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Sponsored by Rep. Vern Buchanan (R-FL) · 2 active : 1 Republican, 1 Democrat
Latest action: Received in the Senate and Read twice and referred to the Committee on Finance.
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;
Each member’s recorded vote compared with their swing projection from before the vote. A member by voting against most of their own party.
Passed by voice vote or unanimous consent: no individual votes recorded.
Members fall into . 2 representatives don’t have enough data yet and are marked “insufficient data”. Non-voting delegates are not counted. The bill is not before the House right now; these scores show where members would stand.
: only movement toward the other party counts, so members who sit further from the center than their party no longer score as swing votes.
Bars show each input from 0 to 100: ideology gap, scorecard gap, . is the seat’s partisan lean, and shows how much of the input data a score has.
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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.

These members have less than half of the model’s inputs, so their scores are not banded or ranked.


Ideology is each member’s score. The cluster low on the chart includes the bill’s 3 sponsor and cosponsors in the House: they have already committed, so they score as entrenched. 2 representatives without a DW-NOMINATE score or with insufficient data are not plotted.
Similar votes count toward swing-v3 in the House: total similarity weight 8.5 (needs 5.0).