A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings.

II 116TH CONGRESS 1ST SESSION S. 1361 To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. IN THE SENATE OF THE UNITED STATES MAY 8, 2019 Mr. CARDIN (for himself, Mr. CRAPO, and Mr. KING) introduced the following bill; which was read twice and 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- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SCORING OF PREVENTIVE HEALTH SAVINGS. 3 Section 202 of the Congressional Budget and Im- 4 poundment Control Act of 1974 (2 U.S.C. 602) is amend- 5 ed by adding at the end the following: 6 ‘‘(h) SCORING OF PREVENTIVE HEALTH SAVINGS.— 7 ‘‘(1) DETERMINATION BY THE DIRECTOR.— 8 Upon a request by the chairman or ranking minority 9 member of the Committee on the Budget, the Com- 10 VerDate Sep 11 2014 01:40 May 15, 2019 Jkt 089200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 \\ALPHA3\E\BILLS\S1361.IS S1361 kjohnson on DSK79L0C42 with BILLS 2 •S 1361 IS mittee on Finance, or the Committee on Health, 1 Education, Labor, and Pensions of the Senate, or by 2 the chairman or ranking minority member of the 3 Committee on the Budget, the Committee on Energy 4 and Commerce, or the Committee on Ways and 5 Means of the House of Representatives, the Director 6 shall determine if a proposed measure would result 7 in reductions in budget outlays in budgetary out- 8 years through the use of preventive health and pre- 9 ventive health services. 10 ‘‘(2) PROJECTIONS.—If the Director determines 11 that a measure would result in substantial reduc- 12 tions in budget outlays as described in paragraph 13 (1), the Director— 14 ‘‘(A) shall include, in any projection pre- 15 pared by the Director, a description and esti- 16 mate of the reductions in budget outlays in the 17 budgetary outyears and a description of the 18 basis for such conclusions; and 19 ‘‘(B) may prepare a budget projection that 20 includes some or all of the budgetary outyears, 21 notwithstanding the time periods for projections 22 described in subsection (e) and sections 308, 23 402, and 424. 24 VerDate Sep 11 2014 01:40 May 15, 2019 Jkt 089200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 \\ALPHA3\E\BILLS\S1361.IS S1361 kjohnson on DSK79L0C42 with BILLS 3 •S 1361 IS ‘‘(3) DEFINITIONS.—As used in this sub- 1 section— 2 ‘‘(A) the term ‘budgetary outyears’ means 3 the 2 consecutive 10-year periods beginning 4 with the first fiscal year that is 10 years after 5 the budget year provided for in the most re- 6 cently agreed to concurrent resolution on the 7 budget; and 8 ‘‘(B) the term ‘preventive health’ means an 9 action that focuses on the health of the public, 10 individuals, and defined populations in order to 11 protect, promote, and maintain health and 12 wellness and prevent disease, disability, and 13 premature death that is demonstrated by cred- 14 ible and publicly available evidence from epide- 15 miological projection models, clinical trials, ob- 16 servational studies in humans, longitudinal 17 studies, and meta-analysis.’’. 18 Æ VerDate Sep 11 2014 01:40 May 15, 2019 Jkt 089200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 \\ALPHA3\E\BILLS\S1361.IS S1361 kjohnson on DSK79L0C42 with BILLS