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26 U.S.C. § 213 — Medical, dental, etc., expenses

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26 U.S.C. § 213 — Medical, dental, etc., expenses

Page 937 TITLE 26—INTERNAL REVENUE CODE § 213 1962—Pub. L. 87–834, § 28(b), Oct. 16, 1962, 76 Stat. 1068, substituted ‘‘Deduction of taxes, interest, and business depreciation by cooperative housing corporation ten- ant-stockholder’’ for ‘‘Amounts representing taxes and interest paid to cooperative housing corporation’’ in item 216. § 211. Allowance of deductions In computing taxable income under section 63, there shall be allowed as deductions the items specified in this part, subject to the exceptions provided in part IX (section 261 and following, relating to items not deductible). (Aug. 16, 1954, ch. 736, 68A Stat. 69; Pub. L. 95–30, title I, § 102(b)(3), May 23, 1977, 91 Stat. 137.) Editorial Notes AMENDMENTS 1977—Pub. L. 95–30 substituted ‘‘section 63’’ for ‘‘sec- tion 63(a)’’. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF 1977 AMENDMENT Amendment by Pub. L. 95–30 applicable to taxable years beginning after Dec. 31, 1976, see section 106(a) of Pub. L. 95–30, set out as a note under section 1 of this title. § 212. Expenses for production of income In the case of an individual, there shall be al- lowed as a deduction all the ordinary and nec- essary expenses paid or incurred during the tax- able year— (1) for the production or collection of in- come; (2) for the management, conservation, or maintenance of property held for the produc- tion of income; or (3) in connection with the determination, collection, or refund of any tax. (Aug. 16, 1954, ch. 736, 68A Stat. 69.) Statutory Notes and Related Subsidiaries DENIAL OF DEDUCTION FOR AMOUNTS PAID OR IN- CURRED ON JUDGMENTS IN SUITS BROUGHT TO RE- COVER PRICE INCREASES IN PURCHASE OF NEW PRIN- CIPAL RESIDENCE No deductions to be allowed in computing taxable in- come for two-third

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Page 937 TITLE 26—INTERNAL REVENUE CODE § 213 1962—Pub. L. 87–834, § 28(b), Oct. 16, 1962, 76 Stat. 1068, substituted ‘‘Deduction of taxes, interest, and business depreciation by cooperative housing corporation ten- ant-stockholder’’ for ‘‘Amounts representing taxes and interest paid to cooperative housing corporation’’ in item 216. § 211. Allowance of deductions In computing taxable income under section 63, there shall be allowed as deductions the items specified in this part, subject to the exceptions provided in part IX (section 261 and following, relating to items not deductible). (Aug. 16, 1954, ch. 736, 68A Stat. 69; Pub. L. 95–30, title I, § 102(b)(3), May 23, 1977, 91 Stat. 137.) Editorial Notes AMENDMENTS 1977—Pub. L. 95–30 substituted ‘‘section 63’’ for ‘‘sec- tion 63(a)’’. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF 1977 AMENDMENT Amendment by Pub. L. 95–30 applicable to taxable years beginning after Dec. 31, 1976, see section 106(a) of Pub. L. 95–30, set out as a note under section 1 of this title. § 212. Expenses for production of income In the case of an individual, there shall be al- lowed as a deduction all the ordinary and nec- essary expenses paid or incurred during the tax- able year— (1) for the production or collection of in- come; (2) for the management, conservation, or maintenance of property held for the produc- tion of income; or (3) in connection with the determination, collection, or refund of any tax. (Aug. 16, 1954, ch. 736, 68A Stat. 69.) Statutory Notes and Related Subsidiaries DENIAL OF DEDUCTION FOR AMOUNTS PAID OR IN- CURRED ON JUDGMENTS IN SUITS BROUGHT TO RE- COVER PRICE INCREASES IN PURCHASE OF NEW PRIN- CIPAL RESIDENCE No deductions to be allowed in computing taxable in- come for two-thirds of any amount paid or incurred on a judgment entered against any person in a suit brought under section 208(b) of Pub. L. 94–12, see sec- tion 208(c) of Pub. L. 94–12, set out as a note under sec- tion 44 of this title. § 213. Medical, dental, etc., expenses (a) Allowance of deduction There shall be allowed as