May 20, 2026
Mr. Cramer (for himself and Mr. Curtis) introduced the following bill; which was read twice and referred to the Committee on Finance
To amend the Internal Revenue Code of 1986 to include dietary supplements as qualified medical expenses.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
Section 1. Short title
This Act may be cited as the Dietary Supplements Access Act
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Sec. 2. Inclusion of dietary supplements as qualified medical expenses
(a) HSAs
(1) In general
Section 223(d)(2)(A) of the Internal Revenue Code of 1986 is amended by adding at the end the following: For purposes of this paragraph, amounts paid for dietary supplements shall be treated as medical care to the extent that such amounts do not exceed $500 ($250 in the case of a married individual filing a separate return) for any taxable year.
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(2) Dietary supplements
Section 223(d)(2) of such Code is amended by adding at the end the following new subparagraph:
(E) Dietary supplement
For purposes of this paragraph—
(i) In general
The term dietary supplement has the meaning given such term under section 201(ff) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 321(ff)).
(ii) Exclusion
Such term shall not include any product marketed, labeled, or commonly understood to be an energy drink, soft drink, or soda.
(b) Archer MSAs
The last sentence of section 220(d)(2) of such Code is amended by adding at the end the following: For purposes of this paragraph, amounts paid for dietary supplements (as defined in section 220(d)(2)(E)) shall be treated as medical care to the extent that such amounts do not exceed $500 ($250 in the case of a married individual filing a separate return) for any taxable year.
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(c) Health flexible spending arrangements and health reimbursement arrangements
Section 106 of such Code is amended by adding at the end the following new subsection:
(h) Dietary supplements
For purposes of this section and section 105, expenses incurred for dietary supplements (as defined in section 223(d)(2)(D)) shall be treated as incurred for medical care to the extent that such amounts do not exceed $500 ($250 in the case of a married individual filing a separate return) for any taxable year.
(d) Effective dates
(1) Distributions from savings accounts
The amendment made by subsections (a) and (b) shall apply to amounts paid after December 31, 2026.
(2) Reimbursements
The amendment made by subsection (c) shall apply to expenses incurred after December 31, 2026.