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I
116TH CONGRESS
2D SESSION
H. R. 5958
To amend the Internal Revenue Code of 1986 to create senior health planning
accounts funded by the proceeds of the sale or assignment of life insur-
ance contracts.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 25, 2020
Mr. HIGGINS of New York (for himself and Mr. STEUBE) 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 create
senior health planning accounts funded by the proceeds
of the sale or assignment of life insurance contracts.
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.
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This Act may be cited as the ‘‘Senior Health Plan-
4
ning Account Act’’.
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SEC. 2. SENIOR HEALTH PLANNING ACCOUNT.
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(a) IN GENERAL.—Part III of subchapter B of chap-
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ter 1 of the Internal Revenue Code of 1986 is amended
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by inserting after section 139G the following new section:
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‘‘SEC. 139H. SENIOR HEALTH PLANNING ACCOUNT.
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‘‘(a) EXCLUSION OF CONTRIBUTIONS OF GAIN FROM
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SALES OF LIFE INSURANCE CONTRACTS.—The amount of
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gain from the sale or assignment of a life insurance con-
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tract of a taxpayer shall be reduced (but not below zero)
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by the amount of contributions to a senior health planning
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account made by such taxpayer during the 30-day period
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beginning on the date of such sale or assignment.
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‘‘(b) TAX TREATMENT OF SENIOR HEALTH PLAN-
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NING ACCOUNT.—
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‘‘(1) IN GENERAL.—A senior health planning
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account is exempt from taxation under this subtitle
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unless such account has ceased to be a senior health
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planning account. Notwithstanding the preceding
14
sentence, any such account is subject to the taxes
15
imposed by section 511 (relating to imposition of tax
16
on unrelated business income of charitable, etc. or-
17
ganizations).
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‘‘(2) ACCOUNT TERMINATIONS.—Rules similar
19
to the rules of paragraphs (2) and (4) of section
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408(e) shall apply to senior health planning ac-
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counts, and any amount treated as distributed under
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such rules shall be treated as not used to pay quali-
23
fied health care expenses.
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‘‘(3) TAX TREATMENT OF DISTRIBUTIONS.—
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‘‘(A) AMOUNTS
USED
FOR
QUALIFIED
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HEALTH CARE EXPENSES.—Any amount paid
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or distributed out of a senior health planning
3
account which is used exclusively to pay quali-
4
fied health care expenses of the account bene-
5
ficiary or the account beneficiary’s spouse shall
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not be includible in gross income.
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‘‘(B) INCLUSION OF AMOUNTS NOT USED
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FOR
QUALIFIED
HEALTH
CARE
EXPENSES.—
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Any amount paid or distributed out of a senior
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health planning account which is not used to
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pay the qualified health care expenses of the ac-
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count beneficiary or the account beneficiary’s
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spouse shall be included in the gross income of
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such beneficiary.
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‘‘(C) ADDITIONAL TAX ON DISTRIBUTIONS
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NOT USED FOR QUALIFIED HEALTH CARE EX-
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PENSES.—The tax imposed by this chapter on
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the account beneficiary for any taxable year in
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which there is a payment or distribution from
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a senior health planning account of such bene-
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ficiary which is includible in gross income under
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subparagraph (B) shall be increased by 20 per-
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cent of the amount which is so includible. This
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subparagraph shall not apply if the payment or
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distribution is made after the account bene-
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ficiary—
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‘‘(i) dies,
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‘‘(ii) becomes a terminally ill indi-
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vidual (as such term is defined in section
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101(g)(4)(A)), or
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‘‘(iii) becomes a chronically ill indi-
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vidual (as such term is defined in section
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101(g)(4)(B)).
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‘‘(4) COORDINATION WITH MEDICAL EXPENSE
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DEDUCTION.—For purposes of determining the
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amount of the deduction under section 213, any pay-
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ment or distribution out of a senior health planning
13
account for qualified health care expenses shall not
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be treated as an expense paid for medical care.
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‘‘(5) TRANSFER OF ACCOUNT INCIDENT TO DI-
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VORCE.—The transfer of an individual’s interest in
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a senior health planning account to an individual’s
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spouse or former spouse under a divorce or separa-
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tion instrument described in subparagraph (A) of
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section 71(b)(2) shall not be considered a taxable
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transfer made by such individual notwithstanding
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any other provision of this subtitle, and such interest
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shall, after such transfer, be treated as a senior
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health planning account with respect to which such
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spouse is the account beneficiary.
