H.R. 4464

[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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