a deduction the ex- penses paid during the taxable year, not com- pensated for by insurance or otherwise, for med- ical care of the taxpayer, his spouse, or a de- pendent (as defined in section 152, determined without regard to subsections (b)(1), (b)(2), and (d)(1)(B) thereof), to the extent that such ex- penses exceed 7.5 percent of adjusted gross in- come. (b) Limitation with respect to medicine and drugs An amount paid during the taxable year for medicine or a drug shall be taken into account under subsection (a) only if such medicine or drug is a prescribed drug or is insulin. (c) Special rule for decedents (1) Treatment of expenses paid after death For purposes of subsection (a), expenses for the medical care of the taxpayer which are paid out of his estate during the 1-year period beginning with the day after the date of his death shall be treated as paid by the taxpayer at the time incurred. (2) Limitation Paragraph (1) shall not apply if the amount paid is allowable under section 2053 as a deduc- tion in computing the taxable estate of the de- cedent, but this paragraph shall not apply if (within the time and in the manner and form prescribed by the Secretary) there is filed— (A) a statement that such amount has not been allowed as a deduction under section 2053, and (B) a waiver of the right to have such amount allowed at any time as a deduction under section 2053. (d) Definitions For purposes of this section— (1) The term ‘‘medical care’’ means amounts paid— (A) for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body, (B) for transportation primarily for and es- sential to medical care referred to in sub- paragraph (A), (C) for qualified long-term care services (as defined in section 7702B(c)), or (D) for insurance (including amounts paid as premiums under part B of title XVIII of the Social Security Act, relating to supple- mentary medical insurance for the aged) covering medical care referred to in subpara- graphs (A) and (B) or for any qualified long- term care insurance contract (as defined in section 7702B(b)). In the case of a qualified long-term care insur- ance contract (as defined in section 7702B(b)), only eligible long-term care premiums (as de- fined in paragraph (10)) shall be taken into ac- count under subparagraph (D). (2) AMOUNTS PAID FOR CERTAIN LODGING AWAY FROM HOME TREATED AS PAID FOR MEDICAL CARE.—Amounts paid for lodging (not lavish or extravagant under the circumstances) while away from home primarily for and essential to medical care referred to in paragraph (1)(A) shall be treated as amounts paid for medical care if— (A) the medical care referred to in para- graph (1)(A) is provided by a physician in a licensed hospital (or in a medical care facil- ity which is related to, or the equivalent of, a licensed hospital), and (B) there is no significant element of per- sonal pleasure, recreation, or vacation in the travel away from home. The amount taken into account under the pre- ceding sentence shall not exceed $50 for each night for each individual. Page 938 TITLE 26—INTERNAL REVENUE CODE § 213 (3) PRESCRIBED DRUG.—The term ‘‘prescribed drug’’ means a drug or biological which re- quires a prescription of a physician for its use by an individual. (4) PHYSICIAN.—The term ‘‘physician’’ has the meaning given to such term by section 1861(r) of the Social Security Act (42 U.S.C. 1395x(r)). (5) SPECIAL RULE IN THE CASE OF CHILD OF DI- VORCED PARENTS, ETC.—Any child to whom sec- tion 152(e) applies shall be treated as a depend- ent of both parents for purposes of this sec- tion. (6) In the case of an insurance contract under which amounts are payable for other than medical care referred to in subparagraphs (A), (B), and (C) of paragraph (1)— (A) no amount shall be treated as paid for insurance to which paragraph (1)(D) applies unless the charge for such insurance is ei- ther separately stated in the contract, or furnished to the policyholder by the insur- ance company in a separate statement, (B) the amount taken into account as the amount paid for such insurance shall not ex- ceed such charge, and (C) no