Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 766) to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings, as amended. Mr. Speaker, I ask unanimous consent that all Members may…
Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 766) to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings, as amended.
Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days in which to revise and extend their remarks and include extraneous material into the bill.
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, I rise today in support of H.R. 766, the Dr. Michael C. Burgess Preventive Health Savings Act.
This pivotal piece of legislation seeks to establish a mechanism for the Congressional Budget Office to more accurately reflect the long- term, cost-saving potential of preventive healthcare initiatives.
This bipartisan, bicameral effort underscores our commitment to promoting the health and well-being of all
Americans. We encourage the use of data-informed preventive health measures, and we are taking proactive steps toward not only saving lives, but also saving taxpayer dollars in the long run.
Chronic illnesses account for over 70 percent of all our healthcare spending, and they continue to pose a significant burden on our system and our economy.
However, by enacting measures like H.R. 766, we can begin to bend the cost curve and provide a more accurate understanding of the long-term cost savings from preventive healthcare policies.
H.R. 766 specifically allows the Congressional Budget Office, upon the instruction of Congress, to extend its analysis beyond the existing 10-year budget window to two additional 10-year periods. This provision will enable us to conduct a fuller analysis of the potential budgetary savings and the impact of preventive health legislation, ensuring that we make informed decisions based on sound evidence and data.
Moreover, the Dr. Michael C. Burgess Preventive Health Savings Act narrowly defines preventive health to encompass actions that focus on the health of the public, individuals, and defined populations.
By relying on credible and publicly available evidence from various sources, such as epidemiological projection models, clinical trials, and meta-analysis, we can ensure that our policies are both meaningful and impactful.
Lastly, H.R. 766 protects against estimates being used to justify partisan policies that might be used as budget gimmicks by requiring the request for a long-term estimate to be bipartisan and by stipulating such estimates cannot be used to comply with budget rules.
The successes of past legislation, such as the passage of Medicare part D in 2003, under a Republican majority in Congress, serves as a reminder of the profound impact preventive care can have on our healthcare. Despite initial concerns about its costs, Medicare part D has proven to be a wise investment, yielding savings and benefits that far outweigh its initial expenses.
In conclusion, I believe that an ounce of prevention is, indeed, worth a pound of cure, and preventive care in 2003 has yielded more than a pound of cure today. This undeniable truth underscores the case for preventive, personalized medicine and should only serve to encourage us to redouble our efforts and pass this important bill.
Mr. Speaker, I include in the Record a letter of support signed by 53 organizations as part of H.R. 766.
March 4, 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: We, the
53 undersigned organizations, would like to express our
support for H.R. 766, the ``Dr. Michael C. Burgess Preventive
Health Savings Act,'' which removes outdated statutory
constraints which currently prevent Congressional Budget
Office (CBO) estimates from correctly assessing preventive
health initiatives that might achieve long-term health
savings in federal programs.
As leaders in health care representing patients, providers,
associations, and employers, we all agree on the need for a
continued focus on wellness and disease prevention if
healthcare costs are to be contained. We share a bipartisan,
bicameral view with many in Congress that to move forward
with policy solutions to address the growing burden of long-
term chronic disease, Congress needs new tools to rise above
traditional legislative approaches to health care.
Simply put, we know we can't ``cut'' our way to a healthier
America by shaving dollars from federal programs that provide
care to people in need every time Congress finds a new
approach. As such, we all agree that the statutory
constraints that CBO must currently follow to ``score''
legislation severely constrains the ability of policymakers
to accurately assess legislation that would prevent chronic
disease. We believe this legislation represents a significant
step toward the goal of including new ideas and tactics to
improve care that have proven successful in the private
sector, or in health systems abroad that don't have the same
regulatory or budgetary constraints.
Chronic disease places a significant burden on our health
and economy, but it can be reversed:
We know that chronic diseases are responsible for 7 of 10
deaths among Americans each year, and they account for 90
percent of the $4.1 trillion our nation spends annually on
medical care. These figures will worsen as the population
ages.
