119:hr:919 — Chronic Disease Flexible Coverage Act

Sponsor

Introduced by

Vern Buchanan

R Republican · House · FL-16 R+7

Chair · Health (sub)

Latest action

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

Action timeline

Every recorded action on this bill, newest first. Stage badges color-code the legislative path.

Mar 05, 2025

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

Finance Committee

Mar 04, 2025

floor Mr. Smith (MO) moved to suspend the rules and pass the bill.

Mar 04, 2025

floor Considered under suspension of the rules. (consideration: CR H964-966)

Mar 04, 2025

floor DEBATE - The House proceeded with forty minutes of debate on H.R. 919.

Mar 04, 2025

passed Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)

Text versions

Each stage of the bill — official text published by GPO. Click any format to read on congress.gov / govinfo.

Mar 05, 2025 Referred in Senate

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Mar 04, 2025 Engrossed in House

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Feb 04, 2025 Introduced in House

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CRS summaries

Plain-English summaries written by the Congressional Research Service — neutral, nonpartisan staff who summarize bills as they advance through stages. The authoritative description of what each version of the bill does.

00 Introduced in House Feb 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.

via Congressional Research Service · published through congress.gov

Changelog

ⓘ

How a bill moves through Congress. Each stage produces a new official text. The diff between them shows what changed at that step.

`ih` / `is` — Introduced in House / Senate. First filed version.

`rfh` / `rfs` — Referred to a committee for review.

`rh` / `rs` — Reported back by the committee to the floor (often with amendments — this is where most language changes happen).

`pcs` / `pch` — Placed on Calendar for floor consideration.

`eh` / `es` — Engrossed. Passed by the originating chamber. Text is now what was actually voted on.

`rdh` / `rds` — Received by the other chamber.

`eah` / `eas` — Engrossed Amendment. The other chamber passed an amended version.

`ath` / `ats` — Agreed to. Both chambers settled on the same text.

`enr` — Enrolled. Final reconciled text, sent to the President.

`pl` — Public Law. Signed by the President. It's now law.

`pp` — Public Print. Official printing post-enactment.

Most bills die before `eh`/`es`. Going from `pcs` → `enr` is the full path through both chambers.

Line-level diff between text versions of this bill — what actually changed at each legislative stage.

+16 −11 13 unchanged

--- Referred (Senate)

+++ Engrossed (House)

@@ -1,18 +1,11 @@

[From the U.S. Government Publishing Office]

-[H.R. 919 Referred in Senate (RFS)]

+[H.R. 919 Engrossed in House (EH)]

<DOC>

+

119th CONGRESS

1st Session

H. R. 919

-

-_______________________________________________________________________

-

-IN THE SENATE OF THE UNITED STATES

-

-March 5, 2025

-

-Received; read twice and referred to the Committee on Finance

_______________________________________________________________________

@@ -49,6 +42,18 @@

Attest:

-KEVIN F. MCCUMBER,

+Clerk.

+119th CONGRESS

-Clerk.

+1st Session

+

+H. R. 919

+

+_______________________________________________________________________

+

+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.

Lobbying activity

Organizations whose LDA filings reference this bill, ranked by filing count. Position not disclosed — LDA does not require lobbyists to report support / oppose / monitor. Bill-number references can be stale (lobbyists sometimes copy text year-over-year), so verify against the filing description.

AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE

HCRTAX

5

filings · 2026 Q3

AMERICAN BANKERS ASSOCIATION

CSPTAX

5

filings · 2026 Q3

AMERICAN BENEFITS COUNCIL

HCRTAX

5

filings · 2026 Q3

HEALTHSPERIEN, LLC ON BEHALF OF SMARTER HEALTH CARE COALITION

HCRMMMTAX

3

filings · 2025 Q3

HEALTHEQUITY, INC.

HCRTAX

1

filings · 2026 Q1

NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS

TAX

1

filings · 2025 Q1

via Senate LDA · self-reported quarterly. Filing count = filings mentioning this bill (no position required), not money spent on it. Click a client to see all bills they've filed on.

Cosponsors (2)

Members who signed on to support this bill.

Panetta D

Tenney R