amount shall be treated as paid for such insurance if the amount specified in the contract (or furnished to the policyholder by the insurance company in a separate state- ment) as the charge for such insurance is un- reasonably large in relation to the total charges under the contract. (7) Subject to the limitations of paragraph (6), premiums paid during the taxable year by a taxpayer before he attains the age of 65 for insurance covering medical care (within the meaning of subparagraphs (A), (B), and (C) of paragraph (1)) for the taxpayer, his spouse, or a dependent after the taxpayer attains the age of 65 shall be treated as expenses paid during the taxable year for insurance which con- stitutes medical care if premiums for such in- surance are payable (on a level payment basis) under the contract for a period of 10 years or more or until the year in which the taxpayer attains the age of 65 (but in no case for a pe- riod of less than 5 years). (8) The determination of whether an indi- vidual is married at any time during the tax- able year shall be made in accordance with the provisions of section 6013(d) (relating to deter- mination of status as husband and wife). (9) COSMETIC SURGERY.— (A) IN GENERAL.—The term ‘‘medical care’’ does not include cosmetic surgery or other similar procedures, unless the surgery or procedure is necessary to ameliorate a de- formity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or dis- figuring disease. (B) COSMETIC SURGERY DEFINED.—For pur- poses of this paragraph, the term ‘‘cosmetic surgery’’ means any procedure which is di- rected at improving the patient’s appearance and does not meaningfully promote the proper function of the body or prevent or treat illness or disease. (10) ELIGIBLE LONG-TERM CARE PREMIUMS.— (A) IN GENERAL.—For purposes of this sec- tion, the term ‘‘eligible long-term care pre- miums’’ means the amount paid during a taxable year for any qualified long-term care insurance contract (as defined in section 7702B(b)) covering an individual, to the ex- tent such amount does not exceed the limi- tation determined under the following table: In the case of an individual with an attained age before the close of the taxable year of: The limi- tation is: 40 or less ............................................... $ 200 More than 40 but not more than 50 ....... 375 More than 50 but not more than 60 ....... 750 More than 60 but not more than 70 ....... 2,000 More than 70 ........................................ 2,500. (B) INDEXING.— (i) IN GENERAL.—In the case of any tax- able year beginning in a calendar year after 1997, each dollar amount contained in subparagraph (A) shall be increased by the medical care cost adjustment of such amount for such calendar year. If any in- crease determined under the preceding sentence is not a multiple of $10, such in- crease shall be rounded to the nearest mul- tiple of $10. (ii) MEDICAL CARE COST ADJUSTMENT.— For purposes of clause (i), the medical care cost adjustment for any calendar year is the percentage (if any) by which— (I) the medical care component of the C-CPI-U (as defined in section 1(f)(6)) for August of the preceding calendar year, exceeds (II) such component of the CPI (as de- fined in section 1(f)(4)) for August of 1996, multiplied by the amount determined under section 1(f)(3)(B). The Secretary shall, in consultation with the Secretary of Health and Human Serv- ices, prescribe an adjustment which the Secretary determines is more appropriate for purposes of this paragraph than the ad- justment described in the preceding sen- tence, and the adjustment so prescribed shall apply in lieu of the adjustment de- scribed in the preceding sentence. (11) CERTAIN PAYMENTS TO RELATIVES TREAT- ED AS NOT PAID FOR MEDICAL CARE.