HSA Employer Flexibility Act
A BILL
To amend the Internal Revenue Code of 1986 to allow certain kinds of insurance and health care for individuals allowed a deduction for contributions to a health savings account.
Sec. 2 Excepted benefits allowed as permitted insurance
“(B) insurance consisting of coverage of excepted benefits described in section 9832(c),”
Sec. 3 On-site employee clinics and retail clinics
“(D) Special rule for qualified items and services
“(i) In general—For purposes of subparagraph (A)(ii), an individual shall not be treated as covered under a health plan described in subclauses (I) and (II) of such subparagraph merely because the individual is eligible to receive, or receives, qualified items and services—
“(I) at a healthcare facility located at a facility owned or leased by the employer of the individual (or of the individual's spouse),
“(II) at a healthcare facility operated primarily for the benefit of employees of the employer of the individual (or of the individual's spouse), or
“(III) at a retail health clinic.
“(ii) Qualified items and services defined—For purposes of this subparagraph, the term qualified items and services means the following:
“(I) Physical examination.
“(II) Immunizations, including injections of antigens provided by employees.
“(III) Drugs or biologicals other than a prescribed drug (as such term is defined in section 213(d)(3)).
“(IV) Treatment for injuries occurring in the course of employment.
“(V) Tests for conditions or infectious diseases.
“(VI) Management of chronic conditions or diseases.
“(VII) Drug testing.
“(VIII) Hearing or vision screenings and related services.
“(IX) Other similar items and services.
“(iii) Retail health clinic defined—For purposes of this subparagraph, the term retail health clinic means a health care facility located within a supermarket, pharmacy, or similar retail establishment that offers medical care by a licensed healthcare provider.
“(iv) Aggregation—For purposes of clause (i), all persons treated as a single employer under subsection (b), (c), (m), or (o) of section 414 shall be treated as a single employer.”
Sec. 4 Safe harbor for absence of telehealth deductible
“(E) Safe harbor for absence of telehealth deductible—A plan shall not fail to be treated as a high deductible health plan by reason of failing to have a deductible for telehealth services.”