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S. 3224 118th Congress Senate

Chronic Disease Flexible Coverage Act

Official title: A bill to codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions as meeting the preventive care de… Show full official titleShow less

Official title: A bill 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.

Introduced: November 2, 2023 Introduced by: John Thune Republican · South Dakota See on congress.gov
Taxation Health care costs and insuranceHealth care coverage and accessHealth promotion and preventive careIncome tax deductions
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This bill died when the 118th Congress ended
It never became law before the 118th Congress (2023–2024) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Nov 2, 2023
Read twice and referred to the Committee on Finance.
Nov 2, 2023
Introduced in Senate
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 Latest action November 2, 2023

Read twice and referred to the Committee on Finance.

 Plain-English summary Congressional Research Service

Chronic Disease Flexible Coverage Act

This bill provides statutory authority for certain guidance from the Internal Revenue Service (IRS) that expands the types of preventive care that may be offered under high deductible health plans (HDHPs) without a deductible.

In 2019, the IRS issued guidance that allows HDHPs to cover certain items and services for individuals with chronic conditions without a deductible, including medications and monitoring devices for those with diabetes or heart conditions. The bill provides statutory authority for this guidance. 

 Related & companion bills 1
  • HR 3800 Identical bill Chronic Disease Flexible Coverage Act
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
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APA
U.S. Congress. (2026). S. 3224: Chronic Disease Flexible Coverage Act. 118th Congress. Open America. https://openamerica.io/bill/118-S-3224/
MLA
"S. 3224: Chronic Disease Flexible Coverage Act." 118th Congress, 2026, Open America, https://openamerica.io/bill/118-S-3224/.
Bluebook (legal)
S. 3224, 118th Cong. (2026), https://openamerica.io/bill/118-S-3224/.
Markdown link
[S. 3224: Chronic Disease Flexible Coverage Act](https://openamerica.io/bill/118-S-3224/)
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