United States 119th Congress Status: In Committee Bipartisan · 3 D · 1 R cosponsors
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HR 4243 — Homecare for Seniors Act

Last action — Referred to the House Committee on Ways and Means.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced June 27, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 40% · high confidence

  • In Committee

    Current position in the legislative process.

  • 4 sponsors

    1 primary, 3 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (3 D · 1 R) — cross-party backing.

  • Spreading across states

    Near-identical bills in 1 other state — cross-state momentum.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill allows health savings account money for certain home care expenses.

This bill amends the tax code to permit qualified distributions from health savings accounts for specific home care services. It aims to expand access to in-home care for seniors while promoting awareness of eligible expenses.

What this means for you
  • Seniors: This may provide seniors with greater access to home care services funded through health savings accounts.

Bill Text

How this bill changes current law

2 changes Share ↗

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

This bill allows certain home care expenses to be considered qualified distributions from health savings accounts.

  • Section 223(d)(2)

    medical care (as defined in section 213(d)) → specified medical care

    Changes the terminology for qualified distributions from health savings accounts to include specified medical care.

  • Section 223(d)(2)

    (E) Specified medical care.--For purposes of this paragraph-- (i) In general.--The term `specified medical care' means medical care (as defined in section 213(d)) and qualified home care. (ii) Qualified home care.--The term `qualified home care' means a contract to provide 3 or more of the following services in the residence of the service recipient: (I) Assistance with eating. (II) Assistance with toileting. (III) Assistance with transferring. (IV) Assistance with bathing. (V) Assistance with dressing. (VI) Assistance with continence. (VII) Medication adherence. Such term shall not include any contract unless the services provided pursuant to such contract are provided by a service provider which is licensed by the State to provide such services or such services are otherwise provided in a manner that is consistent with State requirements. (iii) Related parties.--The term `qualified home care' shall not include any contract which is, directly or indirectly, between a service provider and a service recipient who are related within the meaning of section 267(b) or 707(b).

    Adds a new definition for specified medical care, which includes qualified home care services that meet specific criteria.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Ways and Means.

Sponsors

Sponsorship breakdown

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1 sponsors · 3 co-sponsors · 543 not signed on

Sponsors (1)

Co-sponsors (3)

Not signed on (543)

543 members have not signed on to this bill.

Show all 543 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

housing healthcare labor

Similar bills in other states

Bills in other jurisdictions that match this one by MEANING — title, summary and subject, compared across every state we track. A strong signal the same policy is moving elsewhere.

Pick a bill from “Similar bills” above and click Compare text to see how its language differs from HR 4243.

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Frequently asked questions

Who sponsors HR 4243?
HR 4243 is sponsored by Panetta, Jimmy (Democratic), Vindman, Eugene Simon (Democratic), Neguse, Joe (Democratic), and Smith, Adrian (Republican).
What is the current status of HR 4243?
This bill is in committee in the House. Introduced June 27, 2025. It must pass committee before a floor vote.
Where can I track HR 4243?
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Last checked for changes 3 months ago · updated continuously

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