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H.R. 4464

U.S. HouseIn House Committee

Summary

H.R. 4464, the Preventive Health Savings Act, was introduced in the House on Jul 16, 2025 by Rep. Jay Obernolte (R) with 19 co-sponsors. It was referred to Budget, and last saw action on Jul 16, 2025: Referred to the House Committee on the Budget.


Record

Text

H.R. 4464 has 19 co-sponsors.

hb4464/introduced-in-house.txt
119 HR 4464 IH: Preventive Health Savings Act
U.S. House of Representatives
2025-07-16
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
I 119th CONGRESS 1st Session H. R. 4464 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.
1.
Short title
This Act may be cited as the Preventive Health Savings Act .
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.
.

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-07-16
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

CRS Summary

The summaries are the Congressional Research Service’s, one per stage. Read them in full.

Introduced in House Jul 16, 2025

hb4464/introduced-in-house.md

Shown Here:
Introduced in House (07/16/2025)

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.

Sponsors

Rep. Jay Obernolte (R) sponsors H.R. 4464, and 19 members have co-sponsored it, 3 of them from the day it was introduced.

Committees

H.R. 4464 went before 1 committee: Budget.

Budget
Budget
Referred To · Jul 16, 2025 · 48 Bills

Actions

H.R. 4464 has taken 2 actions since Jul 16, 2025.

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

Votes

H.R. 4464 has not gone to a roll call.

1 bill is related to H.R. 4464, as Identical bill.

Titles

H.R. 4464 goes by 3 titles, 1 of them short titles.

  • Preventive Health Savings Act — Display Title
  • Preventive Health Savings Act — Short Title(s) as Introduced
  • To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. — Official Title as Introduced

Lobbying

4 clients hired 4 firms and 34 registered lobbyists who named H.R. 4464 in 14 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.

Filed under Health Issues, Budget/Appropriations, Medicare/Medicaid, Veterans, Education, Immigration, Indian/Native American Affairs, Labor Issues/Antitrust/Workplace.

Clients

Who paid to be heard, by how many filings named the bill.

ClientBusinessStateFirmsFilingsReported
AMERICAN COLLEGE OF PREVENTIVE MEDICINEAdvancing the mission of preventive medicine physicians and residentsDistrict of Columbia15
HEALTHCARE LEADERSHIP COUNCILDistrict of Columbia14
PREMIER, INC.District of Columbia14
AMERICAN MEDICAL ASSOCIATIONDistrict of Columbia11

Firms

Registrants who filed on the bill, by filings.

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 34.

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2025 third_quarter$4.6M3rd Quarter - Report
PREMIER, INC.PREMIER, INC.2026 first_quarter$220K1st Quarter - Report
PREMIER, INC.PREMIER, INC.2025 third_quarter$210K3rd Quarter - Report
HEALTHCARE LEADERSHIP COUNCILHEALTHCARE LEADERSHIP COUNCIL2026 first_quarter$200K1st Quarter - Amendme…
HEALTHCARE LEADERSHIP COUNCILHEALTHCARE LEADERSHIP COUNCIL2026 second_quarter$200K2nd Quarter - Amendme…
HEALTHCARE LEADERSHIP COUNCILHEALTHCARE LEADERSHIP COUNCIL2026 first_quarter$200K1st Quarter - Report
HEALTHCARE LEADERSHIP COUNCILHEALTHCARE LEADERSHIP COUNCIL2025 third_quarter$200K3rd Quarter - Report
PREMIER, INC.PREMIER, INC.2025 fourth_quarter$190K4th Quarter - Report
PREMIER, INC.PREMIER, INC.2026 second_quarter$140K2nd Quarter - Report
AMERICAN COLLEGE OF PREVENTIVE MEDICINEAMERICAN COLLEGE OF PREVENTIVE MEDICINE2026 second_quarter2nd Quarter - Report
AMERICAN COLLEGE OF PREVENTIVE MEDICINEAMERICAN COLLEGE OF PREVENTIVE MEDICINE2026 first_quarter1st Quarter - Report
AMERICAN COLLEGE OF PREVENTIVE MEDICINEAMERICAN COLLEGE OF PREVENTIVE MEDICINE2025 fourth_quarter4th Quarter - Report
AMERICAN COLLEGE OF PREVENTIVE MEDICINEAMERICAN COLLEGE OF PREVENTIVE MEDICINE2025 third_quarter3rd Quarter - Report
AMERICAN COLLEGE OF PREVENTIVE MEDICINEAMERICAN COLLEGE OF PREVENTIVE MEDICINE2025 second_quarter2nd Quarter - Report

Classification

The Congressional Research Service files H.R. 4464 under Economics and Public Finance, one of its 31 policy areas.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 4464’s is Economics and Public Finance.

hr4464/policy-areas.txt
Economics and Public FinanceAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHealthHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Constitutional authority

The clause the sponsor cites as Congress’s power to enact H.R. 4464, as entered in the Congressional Record.

[Congressional Record Volume 171, Number 122 (Wednesday, July 16, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. OBERNOLTE:H.R. 4464.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8[[Page H3369]][Page H3368]

Source: congress.gov · legiscan.com