,,ii  #aadth ,,congress  #ast ,session  
,s4 #bbfj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,november #i1  
#bjae,mr4 ,warner 7for himself and ,mr4 
,crapo7 introduced the following bill2  
which was read twice and referred to the
 ,committee on the ,budget  ,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 or the   
,long-,term ,,score ,act4  #b4 ,findings
 and ,purpose  7a7 ,findings ,congress  
finds the following3  7#a7 ,the ,centers
 for ,disease ,control and ,prevention  
estimates that #acc1jjj1jjj people in   
the ,united ,states live with at least  
one chronic condition4  7#b7 ,more than 

#c of every #d 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 diseases may save ,united  
,states taxpayers as much as            
#faa1jjj1jjj1jjj 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-year 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 ,long-term cost analyses  
of legislation by ,,cbo ,section #djb of
 the ,congressional ,budget ,act of     
#aigd 7#b ,u4,s4,c4 #fec7 is amended--  
7#a7 by inserting 7a7 ,cost estimates4--
 after sec4 #djb42 and  7#b7 by adding  
at the end the following3  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 ,senate or the ,house
 of ,representatives1 the ,director     
shall prepare and submit to the         
committee reporting the bill or         
resolution the information required     
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  
#d #aj-;fiscal-year periods beginning   
with the first fiscal year after the    
last fiscal year for which an analysis  
was prepared under subsection 7a74  4   

#d4 ,authorization of appropriations for
 long-term cost estimating ,section     
#bja7;g7 of the ,congressional ,budget  
,act of #aigd 7#b ,u4,s4,c4 #fja7;g77 is
 amended by striking the second sentence
 and inserting the following3 ,in       
addition to such sums as may otherwise  
be appropriated to the ,office1 there   
are authorized to be appropriated to the
 ,office for fiscal year #bjaf and each 
fiscal year thereafter #e1jjj1jjj to    
prepare the long-term cost estimates    
required under section #djb7;b744