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<bill bill-type="olc" bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public" slc-id="S1-OTT21301-24S-71-2MK">
<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>117 S1399 IS: Homecare for Seniors Act</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2021-04-27</dc:date>
<dc:format>text/xml</dc:format>
<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>
</dublinCore>
</metadata>
<form>
<distribution-code display="yes">II</distribution-code>
<congress>117th CONGRESS</congress><session>1st Session</session>
<legis-num>S. 1399</legis-num>
<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
<action>
<action-date date="20210427">April 27, 2021</action-date>
<action-desc><sponsor name-id="S403">Ms. Sinema</sponsor> (for herself, <cosponsor name-id="S349">Mr. Portman</cosponsor>, <cosponsor name-id="S350">Mr. Rubio</cosponsor>, and <cosponsor name-id="S277">Mr. Carper</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSFI00">Committee on Finance</committee-name></action-desc>
</action>
<legis-type>A BILL</legis-type>
<official-title>To amend the Internal Revenue Code of 1986 to allow qualified distributions from health savings accounts for certain home care expenses.</official-title>
</form>
<legis-body style="OLC" display-enacting-clause="yes-display-enacting-clause" id="H16FDAB79B7EC415F89AF62AA95438BDC">
<section section-type="section-one" id="H6D3776FF7B7F4EEFA357F0D1B7569708"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Homecare for Seniors Act</short-title></quote>.</text></section> <section id="HB24E31AEEC2F44829AA4E967FA47E1B9"><enum>2.</enum><header>Certain home care expenses treated as qualified distributions from health savings accounts</header> <subsection id="H82EDD2CD2BCD4F188B20DC12C7C1FACC"><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(d)(2)</external-xref> of the Internal Revenue Code of 1986 is amended—</text>
<paragraph id="H4664DA16F8784D84AC4174F28989F03B"><enum>(1)</enum><text>by striking <quote>medical care (as defined in section 213(d)</quote> in subparagraph (A) and inserting <quote>specified medical care (as defined in subparagraph (E))</quote>; and</text></paragraph> <paragraph id="H0AE4D23793F041F9A93A54A64E0F0017"><enum>(2)</enum><text>by adding at the end the following new subparagraph:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="HB50C9F15BF4A4A5DBAC1D479ED5A7992">
<subparagraph id="H72CC85E4AE794BFAA92FB82729E2FE07"><enum>(E)</enum><header>Specified medical care</header><text display-inline="yes-display-inline">For purposes of this paragraph—</text> <clause id="H28136C55344B4CB592A0E42DDE9A52B0"><enum>(i)</enum><header>In general</header><text display-inline="yes-display-inline">The term <term>specified medical care</term> means—</text>
<subclause id="H3FC874B654F04A7593D4E482B372652E"><enum>(I)</enum><text>medical care (as defined in section 213(d)), and</text></subclause> <subclause id="H516A9A1879844EE9A4985CC444B025F6"><enum>(II)</enum><text>qualified home care.</text></subclause></clause>
<clause id="H3D9273311F434644AB18DA4A73657FD9"><enum>(ii)</enum><header>Qualified home care</header><text display-inline="yes-display-inline">The term <term>qualified home care</term> means services provided pursuant to a contract to provide 3 or more of the following in the residence of the service recipient:</text> <subclause id="HC95CBD9345DA4F3688CBEF992FA337EB"><enum>(I)</enum><text>Assistance with eating.</text></subclause>
<subclause id="HD9A3E4ED5F3242BEB11882A501F21D14"><enum>(II)</enum><text>Assistance with toileting.</text></subclause> <subclause id="H01C5C3149EF047D88C39B7C2DCDCB868"><enum>(III)</enum><text>Assistance with transferring.</text></subclause>
<subclause id="HE88B64103422401B94A11D4FC9016DCB"><enum>(IV)</enum><text>Assistance with bathing.</text></subclause> <subclause id="H29D38E883F894716BF175BF917246EE9"><enum>(V)</enum><text>Assistance with dressing.</text></subclause>
<subclause id="H1E42D539D1AF4C5D8071D282EBC1CC2F"><enum>(VI)</enum><text>Assistance with continence.</text></subclause> <subclause id="H6E861EDE46714F8DB8C5012697A2F74F"><enum>(VII)</enum><text>Medication adherence.</text></subclause><continuation-text continuation-text-level="clause">Such term shall not include any services unless such services are provided by a service provider which is licensed by the State to provide such services, or such services are otherwise provided in a manner that is consistent with State requirements.</continuation-text></clause>
<clause id="HD61F06DAAFFB495DBA9F96B627F9BD07"><enum>(iii)</enum><header>Related parties</header><text>The term <term>qualified home care</term> shall not include services provided pursuant to any contract which is entered into, directly or indirectly, between a service provider and a service recipient who are related within the meaning of section 267(b) or 707(b).</text></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection> <subsection id="id62DBDF255E7945B0A95FCDE51A9F9951"><enum>(b)</enum><header>Conforming amendments</header><text><external-xref legal-doc="usc" parsable-cite="usc/26/223">Section 223(d)(2)</external-xref> of the Internal Revenue Code of 1986, as amended by subsection (a), is further amended—</text>
<paragraph id="id4D2347804BD442F8B01EC2730BD2ECEC"><enum>(1)</enum><text>by striking the second sentence of subparagraph (A), and</text></paragraph> <paragraph id="id9ED4E06941E74CAD8953149A3E3E29DD"><enum>(2)</enum><text>by striking <quote>this paragraph, the term</quote> in subparagraph (D) and inserting “this paragraph—</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="id1CFD9EFBABB249619059002FDFA1FFA1">
<clause id="id4CC38E5800CE42F082E82E80113EE706"><enum>(i)</enum><header>In general</header><text>Amounts paid for menstrual care products shall be treated as paid for specified medical care.</text></clause> <clause id="idC002E7EBB329438AAA7E280B98EC0DA4"><enum>(ii)</enum><header>Definition</header><text>The term</text></clause><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection>
<subsection id="HC6751AF843F448228DB14307A1753B13"><enum>(c)</enum><header>Effective date</header><text>The amendments made by this section shall apply to amounts paid with respect to taxable years beginning after the date of the enactment of this Act.</text></subsection> <subsection id="H5BEBF64393F3431E9A12FEC3BB07D408"><enum>(d)</enum><header>Promotion of public awareness of in-Home service expenses eligible for tax-Free distribution from health savings accounts</header><text>The Secretary of Health and Human Services, in consultation with the Secretary of the Treasury, shall carry out a campaign to increase public awareness of the in-home service expenses that are eligible for tax-free distribution from health savings accounts.</text></subsection></section>
</legis-body>
</bill> 


