The overall financial impact of the Tax Cuts and Jobs Act is difficult to calculate and may be viewed differently by optimists and skeptics.
Millions of newly uninsured could cause a spike in costs for health-care providers, who likely would pass the costs on to private payers.
But the agency also sees the deficit reaching $1.4 trillion, or 5% of GDP, by 2027, driving debt held by the public to the highest level since 1947.
