S. 655 – Chronic Disease Management Act of 2023

AI-Generated Summary

Updated January 20, 2026 at 4:23 AM UTC

The Chronic Disease Management Act of 2023 changes the tax code so that high‑deductible health plans can cover preventive services for chronic illnesses before the enrollee’s deductible is met. It sets criteria for what qualifies as preventive care and lets insurers treat the receipt of such care as evidence of a chronic condition diagnosis, benefiting people with chronic diseases who are enrolled in these plans.

Key Provisions

Amends the Internal Revenue Code (Section 223(c)(2)) to add a new category of preventive care for chronic conditions that can be provided before an enrollee meets their high‑deductible health plan deductible.
Defines qualifying preventive services or items as low‑cost, supported by medical evidence showing they efficiently prevent worsening of a chronic condition or a secondary condition, and backed by clinical evidence that they are likely to avoid higher‑cost treatments.
Allows an enrollee who receives such prescribed preventive care to be presumed to have been diagnosed with the chronic condition for which the care is customarily prescribed.
The amendment takes effect for coverage periods beginning after the law is enacted.

Legislative Activity

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1 earlier action

SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text: CR S656)

Finance Committee

March 6, 2023

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SenateIntro Referral

Introduced in Senate

March 6, 2023

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text: CR S656)

Finance Committee

March 6, 2023

Floor Debate

1 member

What members said about S. 655 on the floor

1 Republican

Sen. John ThuneR-SD · Mar 6, 2023

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

Sen. John ThuneR-SD · Mar 6, 2023

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

Bill Text

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Introduced in SenateIssued March 6, 2023

II

118th CONGRESS

1st Session

S. 655

IN THE SENATE OF THE UNITED STATES

March 6, 2023

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 2023.

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.