I 
113TH CONGRESS 
2D SESSION 
H. R. 4444 
To amend the Congressional Budget Act of 1974 to require that the Congres-
sional 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 periods. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 9, 2014 
Mr. RIBBLE (for himself, Mr. POCAN, Ms. JENKINS, Mr. MCKINLEY, Mr. GRI-
JALVA, and Mr. TAKANO) introduced the following bill; which was re-
ferred to the Committee on the Budget, and in addition to the Committee 
on Rules, for a period to be subsequently determined by the Speaker, in 
each case for consideration of such provisions as fall within the jurisdic-
tion of the committee concerned 
A BILL 
To amend the Congressional Budget Act of 1974 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 periods. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Long-Term Studies 
of Comprehensive Outcomes and Returns for the Economy 
Act’’ (‘‘Long-Term SCORE Act’’). 
SEC. 2. FINDINGS AND PURPOSE. 
(a) FINDINGS.—Congress finds the following: 
(1) The Centers for Disease Control and Pre-
vention estimates that 133 million Americans live 
with at least one chronic condition. 
(2) More than three of every four health care 
dollars spent in the United States derive from the 
care of chronic medical conditions. 
(3) Such conditions include diabetes, cardio-
vascular disease, cancer, obesity, arthritis, and Alz-
heimers. 
(4) Reports from the Trust for America’s 
Health, the Campaign to End Obesity, and other or-
ganizations 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 $611 billion over the next 20 years, and 
more in years beyond that time window. 
(5) The Congressional Budget Office, which es-
timates the cost of Federal policies, typically pro-
vides Congress with budgetary impact analyses for a 
five- or ten-year period. 
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(6) Longer-term budgetary impacts fall beyond 
the traditional Congressional Budget Office budget 
window and therefore are not captured in Congres-
sional determinations of policies that reflect strategic 
investments in chronic disease prevention and treat-
ment, and similar long-term policies. 
(7) The Congressional Budget Office has pro-
duced some long-term budget analysis, assessing the 
budgetary impact of certain programs for a period 
of as much as 75 years. 
(8) The Congressional Budget Office presently 
lacks adequate resources to conduct more regular 
long-term economic analyses. 
(9) Congress and taxpayers will benefit from 
having such analyses more regularly available to 
steward Federal dollars into the most effective poli-
cies and programs, particularly those that will gen-
erate long-term budgetary savings. 
(b) 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 out-
side of the normal scoring periods. 
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SEC. 3. ESTABLISHMENT OF ASSISTANT DIRECTOR FOR 
LONG-TERM BUDGET SCORING. 
Paragraph (1) of section 201(a) of the Congressional 
Budget Act of 1974 is amended by inserting ‘‘(A)’’ after 
‘‘(1)’’ and by adding at the end the following new subpara-
graph: 
‘‘(B) There is established within the Office a 
long-term budget scoring division which shall be 
headed by an assistant director who shall report di-
rectly to the Director.’’. 
SEC. 4. LONG-TERM COST ANALYSES OF LEGISLATION BY 
CBO. 
Section 402 of the Congressional Budget Act of 1974 
is amended by inserting ‘‘(a) COST ESTIMATES.—’’ after 
‘‘SEC. 402.’’ and by adding at the end the following new 
subsection: 
‘‘(b) LONG-TERM COST ESTIMATES.—Whenever the 
Director of the Congressional Budget Office prepares an 
analysis of the costs of a bill or resolution under sub-
section (a), and upon the request of any Member of the 
House of Representatives or the Senate, the Director shall 
prepare and submit to such committee the information re-
quested under paragraphs (1), (2), and (3) of subsection 
(a), except that such information shall be for, if prac-
ticable, at least each of the next four ten fiscal-year peri-
ods beginning with the first fiscal year after the last fiscal 
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year for which an analysis was prepared under subsection 
(a).’’. 
SEC. 5. AUTHORIZATION OF APPROPRIATIONS FOR LONG- 
TERM COST ESTIMATING. 
Section 201(g) of the Congressional Budget Act of 
1974 is amended by striking the second sentence and in-
serting the following new sentence: ‘‘In addition to such 
sums as may otherwise be appropriated to the Office, 
there are authorized to be appropriated to the Office for 
each fiscal year $5,000,000 to enable it to prepare the 
long-term cost estimates required by section 402(b).’’. 
Æ 
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