,,ii  #aafth ,,congress  #b;d ,session  
,s4 #diai  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,november #ah1 
#bjbj,mr4 ,cardin 7for himself1 ,mr4    
,bennet1 ,mr4 ,brown1 ,ms4 ,smith1 ,ms4 
,cortez ,masto1 ,mr4 ,booker1 and ,ms4  
,duckworth7 introduced the following    
bill2 which was read twice and referred 
to the ,committee on ,health1           
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to provide for a study by the  
,national ,academies of ,sciences1      
,engineering1 and ,medicine on the      
potential benefits on population health 
outcomes of incorporating into the      
,federal legislative process tools that 
measure the impacts of proposed         
legislation 7including in areas outside 
of health care7 on health and health    
disparities1 and for other purposes4    
#a4 ,short title ,this ,act may be cited
 as the ,assimilating ,health and       
,equity ,assessments into               
,decision-making of #bjbj or ,,ahead    
,act of #bjbj4  #b4 ,study to assess the

 value of using tools to measure the    
impacts of proposed ,federal legislation
 on health and health disparities  7a7  
,study ,the ,secretary of ,health and   
,human ,services 7in this section       
referred to as the ,secretary7 shall    
enter into an arrangement with the      
,national ,academies of ,sciences1      
,engineering1 and ,medicine 7or1 if the 
,national ,academies decline to enter   
into such arrangement1 with another     
appropriate entity such as the ,national
 ,academy of ,public ,administration7   
under which1 not later than #b years    
after the date of enactment of this     
,act1 the ,national ,academies 7or other
 appropriate entity7 will complete a    
study-- 7#a7 to examine the potential   
benefits on population health outcomes  
of incorporating into the ,federal      
legislative process tools that measure  
the impacts of proposed legislation     
7including in areas outside of health   
care7 on health and health disparities2 
7#b7 to formulate recommendations on    

integrating such tools into the ,federal
 legislative process to achieve better  
population health outcomes2  7#c7 to    
formulate recommendations on how        
behavioral and nudge research on the    
health and equity effects of policies   
may translate into evaluative tools for 
policymakers2 and  7#d7 in consultation 
with the ,comptroller ,general of the   
,united ,states1 the ,director of the   
,congressional ,budget ,office1 and the 
,director of the ,congressional         
,research ,service1 to formulate        
recommendations on how such tools should
 be incorporated into the ,federal      
legislative process4  7b7 ,tools ,to be 
considered ,the tools considered under  
the study under subsection 7a7 shall    
include health impact assessments1 and  
may include any other tools of analysis 
that analyze the potential impacts on   
health and health disparities of        
incorporating the findings of such      
reviews and analyses of proposed        
,federal legislation and accompanying   

budgetary scores4  7c7 ,specific        
populations ,to be considered ,the study
 under subsection 7a7 shall consider the
 impacts described in such subsection on
 health and health disparities within   
specific populations1 including racial  
and ethnic minority groups 7as defined  
in section #agjg7;g7 of the ,public     
,health ,service ,act 7#db ,u4,s4,c4    
#cjju-#f7;g7771 youth1 women1 older     
adults1 sexual and gender minorities1   
individuals living in rural communities1
 individuals living in rural ,tribal or 
urban ,indian communities1 individuals  
living in regions with persistent       
poverty1 individuals with co-morbid     
conditions1 individuals with            
disabilities1 individuals who are       
homeless1 and individuals involved with 
the criminal justice system1 among      
others4  7d7 ,congressional and         
regulatory process options ,the study   
under subsection 7a7 shall consider how 
assessments of potential population     
health outcomes could be incorporated   

into ,federal legislative and regulatory
 processes1 including by evaluating     
options with respect to-- 7#a7          
methodological tools for evaluating     
evidentiary standards across multiple   
disciplines and the potential benefits  
and negative effects of a proposed      
policy2  7#b7 the processes and         
considerations for preparing a          
population health outcomes report       
including time1 resources1 community    
consultation1 and competencies required 
to review relevant scientific           
literature2  7#c7 entities that conduct 
population health outcomes reports by   
comparing the experiences of ,state and 
local jurisdictions that have           
incorporated health impacts assessments 
in legislative or regulatory processes2 
and  7#d7 potential uses of a population
 health outcomes report in the ,federal 
legislative and regulatory processes4   
7e7 ,report ,not later than #b years    
after the date of enactment of this     
,act1 the ,secretary shall submit a     

report to ,congress on the results of   
the study under subsection 7a74