—An amount paid for a qualified long-term care service (as defined in section 7702B(c)) provided to an in- dividual shall be treated as not paid for med- ical care if such service is provided— (A) by the spouse of the individual or by a relative (directly or through a partnership, corporation, or other entity) unless the serv- ice is provided by a licensed professional with respect to such service, or (B) by a corporation or partnership which is related (within the meaning of section 267(b) or 707(b)) to the individual. For purposes of this paragraph, the term ‘‘rel- ative’’ means an individual bearing a relation- ship to the individual which is described in any of subparagraphs (A) through (G) of sec- tion 152(d)(2). This paragraph shall not apply for purposes of section 105(b) with respect to reimbursements through insurance. Page 939 TITLE 26—INTERNAL REVENUE CODE § 213 (e) Exclusion of amounts allowed for care of cer- tain dependents Any expense allowed as a credit under section 21 shall not be treated as an expense paid for medical care. (Aug. 16, 1954, ch. 736, 68A Stat. 69; Pub. L. 85–866, title I, §§ 16, 17(a), (b), Sept. 2, 1958, 72 Stat. 1613, 1614; Pub. L. 86–470, § 3(a), May 14, 1960, 74 Stat. 133; Pub. L. 87–863, § 1(a), (b), Oct. 23, 1962, 76 Stat. 1141; Pub. L. 88–272, title II, § 211(a), Feb. 26, 1964, 78 Stat. 49; Pub. L. 89–97, title I, § 106(a)–(d)(1), July 30, 1965, 79 Stat. 336, 337; Pub. L. 94–455, title V, § 504(c)(1), title XIX, § 1906(b)(13)(A), Oct. 4, 1976, 90 Stat. 1565, 1834; Pub. L. 97–248, title II, § 202(a)–(b)(3)(B), Sept. 3, 1982, 96 Stat. 421; Pub. L. 98–369, div. A, title IV, §§ 423(b)(1), (3), 474(r)(9), 482(a), (b)(1), title VII, § 711(b), July 18, 1984, 98 Stat. 800, 841, 847, 848, 943; Pub. L. 99–514, title I, § 133, Oct. 22, 1986, 100 Stat. 2116; Pub. L. 101–508, title XI, §§ 11111(d)(1), 11342(a), Nov. 5, 1990, 104 Stat. 1388–412, 1388–471; Pub. L. 103–66, title XIII, § 13131(d)(3), Aug. 10, 1993, 107 Stat. 435; Pub. L. 104–191, title III, § 322(a)–(b)(2)(A), (C), (3), (4), Aug. 21, 1996, 110 Stat. 2060–2062; Pub. L. 108–311, title II, § 207(17), (18), Oct. 4, 2004, 118 Stat. 1177; Pub. L. 111–148, title IX, § 9013(a), (b), Mar. 23, 2010, 124 Stat. 868; Pub. L. 115–97, title I, §§ 11002(d)(7), 11027(a), Dec. 22, 2017, 131 Stat. 2061, 2077; Pub. L. 116–94, div. Q, title I, § 103(a), Dec. 20, 2019, 133 Stat. 3228; Pub. L. 116–260, div. EE, title I, § 101(a), Dec. 27, 2020, 134 Stat. 3039.) INFLATION ADJUSTED ITEMS FOR CERTAIN YEARS For inflation adjustment of certain items in this section, see Revenue Procedures listed in a table under section 1 of this title. Editorial Notes REFERENCES IN TEXT The Social Security Act, referred to in subsec. (d)(1)(D), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Part B of title XVIII of the Social Security Act is classified generally to part B (§ 1395j et seq.) of subchapter XVIII of chapter 7 of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see section 1305 of Title 42 and Tables. AMENDMENTS 2020—Subsec. (a). Pub. L. 116–260, § 101(a)(1), sub- stituted ‘‘7.5 percent’’ for ‘‘10 percent’’. Subsec. (f). Pub. L. 116–260, § 101(a)(2), struck out sub- sec. (f). Text read as follows: ‘‘In the case of taxable years beginning before January 1, 2021, subsection (a) shall be applied with respect to a taxpayer by sub- stituting ‘7.5 percent’ for ‘10 percent’.’’ 2019—Subsec. (f). Pub. L. 116–94 amended subsec. (f) generally. Prior to amendment, subsec. (f) provided that subsec. (a) was to be applied with respect to a tax- payer by substituting ‘‘7.5 percent’’ for ‘‘10 percent’’ under certain special rules for 2013 through 2018. 2017—Subsec. (d)(10)(B)(ii). Pub. L. 115–97, § 11002(d)(7), reenacted heading and introductory provisions without change and amended subcls. (I) and (II) generally. Prior to amendment, subcls. (I) and (II) read as follows: ‘‘(I) the medical care component of the Consumer Price Index (as defined in section 1(f)(5)) for August of the preceding calendar year, exceeds ‘‘(II) such component for August of 1996.’’ Subsec. (f). Pub. L. 115–97, § 11027(a), amended subsec. (f) generally. Prior to amendment, text read as follows: ‘‘In the case of any taxable year beginning after De- cember 31, 2012, and ending before January 1, 2017, sub- section (a) shall be applied with respect to a taxpayer by substituting ‘7.5 percent’ for ‘10 percent’ if such tax- payer or such taxpayer’s spouse has attained age 65 be- fore the close of such taxable year.’’ 2010—Subsec. (a). Pub. L. 111–148, § 9013(a), substituted ‘‘10 percent’’ for ‘‘7.5 percent’’. Subsec. (f). Pub. L. 111–148, § 9013(b), added subsec. (f). 