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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="HF79156B6F04C4BDFA5E0F9ACE22E3788" public-private="public">
	<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>112th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>H. R. 2010</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20110526">May 26, 2011</action-date>
			<action-desc><sponsor name-id="P000594">Mr. Paulsen</sponsor> (for
			 himself, <cosponsor name-id="T000462">Mr. Tiberi</cosponsor>,
			 <cosponsor name-id="G000377">Ms. Granger</cosponsor>,
			 <cosponsor name-id="C001048">Mr. Culberson</cosponsor>,
			 <cosponsor name-id="B001149">Mr. Burton of Indiana</cosponsor>,
			 <cosponsor name-id="F000448">Mr. Franks of Arizona</cosponsor>,
			 <cosponsor name-id="M001156">Mr. McHenry</cosponsor>,
			 <cosponsor name-id="F000456">Mr. Fleming</cosponsor>,
			 <cosponsor name-id="G000548">Mr. Garrett</cosponsor>,
			 <cosponsor name-id="G000552">Mr. Gohmert</cosponsor>,
			 <cosponsor name-id="H001056">Ms. Herrera Beutler</cosponsor>,
			 <cosponsor name-id="L000569">Mr. Luetkemeyer</cosponsor>,
			 <cosponsor name-id="L000517">Mr. Daniel E. Lungren of California</cosponsor>,
			 <cosponsor name-id="M001138">Mr. Manzullo</cosponsor>,
			 <cosponsor name-id="P000588">Mr. Pearce</cosponsor>,
			 <cosponsor name-id="C001076">Mr. Chaffetz</cosponsor>,
			 <cosponsor name-id="P000583">Mr. Paul</cosponsor>, <cosponsor name-id="R000580">Mr. Roskam</cosponsor>, <cosponsor name-id="L000571">Mrs.
			 Lummis</cosponsor>, <cosponsor name-id="M001159">Mrs. McMorris
			 Rodgers</cosponsor>, <cosponsor name-id="W000796">Mr. Westmoreland</cosponsor>,
			 <cosponsor name-id="B000755">Mr. Brady of Texas</cosponsor>,
			 <cosponsor name-id="D000604">Mr. Dent</cosponsor>, <cosponsor name-id="B001232">Mrs. Biggert</cosponsor>, <cosponsor name-id="L000567">Mr.
			 Lance</cosponsor>, and <cosponsor name-id="R000583">Mr. Rooney</cosponsor>)
			 introduced the following bill; which was referred to the
			 <committee-name committee-id="HWM00">Committee on Ways and
			 Means</committee-name>, and in addition to the Committees on the
			 <committee-name committee-id="HJU00">Judiciary</committee-name> and
			 <committee-name committee-id="HIF00">Energy and Commerce</committee-name>, for
			 a period to be subsequently determined by the Speaker, in each case for
			 consideration of such provisions as fall within the jurisdiction of the
			 committee concerned</action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To amend the Internal Revenue Code of 1986 to improve
		  access to health care through expanded health savings accounts, and for other
		  purposes.</official-title>
	</form>
	<legis-body id="H151E914F7BE54745AA3C60C2CD129617" style="OLC">
		<section id="HCC6979741CD14885ABEBDF6054055E8E" section-type="section-one"><enum>1.</enum><header>Short title, etc</header>
			<subsection id="HCAB00173570B48828E635D2839FB6874"><enum>(a)</enum><header>Short
			 title</header><text display-inline="yes-display-inline">This Act may be cited
			 as the <quote><short-title>Family and Retirement Health
			 Investment Act of 2011</short-title></quote>.</text>
			</subsection><subsection id="HC630294D3D0542B19E67DDD69CF7C820"><enum>(b)</enum><header>Amendment of
			 1986 Code</header><text>Except as otherwise expressly provided, whenever in
			 this Act an amendment or repeal is expressed in terms of an amendment to, or
			 repeal of, a section or other provision, the reference shall be considered to
			 be made to a section or other provision of the Internal Revenue Code of
			 1986.</text>
			</subsection><subsection id="H7384A64B4D9742539E5DD8C5E3B1230E"><enum>(c)</enum><header>Table of
			 contents</header><text>The table of contents is as follows:</text>
				<toc container-level="legis-body-container" lowest-bolded-level="division-lowest-bolded" lowest-level="section" quoted-block="no-quoted-block" regeneration="yes-regeneration">
					<toc-entry idref="HCC6979741CD14885ABEBDF6054055E8E" level="section">Sec. 1. Short title, etc.</toc-entry>
					<toc-entry idref="H1F9815AC1A994CB1BD48FE195CD63E03" level="title">Title I—Provisions relating to tax-preferred health
				accounts</toc-entry>
					<toc-entry idref="HB522342596194D9688CE90B716D1DA3B" level="section">Sec. 101. Allow both spouses to make catch-up contributions to
				the same HSA account.</toc-entry>
					<toc-entry idref="HFF59103CCC884D6CA5B8B4CD57BDD9DA" level="section">Sec. 102. Provisions relating to Medicare.</toc-entry>
					<toc-entry idref="H740CA42D1173408E86A94F974BA6BB83" level="section">Sec. 103. Individuals eligible for veterans benefits for a
				service-connected disability.</toc-entry>
					<toc-entry idref="H890143A3E0E54040AF6343234F2CF198" level="section">Sec. 104. Individuals eligible for Indian Health Service
				assistance.</toc-entry>
					<toc-entry idref="HE243D2F52B7A46E79B57E627F5EC303D" level="section">Sec. 105. Individuals eligible for TRICARE
				coverage.</toc-entry>
					<toc-entry idref="H7EDE9744D4AB453DA9DAB3EE710F4160" level="section">Sec. 106. Health FSA carryforwards.</toc-entry>
					<toc-entry idref="HBFAA63CFD66C46178E08DF7FDB53B6BC" level="section">Sec. 107. FSA and HRA interaction with HSAs.</toc-entry>
					<toc-entry idref="H296528A218FF4DBB9AE82CCEDD9D6860" level="section">Sec. 108. Allowance of distributions for prescription and
				over-the-counter medicines and drugs.</toc-entry>
					<toc-entry idref="H0A6005542F4340479E5D5EEAF00D0A43" level="section">Sec. 109. Purchase of health insurance from HSA
				account.</toc-entry>
					<toc-entry idref="HA9AFD38F91834124A62D1357EE74E3B5" level="section">Sec. 110. Special rule for certain medical expenses incurred
				before establishment of account.</toc-entry>
					<toc-entry idref="HE575FA8777E14F1DA1BC8AF6F095EA61" level="section">Sec. 111. Preventive care prescription drug
				clarification.</toc-entry>
					<toc-entry idref="HB557F87CB3BA4AE596A63F06FFF6CF75" level="section">Sec. 112. Equivalent bankruptcy protections for health savings
				accounts as retirement funds.</toc-entry>
					<toc-entry idref="H6AB5D49D8E164176A78718DD89CDC7AC" level="section">Sec. 113. Administrative error correction before due date of
				return.</toc-entry>
					<toc-entry idref="HD1237BD9F29D4D25B69DC58AB5B39757" level="section">Sec. 114. Reauthorization of medicaid health opportunity
				accounts.</toc-entry>
					<toc-entry idref="H440D56C667C9482D94A67143AEC0C8EF" level="title">Title II—Other provisions</toc-entry>
					<toc-entry idref="HF394DFEF48B64B5DB2491680085808FE" level="section">Sec. 121. Certain exercise equipment and physical fitness
				programs treated as medical care.</toc-entry>
					<toc-entry idref="H29E82623E50F49A999F0DB7B1F89DD60" level="section">Sec. 122. Certain nutritional and dietary supplements to be
				treated as medical care.</toc-entry>
					<toc-entry idref="H6453D99C7D7F4AC9B159E0A8649D2F32" level="section">Sec. 123. Certain provider fees to be treated as medical
				care.</toc-entry>
					<toc-entry idref="H08F561F54CEC48A0BDB9A2BC506F385C" level="section">Sec. 124. Repeal of annual limitations on deductibles for
				employer-sponsored plans offered in small group market.</toc-entry>
				</toc>
			</subsection></section><title id="H1F9815AC1A994CB1BD48FE195CD63E03"><enum>I</enum><header>Provisions
			 relating to tax-preferred health accounts</header>
