I 
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 Com-
mittee 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 Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Preventive Health Sav-
ings Act’’. 
SEC. 2. SCORING OF PREVENTIVE HEALTH SAVINGS. 
Section 202 of the Congressional Budget and Im-
poundment Control Act of 1974 (2 U.S.C. 602) is amend-
ed by adding at the end the following: 
‘‘(h) SCORING OF PREVENTIVE HEALTH SAVINGS.— 
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‘‘(1) DETERMINATION
BY
THE
DIRECTOR.— 
Upon a request by the chairman and ranking minor-
ity member of the Committee on the Budget of the 
Senate and chairman and ranking minority member 
of the committee of primary jurisdiction of the Sen-
ate or by the chairman and ranking minority mem-
ber of the Committee on the Budget of the House 
of Representatives and the chairman and ranking 
minority member of the committee of primary juris-
diction of the House of Representatives, the Director 
shall determine if proposed legislation would result 
in net reductions in budget outlays in budgetary out-
years through the use of preventive health care. 
‘‘(2) PROJECTIONS.—If the Director determines 
that proposed legislation would result in net reduc-
tions in budget outlays as described in paragraph 
(1), the Director— 
‘‘(A) shall include, in any projection pre-
pared by the Director on such proposed legisla-
tion, a description and estimate of the reduc-
tions in budget outlays in the budgetary out-
years 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, 
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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 enforce-
ment controls. 
‘‘(4) DEFINITIONS.—As used in this sub-
section— 
‘‘(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, dis-
ability, 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, 
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observational studies in humans, longitudinal 
studies, and meta-analysis.’’. 
Æ 
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