2004—Subsec. (a). Pub. L. 108–311, § 207(17), inserted ‘‘, determined without regard to subsections (b)(1), (b)(2), and (d)(1)(B) thereof’’ after ‘‘section 152’’. Subsec. (d)(11). Pub. L. 108–311, § 207(18), substituted ‘‘subparagraphs (A) through (G) of section 152(d)(2)’’ for ‘‘paragraphs (1) through (8) of section 152(a)’’ in con- cluding provisions. 1996—Subsec. (d)(1). Pub. L. 104–191, § 322(b)(2)(A), in- serted concluding provisions ‘‘In the case of a qualified long-term care insurance contract (as defined in sec- tion 7702B(b)), only eligible long-term care premiums (as defined in paragraph (10)) shall be taken into ac- count under subparagraph (D).’’ Subsec. (d)(1)(B). Pub. L. 104–191, § 322(a), struck out ‘‘or’’ at end. Subsec. (d)(1)(C). Pub. L. 104–191, § 322(a), added sub- par. (C). Former subpar. (C) redesignated (D). Subsec. (d)(1)(D). Pub. L. 104–191, § 322(b)(1), inserted before period ‘‘or for any qualified long-term care in- surance contract (as defined in section 7702B(b))’’. Pub. L. 104–191, § 322(a), redesignated subpar. (C) as (D). Subsec. (d)(6). Pub. L. 104–191, § 322(b)(3)(A), sub- stituted ‘‘subparagraphs (A), (B), and (C)’’ for ‘‘subpara- graphs (A) and (B)’’ in introductory provisions. Subsec. (d)(6)(A). Pub. L. 104–191, § 322(b)(3)(B), sub- stituted ‘‘paragraph (1)(D)’’ for ‘‘paragraph (1)(C)’’. Subsec. (d)(7). Pub. L. 104–191, § 322(b)(4), substituted ‘‘subparagraphs (A), (B), and (C)’’ for ‘‘subparagraphs (A) and (B)’’. Subsec. (d)(10), (11). Pub. L. 104–191, § 322(b)(2)(C), added pars. (10) and (11). 1993—Subsec. (f). Pub. L. 103–66 struck out heading and text of subsec. (f). Text read as follows: ‘‘The amount otherwise taken into account under subsection (a) as expenses paid for medical care shall be reduced by the amount (if any) of the health insurance credit allowable to the taxpayer for the taxable year under section 32.’’ 1990—Subsec. (d)(9). Pub. L. 101–508, § 11342(a), added par. (9). Subsec. (f). Pub. L. 101–508, § 11111(d)(1), added subsec. (f). 1986—Subsec. (a). Pub. L. 99–514 substituted ‘‘7.5 per- cent’’ for ‘‘5 percent’’. 1984—Subsec. (d)(2), (3). Pub. L. 98–369, § 482(a), added par. (2) and redesignated former par. (2) as (3). Former par. (3) redesignated (4). Subsec. (d)(4). Pub. L. 98–369, § 482(a), redesignated par. (3) as (4). Former par. (4), as added by Pub. L. 98–369, § 423(b)(1), redesignated (5). Pub. L. 98–369, § 423(b)(1), added par. (4). Former par. (4) redesignated (5). Subsec. (d)(5). Pub. L. 98–369, § 482(a), redesignated par. (4) as (5). Former par. (5) redesignated (6). Pub. L. 98–369, § 423(b)(1), redesignated former par. (4) as (5). Former par. (5) redesignated (6). Pub. L. 98–369, § 711(b), substituted ‘‘paragraph (4)’’ for ‘‘paragraph (2)’’. Subsec. (d)(6). Pub. L. 98–369, § 482(a), redesignated par. (5) as (6). Former par. (6) redesignated (7). Pub. L. 98–369, § 423(b)(1), (3), redesignated former par. (5) as (6) and substituted therein ‘‘limitations of para- graph (5)’’ for ‘‘limitations of paragraph (4)’’. Former par. (6) redesignated (7). Subsec. (d)(7). Pub. L. 98–369, § 482(a), (b)(1), redesig- nated par. (6) as (7) and substituted therein ‘‘paragraph (6)’’ for ‘‘paragraph (5)’’. Former par. (7) redesignated (8). Pub. L. 98–369, § 423(b)(1), redesignated former par. (6) as (7). Subsec. (d)(8). Pub. L. 98–369, § 482(a), redesignated par. (7) as (8). Page 940 TITLE 26—INTERNAL REVENUE CODE § 213 Subsec. (e). Pub. L. 98–369, § 474(r)(9), substituted ‘‘sec- tion 21’’ for ‘‘section 44A’’. 