PlainBillCongress, translated.Legislation. Context. Public interest.Received in the Senate and Read twice and referred to the Committee on Finance.
Congressional Research Service
Version 00 · Introduced in House · Feb 4, 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.
Showing the opening paragraphs of the official summary.
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.
People & committees
Rep. Buchanan, Vern [R-FL-16] · R–FL
Legislative record
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Received in the Senate and Read twice and referred to the Committee on Finance.
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)
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)
DEBATE - The House proceeded with forty minutes of debate on H.R. 919.
Considered under suspension of the rules. (consideration: CR H964-966)
Mr. Smith (MO) moved to suspend the rules and pass the bill.
Referred to the House Committee on Ways and Means.
Introduced in House
Introduced in House
Primary sources
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No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Jul 19, 2026. Consult Congress.gov for the current record.
AI Conversation Starters
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Analyze H.R.919 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
Examine H.R.919 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.
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