H.R. 138 (119th)Bill Overview

Lowering Costs for Caregivers Act of 2025

Taxation|Bank accounts, deposits, capitalFamily relationships
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

The bill (Lowering Costs for Caregivers Act of 2025) amends the Internal Revenue Code to allow taxpayers to use tax-advantaged health accounts to pay for medical care for a parent of the taxpayer or the taxpayer's spouse. It explicitly permits Health Savings Accounts (HSAs), Archer MSAs, health flexible spending arrangements (FSAs), and health reimbursement arrangements (HRAs) to cover parents' medical expenses without causing tax disallowance.

Why people may split

Left emphasizes equity and targeting; conservatives emphasize tax cost and regressivity.

Watch point

Relative to its intended legislative type, this bill is a narrowly scoped substantive change to the Internal Revenue Code that is expressed through targeted statutory insertions and effective dates.

The bill (Lowering Costs for Caregivers Act of 2025) amends the Internal Revenue Code to allow taxpayers to use tax-advantaged health accounts to pay for medical care for a parent of the taxpayer or the taxpayer's spouse.

It explicitly permits Health Savings Accounts (HSAs), Archer MSAs, health flexible spending arrangements (FSAs), and health reimbursement arrangements (HRAs) to cover parents' medical expenses without causing tax disallowance.

The changes apply to amounts or expenses incurred after December 31, 2024.

Passage50/100

Technically simple and noncontroversial, so moderate chance if bundled into larger tax/benefit package; standalone progress is less certain.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a narrowly scoped substantive change to the Internal Revenue Code that is expressed through targeted statutory insertions and effective dates. It is reasonably clear about the legal amendments required to allow certain caregiver-related medical expenses for parents to be treated as qualified under HSAs, FSAs/HRAs, and Archer MSAs.

Contention28/100

Left emphasizes equity and targeting; conservatives emphasize tax cost and regressivity.

02 · What it does

Who stands to gain, and who may push back.

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

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

Likely helped
  • Potential benefitLowers out-of-pocket eldercare costs by allowing pre-tax spending on parent medical expenses.
  • Potential benefitIncreases effective disposable income for households providing care to aging parents.
  • EmployersEncourages use of employer-offered FSAs, HRAs, and HSAs for multigenerational medical expenses.
Likely burdened
  • Federal agenciesReduces federal tax receipts to the extent taxpayers use pretax accounts for parent expenses.
  • EmployersImposes administrative and compliance costs on employers and plan administrators to revise plans.
  • WorkersBenefits predominantly accrue to workers with access to employer FSAs, HRAs, or HSAs.
03 · Why people split

Why the argument around this bill splits.

Left emphasizes equity and targeting; conservatives emphasize tax cost and regressivity.
Progressive90%

Likely supportive because the bill reduces out-of-pocket costs for family caregivers and helps eldercare affordability.

They will note the bill advances caregiving support but may worry it mainly benefits those who already use tax-preferred accounts.

Leans supportive
Centrist70%

Generally favorable as a pragmatic, targeted change to help families afford parental medical care.

Would seek cost estimates, technical clarifications, and guardrails to prevent abuse or unintended tax complexity.

Leans supportive
Conservative65%

Mixed but cautiously receptive: the bill supports family responsibility and caregiving outside government benefit programs.

However, it expands tax preferences and could increase complexity and long-term revenue loss.

Split reaction
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 likelihood50/100

Technically simple and noncontroversial, so moderate chance if bundled into larger tax/benefit package; standalone progress is less certain.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No cost estimate or CBO score included
  • Exact interaction with dependency rules is 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

Left emphasizes equity and targeting; conservatives emphasize tax cost and regressivity.

Technically simple and noncontroversial, so moderate chance if bundled into larger tax/benefit package; standalone progress is less certain.

Unlocked analysis

Relative to its intended legislative type, this bill is a narrowly scoped substantive change to the Internal Revenue Code that is expressed through targeted statutory insertions and effective dates. It is reasonably cle…

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

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis