If you assume that we don’t do the cost controls or revenue increases in the ACA, then “the ACA” increases the deficit by eleventy bajillion dollars over 200 years zomgz!
Let’s be clear about what this report says. It’s a worst-case-scenario. They looked at what would happen to the deficit if (1) we left in all the spending, (2) all of the cost control measures utterly failed, and (3) we removed all of the revenue streams/taxes. If you do that, then the bill raises the deficit $6.2 trillion over 75 years.