Congressional Legislation · bill 119hr919 · built from our database

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Chronic Disease Flexible Coverage Act

H.R. 919 · 119th Congress (2025-2026)

H.R. 919119TH CONGRESSINTRODUCED 02/04/2025REP. BUCHANANR-FL · SPONSORLeft: no (Sponsor Ranking)Lean left: no (Sponsor Ranking)Center: no (Sponsor Ranking)Lean right: DW-NOMINATE +0.36 (Sponsor Ranking)Right: no (Sponsor Ranking)LEAN RIGHT(SPONSOR RANKING)TAXATION

3 members · Left 1 · Center 0 · Right 2 (Bill Ranking)

SponsorRep. Buchanan, Vern (R-FL) (Introduced 02/04/2025)
Sponsor Voting RecordLean right · DW-NOMINATE +0.36 · measured from every roll-call vote this member has cast (voteview.com) (Sponsor Ranking)
Support
LLLCLRR

support across the spectrum: 3 members signed on (Bill Ranking) this bill: sponsor + current cosponsors, each once

CommitteesSenate - Finance Committee; House - Ways and Means Committee
Latest Action03/05/2025 Received in the Senate and Read twice and referred to the Committee on Finance.
Roll Call VotesThere have been no roll call votes
Sourceview on congress.gov →
IntroducedPassed HousePassed SenateResolving DifferencesTo PresidentBecame Law

Summary (1)

Introduced in House (02/04/2025)

Chronic Disease Flexible Coverage Act

This bill provides statutory authority for guidance from the Internal Revenue Service (IRS) that expands the types of preventive care that may be offered under a high deductible health plan (HDHP) without requiring a deductible or with a deductible below the minimum threshold.

Under current law, to be considered health savings account-eligible, an HDHP must have a deductible above a certain minimum threshold amount, which is adjusted annually. However, an HDHP may cover certain types of preventive care without requiring a deductible or with a deductible below the minimum threshold. 

The IRS issued guidance expanding the types of preventive care that may be covered by an HDHP without requiring a deductible or with a deductible below the minimum threshold to include

  • angiotensin converting enzyme inhibitors for individuals with congestive heart failure, diabetes, or coronary artery disease;
  • anti-resorptive therapy for individuals with osteoporosis or osteopenia;
  • beta-blockers for individuals with congestive heart failure or coronary artery disease;
  • blood pressure monitors for individuals with hypertension;
  • inhaled corticosteroids and peak flow meters for individuals with asthma;
  • insulin and other glucose lowering agents, retinopathy screening, glucometers, and hemoglobin A1c testing for individuals with diabetes;
  • international normalized ratio testing for individuals with liver disease or bleeding disorders;
  • low-density lipoprotein testing for individuals with heart disease;
  • statins for individuals with heart disease or diabetes; and
  • selective serotonin reuptake inhibitors for individuals with depression. 

The bill provides statutory authority for the IRS's guidance. 

Text (3)

Engrossed in House (EH)

119 HR 919 EH: Chronic Disease Flexible Coverage Act U.S. House of Representatives text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I 119th CONGRESS1st Session H. R. 919

IN THE HOUSE OF REPRESENTATIVES AN ACT To codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions as meeting the preventive care deductible safe harbor for purposes of high deductible health plans in connection with health savings accounts.

1.Short titleThis Act may be cited as the Chronic Disease Flexible Coverage Act.

2.Services and items for chronic conditions treated as preventive care (a)In generalThe additional preventive care services and items for chronic conditions that may be treated as preventive care for purposes of section 223(c)(2)(C) of the Internal Revenue Code of 1986 as set forth in IRS Notice 2019–45 shall have the same force and effect as if included in the enactment of this Act. (b)No inferenceTo the extent not inconsistent with this section, no inference shall be made from subsection (a) with respect to such other rules or guidance as the Secretary has provided, or may provide, with respect to preventive services for purposes of section 223(c)(2)(C) of such Code. Passed the House of Representatives March 4, 2025.Kevin F. McCumber,Clerk.