Much of the illness, suffering, and early death related to
chronic diseases is caused by modifiable health risk
behaviors such as lack of physical activity, poor nutrition,
tobacco use, and alcohol and substance misuse.
Preventing or delaying the onset of new cases and
mitigating the progression of chronic disease will improve
the health of people in America while lowering healthcare
costs and overall spending.
The current scoring process does not give Congress a
complete picture of efforts to combat chronic disease:
Research has demonstrated that certain expenditures for
preventive health interventions generate savings when
considered in the long term, but those cost savings may not
be apparent when assessing only the first ten years--those in
the ``scoring'' window.
Long-term benefits from current preventive health
expenditures may not be fully reflected, if at all, in cost
estimates from CBO.
Lawmakers need sound information, and today's methods and
procedures may not work as well as needed in analyzing
certain efforts to prevent costly complications of chronic
diseases.
CBO has already begun to examine prevention in new ways:
In 2012, CBO published long-term estimates of the effect of
a hypothetical tobacco tax on the federal budget.
Also, in 2012, CBO published a study which found greater
prescription drug access and adherence can reduce healthcare
costs in other areas.
In the 118th Congress, the House of Representatives
continues to require CBO to score certain large bills by
considering projected impacts on revenue and spending from
assumed economic effects the bills.
The Preventive Health Savings Act will permit leaders in
Congress to request that CBO estimate the long-term health
savings that are possible from preventive health initiatives:
This legislation provides that the Chairman or Ranking
member of either budget or health-related committees can
request an analysis of the two 10-year periods beyond the
existing 10-year window.
The bill requires CBO to conduct an initial analysis to
determine whether the provision would result in substantial
savings outside the normal scoring window.
CBO must include a description of those future-year savings
in its budget projections but would retain the option of
creating a formal projection that includes some or all the
budgetary out years.
This bill is necessary to bring greater attention to the
longer-term value of wellness and prevention policies
specifically.
The bill defines preventive health as an action designed to
avoid future healthcare costs that are demonstrated by
credible and publicly available epidemiological projection
models, incorporating clinical trials or observational
studies in humans.
This narrow, responsible approach discourages abuse while
encouraging a sensible review of health policies and programs
Congress believes will further the public's health.
As the chronic disease epidemic continues to worsen, so
does the need for legislation that will properly allow
Congress to see the full savings of enacting prevention-
focused policy measures.
We applaud your efforts in sponsoring this important
legislation and look forward to joining with you in
transforming our nation to one that prioritizes efforts to
achieve wellness and wellbeing for all.
Sincerely,
Academy of Nutrition and Dietetics, Alliance for Aging
Research, American Academy of Family Physicians, American
Association of Clinical Endocrinology, American Association
of Nurse Practitioners, American College of Gastroenterology,
American College of Lifestyle Medicine, American College of
Occupational and Environmental Medicine, American College of
Preventive Medicine, American Society for Nutrition,
Ascension, Association of Diabetes Care & Education
Specialists, Avery's Hope.
Biocom California, Blooming Health, Inc., California
Chronic Care Coalition, Caregiver Action Network, Chronic
Care Policy Alliance, Connected Health Initiative, COPD
Foundation, Council For Affordable Health Coverage,
Determined Health, Fight Colorectal Cancer, FundPlay
Foundation, Geneoscopy, Gerontological Society of America,
Global Liver Institute.
Healthcare Leadership Council, HealthyWomen, HIV +
Hepatitis Policy Institute, Johnson & Johnson, Marshfield
Clinic Health System, MemorialCare Health System, Merck,
National Minority Quality Forum, Nevada Chronic Care
Collaborative, NourishedRx, NTM Info & Research, Obesity
Action Coalition, Obesity Medicine Association.