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‘‘(6) TREATMENT AFTER DEATH OF ACCOUNT
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BENEFICIARY.—
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‘‘(A) TREATMENT IF DESIGNATED BENE-
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FICIARY
IS
SPOUSE.—If the account bene-
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ficiary’s surviving spouse acquires such bene-
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ficiary’s interest in a senior health planning ac-
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count by reason of being the designated bene-
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ficiary of such account at the death of the ac-
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count beneficiary, such senior health planning
11
account shall be treated as if the spouse were
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the account beneficiary.
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‘‘(B) OTHER CASES.—
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‘‘(i) IN GENERAL.—If, by reason of
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the death of the account beneficiary, any
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person acquires the account beneficiary’s
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interest in a senior health planning ac-
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count in a case to which subparagraph (A)
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does not apply—
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‘‘(I) such account shall cease to
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be a senior health planning account as
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of the date of death, and
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‘‘(II) an amount equal to the fair
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market value of the assets in such ac-
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count on such date shall be includible
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if such person is not the estate of
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such beneficiary, in such person’s
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gross income for the taxable year
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which includes such date, or if such
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person is the estate of such bene-
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ficiary, in such beneficiary’s gross in-
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come for the last taxable year of such
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beneficiary.
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‘‘(ii) SPECIAL RULES.—
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‘‘(I) REDUCTION
OF
INCLUSION
11
FOR
PREDEATH
EXPENSES.—The
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amount includible in gross income
13
under clause (i) by any person (other
14
than the estate) shall be reduced by
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the amount of qualified health care
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expenses which were incurred by the
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decedent before the date of the dece-
18
dent’s death and paid by such person
19
within 1 year after such date.
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‘‘(II) DEDUCTION
FOR
ESTATE
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TAXES.—An
appropriate
deduction
22
shall be allowed under section 691(c)
23
to any person (other than the dece-
24
dent or the decedent’s spouse) with
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respect to amounts included in gross
1
income under clause (i) by such per-
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son.
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‘‘(c) DEFINITIONS.—For purposes of this sub-
4
section—
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‘‘(1) ACCOUNT
BENEFICIARY.—The term ‘ac-
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count beneficiary’ means, with respect to a senior
7
health planning account, the individual on whose be-
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half such account was established.
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‘‘(2) SENIOR HEALTH PLANNING ACCOUNT.—
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The term ‘senior health planning account’ means a
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trust created or organized in the United States as
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a senior health planning account, but only if the
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written governing instrument creating the trust
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meets the following requirements:
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‘‘(A) No contribution will be accepted un-
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less it is in cash and in consideration of the sale
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or assignment of any portion of the death bene-
18
fits under a life insurance contract on the life
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of the account beneficiary.
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‘‘(B) The trustee is a bank (as defined in
21
section 408(n)), an insurance company (as de-
22
fined in section 816), or another person who
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demonstrates to the satisfaction of the Sec-
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retary that the manner in which such person
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will administer the trust will be consistent with
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the requirements of this section.
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‘‘(C) No part of the trust assets will be in-
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vested in life insurance contracts.
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‘‘(D) The assets of the trust will not be
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commingled with other property except in a
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common trust fund or common investment
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fund.
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‘‘(E) The interest of an individual in the
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balance in his account is nonforfeitable.
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‘‘(3) QUALIFIED
HEALTH
CARE
EXPENSES.—
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The term ‘qualified health care expenses’ means,
12
with respect to an account beneficiary, amounts paid
13
by such beneficiary for medical care (as defined in
14
section 213(d)) for such individual and the spouse of
15
such individual, but only to the extent such amounts
16
are not compensated for by insurance or otherwise.’’.
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(b) CLERICAL AMENDMENT.—The table of sections
18
for part III of subchapter B of chapter 1 of such Code
19
is amended by inserting after the item relating to section
20
139G the following new item:
21
‘‘Sec. 139H. Senior health planning account.’’.
(c) EFFECTIVE DATE.—The amendments made by
22
this subsection shall apply with respect to sales or assign-
23
ments of life insurance contracts after the date of enact-
24
ment of this Act.
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(d) REPORTS.—The Secretary may require the trust-
1
ee of a senior health planning account to make such re-
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ports regarding such account to the Secretary and to the
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account beneficiary with respect to contributions, distribu-
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tions, and such other matters as the Secretary determines
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appropriate.
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Æ
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