			<section id="HB522342596194D9688CE90B716D1DA3B"><enum>101.</enum><header>Allow both
			 spouses to make catch-up contributions to the same HSA account</header>
				<subsection id="HCAEFD38B2E144F07A409455CB296E8D0"><enum>(a)</enum><header>In
			 general</header><text>Paragraph (3) of section 223(b) is amended by adding at
			 the end the following new subparagraph:</text>
					<quoted-block display-inline="no-display-inline" id="HEF3FE757848A426E9C6814959F5D8078" style="OLC">
						<subparagraph id="HC6EC5D0F50954990BBCD4E7087B931F8"><enum>(C)</enum><header>Special rule
				where both spouses are eligible individuals with 1
				account</header><text>If—</text>
							<clause id="H00E01EC0FF2941259D0A8C594B3A2FAB"><enum>(i)</enum><text>an
				individual and the individual's spouse have both attained age 55 before the
				close of the taxable year, and</text>
							</clause><clause id="HCCDC7E2C3B6241CF99194ED46421FAF5"><enum>(ii)</enum><text>the spouse is not
				an account beneficiary of a health savings account as of the close of such
				year,</text>
							</clause><continuation-text continuation-text-level="subparagraph">the
				additional contribution amount shall be 200 percent of the amount otherwise
				determined under subparagraph
				(B).</continuation-text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="H505BE20E371D43F799C9B376F4261B6B"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall apply to taxable
			 years beginning after the date of the enactment of this Act.</text>
				</subsection></section><section id="HFF59103CCC884D6CA5B8B4CD57BDD9DA"><enum>102.</enum><header>Provisions
			 relating to Medicare</header>
				<subsection id="H953C3C23C049489E92BB1C7C70C1ADA2"><enum>(a)</enum><header>Individuals over
			 age 65 only enrolled in Medicare Part A</header><text>Paragraph (7) of section
			 223(b) is amended by adding at the end the following: <quote>This paragraph
			 shall not apply to any individual during any period for which the individual's
			 only entitlement to such benefits is an entitlement to hospital insurance
			 benefits under part A of title XVIII of such Act pursuant to an enrollment for
			 such hospital insurance benefits under section 226(a)(1) of such
			 Act.</quote>.</text>
				</subsection><subsection id="H42ED16F770114B0686E92A58F68F4224"><enum>(b)</enum><header>Medicare
			 beneficiaries participating in Medicare advantage MSA may contribute their own
			 money to their MSA</header><text>Subsection (b) of section 138 is amended by
			 striking paragraph (2) and by redesignating paragraphs (3) and (4) as
			 paragraphs (2) and (3), respectively.</text>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="H84242C446F104BBBB16C5EC6F0805585"><enum>(c)</enum><header>Effective
			 date</header><text>The amendments made by this section shall apply to taxable
			 years beginning after the date of the enactment of this Act.</text>
				</subsection></section><section id="H740CA42D1173408E86A94F974BA6BB83"><enum>103.</enum><header>Individuals
			 eligible for veterans benefits for a service-connected disability</header>
				<subsection id="H5A77F8C1926D4C1293BC4FD13D9EBE78"><enum>(a)</enum><header>In
			 general</header><text>Paragraph (1) of section 223(c) is amended by adding at
			 the end the following new subparagraph:</text>
					<quoted-block display-inline="no-display-inline" id="H7A0FFBC3EFF04C5C86E6D411C2578673" style="OLC">
						<subparagraph id="H61A6A602044947A1A1813009ACBCAED1"><enum>(C)</enum><header>Special rule for
				individuals eligible for certain veterans benefits</header><text>For purposes
				of subparagraph (A)(ii), an individual shall not be treated as covered under a
				health plan described in such subparagraph merely because the individual
				receives periodic hospital care or medical services for a service-connected
				disability under any law administered by the Secretary of Veterans Affairs but
				only if the individual is not eligible to receive such care or services for any
				condition other than a service-connected
				disability.</text>
						</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="HE8BFD50F8C354717800AE4C6A1D74285"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall apply to taxable
			 years beginning after the date of the enactment of this Act.</text>
				</subsection></section><section commented="no" display-inline="no-display-inline" id="H890143A3E0E54040AF6343234F2CF198"><enum>104.</enum><header>Individuals
			 eligible for Indian Health Service assistance</header>
				<subsection commented="no" display-inline="no-display-inline" id="H51DC1617F1554A01ACAE1855C7729566"><enum>(a)</enum><header>In
			 general</header><text>Paragraph (1) of section 223(c), as amended by section
			 103, is amended by adding at the end the following new subparagraph:</text>
					<quoted-block act-name="" id="HB5B1E885CF974246A6DFBD588F72EDC2" style="OLC">
						<subparagraph id="H539A39BD91324E88B4BEE5AA10261054"><enum>(D)</enum><header>Special rule for
				individuals eligible for assistance under Indian Health Service
				programs</header><text>For purposes of subparagraph (A)(ii), an individual
				shall not be treated as covered under a health plan described in such
				subparagraph merely because the individual receives hospital care or medical
				services under a medical care program of the Indian Health Service or of a
				tribal
				organization.</text>
						</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="H30CC20803B564C7F85D6ECCB9A4F360B"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall apply to taxable
			 years beginning after the date of the enactment of this Act.</text>
				</subsection></section><section commented="no" display-inline="no-display-inline" id="HE243D2F52B7A46E79B57E627F5EC303D"><enum>105.</enum><header>Individuals
			 eligible for TRICARE coverage</header>
				<subsection commented="no" display-inline="no-display-inline" id="H0C000846DFF045E6995837833E0F894B"><enum>(a)</enum><header>In
			 general</header><text>Paragraph (1) of section 223(c), as amended by sections
			 103 and 104, is amended by adding at the end the following new
			 subparagraph:</text>
					<quoted-block display-inline="no-display-inline" id="H7C2C6058CCDB4D269D7C7ABFC3F9FCAD" style="OLC">
						<subparagraph commented="no" display-inline="no-display-inline" id="H043F199317D94EE2B61300FE2C9C57F4"><enum>(E)</enum><header>Special rule for
				individuals eligible for assistance under tricare</header><text>For purposes of
				subparagraph (A)(ii), an individual shall not be treated as covered under a
				health plan described in such subparagraph merely because the individual is
				eligible to receive hospital care, medical services, or prescription drugs
				under TRICARE Extra or TRICARE Standard and such individual is not enrolled in
				TRICARE
				Prime.</text>
						</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="HC5B1314B438342B5A353A9D567087D2F"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall apply to taxable
			 years beginning after the date of the enactment of this Act.</text>
				</subsection></section><section commented="no" display-inline="no-display-inline" id="H7EDE9744D4AB453DA9DAB3EE710F4160" section-type="subsequent-section"><enum>106.</enum><header display-inline="yes-display-inline">Health FSA carryforwards</header>
