Text: H.R.2878 — 116th Congress (2019-2020)All Information (Except Text)

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Introduced in House (05/21/2019)

1st Session
H. R. 2878

To amend the Internal Revenue Code of 1986 to allow qualified distributions from health savings accounts for certain home care expenses.


May 21, 2019

Ms. Porter (for herself, Mr. Smith of Nebraska, Mr. Larson of Connecticut, and Mrs. Walorski) introduced the following bill; which was referred to the Committee on Ways and Means


To amend the Internal Revenue Code of 1986 to allow qualified distributions from health savings accounts for certain home care expenses.

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 “Homecare for Seniors Act”.

SEC. 2. Certain home care expenses treated as qualified distributions from health savings accounts.

(a) In general.—Section 223(d)(2) of the Internal Revenue Code of 1986 is amended—

(1) by striking “medical care (as defined in section 213(d)” in subparagraph (A) and inserting “specified medical care (as defined in subparagraph (D))”; and

(2) by adding at the end the following new subparagraph:

“(D) SPECIFIED MEDICAL CARE.—For purposes of this paragraph—

“(i) IN GENERAL.—The term ‘specified medical care’ means—

“(I) medical care (as defined in section 213(d)), and

“(II) qualified home care.

“(ii) QUALIFIED HOME CARE.—The term ‘qualified home care’ means a contract to provide three or more of the following services in the residence of the service recipient:

“(I) Assistance with eating.

“(II) Assistance with toileting.

“(III) Assistance with transferring.

“(IV) Assistance with bathing.

“(V) Assistance with dressing.

“(VI) Assistance with continence.

“(VII) Medication adherence.

Such term shall not include any contract unless the services provided pursuant to such contract 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.

“(iii) RELATED PARTIES.—The term ‘qualified home care’ shall not include any contract which is, directly or indirectly, between a service provider and a service recipient who are related within the meaning of section 267(b) or 707(b).”.

(b) Effective date.—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.

(c) Promotion of public awareness of in-Home service expenses eligible for tax-Free distribution from health savings accounts.—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.

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