# 119-hr-919: Chronic Disease Flexible Coverage Act

119-hr-919, Chronic Disease Flexible Coverage Act, is a 119th Congress bill sponsored by Rep. Buchanan, Vern [R-FL-16] (R-FL); status passed_house; PRIA reads it as touching household money (as of 2026-07-20).

- Canonical: https://policyrisk.com/legislation/119-hr-919
- As of: 2026-07-20
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-919
- Congress: 119
- Title: Chronic Disease Flexible Coverage Act
- Status: passed_house
- Introduced: 2025-02-04
- Sponsor: Rep. Buchanan, Vern [R-FL-16] (R-FL)
- Cosponsors: 2
- Policy area: Taxation
- Touches household money: yes
- Last recorded action: 2026-07-20

## Summary

**Codifies IRS guidance to let certain chronic‑disease drugs, tests, and devices count as preventive care under high‑deductible health plans paired with Health Savings Accounts (HSAs).** This change names specific items that can be covered without a deductible or with a lower deductible for the preventive‑care safe harbor. - People with chronic conditions and their families see lower out‑of‑pocket costs for ongoing care because listed drugs and monitoring tools can be provided before the deductible is met. - Health Savings Account holders keep plan eligibility while receiving these services because plans may treat them as preventive care under the HDHP rules. - Employers and insurers can design HDHP benefits to cover items like insulin, blood glucose testing supplies, blood pressure monitors, inhaled corticosteroids, statins, ACE inhibitors, and certain depression medications as preventive care, aligning plan rules with IRS Notice 2019-45.

## Cosponsors (2)

- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-02-04T00:00:00.000Z
- Rep. Tenney, Claudia [R-NY-24] (R-NY), 2025-03-03T00:00:00.000Z

## Provisions PRIA read

- High-deductible plans cover more chronic care: benefit, low. If you have a high-deductible health plan paired with a health savings account (HSA), this bill would let your plan treat some chronic care as preventive care. It would write into law the IRS 2019 list (Notice 2019-45) of services and items for chronic conditions. Plans would be allowed to cover th…

## Related bills

- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-2725: Affordable Housing Credit Improvement Act of 2025
- 119-hr-137: TCJA Permanency Act
- 119-hr-2548: Sanctioning Russia Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-1177: Improve and Enhance the Work Opportunity Tax Credit Act

## Sources
- [119-hr-919 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/919)

## Related
- [119-hr-9237: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-hr-9237)
- [119-hr-2725: Affordable Housing Credit Improvement Act of 2025](https://policyrisk.com/legislation/119-hr-2725)
- [119-hr-137: TCJA Permanency Act](https://policyrisk.com/legislation/119-hr-137)
- [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-1177: Improve and Enhance the Work Opportunity Tax Credit Act](https://policyrisk.com/legislation/119-hr-1177)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-919 (as of 2026-07-20).