"The Bipartisan Health Care Stabilization Act of 2018 (BHCSA) would ... [1] Change the state innovation waiver process established by the [ACA]; [2] Appropriate a total of $30.5 billion for reinsurance programs or invisible high-risk pools in the nongroup insurance market; [3] Appropriate funds for the direct payment for cost-sharing reductions (CSRs) through 2021; [4] Allow any enrollee in the nongroup market to purchase a catastrophic plan; and [5] Require some existing funding for operations in the health insurance marketplaces to be used specifically for outreach and enrollment activities in 2019 and 2020.... CBO and the staff of the Joint Committee on Taxation (JCT) estimate that enacting the legislation would increase the deficit by $19.1 billion over the 2018-2027 period relative to CBO's baseline."

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