HR919119th CongressWALLET

Chronic Disease Flexible Coverage Act

Sponsored By: Representative Buchanan

Passed House

Summary

Makes certain chronic-condition treatments and devices count as preventive care in high-deductible health plans. This bill would codify IRS Notice 2019-45 so items like insulin, statins, inhalers, blood pressure monitors, glucometers, and select antidepressants may be offered without meeting a plan deductible for HSA rules.

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  • Patients and families: People with diabetes, heart disease, asthma, osteoporosis, depression, or hypertension could have key medicines and devices covered before the deductible. That can lower out-of-pocket costs when they need ongoing care.
  • HDHP and HSA users: Enrollees in high-deductible plans would keep access to health savings accounts while their plans cover these chronic-care items as preventive services.
  • Employers and insurers: The bill gives statutory authority to the IRS list so plans can treat the named services as qualifying preventive care under the deductible safe harbor.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Chronic care pre-deductible in high-deductible plans

If enacted, the bill would put into law an IRS list of chronic-condition services that count as preventive care. If you have a high-deductible health plan or an HSA, those listed services could be covered before you meet your deductible. This could lower your out-of-pocket costs when you use those services. It only applies to the services named in IRS Notice 2019-45. It would not change other IRS or Treasury guidance unless there is a conflict.

Sponsors & CoSponsors

Sponsor

Buchanan

FL • R

Cosponsors

  • Rep. Panetta, Jimmy [D-CA-19]

    CA • D

    Sponsored 2/4/2025

  • Rep. Tenney, Claudia [R-NY-24]

    NY • R

    Sponsored 3/3/2025

Roll Call Votes

No roll call votes available for this bill.

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