IB 
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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A BILL 
To amend the Congressional Budget Act of 1974 respecting 
the scoring of preventive health savings. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Dr. Michael C. Burgess 
Preventive Health Savings Act’’. 
SEC. 2. SCORING OF PREVENTIVE HEALTH SAVINGS. 
Section 202 of the Congressional Budget and Im-
poundment Control Act of 1974 (2 U.S.C. 602) is amended 
by adding at the end the following: 
‘‘(h) SCORING OF PREVENTIVE HEALTH SAVINGS.— 
‘‘(1) DETERMINATION BY THE DIRECTOR.—Upon 
a request by the chairman and ranking minority 
member of the Committee on the Budget of the Senate 
and chairman and ranking minority member of the 
committee of primary jurisdiction of the Senate or by 
the chairman and ranking minority member of the 
Committee on the Budget of the House of Representa-
tives and the chairman and ranking minority mem-
ber of the committee of primary jurisdiction of the 
House of Representatives, the Director shall determine 
if proposed legislation would result in net reductions 
in budget outlays in budgetary outyears through the 
use of preventive health care. 
‘‘(2) PROJECTIONS.—If the Director determines 
that proposed legislation would result in net reduc-
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tions in budget outlays as described in paragraph (1), 
the Director— 
‘‘(A) shall include, in any projection pre-
pared by the Director on such proposed legisla-
tion, a description and estimate of the reductions 
in budget outlays in the budgetary outyears and 
a description of the basis for such conclusions; 
and 
‘‘(B) may prepare a budget projection that 
includes some or all of the budgetary outyears, 
notwithstanding the time periods for projections 
described in subsection (e) and sections 308, 402, 
and 424. 
‘‘(3) LIMITATION.—Any estimate provided by the 
Director pursuant to paragraph (1) shall be used as 
a supplementary estimate and may not be used to de-
termine compliance with the Congressional Budget 
Act of 1974 or any other budgetary enforcement con-
trols. 
‘‘(4) DEFINITIONS.—As used in this subsection— 
‘‘(A) the term ‘budgetary outyears’ means 
the 2 consecutive 10-year periods beginning with 
the first fiscal year that is 10 years after the cur-
rent fiscal year; and 
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‘‘(B) the term ‘preventive health care’ means 
an action that focuses on the health of the public, 
individuals, and defined populations in order to 
protect, promote, and maintain health and 
wellness and prevent disease, disability, and pre-
mature death, including through the promotion 
and use of effective, innovative health care inter-
ventions that are demonstrated by credible and 
publicly available evidence from epidemiological 
projection models, clinical trials, observational 
studies in humans, longitudinal studies, and 
meta-analysis.’’. 
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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 Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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22:03 Mar 15, 2024
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