[Congressional Record Volume 169, Number 42 (Monday, March 6, 2023)]
[Senate]
[Page S656]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

      By Mr. THUNE (for himself and Mr. Carper):
  S. 655. A bill to amend the Internal Revenue Code of 1986 to permit 
high deductible health plans to provide chronic disease prevention 
services to plan enrollees prior to satisfying their plan deductible; 
to the Committee on Finance.
  Mr. THUNE. Madam President, I ask unanimous consent that the text of 
the bill be printed in the Record.
  There being no objection, the text of the bill was ordered to be 
printed in the Record, as follows:

                                 S. 655

       Be it enacted by the Senate and House of Representatives of 
     the United States of America in Congress assembled,

     SECTION 1. SHORT TITLE.

       This Act may be cited as the ``Chronic Disease Management 
     Act of 2023''.

     SEC. 2. CHRONIC DISEASE PREVENTION.

       (a) In General.--Section 223(c)(2) of the Internal Revenue 
     Code of 1986 is amended by adding at the end the following:
       ``(F) Preventive care services and items for chronic 
     conditions.--For purposes of subparagraph (C)--
       ``(i) preventive care shall include any service or item 
     used to treat an individual with a chronic condition if--

       ``(I) such service or item is low-cost,
       ``(II) in regards to such service or item, there is medical 
     evidence supporting high cost efficiency of preventing 
     exacerbation of the chronic condition or the development of a 
     secondary condition, and
       ``(III) there is a strong likelihood, documented by 
     clinical evidence, that with respect to the class of 
     individuals utilizing such service or item, the specific 
     service or use of the item will prevent the exacerbation of 
     the chronic condition or the development of a secondary 
     condition that requires significantly higher cost treatments, 
     and

       ``(ii) an individual who has been prescribed preventive 
     care for any chronic condition may be presumed to have been 
     diagnosed with such condition if such preventive care is 
     customarily prescribed for such condition.''.
       (b) Effective Date.--The amendment made by this section 
     shall apply to coverage for months beginning after the date 
     of the enactment of this Act.

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