here is the report
http://www.cbo.gov/ftpdocs/104xx/doc10464/hr3200.pdf
on page 7 there is a chart titled "EFFECTS ON THE FEDERAL DEFICIT"
it lists the cumulative totals of government expenditures for 2010 to 2019 of $1.182 trillion, offset by expenditure savings of $163 billion resulting in a "NET IMPACT OF COVERAGE SPECIFICATIONS" of $1.042 trillion dollars....the $239 billion is the sum they claim after increasing taxes by $583 billion and reducing payments to doctors in the amount of $219 billion.....
further, it states that total does not include federal administrative costs...
it also states that employers would be required to "pay 8 percent of their average payroll per worker for each employee who received subsidies via an exchange", which would not be included in the above, nor would it include the sums any individual would have to pay....
finally, the offsets you claim are either higher taxes or reduced payments to service providers (ie doctors) so they are still sums that SOMEONE has to pay for the reform....
so, what is the cost of the health care package?.....one thing is certain, it is NOT $1.3 trillion....