I 
118TH CONGRESS 
1ST SESSION 
H. R. 766 
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 
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, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Preventive Health Sav-
ings 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 amend-
ed by adding at the end the following: 
‘‘(h) SCORING OF PREVENTIVE HEALTH SAVINGS.— 
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‘‘(1) DETERMINATION
BY
THE
DIRECTOR.— 
Upon a request by the chairman or ranking minority 
member of the Committee on the Budget, the Com-
mittee on Finance, or the Committee on Health, 
Education, Labor, and Pensions of the Senate, or by 
the chairman or ranking minority member of the 
Committee on the Budget, the Committee on Energy 
and Commerce, or the Committee on Ways and 
Means of the House of Representatives, the Director 
shall determine if a proposed measure would result 
in reductions in budget outlays in budgetary out-
years through the use of preventive health and pre-
ventive health services. 
‘‘(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, 
notwithstanding the time periods for projections 
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described in subsection (e) and sections 308, 
402, and 424. 
‘‘(3) DEFINITIONS.—As used in this sub-
section— 
‘‘(A) 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; and 
‘‘(B) 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 evidence from epide-
miological projection models, clinical trials, ob-
servational studies in humans, longitudinal 
studies, and meta-analysis.’’. 
Æ 
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