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H.R. 138
U.S. House•In House Committee
Summary
H.R. 138, the Lowering Costs for Caregivers Act of 2025, was introduced in the House on Jan 3, 2025 by Rep. Vern Buchanan (R) with 31 co-sponsors. It was referred to Ways And Means, and last saw action on Jan 3, 2025: Referred to the House Committee on Ways and Means.
Record
Text
H.R. 138 has 31 co-sponsors.
hb138/introduced-in-house.txt119 HR 138 IH: Lowering Costs for Caregivers Act of 2025U.S. House of Representatives2025-01-03text/xmlENPursuant 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 CONGRESS 1st Session H. R. 138 IN THE HOUSE OF REPRESENTATIVES January 3, 2025 Mr. Buchanan (for himself and Mr. Thompson of California ) introduced the following bill; which was referred to the Committee on Ways and Means A BILLTo amend the Internal Revenue Code of 1986 to allow expenses for parents to be taken into account as medical expenses, and for other purposes.1.Short titleThis Act may be cited as the Lowering Costs for Caregivers Act of 2025 .2.Health savings accounts(a)In generalSubparagraph (A) of section 223(d)(2) of the Internal Revenue Code of 1986 is amended by inserting , any parent of either such individual or such spouse after the spouse of such individual .(b)Effective dateThe amendment made by this section shall apply to amounts paid after December 31, 2024.3.Flexible spending and health reimbursement arrangements(a)In generalSubsection (b) of section 105 of the Internal Revenue Code of 1986 is amended by adding at the end the following: A health flexible spending arrangement or health reimbursement arrangement shall not fail to be treated as meeting the requirements of this subsection or section 106, and no amount shall be included in gross income of the taxpayer, solely because, under the arrangement, the taxpayer may use amounts contributed to such arrangement for medical care (as defined in section 213(d), without regard to paragraph (1)(D) thereof) for a parent of the taxpayer or of the spouse of the taxpayer. .(b)Effective dateThe amendment made by this section shall apply to expenses incurred after December 31, 2024.4.Archer MSAs(a)In generalSubparagraph (A) of section 220(d)(2) of the Internal Revenue Code of 1986 is amended by inserting , any parent of either such individual or such spouse after the spouse of such individual .(b)Effective dateThe amendment made by this section shall apply to amounts paid after December 31, 2024.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-01-03
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To amend the Internal Revenue Code of 1986 to allow expenses for parents to be taken into account as medical expenses, and for other purposes.
Sponsors
Rep. Vern Buchanan (R) sponsors H.R. 138, and 31 members have co-sponsored it, 1 of them from the day it was introduced.

