,,ii  #aacth ,,congress  #ast ,session  
,s4 #adbb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,august #a1    
#bjac ,mr4 ,cardin 7for himself1 ,mr4   
,crapo1 ,mr4 ,king1 ,mr4 ,udall of ,new 
,mexico1 and ,mrs4 ,shaheen7 introduced 
the following bill2 which was read twice
 and referred to the ,committee on the  
,budget  ,a ,,bill  ,to amend the       
,congressional ,budget ,act of #aigd    
respecting the scoring of preventive    
health savings4  #a4 ,scoring of        
preventive health savings ,section #bjb 
of the ,congressional ,budget and       
,impoundment ,control ,act of #aigd 7#b 
,u4,s4,c4 #fjb7 is amended by adding at 
the end the following new subsection3   
7h7 ,scoring of preventive health       
savings  7#a7 ,determination by the     
,director ,upon a request by the        
chairman or ranking minority member of  
the ,committee on the ,budget1 the      
,committee on ,finance1 or the          
,committee on ,health1 ,education1      
,labor1 and ,pensions of the ,senate1 or

 by the chairman or ranking minority    
member of the ,committee on the ,budget1
 the ,committee on ,energy and          
,commerce1 or the ,committee on ,ways   
and ,means of the ,house of             
,representatives1 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
 services4  7#b7 ,projections ,if the   
,director determines that a measure     
would result in substantial reductions  
in budget outlays as described in       
paragraph 7#a71 the ,director--  7,a7   
shall include1 in any projection        
prepared by the ,director1 a description
 and estimate of the reductions in      
budget outlays in the budgetary outyears
 and a description of the basis for such
 conclusions2 and  7,b7 may prepare a   
budget projection that includes some or 
all of the budgetary outyears1          
notwithstanding the time periods for    
projections described in subsection 7e7 

and sections #cjh1 #djb1 and #dbd4  7#c7
 ,definitions ,as used in this          
subsection--  7,a7 the term preventive  
health means an action that focuses on  
the health of the public1 individuals   
and defined populations in order to     
protect1 promote1 and maintain health   
and wellness and prevent disease1       
disability1 and premature death that is 
demonstrated by credible and publicly   
available evidence from epidemiological 
projection models1 clinical trials1     
observational studies in humans1        
longitudinal studies1 and meta-analysis1
 to avoid future health care costs2 and 
7,b7 the term budgetary outyears means  
the #b consecutive #aj-year periods     
beginning with the first fiscal year    
that is #aj years after the budget year 
provided for in the most recently agreed
 to concurrent resolution on the budget4
  4