Skip to main content
H.R. 919 119th Congress House

Chronic Disease Flexible Coverage Act

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

Official title: 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: February 4, 2025 Introduced by: Vern Buchanan Republican · Florida See on congress.gov
Taxation Health care costs and insuranceHealth care coverage and accessHealth promotion and preventive careIncome tax deductions
Sign in to write a letter Sign in to watch
 Everywhere this bill has been 9 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Mar 5, 2025
Received in the Senate and Read twice and referred to the Committee on Finance.
Mar 4, 2025
On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)
Mar 4, 2025
Motion to reconsider laid on the table Agreed to without objection.
Mar 4, 2025
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)
Mar 4, 2025
DEBATE - The House proceeded with forty minutes of debate on H.R. 919.
Mar 4, 2025
Considered under suspension of the rules. (consideration: CR H964-966)
Mar 4, 2025
Mr. Smith (MO) moved to suspend the rules and pass the bill.
Feb 4, 2025
Introduced in House
Feb 4, 2025
Referred to the House Committee on Ways and Means.
 Ask about this bill AI · grounded in the bill text

Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.

AI answers can be imperfect; always confirm against the full bill text.

What's happening now March 5, 2025

Received in the Senate and 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 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. 

 Bill text 3 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
 Lobbying activity 60

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

  • THE MCMANUS GROUP
    for WEX HEALTH · Connecticut · 3rd Quarter 2026 (July 1 - Sep 30)
  • HEALTHEQUITY, INC.
    for HEALTHEQUITY, INC. · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
  • SPANGLER STRATEGIES LLC
    for AMERICAN BANKERS ASSOCIATION · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
  • SPANGLER STRATEGIES LLC
    for AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
  • SPANGLER STRATEGIES LLC
    for AMERICAN BENEFITS COUNCIL · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
  • AMERICAN BENEFITS COUNCIL
    for AMERICAN BENEFITS COUNCIL · District of Columbia · 3rd Quarter 2025 (July 1 - Sep 30)

Bodies those filers lobbied

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 60 filings →
 Cosponsors 2
All 2 Democratic 1 Republican 1
R
Tenney, Claudia
New York · Mar 3, 2025
 D
Panetta, Jimmy
California · Feb 4, 2025
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 919: Chronic Disease Flexible Coverage Act. 119th Congress. Open America. https://openamerica.io/bill/119-HR-919/
MLA
"H.R. 919: Chronic Disease Flexible Coverage Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-919/.
Bluebook (legal)
H.R. 919, 119th Cong. (2026), https://openamerica.io/bill/119-HR-919/.
Markdown link
[H.R. 919: Chronic Disease Flexible Coverage Act](https://openamerica.io/bill/119-HR-919/)
Report a problem