Please note: In prior guidance, the IRS/Treasury have not included preventive care services or benefits meant to treat an existing condition. With Notice 2019-45 that is changing for the better.
- Under a notice issued Wednesday, July 17, 2019, HDHP enrollees can deduct contributions to a HSA (Health Savings Account) for some care and drugs for certain chronic conditions.
- This expansion is the Treasury Department’s response to the President’s Executive Order (from last month).
- Treasury Secretary Mnuchin said the expansion of preventive benefits “will enable more Americans to exercise greater control over their medical care.”
The U.S. Treasury has expanded preventive care benefits provided by high deductible health plans for some chronic conditions.
Under a notice issued Wednesday, July 17, 2019, HDHP enrollees can deduct contributions to a Health Savings Account for medical care and prescription drugs for conditions such as diabetes, asthma, depression, and heart failure. The expansion is the Treasury’s response to President Donald Trump’s executive order last month.
In prior guidance, the Internal Revenue Service and the Treasury have not included preventative care for services or benefits meant to treat an existing condition.
Notice 2019-45 provides that the following services and items for individuals with the specified chronic conditions listed are treated as preventive care.
|Preventive Care for Specified Conditions||For Individuals Diagnosed with|
|Angiotensin Converting Enzyme (ACE) inhibitors||Congestive heart failure, diabetes, and/or coronary artery disease|
|Anti-resorptive therapy||Osteoporosis and/or osteopenia|
|Beta-blockers||Congestive heart failure and/or coronary artery disease|
|Blood pressure monitor||Hypertension|
|Insulin and other glucose lowering agents||Diabetes|
|Peak flow meter||Asthma|
|Hemoglobin A1c testing||Diabetes|
|International Normalized Ratio (INR) testing||Liver disease and/or bleeding disorders|
|Low-density Lipoprotein (LDL) testing||Heart disease|
|Selective Serotonin Reuptake Inhibitors (SSRIs)||Depression|
|Statins||Heart disease and/or diabetes|
For additional questions and comments, please contact your Account Manager or Sales Executive. Thank you.
- IRS expands list of preventive care for HSA participants to include certain care for chronic conditions
- IRS Notice 2019-45