Chronic Disease Management Act of 2021

I 117TH CONGRESS 1ST SESSION H. R. 3563 To amend the Internal Revenue Code of 1986 to permit high deductible health plans to provide chronic disease prevention services to plan enroll- ees prior to satisfying their plan deductible. IN THE HOUSE OF REPRESENTATIVES MAY 28, 2021 Mr. BLUMENAUER (for himself and Mr. WENSTRUP) introduced the following bill; which was referred to the Committee on Ways and Means 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. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Chronic Disease Man- 4 agement Act of 2021’’. 5 VerDate Sep 11 2014 05:40 Jun 22, 2021 Jkt 019200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H3563.IH H3563 kjohnson on DSK79L0C42PROD with BILLS 2 •HR 3563 IH SEC. 2. CHRONIC DISEASE PREVENTION. 1 (a) IN GENERAL.—Section 223(c)(2) of the Internal 2 Revenue Code of 1986 is amended by adding at the end 3 the following: 4 ‘‘(F) PREVENTIVE CARE SERVICES AND 5 ITEMS FOR CHRONIC CONDITIONS.—For pur- 6 poses of subparagraph (C)— 7 ‘‘(i) preventive care shall include any 8 service or item used to treat an individual 9 with a chronic condition if— 10 ‘‘(I) such service or item is low- 11 cost, 12 ‘‘(II) in regards to such service 13 or item, there is medical evidence sup- 14 porting high cost efficiency of pre- 15 venting exacerbation of the chronic 16 condition or the development of a sec- 17 ondary condition, and 18 ‘‘(III) there is a strong likeli- 19 hood, documented by clinical evidence, 20 that with respect to the class of indi- 21 viduals utilizing such service or item, 22 the specific service or use of the item 23 will prevent the exacerbation of the 24 chronic condition or the development 25 of a secondary condition that requires 26 VerDate Sep 11 2014 05:40 Jun 22, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H3563.IH H3563 kjohnson on DSK79L0C42PROD with BILLS 3 •HR 3563 IH significantly higher cost treatments, 1 and 2 ‘‘(ii) an individual who has been pre- 3 scribed preventive care for any chronic 4 condition may be presumed to have been 5 diagnosed with such condition if such pre- 6 ventive care is customarily prescribed for 7 such condition.’’. 8 (b) EFFECTIVE DATE.—The amendment made by 9 this section shall apply to coverage for months beginning 10 after the date of the enactment of this Act. 11 Æ VerDate Sep 11 2014 05:40 Jun 22, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\H3563.IH H3563 kjohnson on DSK79L0C42PROD with BILLS