119th Congress · introduced in the House · Feb 4, 2025
Chronic Disease Flexible Coverage Act
Official title from Congress.gov
Latest action (Mar 5, 2025): Received in the Senate and Read twice and referred to the Committee on Finance.
View on Congress.govPolicy area: Taxation
Congressional Research Service summary, version: 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.
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;
Show the full summary (9 more paragraphs)Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
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
Actions from Congress.gov, newest first.
Health care costs and insurance · Health care coverage and access · Health promotion and preventive care · Income tax deductions
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 23, 2026.
74 citations; showing the 25 most recently posted.
WEX HEALTH · lobbying firm or registrant: THE MCMANUS GROUP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Taxation/Internal Revenue Code
$50,000
Paid to lobbying firm
…sues related to making Health Savings Accounts and Health Reimbursement Arrangements more accessible and ubiquitous, including H.R. 548- HSA Modernization Act, H.R.919 - Chronic Disease Flexible Coverage Act, S. 2875 - Custom Health Option and Individual Care Expense (CHOICE) Act, H.R. 5463 - Choice Arrangement Act, S.2875 -…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BANKERS ASSOCIATION · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Taxation/Internal Revenue Code
$20,000
Paid to lobbying firm
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation;…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BANKERS ASSOCIATION · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Consumer Issues/Safety/Products
$20,000
Paid to lobbying firm
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation;…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Health Issues
$50,000
Paid to lobbying firm
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Taxation/Internal Revenue Code
$50,000
Paid to lobbying firm
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
…protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enfo…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Taxation/Internal Revenue Code
$20,000
Paid to lobbying firm
…protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enfo…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL SMALL BUSINESS ASSOCIATION · lobbying firm or registrant: NATIONAL SMALL BUSINESS ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Small Business
$16,000
Spent on own lobbying
…nsions Act, 2025. Making further continuing appropriations and other extensions for the fiscal year ending September 30, 2025, and for other purposes. Support. H.R.919 - Chronic Disease Flexible Coverage Act. To codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
WEX HEALTH · lobbying firm or registrant: THE MCMANUS GROUP
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Taxation/Internal Revenue Code
$50,000
Paid to lobbying firm
…sues related to making Health Savings Accounts and Health Reimbursement Arrangements more accessible and ubiquitous, including H.R. 548- HSA Modernization Act, H.R.919 - Chronic Disease Flexible Coverage Act, S. 2875 - Custom Health Option and Individual Care Expense (CHOICE) Act, H.R. 5463 - Choice Arrangement Act, S.2875 -…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BANKERS ASSOCIATION · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Taxation/Internal Revenue Code
$20,000
Paid to lobbying firm
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation;…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BANKERS ASSOCIATION · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Consumer Issues/Safety/Products
$20,000
Paid to lobbying firm
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation;…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Health Issues
$50,000
Paid to lobbying firm
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Taxation/Internal Revenue Code
$50,000
Paid to lobbying firm
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
…protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enfo…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Taxation/Internal Revenue Code
$20,000
Paid to lobbying firm
…protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enfo…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL SMALL BUSINESS ASSOCIATION · lobbying firm or registrant: NATIONAL SMALL BUSINESS ASSOCIATION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 21, 2026 · issue area: Small Business
$15,000
Spent on own lobbying
…nsions Act, 2025. Making further continuing appropriations and other extensions for the fiscal year ending September 30, 2025, and for other purposes. Support. H.R.919 - Chronic Disease Flexible Coverage Act. To codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
WEX HEALTH · lobbying firm or registrant: THE MCMANUS GROUP
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Health Issues
$50,000
Paid to lobbying firm
…sues related to making Health Savings Accounts and Health Reimbursement Arrangements more accessible and ubiquitous, including H.R. 548- HSA Modernization Act, H.R.919 - Chronic Disease Flexible Coverage Act, S. 2875 - Custom Health Option and Individual Care Expense (CHOICE) Act, H.R. 5463 - Choice Arrangement Act. H.R.1157…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BANKERS ASSOCIATION · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 15, 2026 · issue area: Taxation/Internal Revenue Code
$20,000
Paid to lobbying firm
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation;…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BANKERS ASSOCIATION · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 15, 2026 · issue area: Consumer Issues/Safety/Products
$20,000
Paid to lobbying firm
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation;…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 15, 2026 · issue area: Health Issues
$50,000
Paid to lobbying firm
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CARE · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 15, 2026 · issue area: Taxation/Internal Revenue Code
$50,000
Paid to lobbying firm
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 15, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
…protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enfo…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN BENEFITS COUNCIL · lobbying firm or registrant: SPANGLER STRATEGIES LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 15, 2026 · issue area: Taxation/Internal Revenue Code
$20,000
Paid to lobbying firm
…protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enfo…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
WEX HEALTH · lobbying firm or registrant: THE MCMANUS GROUP
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Health Issues
$50,000
Paid to lobbying firm
…sues related to making Health Savings Accounts and Health Reimbursement Arrangements more accessible and ubiquitous, including H.R. 548- HSA Modernization Act, H.R.919 - Chronic Disease Flexible Coverage Act, S. 2875 - Custom Health Option and Individual Care Expense (CHOICE) Act, H.R. 5463 - Choice Arrangement Act. H.R.1157…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL SMALL BUSINESS ASSOCIATION · lobbying firm or registrant: NATIONAL SMALL BUSINESS ASSOCIATION
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Small Business
$30,000
Spent on own lobbying
…nsions Act, 2025. Making further continuing appropriations and other extensions for the fiscal year ending September 30, 2025, and for other purposes. Support. H.R.919 - Chronic Disease Flexible Coverage Act. To codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing