Beware the Rush to Presumption, Part B: Substandard Regulatory Analyses for the Affordable Care Act's Interim Final Rules

Abstract

Federal agencies issued eight major interim final regulations in 2010 to quickly implement major provisions of the Affordable Care Act (ACA). This paper employs the Mercatus Center’s Regulatory Report Card scoring system to compare the quality and use of regulatory impact analyses (RIAs) for these regulations with the quality and use of RIAs for major proposed regulations in 2008 and 2009. The quality and use of analysis for the ACA interim final regulations falls well below the standards set by other agencies and even by the U.S. Department of Health and Human Services (HHS) in conventional notice-and-comment rulemaking in previous years. The analysis in the eight ACA RIAs is comparable to the analysis that accompanied a series of interim final homeland security regulations issued by the Bush administration following 9/11. This suggests that institutional, rather than personal or partisan, factors explain why the quality of regulatory analysis declines when agencies implement significant presidential priorities on short deadlines.

Keywords: Affordable Care Act, Patient Protection and Affordable Care Act, Regulatory Impact Analysis, health, health care, health reform, health insurance

JEL Classification: D73, D78, I18, K23, L51