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  <bill>
    <number>3224</number>
    <updateDate>2025-12-05T08:41:23Z</updateDate>
    <updateDateIncludingText>2025-12-05T08:41:23Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2023-11-02</introducedDate>
    <congress>118</congress>
    <legislationUrl>https://www.congress.gov/bill/118th-congress/senate-bill/3224</legislationUrl>
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        <name>Finance Committee</name>
        <chamber>Senate</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred To</name>
            <date>2023-11-02T19:27:22Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <relatedBills>
      <item>
        <title>Chronic Disease Flexible Coverage Act</title>
        <congress>118</congress>
        <number>3800</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2024-09-18</actionDate>
          <text>Received in the Senate and Read twice and referred to the Committee on Finance.</text>
        </latestAction>
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            <identifiedBy>CRS</identifiedBy>
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        <actionDate>2023-11-02</actionDate>
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            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Read twice and referred to the Committee on Finance.</text>
        <type>IntroReferral</type>
      </item>
      <item>
        <actionDate>2023-11-02</actionDate>
        <text>Introduced in Senate</text>
        <type>IntroReferral</type>
        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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    <sponsors>
      <item>
        <bioguideId>T000250</bioguideId>
        <fullName>Sen. Thune, John [R-SD]</fullName>
        <firstName>John</firstName>
        <lastName>Thune</lastName>
        <party>R</party>
        <state>SD</state>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>C000174</bioguideId>
        <fullName>Sen. Carper, Thomas R. [D-DE]</fullName>
        <firstName>Thomas</firstName>
        <lastName>Carper</lastName>
        <party>D</party>
        <state>DE</state>
        <middleName>R.</middleName>
        <sponsorshipDate>2023-11-02</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Taxation</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Health care costs and insurance</name>
          <updateDate>2025-03-06T18:41:10Z</updateDate>
        </item>
        <item>
          <name>Health care coverage and access</name>
          <updateDate>2025-03-06T18:41:10Z</updateDate>
        </item>
        <item>
          <name>Health promotion and preventive care</name>
          <updateDate>2025-03-06T18:41:10Z</updateDate>
        </item>
        <item>
          <name>Income tax deductions</name>
          <updateDate>2025-03-06T18:41:10Z</updateDate>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Taxation</name>
        <updateDate>2023-12-06T17:45:56Z</updateDate>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2023-11-02</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2024-10-21T21:45:04Z</updateDate>
        <cdata>
          <text>&lt;p&gt;&lt;strong&gt;Chronic Disease Flexible Coverage Act&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;This bill provides statutory authority for certain guidance from the Internal Revenue Service (IRS) that expands the types of preventive care that may be offered under high deductible health plans (HDHPs) without a deductible.&lt;/p&gt;&lt;p&gt;In 2019, the IRS issued guidance that allows HDHPs to cover certain items and services for individuals with chronic conditions without a deductible, including medications and monitoring devices for those with diabetes or heart conditions. The bill provides statutory authority for this guidance.&amp;nbsp;&lt;/p&gt;&lt;!--tinycomments|2.1|data:application/json;base64,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--&gt;</text>
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      </summary>
    </summaries>
    <title>Chronic Disease Flexible Coverage Act</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <titleTypeCode>45</titleTypeCode>
        <title>Chronic Disease Flexible Coverage Act</title>
        <updateDate>2024-07-23T16:18:13Z</updateDate>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <titleTypeCode>6</titleTypeCode>
        <title>A bill to codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions as meeting the preventive care deductible safe harbor for purposes of high deductible health plans in connection with health savings accounts.</title>
        <updateDate>2024-07-23T16:11:08Z</updateDate>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <titleTypeCode>101</titleTypeCode>
        <title>Chronic Disease Flexible Coverage Act</title>
        <updateDate>2024-05-24T13:35:37Z</updateDate>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2023-11-02T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-118s3224is/xml/BILLS-118s3224is.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2023-11-02</actionDate>
      <text>Read twice and referred to the Committee on Finance.</text>
    </latestAction>
  </bill>
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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>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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