H.R. 4464 — Preventive Health Savings Act

Preventive Health Savings Act

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.

Under the bill, the term preventive health care 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.

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.

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.

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4464 Introduced in House (IH)]

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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. SHORT TITLE.

    This Act may be cited as the ``Preventive Health Savings Act''.

SEC. 2. SCORING OF PREVENTIVE HEALTH SAVINGS.

    Section 202 of the Congressional Budget and Impoundment Control Act 
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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Preventive Health Savings Act

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