1982—Subsec. (a). Pub. L. 97–248, § 202(a), substituted provisions that there shall be allowed as a deduction the expenses paid during the taxable year, not com- pensated for by insurance or otherwise, for medical care of the taxpayer, his spouse, or a dependent (as de- fined in section 152), to the extent that such expenses exceed 5 percent of adjusted gross income, for provision allowing as deductions the amount by which the amount of the expenses paid during the taxable year (reduced by any amount deductible under paragraph (2)) for medical care of the taxpayer, his spouse, and de- pendents (as defined in section 152) exceeded 3 percent of the adjusted gross income, and an amount (not in ex- cess of $150) equal to one-half of the expenses paid dur- ing the taxable year for insurance which constituted medical care for the taxpayer, his spouse, and depend- ents. Subsec. (b). Pub. L. 97–248, § 202(b)(1), amended subsec. (b) generally, substituting provision that an amount paid during the taxable year for medicine or a drug shall be taken into account under subsec. (a) only if such medicine or drug is a prescribed drug or is insulin for former provision that amounts paid during the tax- able year for medicine and drugs which (but for this subsection) would have been taken into account in computing the deduction under subsec. (a) would be taken into account only to the extent that the aggre- gate of such amounts exceeded 1 percent of the adjusted gross income. Subsec. (c). Pub. L. 97–248, § 202(b)(3)(B), redesignated subsec. (d) as (c). Former subsec. (c) was repealed by Pub. L. 89–97. Subsec. (d). Pub. L. 97–248, § 202(b)(2), (3)(A), (B), re- designated subsec. (e) as (d), added pars. (2) and (3), and redesignated former pars. (2), (3), and (4) as (4), (5), and (6), respectively. Former subsec. (d) redesignated (c). Subsecs. (e), (f). Pub. L. 97–248, § 202(b)(3)(B), redesig- nated subsecs. (e) and (f) as (d) and (e), respectively. 1976—Subsec. (d)(2). Pub. L. 94–455, § 1906(b)(13)(A), struck out ‘‘or his delegate’’ after ‘‘Secretary’’. Subsec. (f). Pub. L. 94–455, § 504(c)(1), substituted ‘‘a credit under section 44A’’ for ‘‘a deduction under sec- tion 214’’ after ‘‘allowed as’’. 1965—Subsec. (a). Pub. L. 89–97, § 106(a), amended sub- sec. (a) generally. Prior to amendment, subsec. (a) read as follows: ‘‘There shall be allowed as a deduction the following amounts of the expenses paid during the tax- able year, not compensated for by insurance or other- wise, for medical care of the taxpayer, his spouse, or a dependent (as defined in section 152): ‘‘(1) If neither the taxpayer nor his spouse has at- tained the age of 65 before the close of the taxable year— ‘‘(A) the amount of such expenses for the care of any dependent who— ‘‘(i) is the mother or father of the taxpayer or of his spouse, and ‘‘(ii) has attained the age of 65 before the close of the taxable year, and ‘‘(B) the amount by which such expenses for the care of the taxpayer, his spouse, and such depend- ents (other than any dependent described in sub- paragraph (A)) exceed 3 percent of the adjusted gross income. ‘‘(2) If either the taxpayer or his spouse has at- tained the age of 65 before the close of the taxable year— ‘‘(A) the amount of such expenses for the care of the taxpayer and his spouse. ‘‘(B) the amount of such expenses for the care of any dependent described in paragraph (1)(A), and ‘‘(C) the amount by which such expenses for the care of such dependents (other than any dependent described in paragraph (1)(A)) exceed 3 percent of the adjusted gross income.’’ Subsec. (b). Pub. L. 89–97, § 106(b), struck out second sentence which read: ‘‘The preceding sentence shall not apply to amounts paid for the care of— ‘‘(1) the taxpayer and his spouse, if either of them has attained the age of 65 before the close of the tax- able year, or ‘‘(2) any dependent described in subsection (a)(1)(A).’’ Subsec. (c). Pub. L. 89–97, § 106(d)(1), struck out sub- sec. (c) relating to maximum limitations on medical and dental expenses under this section. Subsec. (e). Pub. L. 89–97, § 106(c), struck out from par. (1)(A) ‘‘including amounts paid for accident or health insurance’’ after ‘‘function of the body’’, added pars. (1)(C), (2), and (3), and renumbered former par. (2) as (4). Subsec. (g). Pub. L. 89–97, § 106(d)(1), struck out provi- sions relating to maximum limitation if taxpayer or spouse has attained age 65 and is disabled, special rule, amounts taken into account, meaning of disabled, and determination of status. 