Rep. · R–FL-16 · Sponsor
Introduced Jan 3, 2025

Rep. · D–CA-4 · Co-sponsor
Joined Jan 3, 2025 · Original

Rep. · R–NY-17 · Co-sponsor
Joined Jan 9, 2025

Rep. · R–NJ-2 · Co-sponsor
Joined Jan 9, 2025

Rep. · R–TX-15 · Co-sponsor
Joined Jan 31, 2025

Rep. · R–TX-1 · Co-sponsor
Joined Apr 24, 2025

Rep. · R–NV-2 · Co-sponsor
Joined Jun 11, 2025

Rep. · R–CA-40 · Co-sponsor
Joined Jul 22, 2025

Rep. · D–RI-2 · Co-sponsor
Joined Aug 15, 2025

Rep. · D–VA-7 · Co-sponsor
Joined Sep 17, 2025
Committees
H.R. 138 went before 1 committee: Ways and Means.
Actions
H.R. 138 has taken 2 actions since Jan 3, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Jan 3, 2025 | House | Introduced in House | ||
Jan 3, 2025 | House | Referred to the House Committee on Ways and Means.Ways and Means Committee |
Votes
H.R. 138 has not gone to a roll call.
Related bills
1 bill is related to H.R. 138.
Titles
H.R. 138 goes by 3 titles, 1 of them short titles.
- Lowering Costs for Caregivers Act of 2025 — Display Title
- Lowering Costs for Caregivers Act of 2025 — Short Title(s) as Introduced
- To amend the Internal Revenue Code of 1986 to allow expenses for parents to be taken into account as medical expenses, and for other purposes. — Official Title as Introduced
Lobbying
15 clients hired 14 firms and 99 registered lobbyists who named H.R. 138 in 42 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Health Issues, Medicare/Medicaid, Veterans, Taxation/Internal Revenue Code, Budget/Appropriations, Labor Issues/Antitrust/Workplace, Insurance, Agriculture.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| EMPLOYERS COUNCIL ON FLEXIBLE COMPENSATION | Non-profit membership association representing and promoting flexible compensation. | District of Columbia | 1 | 6 | $240K |
| HOME CARE ASSOCIATION OF AMERICA | Trade association for home care providers | District of Columbia | 1 | 6 | $180K |
| AARP | — | District of Columbia | 1 | 6 | — |
| ARGENTUM | Non-profit trade association representing senior living providers and residents. | Virginia | 1 | 4 | — |
| ALLIANCE FOR AGING RESEARCH | — | District of Columbia | 1 | 3 | — |
| WEX HEALTH | Healthcare software/payment solution that administer and manage consumer-directed accounts | Connecticut | 1 | 2 | $100K |
| ALZHEIMER'S ASSOCIATION | — | District of Columbia | 1 | 2 | — |
| AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | — | District of Columbia | 1 | 2 | — |
| HEALTHEQUITY, INC. | Tax advantaged savings vehicles for health expenses. | District of Columbia | 1 | 2 | — |
| PARKINSON'S FOUNDATION | Non profit focused on improving care and advancing research towards a cure for Parkinson's | District of Columbia | 1 | 2 | — |
| THE ALS ASSOCIATION | — | Virginia | 1 | 2 | — |
| THE MICHAEL J. FOX FOUNDATION FOR PARKINSON'S RESEARCH | — | New York | 1 | 2 | — |
| AARP, INC. | Member-based interest group. | District of Columbia | 1 | 1 | $50K |
| DISABILITY RIGHTS EDUCATION & DEFENSE INC | Nonprofit Disability Rights Law and Policy Center | California | 1 | 1 | — |
| NATIONAL MARROW DONOR PROGRAM | — | Minnesota | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 99.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALEXANDER PERKINS | 1 | 2 | 7 |
| ALYENE MLINAR | 1 | 2 | 7 |
| ANNIE WOLF | 1 | 2 | 7 |
| BRUCE MEHLMAN | 1 | 2 | 7 |
| CAITLIN VAN SANT | 1 | 2 | 7 |
| DAVID THOMAS | 1 | 2 | 7 |
| DEAN ROSEN | 1 | 2 | 7 |
| ELISE FINLEY PICKERING | 1 | 2 | 7 |
| ERICA CHABOT | 1 | 2 | 7 |
| HELEN TOLAR | 1 | 2 | 7 |
| LAUREN ARONSON | 1 | 2 | 7 |
| LISA GOLDMAN | 1 | 2 | 7 |
| MICHAEL ROBINSON | 1 | 2 | 7 |
| NAVEEN PARMAR | 1 | 2 | 7 |
| NICHOLE DISTEFANO | 1 | 2 | 7 |
| PAUL THORNELL | 1 | 2 | 7 |
| ROSEMARY GUTIERREZ | 1 | 2 | 7 |
| SAGE EASTMAN | 1 | 2 | 7 |
| STEPHEN COTE | 1 | 2 | 7 |
| ZACHARY MALLOVE | 1 | 2 | 7 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AARP | AARP | 2025 first_quarter | $6.6M | 1st Quarter - Amendme… |
| AARP | AARP | 2025 first_quarter | $6.6M | 1st Quarter - Report |
| AARP | AARP | 2025 fourth_quarter | $5.3M | 4th Quarter - Report |
| AARP | AARP | 2025 second_quarter | $5.1M | 2nd Quarter - Report |
| AARP | AARP | 2026 first_quarter | $3.8M | 1st Quarter - Report |
| AARP | AARP | 2025 third_quarter | $3.8M | 3rd Quarter - Report |
| ALZHEIMER'S ASSOCIATION | ALZHEIMER'S ASSOCIATION | 2026 second_quarter | $1.8M | 2nd Quarter - Report |
| HEALTHEQUITY, INC. | HEALTHEQUITY, INC. | 2026 first_quarter | $740K | 1st Quarter - Report |
| HEALTHEQUITY, INC. | HEALTHEQUITY, INC. | 2026 second_quarter | $660K | 2nd Quarter - Report |
| AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | 2026 first_quarter | $580K | 1st Quarter - Report |
| ALZHEIMER'S ASSOCIATION | ALZHEIMER'S ASSOCIATION | 2026 first_quarter | $490K | 1st Quarter - Report |
| AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | 2026 second_quarter | $340K | 2nd Quarter - Report |
| NATIONAL MARROW DONOR PROGRAM | NATIONAL MARROW DONOR PROGRAM | 2026 first_quarter | $320K | 1st Quarter - Report |
| PARKINSON'S FOUNDATION | PARKINSON'S FOUNDATION | 2026 first_quarter | $260K | 1st Quarter - Report |
| THE MICHAEL J. FOX FOUNDATION FOR PARKINSON'S RESEARCH | THE MICHAEL J. FOX FOUNDATION FOR PARKINSON'S RESEARCH | 2026 first_quarter | $190K | 1st Quarter - Report |
| THE MICHAEL J. FOX FOUNDATION FOR PARKINSON'S RESEARCH | THE MICHAEL J. FOX FOUNDATION FOR PARKINSON'S RESEARCH | 2026 second_quarter | $150K | 2nd Quarter - Report |
| ARGENTUM | ARGENTUM | 2026 first_quarter | $75K | 1st Quarter - Report |
| ARGENTUM | ARGENTUM | 2025 third_quarter | $75K | 3rd Quarter - Report |
| ALLIANCE FOR AGING RESEARCH | ALLIANCE FOR AGING RESEARCH | 2026 second_quarter | $70K | 2nd Quarter - Amendme… |
| ALLIANCE FOR AGING RESEARCH | ALLIANCE FOR AGING RESEARCH | 2026 second_quarter | $70K | 2nd Quarter - Report |
Classification
The Congressional Research Service files H.R. 138 under Taxation, one of its 31 policy areas, and gives it 5 legislative subjects.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 138’s is Taxation.
hr138/policy-areas.txtLegislative Subjects
H.R. 138 carries 5 of CRS’s legislative subjects, from Bank accounts, deposits, capital to Income tax exclusion.
hr138/subjects.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 138, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 1 (Friday, January 3, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. BUCHANAN:H.R. 138.Congress has the power to enact this legislation pursuantto the following:Article 1 Section 8.The single subject of this legislation is:To amend the Internal Revenue Code of 1986 to allowexpenses for parents to be taken into account as medicalexpenses, and for other purposes.[Page H40]
Source: congress.gov · legiscan.com
