Bill · H.R. 4464· House(119-HR-4464)
Preventive Health Savings Act
- Introduced
- 7/16/2025
- Last activity
- 9/16/2026 — Ordered to be Reported by the Yeas and Nays: 29 - 0.
- Sponsored by
- Jay Obernolte
- Cosponsors
- - 13 - 8
- Introduced
What this bill would do
This bill is called the Preventive Health Savings Act. It amends the Congressional Budget Act of 1974 regarding how preventive health savings are scored. The bill allows certain congressional leaders to request that the Director determine if proposed legislation will reduce budget outlays in future years through preventive health care. If the Director finds that the legislation will reduce spending, they must include a description and estimate of those reductions in their projections. However, these estimates are strictly for supplementary use and cannot be used to determine compliance with budgetary enforcement controls.
Yes· 3 of 5
Does this reduce what the federal government owes?+3
The bill provides a mechanism to track long-term savings from preventive health which could assist in debt reduction strategies.
Does this reduce what the federal government spends?+3
By highlighting reductions in budget outlays through preventive health, the bill facilitates the identification of potential spending reductions.
Does this make the government pay for what it commits to?+2
It enhances fiscal visibility by accounting for long-term savings in budgetary outyears.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Section 2 adds subsection (h)(1) and (h)(2) to the law, which allows leaders from the Budget and primary jurisdiction committees to ask for an official look at how preventive health care can save money over the long term. This is positive because it forces a common-sense review of how keeping people healthy can actually lower future government spending.
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Section 2 adds subsection (h)(4)(B), which defines preventive health care using credible and publicly available evidence like clinical trials and studies. This ensures that only proven health methods are used to project savings for the public.
Potential Negative Impacts for People
- Section 2 adds subsection (h)(3), which places a limitation on how these health savings estimates can be used. Because these numbers can only be used as supplementary estimates and cannot count toward actual budgetary enforcement controls, the text stops these long-term preventive savings from actively helping pass helpful health bills under strict budget rules.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Economy And Finance
- Reduces Government Spending+3Reduces National Debt+3Improves Fiscal Responsibility+2
- Governance And Ideology
- Improves Government Transparency+2
- Healthcare
- Improves Healthcare Access+2
- 10/1/2026
- 1 Cosponsor added.
- 9/24/2026
- 1 Cosponsor added.
- 9/16/2026
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported by the Yeas and Nays: 29 - 0.
- 9/15/2026
- 1 Cosponsor added.
- 5/13/2026
- 1 Cosponsor added.
- 12/16/2025
- 1 Cosponsor added.
- 12/15/2025
- 1 Cosponsor added.
- 10/21/2025
- 2 Cosponsors added.
- 10/3/2025
- 1 Cosponsor added.
- 9/30/2025
- 1 Cosponsor added.
- 9/2/2025
- 1 Cosponsor added.
- 8/15/2025
- 1 Cosponsor added.
- 7/29/2025
- 1 Cosponsor added.
- 7/25/2025
- 1 Cosponsor added.
- 7/23/2025
- 4 Cosponsors added.
- 7/22/2025
- 1 Cosponsor added.
- 7/16/2025
- Referred to the House Committee on the Budget.
- 3 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Jodey ArringtonRepublican · Texas
Vern BuchananRepublican · Florida
Troy BaldersonRepublican · Ohio
Earl CarterRepublican · Georgia
Mike CareyRepublican · Ohio
Herbert ConawayDemocrat · New Jersey
Diana DeGetteDemocrat · Colorado
Suzan DelBeneDemocrat · Washington
Bill FosterDemocrat · Illinois
Young KimRepublican · California
Kevin KileyIndependent · California
Carol MillerRepublican · West Virginia
Gregory MurphyRepublican · North Carolina
Blake MooreRepublican · Utah
Mariannette Miller-MeeksRepublican · Iowa
Robert OnderRepublican · Missouri
Scott PetersDemocrat · California
Lloyd SmuckerRepublican · Pennsylvania
Kim SchrierDemocrat · Washington
Derek TranDemocrat · California
Eugene VindmanDemocrat · Virginia
Rudy YakymRepublican · Indiana