Bills · HR 4243
IN COMMITTEE· 119TH CONGRESS
House BillHR 4243Taxation
Homecare for Seniors Act
INTRO JUN 27· LAST ACTION JUN 27
READING
2MIN
COSPONSORS
3
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because the cost of long-term care, especially in-home care, is a major financial challenge for many American families. Without this bill, people often have to pay for non-medical home care services out-of-pocket, or rely on other means, even if they have substantial savings in a Health Savings Account.
If this bill becomes law, it would allow people to use tax-free funds from their HSAs for critical services that enable seniors and others to age in place and maintain their independence at home. This could prevent premature moves to nursing homes, reduce financial stress on caregivers, and potentially improve the quality of life for many individuals. If it doesn't pass, families will continue to face the same financial hurdles for these essential non-medical home care services, limiting choices for care.
KEY PROVISIONS
4AI-extractedPROVISION 01
Amends the Internal Revenue Code to expand the definition of "specified medical care" for Health Savings Accounts (HSAs) to include "qualified home care."
This is the core change, allowing HSA funds to be used for non-medical in-home care for the first time.
PROVISION 02
Defines "qualified home care" as a contract to provide three or more specific services in a person's residence, such as assistance with eating, bathing, or medication adherence.
This clearly outlines what types of home care services are eligible, providing clarity for individuals and providers.
PROVISION 03
Requires qualified home care services to be provided by a state-licensed service provider and prohibits contracts between related parties (e.g., family members).
These conditions aim to ensure quality of care and prevent potential misuse or fraud.
PROVISION 04
Directs the Secretary of Health and Human Services, in consultation with the Secretary of the Treasury, to conduct a public awareness campaign about these new eligible expenses.
This ensures that people are informed about the expanded use of their HSA funds for home care.
SPONSORSHIP
1 + 3
R· Nebraska
YRS IN OFFICE
19
BILLS LED
26
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 3 REP 0 IND 0
ACTION TIMELINE
2 EVENTSJUN 27
Introduced in House
JUN 27
Referred to the House Committee on Ways and Means.
BILL INFO
TypeHouse Bill
NumberHR 4243
Congress119th
StatusIn Committee
IntroducedJun 27, 2025
Last actionJun 27, 2025
READER REACTIONS
OVERALL SENTIMENT
No reactions yet. Be the first to weigh in.
Discussion
Loading comments...
IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED JUN 27, 2025
House BillHR 4243Taxation
Homecare for Seniors Act
INTRODUCED JUN 27, 2025· LAST ACTION JUN 27, 2025
PASSAGE CHANCES
—%
READING
2 min
COSPONSORS
3
COMPLEXITY
Moderate
