Mr. Speaker, I am here today in support of the Dr. Michael C. Burgess Preventive Health Saving Act, a bill aptly named after my colleague and friend, my co-chair on the Doctors Caucus, Dr. Michael Burgess. This important legislation is…
Mr. Speaker, I am here today in support of the Dr. Michael C. Burgess Preventive Health Saving Act, a bill aptly named after my colleague and friend, my co-chair on the Doctors Caucus, Dr. Michael Burgess.
This important legislation is going to allow the Congressional Budget Office to measure the long-term impact of health policies, breaking free from the arbitrary 10-year budget window that currently constrains our ability to help our fellow Americans to live a healthier and longer life.
This is something that we as the Doctors Caucus have met with CBO on. They were not sure how to do it. Dr. Burgess put forward a way that we can get this done. We worked in a bipartisan manner to enact policies that can bring patients more access to drugs, treatments, cures.
Yet, when looking at the initial cost of bringing new treatments and drugs to patients, the long-term savings that are associated with keeping Americans healthier for longer are not considered. They need to be. The Congressional Budget Office should have the ability to fully score the impact that reductions in obesity, access to early and preventive treatments, and keeping patients healthier will have on Medicare, for example.
It has been my great honor to serve with Dr. Burgess on the Doctors Caucus and here in Congress. I am glad to support this bill led by Dr. Burgess, whose expertise and desire for quality care for all Americans has inspired many to practice medicine and encourage them to get involved with government. I encourage support of this bill.
Mr. Speaker, I include in the Record a letter from the American Medical Association supporting H.R. 766.
American Medical Association,
Chicago, IL, March 18, 2024.
Hon. Mike Johnson,
Speaker, House of Representatives,
Washington, DC.
Hon. Hakeem Jeffries,
Minority Leader, House of Representatives,
Washington, DC.
Dear Speaker Johnson and Minority Leader Jeffries: On
behalf of the physician and medical student members of the
American Medical Association (AMA), I am writing in support
of H.R. 766, the ``Dr. Michael C. Burgess Preventive Health
Savings Act.'' This bipartisan bill would provide leaders in
Congress with the ability to request that the Congressional
Budget Office (CBO) provide an estimate of the long-term
health savings that are possible from preventive health
initiatives.
Chronic disease is a leading cause of death and disability
in the United States. According to the Centers for Disease
Control and Prevention, each year more than 877,500 Americans
died of heart disease or stroke, more than 1.7 million people
were diagnosed with cancer, and more than 37.3 million
Americans have diabetes, with an additional 96 million adults
diagnosed with prediabetes, which puts them at risk for type
2 diabetes. These diseases, along with other conditions such
as obesity, Alzheimer's, and mental health issues, place a
significant burden on the economy, accounting for 90 percent
of our nation's $4.1 trillion in annual health care spending.
These figures will undoubtedly worsen as the population ages.
Congress should be able to consider the long-term economic
benefits of legislation that would promote wellness and
disease prevention initiatives that reduce chronic
conditions. However, the way in which the CBO currently
``scores'' legislation severely constrains the ability of
policymakers to accurately assess legislation that would
prevent chronic disease. For example, while research has
demonstrated that certain expenditures for preventive
medicine generate savings when considered in the long term,
those cost savings may not be evident when evaluating only
the first 10-year ``scoring'' window.
We believe this legislation represents a significant step
towards providing Congress with the means to obtain a more
relevant long-term economic picture of the benefits of
legislation to prevent chronic diseases. The legislation
would allow, among other things, the Chair and Ranking member
of the budget and health-related committees in the House or
Senate to jointly request an analysis of the two 10-year
periods beyond the existing initial 10-year window. The
provisions requiring these requests to come jointly from the
Chair and Ranking Member of the budget and health-related
committees in the House or the Senate will ensure the CBO is
not diverted to frivolous or overly partisan analyses.
Furthermore, the legislation's definition of ``preventive
health'' appropriately captures the unique nature of this
concept by including actions that focus on the health of the
public, individuals, and defined populations to protect,
promote, and maintain health and wellness, as well as prevent
disease, disability, and premature death as demonstrated in
credible, publicly available studies and data.
The AMA applauds your leadership in bringing this important
legislation to the House floor for consideration and looks
forward to working with you on this and other efforts to
promote wellness and increase chronic disease prevention.
Sincerely,
James L. Madara, MD.