The Republican opposition in Congress has put that number on the impact they say health care insurance reform will have on employment. The law's proponents say their figure is way off target. The real affect will likely depend on how the law actually gets implemented.
By some calculations, the Obama plan will help trim future budget gaps, but by others it'll only make things worse. The problem is, at this point no one knows for sure, and that makes sensible spending choices even harder to make now.