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H.R. 4464
U.S. House•In 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.txt119 HR 4464 IH: Preventive Health Savings ActU.S. House of Representatives2025-07-16text/xmlENPursuant 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 BILLTo amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings.1.Short titleThis Act may be cited as the Preventive Health Savings Act .2.Scoring of preventive health savingsSection 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 directorUpon 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)ProjectionsIf 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)LimitationAny 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)DefinitionsAs 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.
- Introduced2025-07-16
- Passed House
- Passed Senate
- Conference
- To President
- 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.mdShown 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.

Rep. · R–CA-23 · Sponsor
Introduced Jul 16, 2025

Rep. · R–GA-1 · Co-sponsor
Joined Jul 16, 2025 · Original

Rep. · D–CO-1 · Co-sponsor
Joined Jul 16, 2025 · Original

Rep. · D–CA-50 · Co-sponsor
Joined Jul 16, 2025 · Original

Rep. · R–WV-1 · Co-sponsor
Joined Jul 22, 2025

Rep. · R–OH-12 · Co-sponsor
Joined Jul 23, 2025

Rep. · D–WA-1 · Co-sponsor
Joined Jul 23, 2025

Rep. · R–CA-3 · Co-sponsor
Joined Jul 23, 2025

Rep. · R–NC-3 · Co-sponsor
Joined Jul 23, 2025

Rep. · D–WA-8 · Co-sponsor
Joined Jul 25, 2025
Committees
H.R. 4464 went before 1 committee: Budget.
Actions
H.R. 4464 has taken 2 actions since Jul 16, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
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.
Related bills
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.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN COLLEGE OF PREVENTIVE MEDICINE | Advancing the mission of preventive medicine physicians and residents | District of Columbia | 1 | 5 | — |
| HEALTHCARE LEADERSHIP COUNCIL | — | District of Columbia | 1 | 4 | — |
| PREMIER, INC. | — | District of Columbia | 1 | 4 | — |
| AMERICAN MEDICAL ASSOCIATION | — | District of Columbia | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| AMERICAN COLLEGE OF PREVENTIVE MEDICINE | 1 | 5 | — |
| HEALTHCARE LEADERSHIP COUNCIL | 1 | 4 | — |
| PREMIER, INC. | 1 | 4 | — |
| AMERICAN MEDICAL ASSOCIATION | 1 | 1 | — |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 34.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| NOAH ISENSTEIN | 1 | 1 | 5 |
| CLARA KEANE | 1 | 1 | 4 |
| COREY MILLER | 1 | 1 | 4 |
| JOHN KNAPP | 1 | 1 | 4 |
| MARIA GHAZAL | 1 | 1 | 4 |
| SEAN BROWN | 1 | 1 | 4 |
| SOUMI SAHA | 1 | 1 | 3 |
| SAMUEL BAROFF | 1 | 1 | 2 |
| ALEXIS PIERCE | 1 | 1 | 1 |
| ANDREW WANKUM | 1 | 1 | 1 |
| ANGELA BANKS DUNCAN | 1 | 1 | 1 |
| ASHLEY DELOSH | 1 | 1 | 1 |
| BRYAN HULL | 1 | 1 | 1 |
| CHRISTOPHER SHERIN | 1 | 1 | 1 |
| DANA LICHTENBERG | 1 | 1 | 1 |
| GEORGE COX | 1 | 1 | 1 |
| JAMAL BOWLEG | 1 | 1 | 1 |
| JASON MARINO | 1 | 1 | 1 |
| JEFFREY COUGHLIN | 1 | 1 | 1 |
| JENNIFER BROWN | 1 | 1 | 1 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 third_quarter | $4.6M | 3rd Quarter - Report |
| PREMIER, INC. | PREMIER, INC. | 2026 first_quarter | $220K | 1st Quarter - Report |
| PREMIER, INC. | PREMIER, INC. | 2025 third_quarter | $210K | 3rd Quarter - Report |
| HEALTHCARE LEADERSHIP COUNCIL | HEALTHCARE LEADERSHIP COUNCIL | 2026 first_quarter | $200K | 1st Quarter - Amendme… |
| HEALTHCARE LEADERSHIP COUNCIL | HEALTHCARE LEADERSHIP COUNCIL | 2026 second_quarter | $200K | 2nd Quarter - Amendme… |
| HEALTHCARE LEADERSHIP COUNCIL | HEALTHCARE LEADERSHIP COUNCIL | 2026 first_quarter | $200K | 1st Quarter - Report |
| HEALTHCARE LEADERSHIP COUNCIL | HEALTHCARE LEADERSHIP COUNCIL | 2025 third_quarter | $200K | 3rd Quarter - Report |
| PREMIER, INC. | PREMIER, INC. | 2025 fourth_quarter | $190K | 4th Quarter - Report |
| PREMIER, INC. | PREMIER, INC. | 2026 second_quarter | $140K | 2nd Quarter - Report |
| AMERICAN COLLEGE OF PREVENTIVE MEDICINE | AMERICAN COLLEGE OF PREVENTIVE MEDICINE | 2026 second_quarter | — | 2nd Quarter - Report |
| AMERICAN COLLEGE OF PREVENTIVE MEDICINE | AMERICAN COLLEGE OF PREVENTIVE MEDICINE | 2026 first_quarter | — | 1st Quarter - Report |
| AMERICAN COLLEGE OF PREVENTIVE MEDICINE | AMERICAN COLLEGE OF PREVENTIVE MEDICINE | 2025 fourth_quarter | — | 4th Quarter - Report |
| AMERICAN COLLEGE OF PREVENTIVE MEDICINE | AMERICAN COLLEGE OF PREVENTIVE MEDICINE | 2025 third_quarter | — | 3rd Quarter - Report |
| AMERICAN COLLEGE OF PREVENTIVE MEDICINE | AMERICAN COLLEGE OF PREVENTIVE MEDICINE | 2025 second_quarter | — | 2nd 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.txtConstitutional 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
