II 

115TH CONGRESS 

1ST SESSION S. 2164 

To amend the Congressional Budget Act of 1974 respecting the scoring 

of preventive health savings. 

IN THE SENATE OF THE UNITED STATES 

NOVEMBER 28, 2017 

Mr. KING (for himself, Mr. CRAPO, Mr. CARDIN, and Mr. UDALL) introduced 

the following bill; which was read twice and referred to the Committee 

on the Budget 

A BILL 

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, 

3 SECTION 1. SCORING OF PREVENTIVE HEALTH SAVINGS. 

4 Section 202 of the Congressional Budget and Im5 poundment Control Act of 1974 (2 U.S.C. 602) is amend6 ed by adding at the end the following new subsection: 

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

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

9 Upon a request by the chairman or ranking minority 

10 member of the Committee on the Budget, the ComVerDate Sep 11 2014 04:30 Nov 29, 2017 Jkt 079200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S2164.IS S2164

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1 mittee on Finance, or the Committee on Health, 

2 Education, Labor, and Pensions of the Senate, or by 

3 the chairman or ranking minority member of the 

4 Committee on the Budget, the Committee on Energy 

5 and Commerce, or the Committee on Ways and 

6 Means of the House of Representatives, the Director 

7 shall determine if a proposed measure would result 

8 in reductions in budget outlays in budgetary out9 years through the use of preventive health and pre10 ventive health services. 

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

12 that a measure would result in substantial reduc13 tions in budget outlays as described in paragraph 

14 (1), the Director— 

15 ‘‘(A) shall include, in any projection pre16 pared by the Director, a description and esti17 mate of the reductions in budget outlays in the 

18 budgetary outyears and a description of the 

19 basis for such conclusions; and 

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

21 includes some or all of the budgetary outyears, 

22 notwithstanding the time periods for projections 

23 described in subsection (e) and sections 308, 

24 402, and 424. 


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1 ‘‘(3) DEFINITIONS.—As used in this sub2 section— 

3 ‘‘(A) the term ‘preventive health’ means an 

4 action that focuses on the health of the public, 

5 individuals and defined populations in order to 

6 protect, promote, and maintain health and 

7 wellness and prevent disease, disability, and 

8 premature death that is demonstrated by cred9 ible and publicly available evidence from epide10 miological projection models, clinical trials, ob11 servational studies in humans, longitudinal 

12 studies, and meta-analysis; and 

13 ‘‘(B) the term ‘budgetary outyears’ means 

14 the 2 consecutive 10-year periods beginning 

15 with the first fiscal year that is 10 years after 

16 the budget year provided for in the most re17 cently agreed to concurrent resolution on the 

18 budget.’’. 

Æ 


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