HR 3800 United States House · 118th Congress

Chronic Disease Flexible Coverage Act

HR 3800, the Chronic Disease Flexible Coverage Act, clarifies that certain services for chronic conditions (like diabetes or heart disease) listed in IRS Notice 2019-45 must be treated as preventive care under federal tax rules. This means health insurance plans covering these services must provide them without cost-sharing (like copays) for enrollees, directly affecting individuals with chronic conditions and their insurance providers. The bill’s key mechanism simply aligns existing IRS guidance with the tax code, ensuring these specific services are consistently classified as preventive care without altering other IRS rules. It does not create new benefits or change coverage requirements beyond this administrative clarification.
Bill status passed 3 of 5 stages cleared
Introduction
Jun 2023
Committee Review
Sep 2024
House Passage
Sep 2024
Senate Passage
President
Introduced Jun 5, 2023 Last action Sep 18, 2024
Maddy AI version diff · 1 comparison

What changed between versions

Introduced in House Engrossed in House · 2 edits · Sep 17, 2024
MINOR
The changes between the introduced and engrossed versions of HR 3800 are purely technical drafting clarifications. Subsection (b) was revised to replace vague cross-references ('this subsection' and 'such subsection') with specific references ('this section' and 'subsection (a)'), making it clearer that the no-inference provision applies to the entire section and specifically points to subsection (a). No substantive policy changes were made.
TECHNICAL

Subsection (b) cross-references were clarified: 'not inconsistent with this subsection' was changed to 'not inconsistent with this section,' and 'no inference shall be made from such subsection' was changed to 'no inference shall be made from subsection (a).' This removes ambiguity about which part of the statute the no-inference clause references.

A minor formatting change replaced an en dash with a hyphen in the reference to IRS Notice 2019-45.

Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
13
Key actions
3
Committee
4
Amendments
3
Sep 18, 2024
Committee
Received in the Senate and Read twice and referred to the Committee on Finance.
upper
Sep 17, 2024
Introduced
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H5273)
lower
Sep 17, 2024
Lower · Passed
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H5273)
lower
Sep 17, 2024
Introduced
Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
lower
Sep 17, 2024
Lower · Passed
Reported (Amended) by the Committee on Ways and Means. H. Rept. 118-680.
lower
Jun 7, 2023
Introduced
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 34 - 6.
lower
Jun 7, 2023
Lower · Passed
Committee Consideration and Mark-up Session Held
lower
Jun 5, 2023
Committee
Referred to the House Committee on Ways and Means.
lower
Jun 5, 2023
Introduced
Introduced in House
lower
1 primary · 3 co-sponsors

Sponsors