IB Union Calendar No. 352 118th CONGRESS 2d Session H. R. 766 [Report No. 118–426] 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 A BILL To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings.

1. Short title This Act may be cited as the Dr. Michael C. Burgess Preventive Health Savings Act . 2. Scoring of preventive health savings Section 202 of the Congressional Budget and Impoundment 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 Representatives and the chairman and ranking minority member 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 reductions in budget outlays as described in paragraph (1), the Director— (A) shall include, in any projection prepared by the Director on such proposed legislation, 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 determine compliance with the Congressional Budget Act of 1974 or any other budgetary enforcement controls. (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 current fiscal year; and (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 premature death, including through the promotion and use of effective, innovative health care interventions that are demonstrated by credible and publicly available evidence from epidemiological projection models, clinical trials, observational studies in humans, longitudinal studies, and meta-analysis. .

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