,,ii  #aahth ,,congress  #b;d ,session  
,h4 ,r4 #gff  ,,in ,,the ,,senate ,,of  
,,the ,,united ,,states  ,march #bj1    
#bjbd,received  ,,an ,,act  ,to amend   
the ,congressional ,budget ,act of #aigd
 respecting the scoring of preventive   
health savings4  #a4 ,short title ,this 
,act may be cited as the ,dr4 ,michael  
,c4 ,burgess ,preventive ,health        
,savings ,act4  #b4 ,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 following3  7h7 ,scoring of 
preventive health savings  7#a7         
,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 ,representatives1 the ,director shall
 determine if proposed legislation would
 result in net reductions in budget     
outlays in budgetary outyears through   
the use of preventive health care4  7#b7
 ,projections ,if the ,director         
determines that proposed legislation    
would result in net reductions in budget
 outlays as described in paragraph 7#a71
 the ,director-- 7,a7 shall include1 in 
any projection prepared by the ,director
 on such proposed legislation1 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 ,limitation ,any  

estimate provided by the ,director      
pursuant to paragraph 7#a7 shall be used
 as a supplementary estimate and may not
 be used to determine compliance with   
the ,congressional ,budget ,act of #aigd
 or any other budgetary enforcement     
controls4  7#d7 ,definitions ,as used in
 this subsection-- 7,a7 the term        
budgetary outyears means the #b         
consecutive #aj-year periods beginning  
with the first fiscal year that is #aj  
years after the current fiscal year2 and
  7,b7 the term preventive health care  
means an action that focuses on the     
health of the public1 individuals1 and  
defined populations in order to protect1
 promote1 and maintain health and       
wellness and prevent disease1           
disability1 and premature death1        
including through the promotion and use 
of effective1 innovative health care    
interventions that are demonstrated by  
credible and publicly available evidence
 from epidemiological projection models1
 clinical trials1 observational studies 

in humans1 longitudinal studies1 and    
meta-analysis4  4  ,passed the ,house of
 ,representatives ,march #ai1           
#bjbd4,kevin ,f4 ,mc,cumber1,clerk4