[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 4919 Introduced in Senate (IS)]

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116th CONGRESS
  2d Session
                                S. 4919

     To provide for a study by the National Academies of Sciences, 
   Engineering, 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 (including in 
areas outside of health care) on health and health disparities, and for 
                            other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           November 18, 2020

 Mr. Cardin (for himself, Mr. Bennet, Mr. Brown, Ms. Smith, Ms. Cortez 
 Masto, Mr. Booker, and Ms. Duckworth) introduced the following bill; 
     which was read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
     To provide for a study by the National Academies of Sciences, 
   Engineering, 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 (including in 
areas outside of health care) on health and health disparities, and for 
                            other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Assimilating Health and Equity 
Assessments into Decision-making of 2020'' or ``AHEAD Act of 2020''.

SEC. 2. STUDY TO ASSESS THE VALUE OF USING TOOLS TO MEASURE THE IMPACTS 
              OF PROPOSED FEDERAL LEGISLATION ON HEALTH AND HEALTH 
              DISPARITIES.

    (a) Study.--The Secretary of Health and Human Services (in this 
section referred to as the ``Secretary'') shall enter into an 
arrangement with the National Academies of Sciences, Engineering, and 
Medicine (or, if the National Academies decline to enter into such 
arrangement, with another appropriate entity such as the National 
Academy of Public Administration) under which, not later than 2 years 
after the date of enactment of this Act, the National Academies (or 
other appropriate entity) will complete a study--
            (1) to examine the potential benefits on population health 
        outcomes of incorporating into the Federal legislative process 
        tools that measure the impacts of proposed legislation 
        (including in areas outside of health care) on health and 
        health disparities;
            (2) to formulate recommendations on integrating such tools 
        into the Federal legislative process to achieve better 
        population health outcomes;
            (3) to formulate recommendations on how behavioral and 
        nudge research on the health and equity effects of policies may 
        translate into evaluative tools for policymakers; and
            (4) in consultation with the Comptroller General of the 
        United States, the Director of the Congressional Budget Office, 
        and the Director of the Congressional Research Service, to 
        formulate recommendations on how such tools should be 
        incorporated into the Federal legislative process.
    (b) Tools To Be Considered.--The tools considered under the study 
under subsection (a) shall include health impact assessments, 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 scores.
    (c) Specific Populations To Be Considered.--The study under 
subsection (a) shall consider the impacts described in such subsection 
on health and health disparities within specific populations, including 
racial and ethnic minority groups (as defined in section 1707(g) of the 
Public Health Service Act (42 U.S.C. 300u-6(g))), youth, women, older 
adults, sexual and gender minorities, individuals living in rural 
communities, individuals living in rural Tribal or urban Indian 
communities, individuals living in regions with persistent poverty, 
individuals with co-morbid conditions, individuals with disabilities, 
individuals who are homeless, and individuals involved with the 
criminal justice system, among others.
    (d) Congressional and Regulatory Process Options.--The study under 
subsection (a) shall consider how assessments of potential population 
health outcomes could be incorporated into Federal legislative and 
regulatory processes, including by evaluating options with respect to--
            (1) methodological tools for evaluating evidentiary 
        standards across multiple disciplines and the potential 
        benefits and negative effects of a proposed policy;
            (2) the processes and considerations for preparing a 
        population health outcomes report including time, resources, 
        community consultation, and competencies required to review 
        relevant scientific literature;
            (3) 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 processes; and
            (4) potential uses of a population health outcomes report 
        in the Federal legislative and regulatory processes.
    (e) Report.--Not later than 2 years after the date of enactment of 
this Act, the Secretary shall submit a report to Congress on the 
results of the study under subsection (a).
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