Chronic Disease Flexible Coverage Act

U.S. Congress · HR919 · In Committee

Progression

Timing in context

Primary sponsor's contributions received (same period)

Adjacency in time is shown for context; it is not evidence of cause. Funded ≠ false — see the methodology.

What the bill says

HR919 · U.S. Congress · In Committee

Introduced 2025-02-04. Latest action: Received in the Senate and Read twice and referred to the Committee on Finance.

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Summary (plain-language)

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

Text versions

  • Introduced in House — 2025-02-04 — XML
  • Engrossed in House — 2025-03-04 — XML
  • Referred in Senate — 2025-03-05 — XML

What analysts say

No nonpartisan analysis on file for this measure yet.

What politicians say

No linked claims or utterances yet — no one on record has cited this measure to justify a public argument.

Action History

DateAction
2025-03-05Received in the Senate and Read twice and referred to the Committee on Finance.
2025-03-04Mr. Smith (MO) moved to suspend the rules and pass the bill.
2025-03-04Considered under suspension of the rules. (consideration: CR H964-966)
2025-03-04DEBATE - The House proceeded with forty minutes of debate on H.R. 919.
2025-03-04Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)
2025-03-04On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)
2025-03-04Motion to reconsider laid on the table Agreed to without objection.
2025-02-04Introduced in House
2025-02-04Referred to the House Committee on Ways and Means.

Lobbying on this bill

Showing 18 of 18 bill mentions.

Honesty note: each filer below disclosed lobbying on this bill — that much the filing tells us. But the dollar figure is their total lobbying spend for the whole quarter across all their issues, not the amount spent on this bill, and the filing never says whether they supported or opposed it.

Registrant (lobbying firm)ClientPeriodReported quarterly amountExtraction
SPANGLER STRATEGIES LLC AMERICAN BENEFITS COUNCIL Q2 2026 $20,000 Explicit
SPANGLER STRATEGIES LLC AMERICAN BENEFITS COUNCIL Q2 2026 $20,000 Explicit
SPANGLER STRATEGIES LLC AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE Q2 2026 $50,000 Explicit
SPANGLER STRATEGIES LLC AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE Q2 2026 $50,000 Explicit
SPANGLER STRATEGIES LLC AMERICAN BANKERS ASSOCIATION Q2 2026 $20,000 Explicit
SPANGLER STRATEGIES LLC AMERICAN BANKERS ASSOCIATION Q2 2026 $20,000 Explicit
THE MCMANUS GROUP WEX HEALTH Q2 2026 $50,000 Explicit
HEALTHEQUITY, INC. HEALTHEQUITY, INC. Q1 2026 $740,000 Explicit
HEALTHEQUITY, INC. HEALTHEQUITY, INC. Q1 2026 $740,000 Explicit
THE MCMANUS GROUP WEX HEALTH Q1 2026 $50,000 Explicit
NATIONAL SMALL BUSINESS ASSOCIATION NATIONAL SMALL BUSINESS ASSOCIATION Q1 2026 $15,000 Explicit
SPANGLER STRATEGIES LLC AMERICAN BENEFITS COUNCIL Q1 2026 $20,000 Explicit
SPANGLER STRATEGIES LLC AMERICAN BENEFITS COUNCIL Q1 2026 $20,000 Explicit
SPANGLER STRATEGIES LLC AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE Q1 2026 $50,000 Explicit
SPANGLER STRATEGIES LLC AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE Q1 2026 $50,000 Explicit
SPANGLER STRATEGIES LLC AMERICAN BANKERS ASSOCIATION Q1 2026 $20,000 Explicit
SPANGLER STRATEGIES LLC AMERICAN BANKERS ASSOCIATION Q1 2026 $20,000 Explicit
AMERICAN BENEFITS COUNCIL AMERICAN BENEFITS COUNCIL Q1 2026 $230,000 Probable

Source: Senate LDA filings.