Sponsors (4)
The bill increases transparency and the chance that prevention programs are considered based on long-range fiscal estimates, but those decade-spanning estimates are uncertain, not enforceable for budget rules, and risk politicized selection of favored interventions.
Policymakers and the public will get clearer, supplementary CBO information about the long-term fiscal impacts of prevention-focused legislation, improving transparency of future-cost tradeoffs.
Preventive programs (e.g., interventions that reduce chronic disease) are more likely to be recognized and gain support in budget discussions when supplementary estimates show downstream savings, which could increase investment in prevention.
Taxpayers could benefit from lower long-term federal outlays if prevention investments identified by the supplementary estimates actually reduce future spending.
Extending CBO projections decades (20–30 years) into the future increases uncertainty and may produce low-predictive-value estimates that could mislead expectations about savings.
Supplementary savings estimates cannot be used to meet statutory budget enforcement, so legislation that relies on these projected savings will still face pay-fors or enforcement shortfalls.
Committee leaders' ability to request supplementary favorable scoring risks politicizing which preventive interventions receive attention, creating unequal treatment across proposals and stakeholders.
Based on analysis of 2 sections of legislative text.
Allows congressional budget leaders to request CBO estimates of long-term federal outlay reductions from preventive health care and requires CBO to report those estimates and supporting evidence; estimates are supplementary.
Introduced November 19, 2025 by Angus Stanley King · Last progress November 19, 2025
Directs the Congressional Budget Office (CBO), when asked by the chair and ranking member of the budget committee of primary jurisdiction in either House, to determine whether proposed legislation would produce net reductions in federal outlays in long-term "budgetary outyears" through preventive health care. If the CBO finds likely outlay reductions, it must include a description and estimate of those reductions and the analytic basis in its projections and may (but is not required to) prepare extended projections that cover those outyears beyond current timeframe limits. The bill treats these long-range estimates as supplementary information that cannot be used to determine compliance with budget rules. Defines "budgetary outyears" as the two consecutive 10-year periods beginning with the first fiscal year that is 10 years after the current fiscal year, and defines "preventive health care" broadly to include public- and individual-level interventions supported by credible, publicly available evidence (epidemiological models, clinical trials, observational and longitudinal human studies, and meta-analyses).