,i  #aagth ,,congress  #b;d ,session    
,h4 ,r4 #gdhg  ,,in ,,the ,,house ,,of  
,,representatives  ,april #g1 #bjbb,ms4 
,sewell 7for herself1 ,mr4 ,wenstrup1   
,mr4 ,blumenauer1 and ,mr4 ,kelly of    
,pennsylvania7 introduced the following 
bill2 which was referred to the         
,committee on ,ways and ,means  ,a      
,,bill  ,to amend the ,internal ,revenue
 ,code of #aihf to clarify that         
individuals who have access to certain  
healthcare services through a worksite  
health clinic are eligible to make      
pre-tax contributions to a health       
savings account4  #a4 ,short title ,this
 ,act may be cited as the ,employee     
,access to ,worksite ,health ,services  
,act4  #b4 ,worksite health clinics  7a7
 ,in general ,paragraph 7#a7 of section 
#bbc7;c7 of the ,internal ,revenue ,code
 of #aihf is amended by adding at the   
end the following new subparagraph3     
7,e7 ,special rule for qualified items  
and services  7i7 ,in general ,for      
purposes of subparagraph 7,a77ii71 an   

individual shall not be treated as      
covered under a health plan merely      
because the individual is eligible to   
receive1 or receives1 qualified items   
and services at a healthcare facility   
located at a facility-- 7,i7 owned or   
leased by the employer of the individual
 7or of the individual's beneficiaries71
 or  7,,ii7 operated primarily for the  
benefit of such employer's employees4   
7ii7 ,qualified items and services      
defined ,for purposes of this           
subparagraph1 the term qualified items  
and services means the following3 7,i7  
,primary care items and services        
including physical examination4  7,,ii7 
,immunizations1 including injections of 
antigens provided by employees4  7,,iii7
 ,drugs1 biologicals1 and pharmacy      
services4  7,,iv7 ,treatment for        
injuries occurring in the course of     
employment4  7,v7 ,tests for conditions 
or infectious diseases4  7,,vi7         
,preventive care for chronic conditions 
7as defined in clause 7iv774  7,,vii7   

,drug testing4  7,,viii7 ,hearing1      
vision1 or dental screenings and related
 services4  7,,ix7 ,mental and          
behavioral health services4  7,x7 ,other
 similar items and services that do not 
provide significant benefits in the     
nature of medical care4  7iii7          
,aggregation ,for purposes of clause    
7i71 all persons treated as a single    
employer under subsection 7b71 7c71 7m71
 or 7o7 of section #dad shall be treated
 as a single employer4  7iv7 ,preventive
 care for chronic conditions ,for       
purposes of this subparagraph1 the term 
#8preventive care for chronic           
conditions' means any item or service   
specified in the ,appendix of ,internal 
,revenue ,service ,notice #bjai-de which
 is prescribed to treat an individual   
diagnosed with the associated chronic   
condition specified in such ,appendix   
for the purpose of preventing the       
exacerbation of such chronic condition  
or the development of a secondary       
condition1 including any amendment1     

addition1 removal1 or other modification
 made by the ,secretary to the items or 
services specified in such ,appendix    
subsequent to the date of enactment of  
this subparagraph4  4  7b7 ,effective   
date ,the amendment made by this section
 shall apply to months in taxable years 
beginning after the date of enactment of
 this ,act4