				<subsection commented="no" display-inline="no-display-inline" id="HAA4AAF454766429EB46DA6D53A8301F1"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 125 is amended by redesignating
			 subsections (i) and (j) as subsections (j) and (k), respectively, and by
			 inserting after subsection (h) the following new subsection:</text>
					<quoted-block display-inline="no-display-inline" id="H463C2E2334A246DB83224F89DBF65F3E" style="OLC">
						<subsection commented="no" display-inline="no-display-inline" id="HDA45188EF0C547A8809FC4DF824ECC7D"><enum>(i)</enum><header display-inline="yes-display-inline">Special rules applicable to health flexible
				spending arrangements</header>
							<paragraph commented="no" display-inline="no-display-inline" id="HAA01F6C0B9FB47E8AFA1C2BE1EB6D053"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">For purposes of this title, a plan or other
				arrangement shall not fail to be treated as a health flexible spending or
				similar arrangement solely because under the plan or arrangement a participant
				is permitted access to any unused balance in the participant’s accounts under
				such plan or arrangement in the manner provided under paragraph (2).</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HB7B3B25ADF47480A8941A7DA2A46908A"><enum>(2)</enum><header display-inline="yes-display-inline">Carryforward of unused benefits in health
				arrangements</header>
								<subparagraph commented="no" display-inline="no-display-inline" id="HA54F0CDAEA0D416ABD147A3A1BCC5C4C"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">A plan or arrangement may permit a
				participant in a health flexible spending arrangement to elect to carry forward
				any aggregate unused balances in the participant’s accounts under such
				arrangement as of the close of any year to the succeeding year. Such
				carryforward shall be treated as having occurred within 30 days of the close of
				the year.</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HD02F06E1188B49818DD87692EC441DC2"><enum>(B)</enum><header display-inline="yes-display-inline">Dollar limit on carryforwards</header>
									<clause commented="no" display-inline="no-display-inline" id="H20676239E2D0463DA4051E1F276BBEF2"><enum>(i)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">The amount which a participant may elect to
				carry forward under subparagraph (A) from any year shall not exceed $500. For
				purposes of this paragraph, all plans and arrangements maintained by an
				employer or any related person shall be treated as 1 plan.</text>
									</clause><clause commented="no" display-inline="no-display-inline" id="H786AE78A131F474E894D13AA5181C451"><enum>(ii)</enum><header display-inline="yes-display-inline">Cost-of-living adjustment</header><text display-inline="yes-display-inline">In the case of any taxable year beginning
				in a calendar year after 2011, the $500 amount under clause (i) shall be
				increased by an amount equal to—</text>
										<subclause commented="no" display-inline="no-display-inline" id="HA1C2E986461248548023BCD690BFF4AD"><enum>(I)</enum><text display-inline="yes-display-inline">$500, multiplied by</text>
										</subclause><subclause commented="no" display-inline="no-display-inline" id="H34BB9B600DB74BABBDF62F523DFAA77E"><enum>(II)</enum><text display-inline="yes-display-inline">the cost-of-living adjustment determined
				under section 1(f)(3) for such calendar year, determined by substituting
				<quote>2010</quote> for <quote>1992</quote> in subparagraph (B) thereof.</text>
										</subclause><continuation-text commented="no" continuation-text-level="clause">If any dollar amount as increased under
				this clause is not a multiple of $100, such amount shall be rounded to the next
				lowest multiple of $100.</continuation-text></clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H65429D9C1561426FA10BBE2FE3B41170"><enum>(C)</enum><header display-inline="yes-display-inline">Exclusion from gross income</header><text display-inline="yes-display-inline">No amount shall be required to be included
				in gross income under this chapter by reason of any carryforward under this
				paragraph.</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HCC66D40E33F1411B82A4EA135ADD0501"><enum>(D)</enum><header display-inline="yes-display-inline">Coordination with limits</header><text display-inline="yes-display-inline">The maximum amount which may be contributed
				to a health flexible spending arrangement for any year to which an unused
				amount is carried under this paragraph shall be reduced by such amount.</text>
								</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H6D32C4246C844BB9B492586C056A7308"><enum>(3)</enum><header display-inline="yes-display-inline">Terms relating to flexible spending
				arrangements</header>
								<subparagraph commented="no" display-inline="no-display-inline" id="HEE307D2031554FE88F03EEC4939BBF1E"><enum>(A)</enum><header display-inline="yes-display-inline">Flexible spending
				arrangements</header><text display-inline="yes-display-inline">For purposes of
				this subsection, a flexible spending arrangement is a benefit program which
				provides employees with coverage under which specified incurred expenses may be
				reimbursed (subject to reimbursement maximums and other reasonable
				conditions).</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H696062D722A54DD6A887E302C435EC29"><enum>(B)</enum><header display-inline="yes-display-inline">Health arrangements</header><text display-inline="yes-display-inline">The term <term>health flexible spending
				arrangement</term> means any flexible spending arrangement (or portion thereof)
				which provides payments for expenses incurred for medical care (as defined in
				section
				213(d)).</text>
								</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="H40D35D3381ED4DDFB4F8540ADF4908D6"><enum>(b)</enum><header display-inline="yes-display-inline">Conforming amendments</header>
					<paragraph commented="no" display-inline="no-display-inline" id="HF8483D659DD94DA0B87BC4FAD9E2C05F"><enum>(1)</enum><text display-inline="yes-display-inline">The heading for section 125 of the Internal
			 Revenue Code of 1986 is amended by inserting <quote><header-in-text level="section" style="OLC">and health flexible spending
			 arrangements</header-in-text></quote> after <quote><header-in-text level="section" style="OLC">plans</header-in-text></quote>.</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H6C8F56C875A04116B7273201A3DCE4B7"><enum>(2)</enum><text display-inline="yes-display-inline">The item relating to section 125 in the
			 table of sections for part III of subchapter B of chapter 1 of such Code is
			 amended by inserting <quote>and health flexible spending arrangements</quote>
			 after <quote>plans</quote>.</text>
					</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H375F4C70F0FB49DB9136BCB4FE1EBC4F"><enum>(c)</enum><header display-inline="yes-display-inline">Effective
			 date</header><text display-inline="yes-display-inline">The amendments made by
			 this section shall take effect on the date of the enactment of this Act.</text>
				</subsection></section><section id="HBFAA63CFD66C46178E08DF7FDB53B6BC"><enum>107.</enum><header>FSA and HRA
			 interaction with HSAs</header>
				<subsection id="H46A69776D5584049AC908B7CC700503D"><enum>(a)</enum><header>Eligible
			 individuals include FSA and HRA participants</header><text>Subparagraph (B) of
			 section 223(c)(1) is amended—</text>
					<paragraph id="HDE66AF8FF53D485DBEF7901E093E5641"><enum>(1)</enum><text>by striking
			 <quote>and</quote> at the end of clause (ii),</text>
					</paragraph><paragraph id="HB53CA75A81C7424E9399BF056ADCD02A"><enum>(2)</enum><text>by striking the
			 period at the end of clause (iii) and inserting <quote>, and</quote>,
			 and</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H6F39DF2D05784E2AB8B00A074AC9B5D6"><enum>(3)</enum><text>by inserting after
			 clause (iii) the following new clause:</text>
						<quoted-block display-inline="no-display-inline" id="H270C1979B17642C9A8B615AD5C91C334" style="OLC">
							<clause id="H8E17D495E8E4452ABABBC47EB303112B"><enum>(iv)</enum><text>coverage under a
				health flexible spending arrangement or a health reimbursement arrangement in
				the plan year a qualified HSA distribution as described in section 106(e) is
				made on behalf of the individual if after the qualified HSA distribution is
				made and for the remaining duration of the plan year, the coverage provided
				under the health flexible spending arrangement or health reimbursement
				arrangement is converted to—</text>
								<subclause id="HEFC3BFBD7D23409DBFF153453F79EA68"><enum>(I)</enum><text>coverage that does
				not pay or reimburse any medical expense incurred before the minimum annual
				deductible under paragraph (2)(A)(i) (prorated for the period occurring after
				the qualified HSA distribution is made) is satisfied,</text>
								</subclause><subclause id="H6DB23DB5C09C4253AD5E91D8F23AED9C"><enum>(II)</enum><text>coverage that,
				after the qualified HSA distribution is made, does not pay or reimburse any
				medical expense incurred after the qualified HSA distribution is made other
				than preventive care as defined in paragraph (2)(C),</text>
								</subclause><subclause id="H16C437BD24D74F109DA0032136A57022"><enum>(III)</enum><text>coverage that,
				after the qualified HSA distribution is made, pays or reimburses benefits for
				coverage described in clause (ii) (but not through insurance or for long-term
				care services),</text>
								</subclause><subclause id="HE848258E2FA44A529D746E7671DB8F8B"><enum>(IV)</enum><text>coverage that,
				after the qualified HSA distribution is made, pays or reimburses benefits for
				permitted insurance or coverage described in clause (ii) (but not for long-term
				care services),</text>
								</subclause><subclause id="HBC72541FDC5047B0B87025F40E441C13"><enum>(V)</enum><text>coverage that,
				after the qualified HSA distribution is made, pays or reimburses only those
				medical expenses incurred after an individual’s retirement (and no expenses
				incurred before retirement), or</text>
								</subclause><subclause id="H2C0BAE0D73414475AD9DDA7956718575"><enum>(VI)</enum><text>coverage that,
				after the qualified HSA distribution is made, is suspended, pursuant to an
				election made on or before the date the individual elects a qualified HSA
				distribution or, if later, on the date of the individual enrolls in a high
				deductible health plan, that does not pay or reimburse, at any time, any
				medical expense incurred during the suspension period except as defined in the
				preceding subclauses of this
				clause.</text>
								</subclause></clause><after-quoted-block>.</after-quoted-block></quoted-block>
					</paragraph></subsection><subsection id="H0A9C263DA7E34DFAB1F23E0E65646C94"><enum>(b)</enum><header>Qualified HSA
			 distribution shall not affect flexible spending
			 arrangement</header><text>Paragraph (1) of section 106(e) is amended to read as
			 follows:</text>
					<quoted-block display-inline="no-display-inline" id="H836238D19AEC433DA8780B1B9A682675" style="OLC">
						<paragraph id="HA243210BE2414E4A9983146974901137"><enum>(1)</enum><header>In
				general</header><text>A plan shall not fail to be treated as a health flexible
				spending arrangement under this section, section 105, or section 125, or as a
				health reimbursement arrangement under this section or section 105, merely
				because such plan provides for a qualified HSA
				distribution.</text>
						</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="HAF8AABC51D384858878A12906D98C792"><enum>(c)</enum><header>FSA balances at
			 year end shall not forfeit</header><text>Paragraph (2) of section 125(d) is
			 amended by adding at the end the following new subparagraph:</text>
					<quoted-block display-inline="no-display-inline" id="HC0DB848056D5434B8CD7EF1DA086AFB9" style="OLC">
						<subparagraph id="H597D27DF33254F9EB0FEB90343BA3EBB"><enum>(E)</enum><header>Exception for
				qualified HSA distributions</header><text>Subparagraph (A) shall not apply to
				the extent that there is an amount remaining in a health flexible spending
				account at the end of a plan year that an individual elects to contribute to a
				health savings account pursuant to a qualified HSA distribution (as defined in
				section
				106(e)(2)).</text>
						</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="H0D6345BF1ACC4157A05F9A5FA59BF3C9"><enum>(d)</enum><header>Simplification
			 of limitations on FSA and HRA rollovers</header><text>Paragraph (2) of section
			 106(e) is amended to read as follows:</text>
					<quoted-block act-name="" display-inline="no-display-inline" id="H24A5B79DFBC143E9832A403F251E6B14" style="OLC">
						<paragraph id="HAB5B9BB7A3174C10B66BC2A20380879D"><enum>(2)</enum><header>Qualified HSA
				distribution</header>
							<subparagraph id="H24BC87D5B2014FF6830609D5E6122898"><enum>(A)</enum><header>In
				general</header><text>The term <term>qualified HSA distribution</term> means a
				distribution from a health flexible spending arrangement or health
				reimbursement arrangement to the extent that such distribution does not exceed
				the lesser of—</text>
								<clause id="HA0319509836442398DB757644CD1B2D1"><enum>(i)</enum><text>the balance in
				such arrangement as of the date of such distribution, or</text>
								</clause><clause id="H6D44CCF710384585AB1C25A2A4DA6BEC"><enum>(ii)</enum><text>the amount
				determined under subparagraph (B).</text>
								</clause><continuation-text continuation-text-level="subparagraph">Such
				term shall not include more than 1 distribution with respect to any
				arrangement.</continuation-text></subparagraph><subparagraph id="H18D0C5C643E4461D9564AE2822B2C058"><enum>(B)</enum><header>Dollar
				limitations</header>
								<clause id="H08027C7625C9461389B9549176D03C42"><enum>(i)</enum><header>Distributions
				from a health flexible spending arrangement</header><text>A qualified HSA
				distribution from a health flexible spending arrangement shall not exceed the
				applicable amount.</text>
								</clause><clause id="HEE2C4D1D973042999CE2B122173B0301"><enum>(ii)</enum><header>Distributions
				from a health reimbursement arrangement</header><text>A qualified HSA
				distribution from a health reimbursement arrangement shall not exceed—</text>
									<subclause id="H10570A3270A8401EB0550C5F93CE978E"><enum>(I)</enum><text>the applicable
				amount divided by 12, multiplied by</text>
									</subclause><subclause id="H09A1743DFAF04DD49C143EAA580F6699"><enum>(II)</enum><text>the number of
				months during which the individual is a participant in the health reimbursement
				arrangement.</text>
									</subclause></clause><clause id="H0B87C8FEFE2F4C1BAB2C833AB4DEBD0E"><enum>(iii)</enum><header>Applicable
				amount</header><text>For purposes of this subparagraph, the applicable amount
				is—</text>
									<subclause id="HAD3FBB2DE8164100BB390AF712EB39CD"><enum>(I)</enum><text>$2,250 in the case
				of an eligible individual who has self-only coverage under a high deductible
				health plan at the time of such distribution, and</text>
									</subclause><subclause commented="no" display-inline="no-display-inline" id="H18821A4787FA425B87303408F668EB41"><enum>(II)</enum><text>$4,500 in the
				case of an eligible individual who has family coverage under a high deductible
				health plan at the time of such
				distribution.</text>
									</subclause></clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="HC7CACB03105E445A8821DB09695D8983"><enum>(e)</enum><header>Elimination of
			 additional tax for failure To maintain high deductible health plan
			 coverage</header><text>Subsection (e) of section 106 is amended—</text>
					<paragraph id="H87B42610ED664D59AC98ADD51148E570"><enum>(1)</enum><text>by striking
			 paragraph (3) and redesignating paragraphs (4) and (5) as paragraphs (3) and
			 (4), respectively, and</text>
					</paragraph><paragraph id="H33AEE9E2782F4A33877EE597B3AB8726"><enum>(2)</enum><text>by striking
			 subparagraph (A) of paragraph (3), as so redesignated, and redesignating
			 subparagraphs (B) and (C) of such paragraph as subparagraphs (A) and (B)
			 thereof, respectively.</text>
					</paragraph></subsection><subsection id="HD464B522122F43D1A512B2D2247EA14C"><enum>(f)</enum><header>Limited purpose
			 FSAs and HRAs</header><text>Subsection (e) of section 106, as amended by this
			 section, is amended by adding at the end the following new paragraph:</text>
					<quoted-block display-inline="no-display-inline" id="H489B0231C0094DC2AEBEB6B711F5D474" style="OLC">
						<paragraph id="H8B5748ECF83F4ED2A28CFDC513663559"><enum>(5)</enum><header>Limited purpose
				FSAs and HRAs</header><text>A plan shall not fail to be a health flexible
				spending arrangement or health reimbursement arrangement under this section or
				section 105 merely because the plan converts coverage for individuals who
				enroll in a high deductible health plan described in section 223(c)(2) to
				coverage described in section 223(c)(1)(B)(iv). Coverage for such individuals
				may be converted as of the date of enrollment in the high deductible health
				plan, without regard to the period of coverage under the health flexible
				spending arrangement or health reimbursement arrangement, and without requiring
				any change in coverage to individuals who do not enroll in a high deductible
				health
				plan.</text>
						</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="H15BAE7DA1B194A899F883A6781A9FE08"><enum>(g)</enum><header>Distribution
			 amounts adjusted for cost-of-Living</header><text>Subsection (e) of section
			 106, as amended by this section, is amended by adding at the end the following
			 new paragraph:</text>
					<quoted-block act-name="" id="HE83153BDC36548C3BA562D9251349559" style="OLC">
						<paragraph id="HEF57800A56FE4ADBA51C9D7058BDBF1B"><enum>(6)</enum><header>Cost-of-living
				adjustment</header>
							<subparagraph id="HA701774E80CF44E39BF07D2E2C6ADDA9"><enum>(A)</enum><header>In
				general</header><text>In the case of any taxable year beginning after December
				31, 2011, each of the dollar amounts in paragraph (2)(B)(iii) shall be
				increased by an amount equal to such dollar amount, multiplied by the
				cost-of-living adjustment determined under section 1(f)(3) for the calendar
				year in which such taxable year begins by substituting <quote>calendar year
				2010</quote> for <quote>calendar year 1992</quote> in subparagraph (B)
				thereof.</text>
							</subparagraph><subparagraph id="H1088BEDA291044938D8D76F2847E5C02"><enum>(B)</enum><header>Rounding</header><text>If
				any increase under paragraph (1) is not a multiple of $50, such increase shall
				be rounded to the nearest multiple of
				$50.</text>
							</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="HE6959B2549154C6C84995AB49EEDE30E"><enum>(h)</enum><header>Disclaimer of
			 disqualifying coverage</header><text>Subparagraph (B) of section 223(c)(1), as
			 amended by this section, is amended—</text>
					<paragraph id="HB12AB373B1BE491880ACE19A2603BB3D"><enum>(1)</enum><text>by striking
			 <quote>and</quote> at the end of clause (iii),</text>
					</paragraph><paragraph id="HBF7EE5D79D8441F58FEF4954CA08C903"><enum>(2)</enum><text>by striking the
			 period at the end of clause (iv) and inserting <quote>, and</quote>, and</text>
					</paragraph><paragraph id="HDA99EA61DFDD4436988386B40B2008DD"><enum>(3)</enum><text>by inserting after
			 clause (iv) the following new clause:</text>
						<quoted-block display-inline="no-display-inline" id="HE3393AABD0694F0F95D4C1C0292E355B" style="OLC">
							<clause id="H5E95C85EE17D4644A996A23837D6613C"><enum>(v)</enum><text>any coverage
				(including prospective coverage) under a health plan that is not a high
				deductible health plan which is disclaimed in writing, at the time of the
				creation or organization of the health savings account, including by execution
				of a trust described in subsection (d)(1) through a governing instrument that
				includes such a disclaimer, or by acceptance of an amendment to such a trust
				that includes such a
				disclaimer.</text>
							</clause><after-quoted-block>.</after-quoted-block></quoted-block>
					</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HCC148D7A96F0488492A28258ABC65642"><enum>(i)</enum><header>Effective
			 date</header><text>The amendments made by this section shall apply to taxable
			 years beginning after the date of the enactment of this Act.</text>
				</subsection></section><section id="H296528A218FF4DBB9AE82CCEDD9D6860"><enum>108.</enum><header>Allowance of
			 distributions for prescription and over-the-counter medicines and
			 drugs</header>
				<subsection id="H90D84EE0A45A44FEA37EBBCAD08967B9"><enum>(a)</enum><header>Repeal of
			 distributions for medicine qualified only if for prescribed drug or
			 insulin</header><text display-inline="yes-display-inline">Section 9003 of the
			 Patient Protection and Affordable Care Act (Public Law 111–148) and the
			 amendments made by such section are repealed and the Internal Revenue Code of
			 1986 shall be applied as if such section and amendments had never been
			 enacted.</text>
				</subsection><subsection id="H26EEEA343757448D97DEA2D3BF5E846A"><enum>(b)</enum><header>Allowance of
			 distributions for all medicines and drugs</header>
					<paragraph id="H7FC6C1AC6DB74A1E9F70453172BB818A"><enum>(1)</enum><header><enum-in-header>HSA</enum-in-header>s</header><text>Subparagraph
			 (A) of section 223(d)(2) is amended by adding at the end the following:
			 <quote>Such term shall include an amount paid for any prescription or
			 over-the-counter medicine or drug.</quote>.</text>
					</paragraph><paragraph id="H19D6275E47BA4CF381FB342A2FD2204F"><enum>(2)</enum><header>Archer
			 MSAs</header><text>Subparagraph (A) of section 220(d)(2) is amended by adding
			 at the end the following: <quote>Such term shall include an amount paid for any
			 prescription or over-the-counter medicine or drug.</quote>.</text>
					</paragraph><paragraph id="H558D3653F46742FCBDF271F288D52DDF"><enum>(3)</enum><header>Health flexible
			 spending arrangements and health reimbursement
			 arrangements</header><text>Section 106 is amended by adding at the end the
			 following new subsection:</text>
						<quoted-block display-inline="no-display-inline" id="HE0CF00A055D848F49CE6976058FEC57D" style="OLC">
							<subsection id="HB6F9971EE26A4C8FB1082DF124CD3EA9"><enum>(f)</enum><header>Reimbursements
				for all medicines and drugs</header><text display-inline="yes-display-inline">For purposes of this section and section
				105, reimbursement for expenses incurred for any prescription or
				over-the-counter medicine or drug shall be treated as a reimbursement for
				medical
				expenses.</text>
							</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
					</paragraph><paragraph id="H1528B5AC64ED4A5DA9B1EE9153CD5E96"><enum>(4)</enum><header>Effective
			 dates</header>
						<subparagraph id="H40FEDB72587E41F5BC3613BA2BFDD022"><enum>(A)</enum><header>Distributions
			 from savings accounts</header><text>The amendments made by paragraphs (1) and
			 (2) shall apply to amounts paid with respect to taxable years beginning after
			 December 31, 2009.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HD2E9170627F94FAF857A4BCF18136D8C"><enum>(B)</enum><header>Reimbursements</header><text>The
			 amendment made by paragraph (3) shall apply to expenses incurred with respect
			 to taxable years beginning after December 31, 2009.</text>
						</subparagraph></paragraph></subsection></section><section id="H0A6005542F4340479E5D5EEAF00D0A43"><enum>109.</enum><header>Purchase of
			 health insurance from HSA account</header>
				<subsection id="HCC9918D0E78C4267BE5CD6CEE4446BBA"><enum>(a)</enum><header>In
			 general</header><text>Paragraph (2) of section 223(d) is amended to read as
			 follows:</text>
					<quoted-block display-inline="no-display-inline" id="H307D5CCA39224C8D87FC8C2EA3A3BE1A" style="OLC">
						<paragraph id="H04A2204604A54B42A753981AEAE8E880"><enum>(2)</enum><header>Qualified
				medical expenses</header>
							<subparagraph id="HDF2AC3E084D44D0C92D60390F9D54014"><enum>(A)</enum><header>In
				general</header><text>The term <term>qualified medical expenses</term> means,
				with respect to an account beneficiary, amounts paid by such beneficiary for
				medical care (as defined in section 213(d)) for any individual covered by a
				high deductible health plan of the account beneficiary, but only to the extent
				such amounts are not compensated for by insurance or otherwise.</text>
							</subparagraph><subparagraph id="H9F9021FBDC784DFE8741D9ADA6EDB11B"><enum>(B)</enum><header>Health insurance
				may not be purchased from account</header><text>Except as provided in
				subparagraph (C), subparagraph (A) shall not apply to any payment for
				insurance.</text>
							</subparagraph><subparagraph id="HE069CA54A8424133B544244D5D3AC26F"><enum>(C)</enum><header>Exceptions</header><text>Subparagraph
				(B) shall not apply to any expense for coverage under—</text>
								<clause id="HDD8A82B51AE04C64961031A7DFEED8A4"><enum>(i)</enum><text>a
				health plan during any period of continuation coverage required under any
				Federal law,</text>
								</clause><clause id="HBC13D5656C1B4DD2AA12F5C745645C65"><enum>(ii)</enum><text>a
				qualified long-term care insurance contract (as defined in section
				7702B(b)),</text>
								</clause><clause id="H86418D5368614F7D9EA77EEC05DA33F5"><enum>(iii)</enum><text>a health plan
				during any period in which the individual is receiving unemployment
				compensation under any Federal or State law,</text>
								</clause><clause id="H51B3B4C54E97405EB0A73C2FB3F41BF0"><enum>(iv)</enum><text>a
				high deductible health plan, or</text>
								</clause><clause id="HCFC0EA3A65464147A33D43531B3D9629"><enum>(v)</enum><text>any health
				insurance under title XVIII of the Social Security Act, other than a Medicare
				supplemental policy (as defined in section 1882 of such
				Act).</text>
								</clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="HA377789EE29745E6BA9395D7C8439D59"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall apply with respect
			 to insurance purchased after the date of the enactment of this Act in taxable
			 years beginning after such date.</text>
				</subsection></section><section id="HA9AFD38F91834124A62D1357EE74E3B5"><enum>110.</enum><header>Special rule
			 for certain medical expenses incurred before establishment of account</header>
				<subsection id="H68FA6454549B4079BA4ED02BCBBAFD06"><enum>(a)</enum><header>In
			 general</header><text display-inline="yes-display-inline">Paragraph (2) of
			 section 223(d), as amended by section 109, is amended by adding at the end the
			 following new subparagraph:</text>
					<quoted-block display-inline="no-display-inline" id="H3D709B0AD4A54824AABE1105CB736EE3" style="OLC">
						<subparagraph id="HDE8A73AFE8A94C38AFE81D859C3B59A3"><enum>(D)</enum><header>Certain medical
				expenses incurred before establishment of account treated as
				qualified</header><text>An expense shall not fail to be treated as a qualified
				medical expense solely because such expense was incurred before the
				establishment of the health savings account if such expense was
				incurred—</text>
							<clause id="H856F65DA87554181B0176C5DE955447D"><enum>(i)</enum><text>during
				either—</text>
								<subclause id="H7D21A9C5BFB141549104D3D4CDDFCD2D"><enum>(I)</enum><text>the taxable year
				in which the health savings account was established, or</text>
								</subclause><subclause id="HD70A6CFC72934AC888AE67EE7E33B3CA"><enum>(II)</enum><text>the preceding
				taxable year in the case of a health savings account established after the
				taxable year in which such expense was incurred but before the time prescribed
				by law for filing the return for such taxable year (not including extensions
				thereof), and</text>
								</subclause></clause><clause id="H8586F071B5B74F6A964E693C4B0B7133"><enum>(ii)</enum><text>for medical care
				of an individual during a period that such individual was covered by a high
				deductible health plan and met the requirements of subsection (c)(1)(A)(ii)
				(after application of subsection
				(c)(1)(B)).</text>
							</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="H98F1FD80257C454C83F4E1B1E2280762"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall apply to taxable
			 years beginning after the date of the enactment of this Act.</text>
				</subsection></section><section id="HE575FA8777E14F1DA1BC8AF6F095EA61"><enum>111.</enum><header>Preventive care
			 prescription drug clarification</header>
				<subsection id="H1C6D6D1ED309424F8EF31DA1954219C3"><enum>(a)</enum><header>Clarify use of
			 drugs in preventive care</header><text>Subparagraph (C) of section 223(c)(2) is
			 amended by adding at the end the following: <quote>Preventive care shall
			 include prescription and over-the-counter drugs and medicines which have the
			 primary purpose of preventing the onset of, further deterioration from, or
			 complications associated with chronic conditions, illnesses, or
			 diseases.</quote>.</text>
				</subsection><subsection id="H167AB0C48B2C463A9B4BAAE71ADF53D2"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall apply to taxable
			 years beginning after December 31, 2003.</text>
				</subsection></section><section id="HB557F87CB3BA4AE596A63F06FFF6CF75" section-type="subsequent-section"><enum>112.</enum><header>Equivalent
			 bankruptcy protections for health savings accounts as retirement funds</header>
				<subsection id="HE2B492574D0249BAAB6EDA144F780D63"><enum>(a)</enum><header>In
			 general</header><text display-inline="yes-display-inline">Section 522 of title
			 11, United States Code, is amended by adding at the end the following new
			 subsection:</text>
					<quoted-block display-inline="no-display-inline" id="H672FB5FDD5FF4F4E9C2C7F9584FD02C7" style="OLC">
						<subsection id="H6B1387576EC648BDAF48DCC81B2DFAE3"><enum>(r)</enum><header>Treatment of
				health savings accounts</header><text>For purposes of this section, any health
				savings account (as described in section 223 of the Internal Revenue Code of
				1986) shall be treated in the same manner as an individual retirement account
				described in section 408 of such
				Code.</text>
						</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="HFA45A7DE9647487C998F18A4206C3473"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall apply to cases
			 commencing under title 11, United States Code, after the date of the enactment
			 of this Act.</text>
				</subsection></section><section id="H6AB5D49D8E164176A78718DD89CDC7AC"><enum>113.</enum><header>Administrative
			 error correction before due date of return</header>
				<subsection id="HCB7AFF8BB639411394D07EA3EE7C987B"><enum>(a)</enum><header>In
			 general</header><text>Paragraph (4) of section 223(f) is amended by adding at
			 the end the following new subparagraph:</text>
					<quoted-block display-inline="no-display-inline" id="H7E4E7409B86E44519254935AE3529530" style="OLC">
						<subparagraph id="H82871C01E0E54A959617397A6AC6CA0F"><enum>(D)</enum><header>Exception for
				administrative errors corrected before due date of
				return</header><text>Subparagraph (A) shall not apply if any payment or
				distribution is made to correct an administrative, clerical or payroll
				contribution error and if—</text>
							<clause id="HC37C50D664D242E6AF0C00C961C9BD5F"><enum>(i)</enum><text>such distribution
				is received by the individual on or before the last day prescribed by law
				(including extensions of time) for filing such individual's return for such
				taxable year, and</text>
							</clause><clause id="HA040ABC03F144C93AA447F0357A23920"><enum>(ii)</enum><text>such distribution
				is accompanied by the amount of net income attributable to such
				contribution.</text>
							</clause><continuation-text continuation-text-level="subparagraph">Any net
				income described in clause (ii) shall be included in the gross income of the
				individual for the taxable year in which it is
				received.</continuation-text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="H866A0459AE804F538F12BF12E5224B81"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall take effect on the
			 date of the enactment of this Act.</text>
				</subsection></section><section id="HD1237BD9F29D4D25B69DC58AB5B39757" section-type="subsequent-section"><enum>114.</enum><header>Reauthorization of
			 medicaid health opportunity accounts</header>
				<subsection id="HCA23B3E2EB434C54B176E06844BB365F"><enum>(a)</enum><header>In
			 general</header><text display-inline="yes-display-inline">Section 1938 of the
			 Social Security Act (42 U.S.C. 1396u–8) is amended—</text>
					<paragraph id="HA5FCBF66FFEF40DAA78DD0D3B37FD90B"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)—</text>
						<subparagraph id="H98B854EDFEE94B4A86EAD13D00073EFB"><enum>(A)</enum><text display-inline="yes-display-inline">by striking paragraph (2) and inserting the
			 following:</text>
							<quoted-block display-inline="no-display-inline" id="HE30BA6136A154426A36A2D2A9F57F77D" style="OLC">
								<paragraph id="HEB9758C9D87F4B2DBF1821D0FB3F7AD2"><enum>(2)</enum><header>Initial
				demonstration</header><text>The demonstration program under this section shall
				begin on January 1, 2007. The Secretary shall approve States to conduct
				demonstration programs under this section for a 5-year period, with each State
				demonstration program covering 1 or more geographic areas specified by the
				State. With respect to a State, after the initial 5-year period of any
				demonstration program conducted under this section by the State, unless the
				Secretary finds, taking into account cost-effectiveness and quality of care,
				that the State demonstration program has been unsuccessful, the demonstration
				program may be extended or made permanent in the
				State.</text>
								</paragraph><after-quoted-block>;
				and</after-quoted-block></quoted-block>
						</subparagraph><subparagraph id="HD621FA295294489E9C5EFAFD60DBF83E"><enum>(B)</enum><text>in paragraph (3),
			 in the matter preceding subparagraph (A)—</text>
							<clause id="H2F715BCE48DC4D7B963CD668D84BF9FB"><enum>(i)</enum><text>by
			 striking <quote>not</quote>; and</text>
							</clause><clause id="H0925ACF4374A4B64A3A759D789A6CC13"><enum>(ii)</enum><text>by
			 striking <quote>unless</quote> and inserting <quote>if </quote>;</text>
							</clause></subparagraph></paragraph><paragraph id="H46F0CB2234E54B339C85F3BD6E4518FF"><enum>(2)</enum><text>in subsection
			 (b)—</text>
						<subparagraph id="HA9104F6DEF1F41C184F0D966763C8849"><enum>(A)</enum><text>in paragraph (3),
			 by inserting <quote>clause (i) through (vii), (viii) (without regard to the
			 amendment made by section 2004(c)(2) of Public Law 111–148), (x), or (xi)
			 of</quote> after <quote>described in </quote>; and</text>
						</subparagraph><subparagraph id="H75648434E1784BE5BCA57240F3D5EEB8"><enum>(B)</enum><text>by striking
			 paragraphs (4), (5), and (6);</text>
						</subparagraph></paragraph><paragraph id="H68952957D09C469092C349FB4B6E3213"><enum>(3)</enum><text>in subsection
			 (c)—</text>
						<subparagraph id="H469DD69CD5EC492E8792AFDA3687ECF3"><enum>(A)</enum><text>by striking
			 paragraphs (3) and (4);</text>
						</subparagraph><subparagraph id="H547D41E5D7F44F58869B535DA71BDADB"><enum>(B)</enum><text>by redesignating
			 paragraphs (5) through (8) as paragraphs (3) through (6), respectively;
			 and</text>
						</subparagraph><subparagraph id="H8BB3E06FF71A4EEC8F844F8B2827DE7C"><enum>(C)</enum><text>in paragraph (4)
			 (as redesignated by subparagraph (B)), by striking <quote>Subject to
			 subparagraphs (D) and (E)</quote> and inserting <quote>Subject to subparagraph
			 (D)</quote>; and</text>
						</subparagraph></paragraph><paragraph id="H3ABD8613985D40199D891E4EED93EC32"><enum>(4)</enum><text>in subsection
			 (d)—</text>
						<subparagraph id="HC45A628CC55041CC927F19CAD922A795"><enum>(A)</enum><text>in paragraph (2),
			 by striking subparagraph (E); and</text>
						</subparagraph><subparagraph id="HA96AF1D761274965B9A50599C9A7B8F9"><enum>(B)</enum><text>in paragraph
			 (3)—</text>
							<clause id="H280408F9B9B542C3BB736C51E2081281"><enum>(i)</enum><text>in
			 subparagraph (A)(ii), by striking <quote>Subject to subparagraph (B)(ii),
			 in</quote> and inserting <quote>In</quote>; and</text>
							</clause><clause id="HF685A9484C65405DAE9BD02D58775E81"><enum>(ii)</enum><text>by
