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The Congressional Budget Office (CBO) estimated that revenues would increase by $204 billion over the 2022—2031 period as a result of increases in outlays for IRS tax enforcement activities.
The bill also includes prescription drug provisions including establishment of a Drug Price Negotiation program within Medicare, prescription drug inflation rebates, a redesign of the Part D benefit, and a $35 monthly caps on out-of-pocket costs for insulin for Medicare beneficiaries. The bill also extends the enhanced ACA subsidies established in the American Rescue Plan Act (ARPA) for three years — through 2025.