Introduced in House (IH)

119 HR 919 IH: Chronic Disease Flexible Coverage Act U.S. House of Representatives 2025-02-04 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I119th CONGRESS1st SessionH. R. 919IN THE HOUSE OF REPRESENTATIVESFebruary 4, 2025Mr. Buchanan (for himself and Mr. Panetta) introduced the following bill; which was referred to the Committee on Ways and MeansA BILLTo codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions as meeting the preventive care deductible safe harbor for purposes of high deductible health plans in connection with health savings accounts.1.Short titleThis Act may be cited as the Chronic Disease Flexible Coverage Act.2.Services and items for chronic conditions treated as preventive care(a)In generalThe additional preventive care services and items for chronic conditions that may be treated as preventive care for purposes of section 223(c)(2)(C) of the Internal Revenue Code of 1986 as set forth in IRS Notice 2019–45 shall have the same force and effect as if included in the enactment of this Act.(b)No inferenceTo the extent not inconsistent with this section, no inference shall be made from subsection (a) with respect to such other rules or guidance as the Secretary has provided, or may provide, with respect to preventive services for purposes of section 223(c)(2)(C) of such Code.

Referred in Senate (RFS)

119 HR 919 : Chronic Disease Flexible Coverage Act U.S. House of Representatives 2025-03-05 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IIB119th CONGRESS1st SessionH. R. 919IN THE SENATE OF THE UNITED STATESMarch 5, 2025Received; read twice and referred to the Committee on FinanceAN ACTTo codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions as meeting the preventive care deductible safe harbor for purposes of high deductible health plans in connection with health savings accounts.1.Short titleThis Act may be cited as the Chronic Disease Flexible Coverage Act.2.Services and items for chronic conditions treated as preventive care(a)In generalThe additional preventive care services and items for chronic conditions that may be treated as preventive care for purposes of section 223(c)(2)(C) of the Internal Revenue Code of 1986 as set forth in IRS Notice 2019–45 shall have the same force and effect as if included in the enactment of this Act.(b)No inferenceTo the extent not inconsistent with this section, no inference shall be made from subsection (a) with respect to such other rules or guidance as the Secretary has provided, or may provide, with respect to preventive services for purposes of section 223(c)(2)(C) of such Code.Passed the House of Representatives March 4, 2025.Kevin F. McCumber,Clerk.

The bill's own words, from our database (synced from the GPO BILLS XML); paragraph breaks added at the bill's section boundaries, nothing else changed.

All Actions (10)

DateChamberAll Actions
02/04/2025Library of CongressIntroduced in House
02/04/2025Library of CongressIntroduced in House
02/04/2025House floor actionsReferred to the House Committee on Ways and Means.
03/04/2025House floor actionsMr. Smith (MO) moved to suspend the rules and pass the bill.
03/04/2025House floor actionsConsidered under suspension of the rules. (consideration: CR H964-966)
03/04/2025House floor actionsDEBATE - The House proceeded with forty minutes of debate on H.R. 919.
03/04/2025Library of CongressPassed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)
03/04/2025House floor actionsOn motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)
03/04/2025House floor actionsMotion to reconsider laid on the table Agreed to without objection.
03/05/2025SenateReceived in the Senate and Read twice and referred to the Committee on Finance.

Titles (6)

Title TypeTitle
Official Titles from EH (Engrossed in House) bill textTo codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions as meeting the preventive care deductible safe harbor for purposes of high deductible health plans in connection with health savings accounts.
Short Titles from RFS (Referred to Senate) bill textChronic Disease Flexible Coverage Act
Short Title(s) as Passed HouseChronic Disease Flexible Coverage Act
Display TitleChronic Disease Flexible Coverage Act
Short Title(s) as IntroducedChronic Disease Flexible Coverage Act
Official Title as IntroducedTo codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions as meeting the preventive care deductible safe harbor for purposes of high deductible health plans in connection with health savings accounts.

Amendments (0)

There are no amendments to this bill.

Cosponsors (2)

* = Original cosponsor

Committees (2)

CommitteeActivity
Senate - Finance Committee03/05/2025 Referred To
House - Ways and Means Committee02/04/2025 Referred To

Related Bills (0)

No related bill information was received for H.R. 919.

Subjects (4)

Policy Area: Taxation

All data on this page comes from our own database (legislation.congress_* tables), synced daily from the GPO govinfo BILLSTATUS and BILLS collections. Formatted after congress.gov; nothing is generated. Member placement is their DW-NOMINATE score (voteview.com, Lewis et al.) - a measurement of roll-call voting behavior, not our judgement. Buckets: Left below −0.50 · Lean Left to −0.25 · Center to +0.25 · Lean Right to +0.50 · Right above +0.50. The bill's Support meter aggregates the people who signed the bill - sponsor and current cosponsors, each counted once - nothing else.