"We've already been hit with the sticker shock of just how much this is going to cost -- a trillion dollars plus in 10 years with higher costs beyond that, so there remain questions about whether this is the right time to be engaging in such an expensive agenda item," said Maya C. MacGuineas, president of the Committee for a Responsible Federal Budget, in Washington, D.C. She said the House measure doesn't do enough to make "a real dent in the growth of health-care costs."