•HCON 312 RH 
that the Federal budget is on an unsustainable path 
of rising deficits and debt; 
(2) using recent trend data and reasonable pol-
icy assumptions, CBO has projected that the gap be-
tween spending and revenues over the next 75 years 
will reach 6.9 percent of GDP; 
(3) publicly held debt will rise from 36 percent 
today to 400 percent of GDP by the decade begin-
ning in 2050 under CBO’s alternative policy sce-
nario; 
(4) the most significant factor affecting the 
long-term Federal fiscal landscape is the expectation 
that total public and private health spending will 
continue to grow faster than the economy; 
(5) the House calls upon governmental and 
nongovernmental experts to develop specific options 
to reform the health care system and control costs, 
that further research and analysis on topics includ-
ing comparative effectiveness, health information 
technology, preventative care, and provider incen-
tives is needed, and that of critical importance is the 
development of a consensus on the appropriate 
methods for estimating the budgetary impact and 
health outcome effects of these proposals; and 
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•HCON 312 RH 
(6) immediate policy action is needed to address 
the long-term fiscal challenges facing the United 
States, including the rising costs of entitlements, in 
a manner that is fiscally responsible, equitable, and 
lasting, and that also honors commitments made to 
beneficiaries, and that such action should be bipar-
tisan, bicameral, involve both legislative and execu-
tive branch participants, as well as public participa-
tion, and be conducted in a manner that ensures 
full, fair, and timely Congressional consideration. 
SEC. 605. SENSE OF THE HOUSE REGARDING WASTE, 
FRAUD, AND ABUSE. 
It is the sense of the House that— 
(1) all committees should examine programs 
within their jurisdiction to identify wasteful and 
fraudulent spending; 
(2) title IV of this resolution includes cap ad-
justments to provide appropriations for agencies that 
control programs that accounted for a significant 
share of improper payments reported by Federal 
agencies: Social Security Administration Continuing 
Disability Reviews, the Medicare/Medicaid Health 
Care Fraud and Abuse Control Program, and Un-
employment Insurance Program Integrity; 
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•HCON 312 RH 
(3) title IV also includes a cap adjustment for 
the Internal Revenue Services for tax compliance ef-
forts to close the $300,000,000,000 tax gap; 
(4) the resolution’s deficit-neutral reserve funds 
require authorizing committees to cut lower priority 
and wasteful spending to accommodate any new 
high-priority entitlement benefits; and 
(5) title IV of the resolution directs all commit-
tees to review the performance of programs within 
their jurisdiction and report recommendations annu-
ally to the Committee on the Budget as part of the 
views and estimates process required by section 
301(d) of the Congressional Budget Act. 
SEC. 606. SENSE OF THE HOUSE REGARDING EXTENSION 
OF THE STATUTORY PAY-AS-YOU-GO RULE. 
It is the sense of the House that to reduce the deficit, 
Congress should extend the PAYGO rules originally en-
acted in the Budget Enforcement Act of 1990. 
SEC. 607. SENSE OF THE HOUSE ON LONG-TERM BUDG-
ETING. 
It is the sense of the Congress that the determination 
of the congressional budget for the United States Govern-
ment and the President’s budget request should include 
consideration of the Financial Report of the United States 
Government, especially its information regarding the Gov-
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