H.R. 4464 119th Congress House

Preventive Health Savings Act

Official title: To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings.

Introduced: July 16, 2025 Introduced by: Jay Obernolte Republican · California See on congress.gov

Economics and Public Finance Accounting and auditingBudget deficits and national debtBudget processCongressional oversight

More subjectsShow fewer subjects

Health care costs and insuranceHealth programs administration and fundingHealth promotion and preventive care

Everywhere this bill has been 4 steps

Introduced

In committee

Reported out

Passed House

Passed Senate

To President

Became law

Sep 16, 2026

Ordered to be Reported by the Yeas and Nays: 29 - 0.

Sep 16, 2026

Committee Consideration and Mark-up Session Held

Jul 16, 2025

Introduced in House

Jul 16, 2025

Referred to the House Committee on the Budget.

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What's happening now September 16, 2026

Ordered to be Reported by the Yeas and Nays: 29 - 0.

Plain-English summary Congressional Research Service

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.

Hearings & markups 1

H.R. 4464, the Preventive Health Savings Act; H.R. 6470, the Increasing Baseline Updates Act
Markup Sep 16, 2026 · 9:30 AM EDT · Budget Committee

Related & companion bills 1

Bill text 1 version

Introduced in House Formatted Text PDF Formatted XML

Source documents hosted by congress.gov.

Committees of jurisdiction 1

Budget Committee
House of Representatives

Lobbying activity 18

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
for AMERICAN ASSOCIATION OF NURSE PRACTITIONERS · Virginia · 3rd Quarter 2026 (July 1 - Sep 30)
PREMIER, INC.
for PREMIER, INC. · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
AMERICAN MEDICAL ASSOCIATION
for AMERICAN MEDICAL ASSOCIATION · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
HEALTHCARE LEADERSHIP COUNCIL
for HEALTHCARE LEADERSHIP COUNCIL · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
HEALTHCARE LEADERSHIP COUNCIL
for HEALTHCARE LEADERSHIP COUNCIL · District of Columbia · 1st Quarter 2026 (Jan 1 - Mar 31)
HEALTHCARE LEADERSHIP COUNCIL
for HEALTHCARE LEADERSHIP COUNCIL · District of Columbia · 2nd Quarter 2026 (Apr 1 - June 30)

Bodies those filers lobbied

Health & Human Services, Dept of (HHS)
18 filings
HOUSE OF REPRESENTATIVES
18 filings
SENATE
18 filings
Centers For Medicare and Medicaid Services (CMS)
16 filings
Health Resources & Services Administration (HRSA)
6 filings
Centers For Disease Control & Prevention (CDC)
5 filings
Congressional Budget Office (CBO)
5 filings
Executive Office of the President (EOP)
5 filings

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 18 filings →

Cosponsors 22

Arrington, Jodey C.

Texas · Oct 1, 2026

Miller-Meeks, Mariannette

Missouri · May 13, 2026

Conaway, Herbert C.

New Jersey · Dec 16, 2025

Tran, Derek

California · Dec 15, 2025

Smucker, Lloyd

Pennsylvania · Oct 21, 2025

Vindman, Eugene Simon

Virginia · Oct 21, 2025

Kim, Young

California · Oct 3, 2025

Foster, Bill

Illinois · Sep 30, 2025

Yakym, Rudy

Indiana · Sep 2, 2025

Buchanan, Vern

Florida · Aug 15, 2025

Moore, Blake D.

Utah · Jul 29, 2025

Schrier, Kim

Washington · Jul 25, 2025

Balderson, Troy

Ohio · Jul 23, 2025

DelBene, Suzan K.

Washington · Jul 23, 2025

Kiley, Kevin

California · Jul 23, 2025

Murphy, Gregory F.

North Carolina · Jul 23, 2025

Miller, Carol D.

West Virginia · Jul 22, 2025

Carter, Earl L. "Buddy"

Georgia · Jul 16, 2025

DeGette, Diana

Colorado · Jul 16, 2025

Peters, Scott H.

California · Jul 16, 2025

Cite this page click to expand

APA

U.S. Congress. (2026). H.R. 4464: Preventive Health Savings Act. 119th Congress. Open America. https://openamerica.io/bill/119-HR-4464/

MLA

"H.R. 4464: Preventive Health Savings Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-4464/.

Bluebook (legal)

H.R. 4464, 119th Cong. (2026), https://openamerica.io/bill/119-HR-4464/.

Markdown link

[H.R. 4464: Preventive Health Savings Act](https://openamerica.io/bill/119-HR-4464/)