Partnership to Fight Chronic Disease, Partnership to Fight
Infectious Disease, PLAY Sports Coalition, Premier Inc.,
Sports & Fitness Industry Association, Team Titin, Texas
Health Resources, The Obesity Society, Tivity Health,
UsAgainstAlzheimer's, Vizient, Wellvana, YMCA of the USA.
Mr. Speaker, I urge all my fellow colleagues to join me in supporting H.R. 766 and ensuring that we continue to prioritize preventive healthcare initiatives for the betterment of all Americans, and I reserve the balance of my time.
Mr. Speaker, I yield 1 minute to the gentlewoman from Minnesota (Mrs. Fischbach).
Mr. Speaker, it is now my great privilege and high honor to yield 3 minutes to the gentleman from Texas (Mr. Arrington), the chairman of the Budget Committee, as we debate the first bipartisan budget bill to pass the floor of the House I think in the history of Congress.
Mr. Speaker, I yield 1 minute to the gentleman from Ohio (Mr. Wenstrup), the co-chair of the Doctors Caucus.
Mr. Speaker, I yield 1 minute to the gentleman from Indiana (Mr. Bucshon), a member of the Energy and Commerce Committee and a member of the Doctors Caucus.
Mr. Speaker, I yield 2 minutes to the gentleman from Missouri (Mr. Smith), the chairman of the Ways and Means Committee.
Mr. Speaker, I yield 1 minute to the gentleman from Georgia (Mr. Carter), a fellow member of the Energy and Commerce Committee.
Mr. Speaker, I yield 1 minute to the gentleman from Texas (Mr. Moran).
Mr. Speaker, I yield 1 minute to the gentleman from Indiana (Mr. Yakym).
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, may I inquire as to how much time is remaining.
Mr. Speaker, I have no further speakers, and I reserve the balance of my time to close.
Mr. Speaker, I yield myself the balance of the time.
Mr. Speaker, I express my sincere gratitude to the gentleman from Texas (Mr. Arrington), my friend and the chairman of the Budget Committee, for his leadership. Also, I extend my appreciation to my fellow members of the Budget Committee for their unwavering support of this critical legislation.
I thank my former and current staff: James Paluskiewicz, Alexa Roberts, and Jacquelyn Incerto. Additionally, I express my appreciation for the Budget Committee staff--namely, Gary Andres, Paige Decker, Braden Murphy, and Charles Chapman--for their work in advancing this incredibly important bill.
I introduced the Preventive Health Savings Act back in 2012, driven by the belief that, too often, potentially transformative legislation is sidelined due to short-sighted budget constraints. We cannot afford to overlook the long-term benefits of preventive health measures for the well-being of our patients and the well-being of our Nation.
Preventive healthcare is not just about addressing immediate health concerns. It is about laying a foundation for a healthier future by proactively managing risks, reducing the incidence of chronic illnesses, and, ultimately, cutting down on healthcare costs.
With over 70 percent of healthcare spending attributed to chronic diseases, it is clear that investing in prevention is not just prudent but essential.
H.R. 766 is a crucial step forward. By establishing a mechanism for the Congressional Budget Office to accurately assess the long-term cost-savings potential of preventive health initiatives, this legislation enables us to make a more informed and forward-thinking policy decision.
Once again, I am grateful to everyone who played a part in moving this bill. I express my gratitude to Congresswoman DeGette for her invaluable partnership. I thank the gentlewoman from Minnesota (Ms. Omar), for her kind words today. Donna Christian-Christensen, our former colleague from the Virgin Islands, also assisted in this effort.
Words cannot express how grateful and honored I am. Let me just say, as a general rule, Mr. Speaker, I don't think it is a good idea that things be named after people while they are still alive. However, in this case, I actually made an exception. I am happy that my name is attached to this critical piece of legislation.
Let's continue to work together toward a future where preventive health is not just an afterthought but a cornerstone of our national healthcare policy and our public strategy.
Mr. Speaker, I yield back the balance of my time.