From: The Honorable Reid J. Ribble
Sent By:
Bill: H.R. 282
Date: 7/15/2015

Long-Term Studies of Comprehensive Outcomes and Returns for the Economy “SCORE” Act, H.R. 282
Health care spending on chronic disease threatens the viability of our economy. Today, more than three out of every four Medicare dollars are spent on treating chronic diseases.

Cosponsors (25): Blumenauer, Collins (NY), Esty, Harper, Hastings, Higgins, Hultgren, Huffman, Jenkins (KS), Katko, Lance, Lawrence, Lujan Grisham, McKinley, Moulton, Paulsen, Peters, Pocan, Rigell, Schakowsky, Scott (Austin), Sensenbrenner, Takano, Webster, Wittman
Supported by: Campaign to End Obesity, Medical College of Wisconsin, Children’s Hospital of Wisconsin, Academy of Nutrition and Dietetics, American College of Preventive Medicine, American College of Sports Medicine, American Council on Exercise, American Society for Metabolic and Bariatric Surgery, American Society of Bariatric Physicians, Arena Pharmaceuticals, Healthcare Leadership Council, Johnson and Johnson, National Center for Weight and Wellness, National Hispanic Medical Association, National Transitions of Care Coalition, Obesity Action Coalition, Orexigen Therapeutics, Sports and Fitness Industry Association, The Obesity Society, United States Soccer Foundation, Weight Watchers International, YMCA of the USA
Dear Colleague:
We hope you will join with us in our nation’s fight against skyrocketing health care costs. The Centers for Disease Control and Prevention (CDC) estimates 133 million Americans live with at least one chronic condition, like diabetes, cardiovascular disease, cancer, arthritis, obesity, and Alzheimer’s. Each year, these conditions account for 75 percent of all U.S. health care spending, and if we do not reduce these costs we may threaten the viability of our health care system. Alzheimer’s disease alone is estimated to cost Medicare and Medicaid $153 billion in 2015, and increase to 31 percent of all Medicare costs in 2050.
There is a real opportunity for cost savings by making modest reductions in the prevalence of chronic disease. For example, we know that a five percent reduction in population-wide body mass index (BMI) could save nearly $30 billion over just five years. If you extrapolate the same reduction over 20 years, the savings could amount to as much as $611 billion.
The current practice of the Congressional Budget Office to produce ten-year budget estimates is inadequate for capturing both the full costs and the full benefits of programs beyond the first ten years. This challenge is highlighted when evaluating federal health prevention programs, the benefits of which, however significant, often take decades to materialize. A ten-year budget window is simply incapable of capturing these benefits.
To address this challenge, we have introduced legislation to create the infrastructure and provide the needed resources at the Congressional Budget Office to facilitate the production of long-term budget analyses. Specifically, the legislation would:
Create a separate office for the purposes of long-term scoring at the Congressional Budget Office;
Provide for cost estimates of legislation for as long as 50 years into the future; and
Provide resources to the Congressional Budget Office to prepare such estimates.
We invite you to join us as a co-sponsor of this important piece of legislation to promote the value of making good health care choices and the long-term economic benefits it provides to our economy. We know that, with longer cost estimates, we can better distinguish between effective policies and ineffective policies. This legislation is simply a tool to allow lawmakers to better evaluate legislation on both its policy merits and its true costs.
If you have any questions or would like to sign on as a co-sponsor, please contact Erin Adams with Congressman Ribble at or Leslie Zelenko with Congressman Pocan at
Reid J. Ribble Mark Pocan
Member of Congress Member of Congress