,,ii  #aagth ,,congress  #b;d ,session  
,s4 #eafb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #a1  
#bjbb,mr4 ,cardin 7for himself1 ,mr4    
,booker1 ,mr4 ,bennet1 and ,mr4 ,brown7 
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    
,assessing ,health ,evaluations to      
,advance ,decision-making ,act of #bjbb 
or the ,,ahead ,act of #bjbb4  #b4      
,study to assess the value of using     
tools to measure the impacts of proposed

 ,federal legislation on health and     
health disparities  7a7 ,study ,not     
later than #f months after the date of  
enactment of this ,act1 the ,secretary  
of ,health and ,human ,services         
7referred to in this section as the     
,secretary7 shall enter into an         
arrangement with the ,national          
,academies of ,sciences1 ,engineering1  
and ,medicine 7referred to in this      
section as the ,national ,academies7    
7or1 if the ,national ,academies decline
 to enter into such arrangement1 with   
another appropriate entity such as the  
,national ,academy of ,public           
,administration7 under which 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    
effects of health disparities may       
translate into evaluative tools for     
policymakers2 and  7#d7 to consider1    
with input from the ,comptroller        
,general of the ,united ,states1 the    
,director of the ,congressional ,budget 
,office1 and the ,director of the       
,congressional ,research ,service1 how  
such tools could 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 analysis1 particularly   
such tools related to impacts on health 
and health disparities4  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 report1      
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 ,the arrangement under      
subsection 7a7 shall provide for the    
submission of a report on the results of
 the study under such subsection1 not   
later than #cj months after the date of 
enactment of this ,act1 to the          

,secretary1 the ,committee on ,health1  
,education1 ,labor1 and ,pensions of the
 ,senate1 and the ,committee on ,energy 
and ,commerce of the ,house of          
,representatives4