H.R. 111 (119th)Bill Overview

To amend the Internal Revenue Code of 1986 to allow an above-the-line deduction for health insurance premiums.

Taxation|Health care costs and insuranceIncome tax deductions
Cosponsors
Support
Republican
Introduced
Jan 3, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Ways and Means.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill adds a new section to the Internal Revenue Code allowing individuals to deduct health insurance premiums for themselves, their spouse, and dependents as an above-the-line deduction. The deduction is not to be counted when determining any other deduction or credit under the tax code.

Why people may split

Liberals emphasize regressivity and deficit risk; conservatives emphasize tax relief.

Watch point

Relative to its intended legislative type, this bill clearly and directly amends the Internal Revenue Code to create an above‑the‑line deduction for health insurance premiums, placing the new provision into the statutory structure with an explicit effective date.

This bill adds a new section to the Internal Revenue Code allowing individuals to deduct health insurance premiums for themselves, their spouse, and dependents as an above-the-line deduction.

The deduction is not to be counted when determining any other deduction or credit under the tax code.

The change applies to taxable years beginning after December 31, 2024.

Passage35/100

Narrow and administratively simple but high fiscal cost and no built-in offsets reduce bipartisan appeal and complicate enactment.

CredibilityMisaligned

Relative to its intended legislative type, this bill clearly and directly amends the Internal Revenue Code to create an above‑the‑line deduction for health insurance premiums, placing the new provision into the statutory structure with an explicit effective date. The statutory drafting specifies where to insert the new deduction and prevents double counting, but it leaves many practical and fiscal issues unaddressed.

Contention65/100

Liberals emphasize regressivity and deficit risk; conservatives emphasize tax relief.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Taxpayers · EmployersFederal agencies

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • TaxpayersLowers taxable income for taxpayers who pay their own health insurance premiums.
  • EmployersLikely benefits self-employed and individually insured households who currently lack employer coverage.
  • ConsumersMay increase disposable income, potentially raising consumer spending among premium-paying households.
Likely burdened
  • Federal agenciesReduces federal tax revenues and may increase budget deficits absent offsets.
  • Potential burdenCould create administrative and compliance burdens for IRS reporting and verification of premiums.
  • Potential burdenMay interact unpredictably with means-tested tax credits and premium tax credit calculations.
03 · Why people split

Why the argument around this bill splits.

Liberals emphasize regressivity and deficit risk; conservatives emphasize tax relief.
Progressive35%

Sees expanding an above-the-line deduction as helpful in principle for people buying coverage directly, but worries about distributional and budgetary effects.

Likely to press for targeting low-income households and offsets to avoid increasing deficits.

Notes the bill’s clause preventing the deduction from affecting other credits raises questions about interactions with the ACA premium tax credit.

Likely resistant
Centrist55%

Views the bill as a straightforward tax-policy change that could simplify access to a tax benefit for many taxpayers.

Wants fiscal realism: CBO scoring and offsets or limits to contain revenue loss.

Concerned about how the anti-interaction language will operate in practice with ACA calculations.

Split reaction
Conservative80%

Favors the bill as a tax relief measure that expands individual control and reduces tax burdens for those buying health insurance.

Appreciates the above-the-line treatment and the explicit prevention of double-counting with other credits.

Main remaining concern is fiscal impact, but tax relief and market choice are prioritized.

Leans supportive
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood35/100

Narrow and administratively simple but high fiscal cost and no built-in offsets reduce bipartisan appeal and complicate enactment.

Scope and complexity
52%
Scopemoderate
24%
Complexitylow
Why this could stall
  • Estimated budgetary cost not provided in text
  • Interaction with current self-employed deduction rules unclear
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Liberals emphasize regressivity and deficit risk; conservatives emphasize tax relief.

Narrow and administratively simple but high fiscal cost and no built-in offsets reduce bipartisan appeal and complicate enactment.

Unlocked analysis

Relative to its intended legislative type, this bill clearly and directly amends the Internal Revenue Code to create an above‑the‑line deduction for health insurance premiums, placing the new provision into the statutor…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

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