Igor Volsky and Pat Garofalo : "According to the Congressional Budget Office, enacting the Affordable Care Act 'will produce a net reduction in federal deficits of $143 billion over the 2010-2019 period'. Similarly, the Center for Medicare and Medicaid Services (CMS) concluded that Medicare spending will decline $86.4 billion and that by 2019, it is projected to grow 7.7 percent—0.9 percentage point more slowly than if the law had not passed..."