Year 2 | 7 | 4 |
| Year 3 | 7 | 4 |
| Year 5 | 6 | 4 |
| Year 10 | 6 | 4 |
| Year 20 | 5 | 4 |
Student (Oregon)
Age: 23 | Gender: female
Wellbeing Before Policy: 5
Duration of Impact: 3.0 years
Commonness: 6/20
Statement of Opinion:
- Not having health coverage would be unaffordable for me as a student.
- The policy provides a necessary safety net.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 3 |
| Year 2 | 6 | 3 |
| Year 3 | 6 | 3 |
| Year 5 | 5 | 3 |
| Year 10 | 5 | 3 |
| Year 20 | 5 | 3 |
Healthcare Provider (Illinois)
Age: 30 | Gender: other
Wellbeing Before Policy: 6
Duration of Impact: 4.0 years
Commonness: 3/20
Statement of Opinion:
- Continuation of federal funding ensures our clinic can continue operations smoothly.
- It affects our capacity to serve vulnerable populations.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 5 |
| Year 2 | 7 | 5 |
| Year 3 | 6 | 5 |
| Year 5 | 6 | 5 |
| Year 10 | 5 | 4 |
| Year 20 | 5 | 4 |
Public School Teacher (Ohio)
Age: 47 | Gender: female
Wellbeing Before Policy: 5
Duration of Impact: 2.0 years
Commonness: 7/20
Statement of Opinion:
- Federal funding supports several essential programs in our school.
- Permanence in these funds helps us plan long-term educational strategies.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 5 |
| Year 2 | 6 | 5 |
| Year 3 | 6 | 5 |
| Year 5 | 6 | 5 |
| Year 10 | 6 | 5 |
| Year 20 | 5 | 5 |
Federal Park Ranger (Alaska)
Age: 53 | Gender: male
Wellbeing Before Policy: 6
Duration of Impact: 2.5 years
Commonness: 1/20
Statement of Opinion:
- Federal appropriations are critical to maintaining park operations and conservation efforts.
- A shutdown would significantly disrupt the projects we're managing.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 8 | 4 |
| Year 2 | 7 | 4 |
| Year 3 | 7 | 4 |
| Year 5 | 6 | 4 |
| Year 10 | 6 | 4 |
| Year 20 | 6 | 4 |
Government Contractor (Arizona)
Age: 34 | Gender: female
Wellbeing Before Policy: 5
Duration of Impact: 1.5 years
Commonness: 2/20
Statement of Opinion:
- Ensuring no disruptions in funding is paramount for project continuity.
- The CR helps in maintaining steady income and project momentum.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 5 |
| Year 2 | 6 | 5 |
| Year 3 | 6 | 5 |
| Year 5 | 6 | 5 |
| Year 10 | 6 | 5 |
| Year 20 | 5 | 5 |
Cost Estimates
Year 1: $120000000000 (Low: $110000000000, High: $130000000000)
Year 2: $122000000000 (Low: $111500000000, High: $132500000000)
Year 3: $124000000000 (Low: $113000000000, High: $135000000000)
Year 5: $130000000000 (Low: $118500000000, High: $142500000000)
Year 10: $145000000000 (Low: $132000000000, High: $160000000000)
Year 100: $290000000000 (Low: $260000000000, High: $320000000000)
Key Considerations
- The continuation of appropriations is crucial to prevent a government shutdown, which could cost more than the continuation itself.
- Health program extensions might prevent negative health outcomes and associated economic impacts.
- The political implications of maintaining services versus the adverse effects of a shutdown have financial considerations that are complex to quantify.