,i  #aacth ,,congress  #b;d ,session    
,h4 ,r4 #dddd  ,,in ,,the ,,house ,,of  
,,representatives  ,april #i1 #bjad ,mr4
 ,ribble 7for himself1 ,mr4 ,pocan1 ,ms4
 ,jenkins1 ,mr4 ,mc,kinley1 ,mr4        
,grijalva1 and ,mr4 ,takano7 introduced 
the following bill2 which was referred  
to the ,committee on the ,budget1 and in
 addition to the ,committee on ,rules1  
for a period to be subsequently         
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
amend the ,congressional ,budget ,act of
 #aigd to require that the              
,congressional ,budget ,office prepare  
long-term scoring estimates for reported
 bills and joint resolutions that could 
have significant economic and fiscal    
effects outside of the normal scoring   
periods4  #a4 ,short title ,this ,act   
may be cited as the ,long-,term ,studies
 of ,comprehensive ,outcomes and        
,returns for the ,economy ,act          

7,long-,term ,,score ,act74  #b4        
,findings and ,purpose  7a7 ,findings   
,congress finds the following3  7#a7    
,the ,centers for ,disease ,control and 
,prevention estimates that #acc million 
,americans live with at least one       
chronic condition4  7#b7 ,more than     
three of every four health care dollars 
spent in the ,united ,states derive from
 the care of chronic medical conditions4
  7#c7 ,such conditions include         
diabetes1 cardiovascular disease1       
cancer1 obesity1 arthritis1 and         
,alzheimers4  7#d7 ,reports from the    
,trust for ,america's ,health1 the      
,campaign to ,end ,obesity1 and other   
organizations demonstrate that ,federal 
policies which lead to reductions in the
 prevalence of one or more chronic      
disease may save ,united ,states        
taxpayers as much as #faa billion over  
the next #bj years1 and more in years   
beyond that time window4  7#e7 ,the     
,congressional ,budget ,office1 which   
estimates the cost of ,federal policies1

 typically provides ,congress with      
budgetary impact analyses for a five- or
 ten-year period4  7#f7 ,longer-term    
budgetary impacts fall beyond the       
traditional ,congressional ,budget      
,office budget window and therefore are 
not captured in ,congressional          
determinations of policies that reflect 
strategic investments in chronic disease
 prevention and treatment1 and similar  
long-term policies4  7#g7 ,the          
,congressional ,budget ,office has      
produced some long-term budget analysis1
 assessing the budgetary impact of      
certain programs for a period of as much
 as #ge years4  7#h7 ,the ,congressional
 ,budget ,office presently lacks        
adequate resources to conduct more      
regular long-term economic analyses4    
7#i7 ,congress and taxpayers will       
benefit from having such analyses more  
regularly available to steward ,federal 
dollars into the most effective policies
 and programs1 particularly those that  
will generate long-term budgetary       

savings4  7b7 ,purpose ,the purpose of  
this ,act is to require that the        
,congressional ,budget ,office prepare  
long-term scoring estimates for reported
 bills and joint resolutions that could 
have significant economic and fiscal    
effects outside of the normal scoring   
periods4  #c4 ,establishment of         
,assistant ,director for ,long-,term    
,budget ,scoring  ,paragraph 7#a7 of    
section #bja7;a7 of the ,congressional  
,budget ,act of #aigd is amended by     
inserting 7,a7 after 7#a7 and by adding 
at the end the following new            
subparagraph3  7,b7 ,there is           
established within the ,office a        
long-term budget scoring division which 
shall be headed by an assistant director
 who shall report directly to the       
,director4  4  #d4 ,long-term cost      
analyses of legislation by ,,cbo        
,section #djb of the ,congressional     
,budget ,act of #aigd is amended by     
inserting 7a7 ,cost estimates4-- after  
sec4 #djb4 and by adding at the end the 

following new subsection3  7b7          
,long-,term cost estimates ,whenever the
 ,director of the ,congressional ,budget
 ,office prepares an analysis of the    
costs of a bill or resolution under     
subsection 7a71 and upon the request of 
any ,member of the ,house of            
,representatives or the ,senate1 the    
,director shall prepare and submit to   
such committee the information requested
 under paragraphs 7#a71 7#b71 and 7#c7  
of subsection 7a71 except that such     
information shall be for1 if            
practicable1 at least each of the next  
four ten fiscal-year periods beginning  
with the first fiscal year after the    
last fiscal year for which an analysis  
was prepared under subsection 7a74  4   
#e4 ,authorization of appropriations for
 long-term cost estimating ,section     
#bja7;g7 of the ,congressional ,budget  
,act of #aigd is amended by striking the
 second sentence and inserting the      
following new sentence3 ,in addition to 
such sums as may otherwise be           

appropriated to the ,office1 there are  
authorized to be appropriated to the    
,office for each fiscal year #e1jjj1jjj 
to enable it to prepare the long-term   
cost estimates required by section      
#djb7;b744