The Congressional Budget Office (CBO) has released its latest analysis of the impact of the Patient Protection and Affordable Care Act (ACA), as part of other reports updating the economic and budget deficit forecasts for 2014. Highlights of the analysis include CBO’s estimate that, in 2014, 13 million previously uninsured Americans would obtain health insurance coverage, at a net ACA implementation cost of $41 billion. In 2015, an additional 20 million previously uninsured Americans would obtain health insurance coverage, at a net implementation cost of $88 billion. The CBO also lowered its total 10-year net cost of ACA implementation by $9 billion.