‘‘(1) Heart disease, including congestive heart 
failure and coronary artery disease. 
‘‘(2) Diabetes. 
‘‘(3) Osteoporosis and osteopenia. 
‘‘(4) Hypertension. 
‘‘(5) Asthma. 
‘‘(6) Liver disease. 
‘‘(7) Bleeding disorders. 
‘‘(8) Depression. 
‘‘(c) CRITERIA SPECIFIED.—For purposes of sub-
section (a), the criteria specified in this subsection, with 
respect to an item or service and a chronic condition, are 
the following: 
‘‘(1) The item or service is low-cost. 
‘‘(2) There is medical evidence supporting high- 
cost efficiency, or a large expected impact, of the 
item or service in preventing exacerbation of the 
chronic condition or the development of a secondary 
condition. 
‘‘(3) There is a strong likelihood, documented 
by clinical evidence, that the item or service will pre-
vent the exacerbation of the chronic condition or the 
development of a secondary condition that requires 
significantly higher-cost treatments. 
‘‘(d) UPDATES.— 
VerDate Sep 11 2014 
02:37 Jul 24, 2021
Jkt 019200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H4371.IH
H4371
dlhill on DSK120RN23PROD with BILLS
‘‘(1) IN GENERAL.—Once every three years, the 
Secretary shall review and update— 
‘‘(A) the list of conditions included within 
the meaning of the term ‘chronic condition’ 
under subsection (b); and 
‘‘(B) the items and services determined to 
meet the criteria specified in subsection (c) for 
purposes of subsection (a). 
‘‘(2) APPLICATION OF UPDATES.—The require-
ment under subsection (a) shall apply with respect 
to an update made under paragraph (1) beginning 
with the first plan year beginning after the date of 
such update.’’. 
(c) IRC.— 
(1) IN
GENERAL.—Subchapter B of chapter 
100 of the Internal Revenue Code of 1986 is amend-
ed by adding at the end the following new section: 
‘‘SEC. 9826. COVERAGE OF ADDITIONAL PREVENTIVE CARE 
FOR INDIVIDUALS WITH CHRONIC CONDI-
TIONS WITHOUT IMPOSITION OF COST SHAR-
ING REQUIREMENTS. 
‘‘(a) IN GENERAL.—In addition to any item or serv-
ice described in section 2713(a) of the Public Health Serv-
ice Act, a group health plan shall, at a minimum, provide 
coverage for, and shall not impose any cost sharing re-
VerDate Sep 11 2014 
02:37 Jul 24, 2021
Jkt 019200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H4371.IH
H4371
dlhill on DSK120RN23PROD with BILLS
quirements for, with respect to individuals with chronic 
conditions (as defined in subsection (b)), such additional 
preventive care and screenings not described in paragraph 
(1) of such section 2713(a) that are determined by the 
Secretary to meet the criteria specified in subsection (c) 
with respect to the chronic condition involved. 
‘‘(b) CHRONIC CONDITION DEFINED.—In this sec-
tion, the term ‘chronic condition’ has the meaning given 
such term by the Secretary and, at a minimum, includes 
the following conditions: 
‘‘(1) Heart disease, including congestive heart 
failure and coronary artery disease. 
‘‘(2) Diabetes. 
‘‘(3) Osteoporosis and osteopenia. 
‘‘(4) Hypertension. 
‘‘(5) Asthma. 
‘‘(6) Liver disease. 
‘‘(7) Bleeding disorders. 
‘‘(8) Depression. 
‘‘(c) CRITERIA SPECIFIED.—For purposes of sub-
section (a), the criteria specified in this subsection, with 
respect to an item or service and a chronic condition, are 
the following: 
‘‘(1) The item or service is low-cost. 
VerDate Sep 11 2014 
02:37 Jul 24, 2021
Jkt 019200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H4371.IH
H4371
dlhill on DSK120RN23PROD with BILLS
‘‘(2) There is medical evidence supporting high- 
cost efficiency, or a large expected impact, of the 
item or service in preventing exacerbation of the 
chronic condition or the development of a secondary 
condition. 
‘‘(3) There is a strong likelihood, documented 
by clinical evidence, that the item or service will pre-
vent the exacerbation of the chronic condition or the 
development of a secondary condition that requires 
significantly higher-cost treatments. 
‘‘(d) UPDATES.— 
‘‘(1) IN GENERAL.—Once every three years, the 
Secretary shall review and update— 
‘‘(A) the list of conditions included within 
the meaning of the term ‘chronic condition’ 
under subsection (b); and 
‘‘(B) the items and services determined to 
meet the criteria specified in subsection (c) for 
purposes of subsection (a). 
‘‘(2) APPLICATION OF UPDATES.—The require-
ment under subsection (a) shall apply with respect 
to an update made under paragraph (1) beginning 
with the first plan year beginning after the date of 
such update.’’. 
VerDate Sep 11 2014 
02:37 Jul 24, 2021
Jkt 019200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H4371.IH
H4371
dlhill on DSK120RN23PROD with BILLS
(2) CLERICAL AMENDMENT.—The table of con-
tents for subchapter B of chapter 100 of such Code 
is amended by adding at the end the following new 
item: 
‘‘9826. Coverage of additional preventive care for individuals with chronic condi-
tions without imposition of cost sharing requirements.’’. 
(3) HIGH DEDUCTIBLE HEALTH PLANS.—Sec-
tion 223(c)(2)(C) of the Internal Revenue Code of 
1986 is amended by inserting ‘‘or for additional pre-
ventive care for individuals with chronic conditions 
described in section 9826’’ before the period. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to plan years begin-
ning on or after the date that is one year after the date 
of the enactment of this Act. 
Æ 
VerDate Sep 11 2014 
02:37 Jul 24, 2021
Jkt 019200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6301
E:\BILLS\H4371.IH
H4371
dlhill on DSK120RN23PROD with BILLS