Search

Search bills, members, committees and pages...

Sign In

H.R. 919

U.S. House•In Senate Committee

Summary

H.R. 919, the Chronic Disease Flexible Coverage Act, was introduced in the House on Feb 4, 2025 by Rep. Vern Buchanan (R) with 2 co-sponsors. It was referred to Finance, and last saw action on Mar 5, 2025: Received in the Senate and Read twice and referred to the Committee on Finance.

Record

Text

H.R. 919 has 2 co-sponsors.

hb919/engrossed-in-house.txt
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 CONGRESS  1st 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 title
This Act may be cited as the   Chronic Disease Flexible Coverage Act  .
2.
Services and items for chronic conditions treated as preventive care
(a)
In general
The 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 inference
To 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.

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-02-04
  2. Passed House2025-03-04
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

CRS Summary

The summaries are the Congressional Research Service’s, one per stage. Read them in full.

Introduced in House Feb 4, 2025

hb919/introduced-in-house.md

Shown Here:
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.

Sponsors

Rep. Vern Buchanan (R) sponsors H.R. 919, and 2 members have co-sponsored it, 1 of them from the day it was introduced.

Committees

H.R. 919 went before 2 committees: Finance and Ways and Means.

Finance
Finance
Referred To · Mar 5, 2025 · 902 Bills
Ways and Means
Ways and Means
Referred To · Feb 4, 2025 · 1,160 Bills

Actions

H.R. 919 has taken 9 actions since Feb 4, 2025, the latest on Mar 5, 2025.

ChamberAction
Mar 5, 2025
Senate
Received in the Senate and Read twice and referred to the Committee on Finance.Finance Committee
Mar 4, 202514:16
House
Mr. Smith (MO) moved to suspend the rules and pass the bill.
Mar 4, 202514:16
House
Considered under suspension of the rules. (consideration: CR H964-966)
Mar 4, 202514:16
House
DEBATE - The House proceeded with forty minutes of debate on H.R. 919.
Mar 4, 202514:29
House
On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)

Votes

H.R. 919 has not gone to a roll call.

Titles

H.R. 919 goes by 6 titles, 3 of them short titles.

  • 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. — Official Titles from EH (Engrossed in House) bill text
  • Chronic Disease Flexible Coverage Act — Short Titles from RFS (Referred to Senate) bill text
  • Chronic Disease Flexible Coverage Act — Short Title(s) as Passed House
  • Chronic Disease Flexible Coverage Act — Display Title
  • Chronic Disease Flexible Coverage Act — Short Title(s) as Introduced
  • 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. — Official Title as Introduced

Lobbying

12 clients hired 11 firms and 125 registered lobbyists who named H.R. 919 in 53 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, Taxation/Internal Revenue Code, Medicare/Medicaid, Retirement, Small Business, Consumer Issues/Safety/Products, Budget/Appropriations, Education.

Clients

Who paid to be heard, by how many filings named the bill.

ClientBusinessStateFirmsFilingsReported
AMERICAN BENEFITS COUNCILemployee benefits public policy organizationDistrict of Columbia213$130K
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CAREemployee benefits public policy organization on behalf of health care coalitionDistrict of Columbia210$940K
WEX HEALTHHealthcare software/payment solution that administer and manage consumer-directed accountsConnecticut16$300K
AMERICAN BANKERS ASSOCIATIONtrade association for the U.S. banking industryDistrict of Columbia16$120K
NATIONAL SMALL BUSINESS ASSOCIATION—District of Columbia16—
HEALTHSPERIEN, LLC ON BEHALF OF SMARTER HEALTH CARE COALITIONconsulting and legal services firm on behalf of health care coalitionDistrict of Columbia13$20K
CHAMBER OF COMMERCE OF THE U.S.A.—District of Columbia12—
HEALTHCARE LEADERSHIP COUNCIL—District of Columbia12—
HEALTHEQUITY, INC.Tax advantaged savings vehicles for health expenses.District of Columbia12—
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERSNational professional association for pediatric nurse practitionersNew Jersey11$24K
BREAKTHROUGH T1D (FORMERLY KNOWN AS JDRF INTL.)—District of Columbia11—
HERITAGE ACTION FOR AMERICA—District of Columbia11—

Firms

Registrants who filed on the bill, by filings.

RegistrantClientsFilingsReported
SPANGLER STRATEGIES LLC421$570K
AMERICAN BENEFITS COUNCIL17—
NATIONAL SMALL BUSINESS ASSOCIATION16—
THE MCMANUS GROUP16$300K
ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)14$640K
CHAMBER OF COMMERCE OF THE U.S.A.12—
HEALTHCARE LEADERSHIP COUNCIL12—
HEALTHEQUITY, INC.12—
BREAKTHROUGH T1D (FORMERLY KNOWN AS JDRF INTL.)11—
HERITAGE ACTION FOR AMERICA11—
MASON CONSULTING, LLC11$24K

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 125.

