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Congress can request long-term health savings estimates.

H.R. 4464 — Preventive Health Savings Act · Filed by Jay Obernolte (R-CA) · 24 cosponsors · Introduced Jul 16, 2025 · Reported out

75%
How clear the bill is
Typical bill: 85%
15/100
Chance of hidden extras
Typical bill: 15/100
Budget Process Technical Amendment

Your members of Congress

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What it does

The bill lets the Congressional Budget Office estimate savings from preventive health care. The estimates would cover 20 years. They cannot be used to enforce budget rules or spending limits. The bill defines preventive health care as research-backed treatments that stop disease and early death.

Who it affects

Congress members who work on budgets could use these estimates. They might help support public health bills. But the estimates are not binding, so Congress does not have to follow them.

One thing to notice

The estimates cover 20 years, much longer than normal budget estimates. This could make preventive health savings look bigger, but Congress does not have to use them.

From the analysis of the bill text, linked under Primary records below.

Where it stands

24 cosponsors: 15 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 $998,024 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 — A federal agency that estimates how much laws will cost.
  • preventive health care — Medical treatments that stop disease and early death.
  • budget rules — Laws that limit how much money the government 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 16,938 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 2026-11-05.

“Congress can request long-term health savings estimates.” QuorumCivic. https://share.quorumcivic.app/bill/119/hr4464/simple Report an error

Correlative observation from public records — not evidence of coordination or wrongdoing, and not financial advice.
This page is the record as of today. The app tells you when it changes.
Quorum analysis of the full bill text · 119th Congress · public record

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