			 striking subparagraph (B) and inserting the following:</text>
								<quoted-block display-inline="no-display-inline" id="HC54C25CF6F9C448AB5FFFDDA423C9B53" style="OLC">
									<subparagraph id="H258D210ED7BD4E0FAB5F4D4B2500DD26"><enum>(B)</enum><header>Maintenance of
				health opportunity account after becoming ineligible for public
				benefit</header><text>Notwithstanding any other provision of law, if an account
				holder of a health opportunity account becomes ineligible for benefits under
				this title because of an increase in income or assets—</text>
										<clause id="H35CEDDE40C434C75B0E99B73F881F262"><enum>(i)</enum><text>no
				additional contribution shall be made into the account under paragraph
				(2)(A)(i); and</text>
										</clause><clause id="H6660DE29CED24357996F6A990E92AF66"><enum>(ii)</enum><text>the account shall
				remain available to the account holder for 3 years after the date on which the
				individual becomes ineligible for such benefits for withdrawals under the same
				terms and conditions as if the account holder remained eligible for such
				benefits, and such withdrawals shall be treated as medical assistance in
				accordance with subsection
				(c)(4).</text>
										</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
							</clause></subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H838DE52B5C8C46D3A5BBF26B60D948C1"><enum>(b)</enum><header>Conforming
			 amendment</header><text>Section 613 of Public Law 111–3 is repealed.</text>
				</subsection></section></title><title id="H440D56C667C9482D94A67143AEC0C8EF"><enum>II</enum><header>Other
			 provisions</header>
			<section id="HF394DFEF48B64B5DB2491680085808FE"><enum>121.</enum><header>Certain
			 exercise equipment and physical fitness programs treated as medical
			 care</header>
				<subsection id="H1DF41719BA8C4FDFA1924F7CD3F4A236"><enum>(a)</enum><header>In
			 general</header><text>Subsection (d) of section 213 is amended by adding at the
			 end the following new paragraph:</text>
					<quoted-block display-inline="no-display-inline" id="H80A7557085AE48FB85E1C392A2517E3B" style="OLC">
						<paragraph id="H2D080F3B333F4E03A76FA7E4222E3004"><enum>(12)</enum><header>Exercise
				equipment and physical fitness programs</header>
							<subparagraph id="H17FDE5D710544B4A868AA9DA3D95AFFF"><enum>(A)</enum><header>In
				general</header><text>The term <term>medical care</term> shall include amounts
				paid—</text>
								<clause id="HAB534549CE374784819892A814EAD054"><enum>(i)</enum><text>to
				purchase or use equipment used in a program (including a self-directed program)
				of physical exercise,</text>
								</clause><clause id="H10978F22BCFA4AB5A168351815AD4DBE"><enum>(ii)</enum><text>to participate,
				or receive instruction, in a program of physical exercise, and</text>
								</clause><clause id="H2947C823EF75444F857CC76368001A53"><enum>(iii)</enum><text>for membership
				dues in a fitness club the primary purpose of which is to provide access to
				equipment and facilities for physical exercise.</text>
								</clause></subparagraph><subparagraph id="H7BA854E7C1484307AE41323AFF5343AB"><enum>(B)</enum><header>Limitation</header><text>Amounts
				treated as medical care under subparagraph (A) shall not exceed $1,000 with
				respect to any individual for any taxable
				year.</text>
							</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="H84B645EE39B445F8B90731F604834BDD"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall apply to taxable
			 years beginning after the date of the enactment of this Act.</text>
				</subsection></section><section id="H29E82623E50F49A999F0DB7B1F89DD60"><enum>122.</enum><header>Certain
			 nutritional and dietary supplements to be treated as medical care</header>
				<subsection id="H4F60231BEF3C44619A0A3576562F6A64"><enum>(a)</enum><header>In
			 general</header><text>Subsection (d) of section 213, as amended by section 121,
			 is amended by adding at the end the following new paragraph:</text>
					<quoted-block display-inline="no-display-inline" id="H464135DB00204B879019EEE6FFB4EE17" style="OLC">
						<paragraph id="H598058FF251B4599BF99C5849DD78487"><enum>(13)</enum><header>Nutritional and
				dietary supplements</header>
							<subparagraph id="H98D0C023D62E48FE8DA67C779BA6B296"><enum>(A)</enum><header>In
				general</header><text>The term <term>medical care</term> shall include amounts
				paid to purchase herbs, vitamins, minerals, homeopathic remedies, meal
				replacement products, and other dietary and nutritional supplements.</text>
							</subparagraph><subparagraph id="H04630B614B0847039F15011625CC579B"><enum>(B)</enum><header>Limitation</header><text>Amounts
				treated as medical care under subparagraph (A) shall not exceed $1,000 with
				respect to any individual for any taxable year.</text>
							</subparagraph><subparagraph id="HC6C5B9AAE8C44BFC8C8EC6AD2B8CBB61"><enum>(C)</enum><header>Meal replacement
				product</header><text>For purposes of this paragraph, the term <term>meal
				replacement product</term> means any product that—</text>
								<clause id="H7A311D43A6814546AEDCF25CD16D5DAB"><enum>(i)</enum><text>is
				permitted to bear labeling making a claim described in section 403(r)(3) of the
				Federal Food, Drug, and Cosmetic Act, and</text>
								</clause><clause id="HB4AF74D4528E434EB3493D85CA9B9C1C"><enum>(ii)</enum><text>is permitted to
				claim under such section that such product is low in fat and is a good source
				of protein, fiber, and multiple essential vitamins and
				minerals.</text>
								</clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="H9A5A7A2C2B3A4B7DA7AD12D39995BB43"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall apply to taxable
			 years beginning after the date of the enactment of this Act.</text>
				</subsection></section><section id="H6453D99C7D7F4AC9B159E0A8649D2F32"><enum>123.</enum><header>Certain
			 provider fees to be treated as medical care</header>
				<subsection id="H17F18908749F4C6699C09C3EF1CCD453"><enum>(a)</enum><header>In
			 general</header><text>Subsection (d) of section 213, as amended by sections 121
			 and 122, is amended by adding at the end the following new paragraph:</text>
					<quoted-block display-inline="no-display-inline" id="HB7406B9456114166A0FB25E9BEA28CAF" style="OLC">
						<paragraph id="HB4E12D0C874A4AEAB0152C192D590746"><enum>(14)</enum><header>Periodic
				provider fees</header><text>The term <term>medical care</term> shall include
				periodic fees paid to a primary physician, physician assistant, or nurse
				practitioner for the right to receive medical services on an as-needed
				basis.</text>
						</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="H263A1207AF334858986D821850DC46D6"><enum>(b)</enum><header>Effective
			 date</header><text>The amendment made by this section shall apply to taxable
			 years beginning after the date of the enactment of this Act.</text>
				</subsection></section><section id="H08F561F54CEC48A0BDB9A2BC506F385C" section-type="subsequent-section"><enum>124.</enum><header>Repeal of annual
			 limitations on deductibles for employer-sponsored plans offered in small group
			 market</header><text display-inline="no-display-inline">Section 1302(c)(2) of
			 the Patient Protection and Affordable Care Act (Public Law 111–148) is
			 repealed.</text>
			</section></title></legis-body>
</bill>
