HR 4464 · 119th Congress 2025–2027

Preventive Health Savings Act

Latest action · Sep 16, 2026 Ordered to be Reported by the Yeas and Nays: 29 - 0.

Progress

Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.

  1. IntroducedJul 16, 2025
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

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.

Cosponsors 24

Members who signed on, in the order they did. Signatures ran from Jul 16, 2025 to Nov 2, 2026; 3 are original cosponsors, there from the day it was introduced.

SeatCosponsorSigned on
D-CODiana DeGetteOriginalJul 16, 2025
R-GAEarl L. "Buddy" CarterOriginalJul 16, 2025
D-CAScott H. PetersOriginalJul 16, 2025
R-WVCarol D. MillerJul 22, 2025
R-NCGregory F. MurphyJul 23, 2025
R-CAKevin KileyJul 23, 2025
D-WASuzan K. DelBeneJul 23, 2025
R-OHTroy BaldersonJul 23, 2025
D-WAKim SchrierJul 25, 2025
R-UTBlake D. MooreJul 29, 2025
R-FLVern BuchananAug 15, 2025
R-INRudy Yakym IIISep 2, 2025
D-ILBill FosterSep 30, 2025
R-CAYoung KimOct 3, 2025
D-VAEugene Simon VindmanOct 21, 2025
R-PALloyd SmuckerOct 21, 2025
D-CADerek TranDec 15, 2025
D-NJHerbert C. Conaway, Jr.Dec 16, 2025
R-MORobert F. Onder, Jr.May 13, 2026
R-OHMike CareySep 15, 2026
R-IAMariannette Miller-MeeksSep 24, 2026
R-TXJodey C. ArringtonOct 1, 2026
R-SCRalph NormanOct 29, 2026
R-INMarlin A. StutzmanNov 2, 2026

Committees 1

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseBudget Committee
Referred Jul 16, 2025Markup Sep 16, 2026

Actions 4

Everything that happened, newest first.

  1. Sep 16, 2026Committee Consideration and Mark-up Session Held
  2. Sep 16, 2026Ordered to be Reported by the Yeas and Nays: 29 - 0.
  3. Jul 16, 2025Introduced in House
  4. Jul 16, 2025Referred to the House Committee on the Budget.

Research

What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.

Congressional Budget Office cost estimate

  1. Oct 20, 2026H.R. 4464, Preventive Health Savings ActAs ordered reported by the House Committee on the Budget on September 16, 2026

Constitutional authority

Congress has the power to enact this legislation pursuant to the following: Article 1, Section 8

The sponsor’s statement, as printed in the Congressional Record, vol. 171, no. 122, July 16, 2025, pages H3369, H3368.

Related bills 1

Companion bills and other measures the record links to this one.

BillTitleRelationshipLatest action
S 3204Preventive Health Savings ActIdentical billNov 19, 2025

Titles 2

Every title it has carried, official and short, at each stage.

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

Subjects

Assigned by the Library of Congress. Policy area: Economics and Public Finance.

Text 1

Each version as it was printed, newest first.

  1. Jul 16, 2025Introduced in House

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Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.