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H.R. 919119th CongressTaxation
Chronic Disease Flexible Coverage Act
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.
Where it standsPassed House, now in the Senate9 senators score as swing votes
Passed House
- House: passedMar 4, 2025
- Senate: next
- President: not yet
Summary
, via Congress.govChronic 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.
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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;
How the projections held up
Each member’s recorded vote compared with their swing projection from before the vote. A member by voting against most of their own party.
House
Passed by voice vote or unanimous consent: no individual votes recorded.
Committees and subjects
Committees
- House Committee on Ways and Means · HouseReferred to
- Senate Committee on Finance · SenateReferred to
Subjects
- Health care costs and insurance
- Health care coverage and access
- Health promotion and preventive care
- Income tax deductions
How the Senate breaks down
- 9Swing 70–100
- 62Middle 30–70
- 29Entrenched 0–30
Members fall into . All 100 senators have enough data to score.
Key players in the Senate
Ranked by swing score, 0–100 · swing-v2, directional: 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.
Similar past votes, Senate
Earlier behind swing-v3’s inputLoading similar votes
Cosponsors
2 activeShow all 2 cosponsors
- Jimmy Panetta (D-CA-19)
- Claudia Tenney (R-NY-24)
How the swing score works
Ideology gapHow far a member’s DW-NOMINATE voting score sits from their party’s median in the same chamber.
Scorecard gapHow far their Heritage Action and LCV ratings stray from their party’s average, using the groups’ votes on similar bills where available.
Cross-pressureHow strongly their district or state leans toward the other party, from our own computed partisan lean.
Similar votesHow often they voted against their own party on earlier roll calls about this bill or similar ones.
Committee bonusMembers of the committees handling the bill decide whether it moves, so they get a boost.
Cosponsor checkThe sponsor and active cosponsors have already committed, so they drop toward entrenched.
