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HR 919 119th Congress House Taxation Health care costs and insurance Health care coverage and access Health promotion and preventive care Income tax deductions

Chronic Disease Flexible Coverage Act

Introduced: February 4, 2025 Introduced by: Buchanan, Vern Republican · Florida See on congress.gov
 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
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.
Mar 4, 2025
DEBATE - The House proceeded with forty minutes of debate on H.R. 919.
Feb 4, 2025
Introduced in House
Feb 4, 2025
Referred to the House Committee on Ways and Means.
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 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. 

What's happening now March 5, 2025

Received in the Senate and Read twice and referred to the Committee on Finance.

 Bill text 3 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
 Lobbying activity 50

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

  • SPANGLER STRATEGIES LLC
    for AMERICAN BANKERS ASSOCIATION · District of Columbia · 2nd Quarter (Apr 1 - June 30) 2026
  • SPANGLER STRATEGIES LLC
    for AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE · District of Columbia · 2nd Quarter (Apr 1 - June 30) 2026
  • SPANGLER STRATEGIES LLC
    for AMERICAN BENEFITS COUNCIL · District of Columbia · 2nd Quarter (Apr 1 - June 30) 2026
  • NATIONAL SMALL BUSINESS ASSOCIATION
    for NATIONAL SMALL BUSINESS ASSOCIATION · District of Columbia · 1st Quarter (Jan 1 - Mar 31) 2026
  • THE MCMANUS GROUP
    for WEX HEALTH · Connecticut · 1st Quarter (Jan 1 - Mar 31) 2026
  • HEALTHEQUITY, INC.
    for HEALTHEQUITY, INC. · District of Columbia · 1st Quarter (Jan 1 - Mar 31) 2026
See all 50 filings →
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/)
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