II 

118TH CONGRESS 

2D SESSION H. R. 766 

IN THE SENATE OF THE UNITED STATES 

MARCH 20, 2024 

Received 

AN ACT 

To amend the Congressional Budget Act of 1974 respecting 

the scoring of preventive health savings. 

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


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Dr. Michael C. Bur3 gess Preventive Health Savings Act’’. 

4 SEC. 2. SCORING OF PREVENTIVE HEALTH SAVINGS. 

5 Section 202 of the Congressional Budget and Im6 poundment Control Act of 1974 (2 U.S.C. 602) is amend7 ed by adding at the end the following: 

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

9 ‘‘(1) DETERMINATION BY THE DIRECTOR.— 

10 Upon a request by the chairman and ranking minor11 ity member of the Committee on the Budget of the 

12 Senate and chairman and ranking minority member 

13 of the committee of primary jurisdiction of the Sen14 ate or by the chairman and ranking minority mem15 ber of the Committee on the Budget of the House 

16 of Representatives and the chairman and ranking 

17 minority member of the committee of primary juris18 diction of the House of Representatives, the Director 

19 shall determine if proposed legislation would result 

20 in net reductions in budget outlays in budgetary out21 years through the use of preventive health care. 

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

23 that proposed legislation would result in net reduc24 tions in budget outlays as described in paragraph 

25 (1), the Director— 


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1 ‘‘(A) shall include, in any projection pre2 pared by the Director on such proposed legisla3 tion, a description and estimate of the reduc4 tions in budget outlays in the budgetary out5 years and a description of the basis for such 

6 conclusions; and 

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

8 includes some or all of the budgetary outyears, 

9 notwithstanding the time periods for projections 

10 described in subsection (e) and sections 308, 

11 402, and 424. 

12 ‘‘(3) LIMITATION.—Any estimate provided by 

13 the Director pursuant to paragraph (1) shall be used 

14 as a supplementary estimate and may not be used 

15 to determine compliance with the Congressional 

16 Budget Act of 1974 or any other budgetary enforce17 ment controls. 

18 ‘‘(4) DEFINITIONS.—As used in this sub19 section— 

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

21 the 2 consecutive 10-year periods beginning 

22 with the first fiscal year that is 10 years after 

23 the current fiscal year; and 

24 ‘‘(B) the term ‘preventive health care’ 

25 means an action that focuses on the health of 


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1 the public, individuals, and defined populations 

2 in order to protect, promote, and maintain 

3 health and wellness and prevent disease, dis4 ability, and premature death, including through 

5 the promotion and use of effective, innovative 

6 health care interventions that are demonstrated 

7 by credible and publicly available evidence from 

8 epidemiological projection models, clinical trials, 

9 observational studies in humans, longitudinal 

10 studies, and meta-analysis.’’. 

Passed the House of Representatives March 19, 

2024. 

Attest: KEVIN F. MCCUMBER, 

Clerk. 


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