Health Insurance: Coverage for Chronic Conditions
The Senate must act next: Senate consideration, where most legislation needs 60 votes to advance.
This bill passed the House with support and simply makes a popular existing tax rule permanent, making it a strong candidate for Senate approval.
Scores run from -100 (strongly harmful) to +100 (strongly beneficial) for each group, combining impact, certainty, scope, and duration ratings of 1-5. How impact scoring works
Employers who offer high deductible health plans paired with Health Savings Accounts, common among small businesses trying to control premium costs, gain legal certainty that pre-deductible coverage of chronic disease care is permanently allowed. This reduces the risk that a future rule change could force them to redesign their health plans or lose HSA eligibility for employees.
“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.”
Received in the Senate and Read twice and referred to the Committee on Finance.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Motion to reconsider laid on the table Agreed to without objection.
On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)
The House fast-tracked this bill — limited debate, no amendments allowed, but needs two-thirds support to pass.
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)
The House fast-tracked this bill — limited debate, no amendments allowed, but needs two-thirds support to pass.
DEBATE - The House proceeded with forty minutes of debate on H.R. 919.
The House passed the Chronic Disease Flexible Coverage Act (H.R. 919) by a voice vote. The bill codifies 14 pre-deductible healthcare services for high-deductible health plans, including beta-blockers and glucometers, making permanent a 2019 Trump administration policy.

Championed by Rep. Vern Buchanan, the Chronic Disease Flexible Coverage Act passed the House unanimously. The legislation allows employers to include pre-deductible coverage for 14 chronic healthcare services, such as asthma inhalers and cholesterol drugs.

House leaders moved the Chronic Disease Flexible Coverage Act to the floor under suspension of the rules. The bill would turn existing IRS guidance into federal law, ensuring that preventive care for chronic conditions remains covered before patients meet their HSA-compatible plan deductibles.
No votes or related bills recorded for this bill yet.
Document Type
Congressional Bill
Official Title
Chronic Disease Flexible Coverage Act
Analysis generated by AI. Always verify with official sources.