LobbyistFirmsClientsFilings
KATHRYN SPANGLER1421
DIANN HOWLAND117
ILYSE SCHUMAN117
KATHRYN JOHNSON117
LYNN DUDLEY117
JILL RANDOLPH116
JOHN FURTH116
JOHN MCMANUS116
TODD MCCRACKEN116
HEATHER MEADE114
PATRICIA HITTLE114
RACHEL GREY114
REED WESTCOTT114
TARA BRADSHAW114
WESTON COULAM114
ALEX WHALEN113
ABELARDO TORRES112
ALEXA BRANSON112
ANDREA PORWOLL112
ASHLEY GUM112

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
CHAMBER OF COMMERCE OF THE U.S.A.CHAMBER OF COMMERCE OF THE U.S.A.2025 second_quarter$19.3M2nd Quarter - Report
CHAMBER OF COMMERCE OF THE U.S.A.CHAMBER OF COMMERCE OF THE U.S.A.2025 third_quarter$13.7M3rd Quarter - Report
HEALTHEQUITY, INC.HEALTHEQUITY, INC.2026 first_quarter$740K1st Quarter - Report
HEALTHEQUITY, INC.HEALTHEQUITY, INC.2026 second_quarter$660K2nd Quarter - Report
AMERICAN BENEFITS COUNCILAMERICAN BENEFITS COUNCIL2025 second_quarter$331.2K2nd Quarter - Report
AMERICAN BENEFITS COUNCILAMERICAN BENEFITS COUNCIL2025 first_quarter$318K1st Quarter - Amendme…
AMERICAN BENEFITS COUNCILAMERICAN BENEFITS COUNCIL2025 first_quarter$318K1st Quarter - Amendme…
AMERICAN BENEFITS COUNCILAMERICAN BENEFITS COUNCIL2025 first_quarter$318K1st Quarter - Amendme…
AMERICAN BENEFITS COUNCILAMERICAN BENEFITS COUNCIL2025 first_quarter$318K1st Quarter - Report
AMERICAN BENEFITS COUNCILAMERICAN BENEFITS COUNCIL2026 first_quarter$230K1st Quarter - Report
AMERICAN BENEFITS COUNCILAMERICAN BENEFITS COUNCIL2025 third_quarter$220K3rd Quarter - Report
HEALTHCARE LEADERSHIP COUNCILHEALTHCARE LEADERSHIP COUNCIL2025 third_quarter$200K3rd Quarter - Report
BREAKTHROUGH T1D (FORMERLY KNOWN AS JDRF INTL.)BREAKTHROUGH T1D (FORMERLY KNOWN AS JDRF INTL.)2025 first_quarter$190K1st Quarter - Report
HEALTHCARE LEADERSHIP COUNCILHEALTHCARE LEADERSHIP COUNCIL2025 first_quarter$170K1st Quarter - Report
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CAREERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)2025 fourth_quarter$160K4th Quarter - Report
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CAREERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)2025 third_quarter$160K3rd Quarter - Report
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CAREERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)2025 second_quarter$160K2nd Quarter - Report
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CAREERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)2025 first_quarter$160K1st Quarter - Report
HERITAGE ACTION FOR AMERICAHERITAGE ACTION FOR AMERICA2025 first_quarter$100K1st Quarter - Report
NATIONAL SMALL BUSINESS ASSOCIATIONNATIONAL SMALL BUSINESS ASSOCIATION2025 second_quarter$60K2nd Quarter - Report

Classification

The Congressional Research Service files H.R. 919 under Taxation, one of its 31 policy areas, and gives it 4 legislative subjects.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 919’s is Taxation.

hr919/policy-areas.txt
TaxationAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHealthHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTransportation and Public WorksWater Resources Development

Legislative Subjects

H.R. 919 carries 4 of CRS’s legislative subjects, from Health care costs and insurance to Income tax deductions.

hr919/subjects.txt
Health care costs and insuranceHealth care coverage and accessHealth promotion and preventive careIncome tax deductions

Constitutional authority

The clause the sponsor cites as Congress’s power to enact H.R. 919, as entered in the Congressional Record.

[Congressional Record Volume 171, Number 23 (Tuesday, February 4, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. BUCHANAN:H.R. 919.Congress has the power to enact this legislation pursuantto the following:Article 1, section 8[Page H460]

Source: congress.gov · legiscan.com