Congress can ask for health savings forecasts that do not count.
H.R. 4464 — Preventive Health Savings Act · Filed by Jay Obernolte (R-CA) · 20 cosponsors · Introduced Jul 16, 2025 · Reported out
Your members of Congress
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What it does
The bill lets the Congressional Budget Office make forecasts of money saved over 20 years. The forecasts would be extra only. They cannot change budget rules or spending limits. The bill says preventive health care means treatments that stop disease based on science.
Who it affects
The bill affects Congress members who make budget choices. It could help them see the long-term value of health programs. But the forecasts are not binding, so real impact depends on whether Congress uses them.
One thing to notice
The forecasts cannot be used to enforce budget rules. Congress could cite them to justify spending without those savings being checked under budget law.
From the analysis of the bill text, linked under Primary records below.
Where it stands
20 cosponsors: 11 Republicans, 8 Democrats, 1 Independents.
- Jul 16, 2025 — Introduced · Congress.gov: “Introduced in House”
- Jul 16, 2025 — Referred to House Committee on the Budget · Congress.gov: “Referred to the House Committee on the Budget”
- Sep 16, 2026 — Markup held in committee · Congress.gov: “Committee Consideration and Mark-up Session Held”
- Sep 16, 2026 — Reported out of committee · Congress.gov: “Ordered to be Reported by the Yeas and Nays: 29 - 0”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Money around this bill
2 groups reported lobbying about this bill. They filed 3 reports from Dec 2025 to Jun 2026.
Those reports show $140,000 in lobbying spending. Each report lists about 4 bills. So that money was not all for this bill.
More groups named this bill than 41% of bills with any report.
Jay Obernolte, who sponsored the bill, received $963,024 from PACs for the 2026 election.
- Premier, Inc. — $140,000 in 1 report
- American College of Preventive Medicine — $0 in 2 reports
Lobbying is legal. These reports show who lobbied about this bill, not what changed.
Words to know
- Congressional Budget Office — The office that figures out how much laws will cost or save.
- preventive health care — Medical care that stops disease based on science.
- budget rules — Laws that set limits on how much money the state can spend.
- lobbying — Trying to influence lawmakers about a bill. Companies and groups pay people to do this.
- PACs — Groups that collect money and give it to candidates for office.
- sponsored — To sponsor a bill is to introduce it in Congress and put your name on it.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (2,500 characters) on Jul 2, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 14,522 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
Money — Senate Lobbying Disclosure Act filings whose specific-issue field names this bill for quarters ending Dec 2025 to Jun 2026. A filing's amount is reported whole beside the median number of bills a filing names; it is never divided across them. PAC receipts are FEC-reported contributions to the sponsor's candidate committee in the 2026 cycle.
As of — lobbying records through Jul 20, 2026 · page rendered 2026-09-21.
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