# 119-hr-4243: Homecare for Seniors Act

119-hr-4243, Homecare for Seniors Act, is a 119th Congress bill sponsored by Rep. Smith, Adrian [R-NE-3] (R-NE); status introduced; PRIA reads it as touching household money (as of 2026-09-23).

- Canonical: https://policyrisk.com/legislation/119-hr-4243
- As of: 2026-09-23
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4243
- Congress: 119
- Title: Homecare for Seniors Act
- Status: introduced
- Introduced: 2025-06-27
- Sponsor: Rep. Smith, Adrian [R-NE-3] (R-NE)
- Cosponsors: 4
- Policy area: Taxation
- Touches household money: yes
- Last recorded action: 2026-09-23

## Summary

**Expands tax-free Health Savings Account payouts to cover qualified in‑home senior care.** This bill would add a new "specified medical care" category and let HSA funds pay tax-free for qualifying home‑care contracts.

## Cosponsors (4)

- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-06-27T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-10-03T00:00:00.000Z
- Rep. Neguse, Joe [D-CO-2] (D-CO), 2025-12-23T00:00:00.000Z
- Rep. Hayes, Jahana [D-CT-5] (D-CT), 2026-09-21T00:00:00.000Z

## Provisions PRIA read

- Use HSA money for home care: benefit, medium. If enacted, you would be able to use HSA money tax-free for qualified home care. The contract must include at least 3 of these in-home services: help with eating, toileting, transferring, bathing, dressing, continence, or taking medicine. Care must be provided in the home by a state-licensed provid…
- Public campaign on tax-free home care: benefit, low. HHS, with Treasury, would run a public campaign to explain which home care costs can be paid tax-free from HSAs. This would share information only and would not change tax rules. The bill does not set funding or a start date.

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-6766: Essential Caregivers Act of 2025
- 119-hr-2548: Sanctioning Russia Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

## Sources
- [119-hr-4243 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4243)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-6766: Essential Caregivers Act of 2025](https://policyrisk.com/legislation/119-hr-6766)
- [119-hr-2548: Sanctioning Russia Act of 2025](https://policyrisk.com/legislation/119-hr-2548)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4243 (as of 2026-09-23).