S. 1424Senate117th Congress (2021-2023)In Committee

Chronic Disease Management Act of 2021

Sponsored by John ThuneSen. John Thune (R-SD)
Introduced April 28, 2021

AI-Generated Summary

Updated February 8, 2026 at 2:18 AM UTC

The Chronic Disease Management Act of 2021 changes the tax code so that high‑deductible health plans can cover preventive services for chronic illnesses before an enrollee meets their deductible. It aims to make low‑cost, evidence‑based care available earlier, helping people with chronic conditions avoid costly flare‑ups. The rule applies to plan participants and insurers offering such plans.

Key Provisions

  • Adds a new subparagraph (F) to the definition of preventive care, covering services or items for chronic conditions that are low‑cost and backed by medical evidence of cost‑effectiveness.
  • Specifies that the preventive service must have clinical evidence showing it is likely to prevent worsening of the chronic condition or a secondary condition that would require expensive treatment.
  • Allows a person prescribed such preventive care to be presumed diagnosed with the chronic condition for tax‑benefit purposes.
  • The amendment takes effect for coverage periods beginning after the law is enacted.

Legislative Activity

Stay on top of the latest movement without scrolling through every action

1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text: CR S2295)

April 28, 2021

View full timeline
SenateIntro Referral

Introduced in Senate

April 28, 2021

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text: CR S2295)

April 28, 2021

Floor Debate

4 members

What members said about S. 1424 on the floor

2 Republicans2 Democrats
Susan M. Collins
Sen. Susan M. CollinsR-ME · Apr 28, 2021

Mr. President, I rise today to reintroduce the Justice for the Living victims of Lockerbie Act. This bill would create a process to seek justice for a group Pan American World Airways pilots who lost…

Alex Padilla
Sen. Alex PadillaD-CA · Apr 28, 2021

Mr. President, I rise to join Senator Cornyn in introducing the ``Preventing Outages With Enhanced Resilience and Operations Nationwide (POWER ON) Act of 2021''. This legislation would authorize the…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Apr 28, 2021

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

John Thune
Sen. John ThuneR-SD · Apr 28, 2021

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued April 28, 2021

II

117th CONGRESS

1st Session

S. 1424

IN THE SENATE OF THE UNITED STATES

April 28, 2021

Mr. Thune (for himself and Mr. Carper) introduced the following bill; which was read twice and referred to the Committee on Finance

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.

1.

Short title

This Act may be cited as the Chronic Disease Management Act of 2021.

2.

Chronic disease prevention

(a)

In general

Section 223(c)(2) of the Internal Revenue Code of 1986 is amended by adding at the end the following:

(F)

Preventive care services and items for chronic conditions

For purposes of subparagraph (C)—

(i)

preventive care shall include any service or item used to treat an individual with a chronic condition if—

(I)

such service or item is low-cost,

(II)

in regards to such service or item, there is medical evidence supporting high cost efficiency of preventing exacerbation of the chronic condition or the development of a secondary condition, and

(III)

there is a strong likelihood, documented by clinical evidence, that with respect to the class of individuals utilizing such service or item, the specific service or use of the item will prevent the exacerbation of the chronic condition or the development of a secondary condition that requires significantly higher cost treatments, and

(ii)

an individual who has been prescribed preventive care for any chronic condition may be presumed to have been diagnosed with such condition if such preventive care is customarily prescribed for such condition.

.

(b)

Effective date

The amendment made by this section shall apply to coverage for months beginning after the date of the enactment of this Act.