Sponsors (19)
The bill directs the CBO to produce clearer, long‑range estimates and evidence standards to surface potential federal savings from prevention—helpful for long‑term policy decisions—but those estimates won’t change near‑term budget constraints, carry greater uncertainty, and may increase CBO workload.
Taxpayers and state governments will gain clearer estimates of potential long-term federal savings from preventive health measures, giving policymakers evidence to design cost-saving health policies.
Congress and state governments will receive multi-decade projections showing the far‑term impacts of prevention, improving legislative decision‑making on public‑health investments.
Hospitals, health systems, and state governments will have clearer standards (clinical trials, epidemiologic models, observational studies) for what evidence the CBO will use when scoring prevention proposals, reducing ambiguity in analytic assumptions.
Congress and taxpayers will not gain immediate budgetary relief because supplementary long‑term estimates cannot be used for budget enforcement or to relax near‑term spending caps.
Congress and state governments may be misled by uncertain far‑outyear projections: extending estimates increases uncertainty and could produce misleading signals if the underlying evidence is weak.
Federal employees and taxpayers could face slower CBO scoring timelines and higher analytic burden because the requirement for additional CBO work may increase workload without providing extra resources.
Based on analysis of 2 sections of legislative text.
Requires CBO, on request, to prepare supplementary long-term estimates of net federal outlay reductions from preventive health care and describe the basis for those estimates.
Requires the Congressional Budget Office (CBO) Director, when asked by certain congressional budget and committee leaders, to determine whether proposed legislation could produce net reductions in federal outlays in long-term "budgetary outyears" through the use of preventive health care and to include descriptive estimates and the basis for them in CBO projections. Any such estimates are labeled supplementary, may extend projections beyond normal time limits, and cannot be used for budget enforcement or compliance determinations.
Introduced July 16, 2025 by Jay Obernolte · Last progress July 16, 2025