Sponsors (20)
The bill would improve information about long-term fiscal impacts of preventive health care—potentially guiding decisions that favor prevention and lower future costs—but relies on uncertain long-range estimates that could be resource-intensive to produce and risk being politicized or contested.
Taxpayers could face lower long-term federal health care outlays if documented preventive-health savings lead to reduced disease-related costs over future decades.
Policymakers (including state governments) will receive more information about long-term budget impacts of preventive interventions, improving the evidence base for legislative decisions about health programs.
Patients and people with chronic conditions could gain stronger support for preventive programs if long-term savings are documented, enabling policy choices that favor prevention over downstream treatment.
Taxpayers and the budget process could be harmed if uncertain or speculative long-range savings estimates are politically amplified or misused, skewing fiscal priorities toward interventions with contested returns.
Federal employees at CBO could face increased workload and resource needs to prepare extended outyear projections, potentially delaying other analyses or requiring additional staffing/funding.
Hospitals, health systems, and other stakeholders could face disputes and inconsistent scoring because a broad definition of 'preventive health care' may invite disagreement over which interventions qualify for long-range scoring.
Based on analysis of 2 sections of legislative text.
Requires CBO, on specified committee requests, to estimate and describe long-range federal outlay reductions from preventive health care and to optionally extend projection years for those estimates; estimates are supplementary and nonbinding.
Requires the Director of the Congressional Budget Office (CBO), when asked by the leadership of the Budget Committee or the authorizing committee in either House, to determine whether proposed legislation would produce net reductions in federal outlays in long-range “budgetary outyears” through preventive health care. If such reductions are expected, the CBO must include a description and estimate of those outlay reductions and the basis for them, and is authorized to prepare projections that extend into additional outyears beyond the usual statutory time limits; those long-range estimates are explicitly supplemental and cannot be used for budget enforcement or compliance determinations. The bill also assigns a short title for citation purposes.
Introduced July 16, 2025 by Jay Obernolte · Last progress July 16, 2025