119-hr4464

HR
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Preventive Health Savings Act

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Introduced:
Jul 16, 2025
Policy Area:
Economics and Public Finance

Bill Statistics

3
Actions
16
Cosponsors
1
Summaries
1
Subjects
1
Text Versions
Yes
Full Text

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Latest Action

Jul 16, 2025
Referred to the House Committee on the Budget.

Summaries (1)

Introduced in House - Jul 16, 2025 00
<p><strong>Preventive Health Savings Act</strong></p><p>This bill requires the Congressional Budget Office (CBO), upon receiving a request from Congress, to determine if proposed legislation would reduce spending outside of the 10-year budget window through the use of preventive health care.</p><p>Under the bill, the term <em>preventive health care</em> generally refers to an action that focuses on the health of the public, individuals, and defined populations in order to protect, promote, and maintain health and wellness and prevent disease, disability, and premature death.</p><p>If CBO determines that the proposed legislation would result in net reductions in budget outlays from the use of preventive health care, any CBO projection regarding the legislation must include (1) a description and estimate of the reductions in outlays, and (2) a description of the basis for these conclusions.&nbsp;</p><p>Any estimate provided by CBO pursuant to this bill must be used as a supplementary estimate and may not be used to determine compliance with the Congressional Budget Act of 1974 or any other budgetary enforcement controls.</p>

Actions (3)

Referred to the House Committee on the Budget.
Type: IntroReferral | Source: House floor actions | Code: H11100
Jul 16, 2025
Introduced in House
Type: IntroReferral | Source: Library of Congress | Code: Intro-H
Jul 16, 2025
Introduced in House
Type: IntroReferral | Source: Library of Congress | Code: 1000
Jul 16, 2025

Subjects (1)

Economics and Public Finance (Policy Area)

Text Versions (1)

Introduced in House

Jul 16, 2025

Full Bill Text

Length: 3,622 characters Version: Introduced in House Version Date: Jul 16, 2025 Last Updated: Nov 13, 2025 6:28 AM
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4464 Introduced in House

(IH) ]

<DOC>

119th CONGRESS
1st Session
H. R. 4464

To amend the Congressional Budget Act of 1974 respecting the scoring of
preventive health savings.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

July 16, 2025

Mr. Obernolte (for himself, Ms. DeGette, Mr. Peters, and Mr. Carter of
Georgia) introduced the following bill; which was referred to the
Committee on the Budget

_______________________________________________________________________

A BILL

To amend the Congressional Budget Act of 1974 respecting the scoring of
preventive health savings.

Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1.

This Act may be cited as the ``Preventive Health Savings Act''.
SEC. 2.
Section 202 of the Congressional Budget and Impoundment Control Act of 1974 (2 U.
of 1974 (2 U.S.C. 602) is amended by adding at the end the following:
``

(h) Scoring of Preventive Health Savings.--
``

(1) 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 Representatives, the Director
shall determine if proposed legislation would result in net
reductions in budget outlays in budgetary outyears through the
use of preventive health care.
``

(2) Projections.--If the Director determines that
proposed legislation would result in net reductions in budget
outlays as described in paragraph

(1) , the Director--
``
(A) shall include, in any projection prepared by
the Director on such proposed legislation, a
description and estimate of the reductions in budget
outlays in the budgetary outyears and a description of
the basis for such conclusions; and
``
(B) may prepare a budget projection that includes
some or all of the budgetary outyears, notwithstanding
the time periods for projections described in
subsection

(e) and sections 308, 402, and 424.
``

(3) Limitation.--Any estimate provided by the Director
pursuant to paragraph

(1) shall be used as a supplementary
estimate and may not be used to determine compliance with the
Congressional Budget Act of 1974 or any other budgetary
enforcement controls.
``

(4) === Definitions. ===
-As used in this subsection--
``
(A) the term `budgetary outyears' means the 2
consecutive 10-year periods beginning with the first
fiscal year that is 10 years after the current fiscal
year; and
``
(B) the term `preventive health care' means an
action that focuses on the health of the public,
individuals, and defined populations in order to
protect, promote, and maintain health and wellness and
prevent disease, disability, and premature death,
including through the promotion and use of effective,
innovative health care interventions that are
demonstrated by credible and publicly available
evidence from epidemiological projection models,
clinical trials, observational studies in humans,
longitudinal studies, and meta-analysis.''.
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