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Union Calendar No. 352 

118TH CONGRESS 

2D SESSION H. R. 766 

[Report No. 118–426] 

To amend the Congressional Budget Act of 1974 respecting the scoring 

of preventive health savings. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 2, 2023 

Mr. BURGESS (for himself and Ms. DEGETTE) introduced the following bill; 

which was referred to the Committee on the Budget 

MARCH 15, 2024 

Additional sponsors: Mr. KILDEE, Mrs. KIM of California, Mr. BUCSHON, Ms. 

LEE of Nevada, Mr. HARRIS, Mr. MURPHY, Mrs. MILLER-MEEKS, Ms. 

DELBENE, Mr. SCHWEIKERT, Mr. TRONE, Mr. WENSTRUP, Mr. FOSTER, 

Mr. YAKYM, Mr. FERGUSON, Mr. BLUMENAUER, Ms. LEE of California, 

Mr. MOORE of Utah, Mr. PETERS, Mr. SMUCKER, Ms. SCHAKOWSKY, Mr. 

BUCHANAN, Mrs. MILLER of West Virginia, Ms. ROSS, Ms. CARAVEO, 

Mr. GUTHRIE, Mr. DAVIS of North Carolina, Ms. SCHRIER, and Mr. 

KILEY

MARCH 15, 2024 

Reported with an amendment, committed to the Committee of the Whole 

House on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on February 2, 2023] 


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•HR 766 RH

A BILL 

To amend the Congressional Budget Act of 1974 respecting 

the scoring of preventive health savings. 


ddrumheller on DSK120RN23PROD with BILLS
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•HR 766 RH

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Dr. Michael C. Burgess 

5 Preventive Health Savings Act’’. 

6 SEC. 2. SCORING OF PREVENTIVE HEALTH SAVINGS. 

7 Section 202 of the Congressional Budget and Im8 poundment Control Act of 1974 (2 U.S.C. 602) is amended 

9 by adding at the end the following: 

10 ‘‘(h) SCORING OF PREVENTIVE HEALTH SAVINGS.— 

11 ‘‘(1) DETERMINATION BY THE DIRECTOR.—Upon 

12 a request by the chairman and ranking minority 

13 member of the Committee on the Budget of the Senate 

14 and chairman and ranking minority member of the 

15 committee of primary jurisdiction of the Senate or by 

16 the chairman and ranking minority member of the 

17 Committee on the Budget of the House of Representa18 tives and the chairman and ranking minority mem19 ber of the committee of primary jurisdiction of the 

20 House of Representatives, the Director shall determine 

21 if proposed legislation would result in net reductions 

22 in budget outlays in budgetary outyears through the 

23 use of preventive health care. 

24 ‘‘(2) PROJECTIONS.—If the Director determines 

25 that proposed legislation would result in net reducVerDate Sep 11 2014 19:10 Mar 15, 2024 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6203 E:\BILLS\H766.RH H766

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1 tions in budget outlays as described in paragraph (1), 

2 the Director— 

3 ‘‘(A) shall include, in any projection pre4 pared by the Director on such proposed legisla5 tion, a description and estimate of the reductions 

6 in budget outlays in the budgetary outyears and 

7 a description of the basis for such conclusions; 

8 and 

9 ‘‘(B) may prepare a budget projection that 

10 includes some or all of the budgetary outyears, 

11 notwithstanding the time periods for projections 

12 described in subsection (e) and sections 308, 402, 

13 and 424. 

14 ‘‘(3) LIMITATION.—Any estimate provided by the 

15 Director pursuant to paragraph (1) shall be used as 

16 a supplementary estimate and may not be used to de17 termine compliance with the Congressional Budget 

18 Act of 1974 or any other budgetary enforcement con19 trols. 

20 ‘‘(4) DEFINITIONS.—As used in this subsection— 

21 ‘‘(A) the term ‘budgetary outyears’ means 

22 the 2 consecutive 10-year periods beginning with 

23 the first fiscal year that is 10 years after the cur24 rent fiscal year; and 


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1 ‘‘(B) the term ‘preventive health care’ means 

2 an action that focuses on the health of the public, 

3 individuals, and defined populations in order to 

4 protect, promote, and maintain health and 

5 wellness and prevent disease, disability, and pre6 mature death, including through the promotion 

7 and use of effective, innovative health care inter8 ventions that are demonstrated by credible and 

9 publicly available evidence from epidemiological 

10 projection models, clinical trials, observational 

11 studies in humans, longitudinal studies, and 

12 meta-analysis.’’. 


ddrumheller on DSK120RN23PROD with BILLS
Union Calendar No. 352 

118TH CONGRESS 

2D SESSION H. R. 766 

[Report No. 118–426] 

A BILL 

To amend the Congressional Budget Act of 1974 

respecting the scoring of preventive health savings. 

MARCH 15, 2024 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 


ddrumheller on DSK120RN23PROD with BILLS