The now 1502 page bill in the Senate uses a slick trick to disguise the true cost. In several instances the first year appropriation is identified. However, in subseqent years this same appropriation is listed as "...such sums as may be necessary...." Thus, there are no numbers cited for these sections in the out years. While there will probably be numbers when it comes appropriation time in five years, nevertheless the true cost of the bill is hidden from view. Here's an example from page 249:
7 ‘‘(3) FUNDING.—
8 ‘‘(A) INITIAL FUNDING.—There is hereby
9 appropriated to the Secretary, out of any funds
10 in the Treasury not otherwise appropriated,
11 $30,000,000 for the fiscal year 2014 to carry
12 out this subsection. Such amount shall remain
13 available without fiscal year limitation.
14 ‘‘(B) AUTHORIZATION FOR SUBSEQUENT
15 YEARS.—There are authorized to be appro
16 priated to the Secretary for each fiscal year fol
17 lowing the fiscal year described in subparagraph
18 (A) such sums as may be necessary to carry out
19 this subsection.
This is but 1 of the at least 13 times this ruse is used.
First we've seen that there is $247 billion in the "Doctor fix", a cost that should be associated with health care reform. Now we see that the bill doesn't even reflect any of the true costs beyond the first year.