The bill improves lawmakers’ information by directing CBO to produce longer, evidence‑based estimates of long‑term savings from preventive health, but those estimates won’t change budget enforcement and may be uncertain or subject to political selection.
Taxpayers, state and local governments will get CBO estimates identifying long‑term outlay reductions from preventive health measures, giving lawmakers clearer information about potential future savings.
Patients with chronic conditions and hospitals/health systems will benefit from CBO requiring the use of credible epidemiological and clinical evidence when estimating preventive‑care savings, which promotes evidence‑based policymaking.
Taxpayers and state governments will have access to longer fiscal projections (two consecutive 10‑year periods), helping committees assess far‑term fiscal impacts of prevention policies beyond the usual scoring window.
Congress and taxpayers will not be able to use these supplementary preventive estimates for budget enforcement, so projected savings won’t alter statutory spending caps or reduce near‑term deficit targets.
Taxpayers and state governments may receive estimates with greater uncertainty because the expanded long‑range projections are inherently less precise, risking misleading impressions of preventions’ fiscal benefits.
Only committee chairs and ranking members can request these supplemental preventive estimates, which could politicize which prevention policies receive long‑term scoring and bias what information reaches Congress.
Based on analysis of 2 sections of legislative text.
Introduced November 19, 2025 by Angus Stanley King · Last progress November 19, 2025
Requires the Director of the Congressional Budget Office (CBO) to respond to committee requests by determining whether proposed legislation would produce net reductions in federal outlays in long-term budget years due to preventive health care. If the Director finds such net reductions, CBO must include a labeled supplementary estimate describing and quantifying those outlay reductions and may extend projections into longer timeframes (years 11–30) beyond usual windows; those supplementary estimates cannot be used for budget enforcement or compliance.