614 
er than a blend of the Consumer Price Index 
and the Medical Economic Index, as adjusted 
after fiscal year 2018 using the same calcula-
tion, excluding benefits provided from the 
OASDI Trust funds, as that set forth in section 
252A(e) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985 to reflect the 
increase in the the number of Medicare eligible 
retirees receiving benefiits in the program rel-
ative to fiscal year 2018. 
‘‘(C) OTHER
DIRECT
SPENDING.—Other 
direct spending is direct spending other than 
OASDI, the Medicare and Medicaid program 
and is sustainable if it grows from a fixed per-
centage of gross domestic product in fiscal year 
2008.’’. 
(b) OFFICE OF MANAGEMENT AND BUDGET.—Sec-
tion 1105(a) of title 31, United States Code, (as amended 
by section 142(e)) is further amended by adding at the 
end the following: 
‘‘(38) long-term projections of total spending 
over 75 years as a percentage of gross domestic 
product annually and the impact of proposed policies 
over that period.’’. 
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615 
SEC. 822. GAO AND OMB STATEMENTS OF THE FEDERAL 
GOVERNMENT’S FINANCIAL CONDITION. 
(a) GOVERNMENT ACCOUNTABILITY OFFICE.—On or 
before April 15 of each fiscal year, the Government Ac-
countability Office shall submit a report on the federal 
government’s financial condition, including the long-term 
unfunded obligations. 
(b) DEFINITION OF LONG-TERM UNFUNDED OBLI-
GATIONS.—Section 3 of the Congressional Budget Act of 
1974 is further amended by adding at the end the fol-
lowing new paragraph, and redesignate the paragraph ac-
cordingly: 
‘‘(11) UNFUNDED
OBLIGATIONS.—The term 
‘Unfunded Obligations’ means the dollar sum of the 
Total Net Position as displayed in the United States 
Government Balance Sheets contained within the 
most recently published Financial Report of the 
United States Government; plus the 75-year actu-
arial balances, using the intermediate open-group as-
sumption, of Medicare’s Hospital Insurance, Supple-
mentary Medical Insurance, and Prescription Drug 
programs contained within the most recently pub-
lished Annual Report of the Boards of Trustees of 
the Federal Hospital Insurance and Federal Supple-
mentary Medical Insurance Trust Funds; plus the 
75-year actuarial balance, using the intermediate 
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616 
open group assumption, of the Old-Age Survivors 
and Disability Insurance program contained within 
the most recently published Annual Report of the 
Board of Trustees of the Federal Old-Age and Sur-
vivors Insurance and Federal Disability Insurance 
Trust Funds.’’. 
(c) OFFICE OF MANAGEMENT AND BUDGET.—Sec-
tion 1105(a) of title 31, United States Code, (as amended 
by section 301(b)) is further amended by adding at the 
end the following: 
‘‘(39) a report on the Federal Government’s fi-
nancial condition, the including the long-term un-
funded obligations.’’. 
SEC. 823. FIVE-YEAR FISCAL SUSTAINABILITY REVIEW. 
Title III of the Congressional Budget Act of 1974 
(as amended by section 126(a)) is further amended by 
adding at the end the following new section: 
‘‘FIVE-YEAR FISCAL SUSTAINABILITY REVIEW 
‘‘SEC. 318. (a) CONGRESSIONAL SPENDING REVIEW 
REPORT.—Not later than 15 calendar days after the date 
of the transmittal of the report referred to in subsection 
308(e), the Committees on the Budget of the House of 
Representatives and the Senate shall issue, and have 
printed in the Congressional Record, an assessment of 
such report. 
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617 
‘‘(b) COMMITTEE RECOMMENDATIONS.—Not later 
than 15 calendar days after the date of the report of the 
review referred to in subsection (c), the committees of the 
House of Representatives and the Senate shall consider 
and vote to submit to the Committees on the Budget of 
the House of Representatives and Senate, as applicable, 
recommendations, if any, such committees deem appro-
priate in response to the Spending Review Report issued 
pursuant to subsection (c). 
‘‘(c) EXPEDITED CONSIDERATION OF SPENDING RE-
VIEW LEGISLATION.— 
‘‘(1) CONSIDERATION IN THE HOUSE OF REP-
RESENTATIVES.— 
‘‘(A) INTRODUCTION
OF
SPENDING
RE-
VIEW LEGISLATION.— 
‘‘(i) If the report referred to in section 
308 indicates that the OASDI Trust 
Funds are not solvent, or that Medicare, 
Medicaid or other direct spending pro-
grams are not sustainable, or total spend-
ing exceeds the limits set forth in section 
252A for any year within the 75-year pe-
riod referred to in such report, then not 
later than 30 calendar days after the 
transmittal of the report referred to in 
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618 
subsection (a), if any, the majority leader 
and minority leader of the House of Rep-
resentatives shall each introduce legislation 
implementing to the extent practicable the 
recommendations referred to in subsection 
(d), or if necessary additional spending re-
duction sufficient to achieve the spending 
levels referred to in subsection (b). 
‘‘(ii) If Spending Review Legislation 
is not introduced pursuant to this subpara-
graph by the majority leader or minority 
leader, then not later than 45 calendar 
days after the transmittal of the report re-
ferred to in subsection (a), the chairman or 
ranking member of the Committee on the 
Budget shall introduce Spending Review 
Legislation sufficient to achieve the same 
spending levels. 
‘‘(iii) Spending review legislation shall 
be referred solely to the Committee on the 
Budget of the House of Representatives 
which shall have sole jurisdiction of such 
legislation. 
‘‘(iv) Spending review legislation in-
troduced pursuant to this section shall 
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