I 

111TH CONGRESS 

1ST SESSION H. R. 3148 

To amend the Congressional Budget Act of 1974 respecting the scoring 

of preventive health savings. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 9, 2009 

Mrs. CHRISTENSEN (for herself, Ms. LEE of California, Mrs. CAPPS, Mr. 

ELLISON, Mr. THOMPSON of Mississippi, Mr. JOHNSON of Georgia, Ms. 

KILPATRICK of Michigan, Ms. JACKSON-LEE of Texas, Ms. EDDIE BERNICE JOHNSON of Texas, Ms. WATSON, Mr. HASTINGS of Florida, Mr. 

BUTTERFIELD, Mr. CLYBURN, Mr. WATT, Mr. JACKSON of Illinois, Mr. 

PAYNE, Mr. CARSON of Indiana, Mr. CLAY, Mr. CLEAVER, Mr. DAVIS of 

Alabama, Ms. CLARKE, Mr. DAVIS of Illinois, Ms. WATERS, Mr. LEWIS

of Georgia, Mr. TOWNS, Ms. BORDALLO, Mr. CONYERS, Mr. CUMMINGS, 

Mr. FATTAH, Mr. SCOTT of Virginia, Mr. RUSH, Ms. NORTON, Ms. 

MOORE of Wisconsin, Mr. SCOTT of Georgia, Mr. WEINER, Mr. AL

GREEN of Texas, Ms. RICHARDSON, Ms. EDWARDS of Maryland, Mr. 

PALLONE, Ms. FUDGE, Ms. MATSUI, Ms. CORRINE BROWN of Florida, 

and Ms. ROYBAL-ALLARD) introduced the following bill; which was 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, 


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1 SECTION 1. SCORING OF PREVENTIVE HEALTH SAVINGS. 

2 Section 202 of the Congressional Budget and Im3 poundment Control Act of 1974 (2 U.S.C. 602) is amend4 ed by adding at the end the following new subsection: 

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

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

7 Upon a request by the chairman or ranking minority 

8 member of the Committee on the Budget of the Sen9 ate, or by the chairman or ranking minority member 

10 of the Committee on the Budget of the House of 

11 Representatives, the Director shall determine if a 

12 proposed measure would result in reductions in 

13 budget outlays in budgetary outyears through the 

14 use of preventive health and preventive health serv15 ices. 

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

17 that a measure would result in substantial reduc18 tions in budget outlays as described in paragraph 

19 (1), the Director— 

20 ‘‘(A) shall include, in any projection pre21 pared by the Director, a description and esti22 mate of the reductions in budget outlays in the 

23 budgetary outyears and a description of the 

24 basis for such conclusions; and 

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

26 includes some or all of the budgetary outyears, 


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1 notwithstanding the time periods for projections 

2 described in subsection (e) and sections 308, 

3 402, and 424. 

4 ‘‘(3) DEFINITIONS.—As used in this sub5 section— 

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

7 action that focuses on the health of the public, 

8 individuals and defined populations in order to 

9 protect, promote, and maintain health and 

10 wellness and prevent disease, disability, and 

11 premature death that is demonstrated by cred12 ible and publicly available epidemiological pro13 jection models, incorporating clinical trials or 

14 observational studies in humans, to avoid future 

15 health care costs; and 

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

17 the 2 consecutive 10-year periods beginning 

18 with the first fiscal year that is 10 years after 

19 the budget year provided for in the most re20 cently agreed to concurrent resolution on the 

21 budget.’’. 

Æ 


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