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S 3204
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Preventive Health Savings Act

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

Introduced Nov 19, 2025

Latest action (Nov 19, 2025) Read twice and referred to the Committee on the Budget.

Referred to
Budget Committee
Policy area
Economics and Public Finance
Issues
Economy & TaxesHealthcare

Summary

This bill amends the Congressional Budget Act to allow the Congressional Budget Office Director to prepare special budget projections for legislation focused on preventive health care. Upon request from committee leaders in either chamber, the Director may estimate whether proposed preventive health legislation would reduce federal budget outlays over the long term, specifically analyzing projections 10 to 30 years in the future. The bill defines preventive health care as actions focused on protecting and promoting health and preventing disease and disability, supported by credible evidence. However, any such supplementary projections cannot be used to determine whether legislation complies with congressional budget rules or other budgetary enforcement controls.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)
3 cosponsors

Actions (2)
  1. Nov 19, 2025 Read twice and referred to the Committee on the Budget. · senate
  2. Nov 19, 2025 Introduced in Senate

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

  • HR 4464 — Preventive Health Savings Act · Introduced Jul 16, 2025 · Cong. 119 75%
  • HR 8765 — Prioritizing Primary Care Act of 2026 · Introduced May 12, 2026 · Cong. 119 64%
  • HR 9389 — Nutrition Education and Chronic Disease Prevention in Community Health Centers Act of 2026 · Introduced Jun 25, 2026 · Cong. 119 63%
  • HCONRES 113 — Establishing the congressional budget for the United States Government for fiscal year 2027 and setting forth the appropriate budgetary levels for fiscal years 2028 through 2036. · Passed House Jul 23, 2026 · Cong. 119 62%
  • S 3848 — Apples to Apples Comparison Act of 2026 · Introduced Feb 11, 2026 · Cong. 119 62%
  • S 3386 — Health Care Freedom for Patients Act of 2025 · Introduced Dec 11, 2025 · Cong. 119 61%

Full text

IN THE SENATE OF THE UNITED STATES

November 19, 2025

Mr. King (for himself, Mr. Crapo, Mr. Van Hollen, and Mr. Cramer) introduced the following bill; which was read twice and referred to the Committee 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 Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Preventive Health Savings Act”.

SEC. 2. SCORING OF PREVENTIVE HEALTH SAVINGS.

Section 202 of the Congressional Budget and Impoundment Control Act of 1974 (2 U.S.C. 602) is amended by adding at the end the following:

“(h) Scoring of Preventive Health Savings.—

“(1) Determination by the director.—Upon a request by the chairman and ranking minority member of the Committee on the Budget of the Senate and chairman and ranking minority member of the committee of primary jurisdiction of the Senate or by the chairman and ranking minority member of the Committee on the Budget of the House of Representatives and the chairman and ranking minority member of the committee of primary jurisdiction of the House of Representatives, the Director shall determine if proposed legislation would result in net reductions in budget outlays in budgetary outyears through the use of preventive health care.

“(2) Projections.—If the Director determines that proposed legislation would result in net reductions in budget outlays as described in paragraph (1), the Director—

“(A) shall include, in any projection prepared by the Director on such proposed legislation, a description and estimate of the reductions in budget outlays in the budgetary outyears 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, 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 enforcement controls.

“(4) Definitions.—As used in this subsection—

“(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, disability, 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, observational studies in humans, longitudinal studies, and meta-analysis.”. <all>

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