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<bill bill-stage="Introduced-in-House" dms-id="HEEA296E5A29341C99EC47F62D5E47082" public-private="public" key="H" bill-type="olc"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>118 HR 5777 IH: To amend the Internal Revenue Code of 1986 to improve health savings accounts.</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2023-09-27</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">118th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 5777</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20230927">September 27, 2023</action-date><action-desc><sponsor name-id="W000815">Mr. Wenstrup</sponsor> (for himself, <cosponsor name-id="S001185">Ms. Sewell</cosponsor>, <cosponsor name-id="K000376">Mr. Kelly of Pennsylvania</cosponsor>, and <cosponsor name-id="B000574">Mr. Blumenauer</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HWM00">Committee on Ways and Means</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend the Internal Revenue Code of 1986 to improve health savings accounts.</official-title></form><legis-body id="H76CA8F5BBC6142829AB1E4F465155D30" style="OLC"><section id="HFC907A6FB68E4F1DA673B77B8670441C" section-type="section-one"><enum>1.</enum><header>On-site employee clinics</header><subsection id="HBDFBD743800C4036A94CA2ECEA514C54"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline"><external-xref legal-doc="usc" parsable-cite="usc/26/223">Section 223(c)(1)</external-xref> of the Internal Revenue Code of 1986 is amended by adding at the end the following new subparagraph:</text><quoted-block display-inline="no-display-inline" id="H823AB78E5FCF4BB89F142537A8CDB0B7" style="OLC"><subparagraph id="HFE88775F4F1546CFACC7CE06DCD8D34E"><enum>(E)</enum><header>Special rule for qualified items and services</header><clause id="HFBF6D664CDBD4D2195650DABB87B0392"><enum>(i)</enum><header>In general</header><text display-inline="yes-display-inline">For purposes of subparagraph (A)(ii), an individual shall not be treated as covered under a health plan described in subclauses (I) and (II) of such subparagraph merely because the individual is eligible to receive, or receives, qualified items and services—</text><subclause id="H392833149B274E26885E716509CD8FFB"><enum>(I)</enum><text>at a healthcare facility located at a facility owned or leased by the employer of the individual (or of the individual’s spouse), or</text></subclause><subclause id="H05C1D6D8DF014C069509450F200037BF"><enum>(II)</enum><text display-inline="yes-display-inline">at a healthcare facility operated primarily for the benefit of employees of the employer of the individual (or of the individual’s spouse).</text></subclause></clause><clause id="HA934C7F394B9448A80A95321D0741F40"><enum>(ii)</enum><header>Qualified items and services defined</header><text display-inline="yes-display-inline">For purposes of this subparagraph, the term <term>qualified items and services</term> means the following:</text><subclause id="H6B1EDBC04F95474BBF9B2C63E5633646"><enum>(I)</enum><text display-inline="yes-display-inline">Physical examination.</text></subclause><subclause id="H6800B8A56B4D47BCB211E8DD671E10F6"><enum>(II)</enum><text display-inline="yes-display-inline">Immunizations, including injections of antigens provided by employees.</text></subclause><subclause id="H47AE405E69834A35BF5D9E578A07B85D"><enum>(III)</enum><text>Drugs or biologicals other than a prescribed drug (as such term is defined in section 213(d)(3)).</text></subclause><subclause id="H3FBAF841BB1B4BD88026D18872B335FE"><enum>(IV)</enum><text>Treatment for injuries occurring in the course of employment.</text></subclause><subclause id="H6C27C05FF2E34D9187DB6757501113F4"><enum>(V)</enum><text>Preventive care for chronic conditions (as defined in clause (iv)).</text></subclause><subclause id="H902FD8E8A60742149AEEA9246A80E7AC"><enum>(VI)</enum><text>Drug testing.</text></subclause><subclause id="H6B61213CBA72406FAD5717C79C8D5A11"><enum>(VII)</enum><text>Hearing or vision screenings and related services.</text></subclause></clause><clause id="H8ADD40FF5BCC4FF7B609C6770EA826DA"><enum>(iii)</enum><header>Aggregation</header><text>For purposes of clause (i), all persons treated as a single employer under subsection (b), (c), (m), or (o) of section 414 shall be treated as a single employer.</text></clause><clause id="H1FF48369C84845EFB227D7563FE859D0"><enum>(iv)</enum><header>Preventive care for chronic conditions</header><text>For purposes of this subparagraph, the term <term>preventive care for chronic conditions</term> means any item or service specified in the Appendix of Internal Revenue Service Notice 2019–45 which is prescribed to treat an individual diagnosed with the associated chronic condition specified in such Appendix for the purpose of preventing the exacerbation of such chronic condition or the development of a secondary condition, including any amendment, addition, removal, or other modification made by the Secretary (pursuant to the authority granted to the Secretary under paragraph (2)(C)) to the items or services specified in such Appendix subsequent to the date of enactment of this subparagraph.</text></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection id="H28E4AEF64AE54BBDA7F5239FC48FE638" commented="no"><enum>(b)</enum><header>Effective date</header><text display-inline="yes-display-inline">The amendments made by this section shall apply to months in taxable years beginning after the date of enactment of this Act.</text></subsection></section></legis-body></bill> 

