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 BER-
NICE 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 re-
ferred to the Committee on the Budget 
A BILL 
To amend the Congressional Budget Act of 1974 respecting 
the scoring of preventive health savings. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SCORING OF PREVENTIVE HEALTH SAVINGS. 
Section 202 of the Congressional Budget and Im-
poundment Control Act of 1974 (2 U.S.C. 602) is amend-
ed by adding at the end the following new subsection: 
‘‘(h) SCORING OF PREVENTIVE HEALTH SAVINGS.— 
‘‘(1) DETERMINATION
BY
THE
DIRECTOR.— 
Upon a request by the chairman or ranking minority 
member of the Committee on the Budget of the Sen-
ate, or by the chairman or ranking minority member 
of the Committee on the Budget of the House of 
Representatives, the Director shall determine if a 
proposed measure would result in reductions in 
budget outlays in budgetary outyears through the 
use of preventive health and preventive health serv-
ices. 
‘‘(2) PROJECTIONS.—If the Director determines 
that a measure would result in substantial reduc-
tions in budget outlays as described in paragraph 
(1), the Director— 
‘‘(A) shall include, in any projection pre-
pared by the Director, a description and esti-
mate 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, 
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notwithstanding the time periods for projections 
described in subsection (e) and sections 308, 
402, and 424. 
‘‘(3) DEFINITIONS.—As used in this sub-
section— 
‘‘(A) the term ‘preventive health’ 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 
premature death that is demonstrated by cred-
ible and publicly available epidemiological pro-
jection models, incorporating clinical trials or 
observational studies in humans, to avoid future 
health care costs; and 
‘‘(B) the term ‘budgetary outyears’ means 
the 2 consecutive 10-year periods beginning 
with the first fiscal year that is 10 years after 
the budget year provided for in the most re-
cently agreed to concurrent resolution on the 
budget.’’. 
Æ 
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