HR4464119th Congress

Preventive Health Savings Act

Sponsored By: Representative Obernolte

Introduced

Summary

Requires the Director to score long-term budget savings from preventive health care. This bill would let congressional budget leaders and relevant committee chairs ask the Director to determine whether proposed legislation that expands preventive health care would produce net reductions in budget outlays in long-term outyears.

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  • Committees and budget leaders could request a determination that a proposal yields net reductions in budget outlays in "budgetary outyears", defined as two consecutive 10-year periods starting 10 years after the current fiscal year.
  • If the Director finds such reductions, any projection would include a description and an estimate of the reductions and the basis for those conclusions.
  • "Preventive health care" is defined to cover actions aimed at protecting and promoting health and preventing disease, using evidence from epidemiological projection models, clinical trials, observational studies in humans, longitudinal studies, and meta-analyses.
  • Any estimate produced under this rule would be a supplementary estimate and may not be used to determine compliance with the Congressional Budget Act or other budget enforcement controls.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Budget office long-term savings for prevention

If enacted, this would let the Congressional Budget Office provide long‑term savings estimates for bills that use preventive health care. The top Republican and Democrat on both the Budget Committee and the bill’s main committee in a chamber would need to ask for it. If the budget office finds net savings, it would add a description and estimate and could project into budgetary outyears—two 10‑year periods starting 10 years from now. These estimates would be supplementary and could not be used to enforce budget rules. This would not change any benefits or taxes by itself.

Sponsors & CoSponsors

Sponsor

Obernolte

CA • R

Cosponsors

  • Rep. DeGette, Diana [D-CO-1]

    CO • D

    Sponsored 7/16/2025

  • Peters

    CA • D

    Sponsored 7/16/2025

  • Rep. Carter, Earl L. "Buddy" [R-GA-1]

    GA • R

    Sponsored 7/16/2025

  • Rep. Miller, Carol D. [R-WV-1]

    WV • R

    Sponsored 7/22/2025

  • Rep. Murphy, Gregory F. [R-NC-3]

    NC • R

    Sponsored 7/23/2025

  • DelBene

    WA • D

    Sponsored 7/23/2025

  • Kiley (CA)

    CA • I

    Sponsored 7/23/2025

  • Balderson

    OH • R

    Sponsored 7/23/2025

  • Schrier

    WA • D

    Sponsored 7/25/2025

  • Rep. Moore, Blake D. [R-UT-1]

    UT • R

    Sponsored 7/29/2025

  • Buchanan

    FL • R

    Sponsored 8/15/2025

  • Rep. Yakym, Rudy [R-IN-2]

    IN • R

    Sponsored 9/2/2025

  • Rep. Foster, Bill [D-IL-11]

    IL • D

    Sponsored 9/30/2025

  • Rep. Kim, Young [R-CA-40]

    CA • R

    Sponsored 10/3/2025

  • Rep. Smucker, Lloyd [R-PA-11]

    PA • R

    Sponsored 10/21/2025

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 10/21/2025

  • Rep. Tran, Derek [D-CA-45]

    CA • D

    Sponsored 12/15/2025

  • Conaway

    NJ • D

    Sponsored 12/16/2025

  • Onder

    MO • R

    Sponsored 5/13/2026

Roll Call Votes

No roll call votes available for this bill.

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