1964—Subsec. (b). Pub. L. 88–272 excluded persons at- taining age 65 before the close of the taxable year from the limitation, whether they are the taxpayer and his spouse, or the mother or father of the taxpayer and his spouse. 1962—Subsec. (c). Pub. L. 87–863, § 1(a), substituted ‘‘$5,000’’ for ‘‘$2,500’’, ‘‘$10,000’’ for ‘‘$5,000’’, and ‘‘$20,000’’ for ‘‘$10,000’’. Subsec. (g). Pub. L. 87–863, § 1(b), substituted ‘‘$20,000’’ for ‘‘$15,000’’ in three places, and ‘‘$40,000’’ for ‘‘$30,000’’. 1960—Subsec. (a). Pub. L. 86–470 authorized a taxpayer to deduct medical care expenses for dependent parents of the taxpayer or his spouse who have attained the age of 65 before the close of the taxable year without apply- ing the three percent limitation. 1958—Subsec. (c). Pub. L. 85–866, § 17(b), substituted ‘‘Except as provided in subsection (g), the’’ for ‘‘The’’. Subsec. (d)(2)(A). Pub. L. 85–866, § 16, struck out ‘‘claimed or’’ before ‘‘allowed’’. Subsec. (g). Pub. L. 85–866, § 17(A), added subsec. (g). Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF 2020 AMENDMENT Pub. L. 116–260, div. EE, title I, § 101(b), Dec. 27, 2020, 134 Stat. 3039, provided that: ‘‘The amendments made by this section [amending this section] shall apply to taxable years beginning after December 31, 2020.’’ EFFECTIVE DATE OF 2019 AMENDMENT Amendment by Pub. L. 116–94 applicable to taxable years ending after Dec. 31, 2018, see section 103(c) of Pub. L. 116–94, set out as a note under section 56 of this title. EFFECTIVE DATE OF 2017 AMENDMENT Amendment by section 11002(d)(7) of Pub. L. 115–97 ap- plicable to taxable years beginning after Dec. 31, 2017, see section 11002(e) of Pub. L. 115–97, set out as a note under section 1 of this title. Amendment by section 11027(a) of Pub. L. 115–97 ap- plicable to taxable years beginning after Dec. 31, 2016, see section 11027(c) of Pub. L. 115–97, set out as a note under section 56 of this title. EFFECTIVE DATE OF 2010 AMENDMENT Amendment by Pub. L. 111–148 applicable to taxable years beginning after Dec. 31, 2012, see section 9013(d) of Pub. L. 111–148, set out as a note under section 56 of this title. EFFECTIVE DATE OF 2004 AMENDMENT Amendment by Pub. L. 108–311 applicable to taxable years beginning after Dec. 31, 2004, see section 208 of Pub. L. 108–311, set out as a note under section 2 of this title. EFFECTIVE DATE OF 1996 AMENDMENT Amendment by Pub. L. 104–191 applicable to taxable years beginning after Dec. 31, 1996, see section 322(c) of Pub. L. 104–191, set out as a note under section 162 of this title. Page 941 TITLE 26—INTERNAL REVENUE CODE § 216 EFFECTIVE DATE OF 1993 AMENDMENT Amendment by Pub. L. 103–66 applicable to taxable years beginning after Dec. 31, 1993, see section 13131(e) of Pub. L. 103–66, set out as a note under section 32 of this title. EFFECTIVE DATE OF 1990 AMENDMENT Amendment by section 11111(d)(1) of Pub. L. 101–508 applicable to taxable years beginning after Dec. 31, 1990, see section 11111(f) of Pub. L. 101–508, set out as a note under section 32 of this title. Pub. L. 101–508, title XI, § 11342(b), Nov. 5, 1990, 104 Stat. 1388–472, provided that: ‘‘The amendment made by this section [amending this section] shall apply to tax- able years beginning after December 31, 1990.’’ EFFECTIVE DATE OF 1986 AMENDMENT Amendment by Pub. L. 99–514 applicable to taxable years beginning after Dec. 31, 1986, see section 151(a) of Pub. L. 99–514, set out as a note under section 1 of this title. EFFECTIVE DATE OF 1984 AMENDMENT Amendment by section 423(b) of Pub. L. 98–369 appli- cable to taxable years beginning after Dec. 31, 1984, see section 423(d) of Pub. L. 98–369, set out as a note under section 2 of this title. Amendment by section 474(r)(9) of Pub. L. 98–369 ap- plicable to taxable years beginning after Dec. 31, 1983, and to carrybacks from such years, see section 475(a) of Pub. L. 98–369, set out as a note under section 21 of this title. Pub. L. 98–369, div. A, title IV, § 482(c), July 18, 1984, 98 Stat. 848, provided that: ‘‘The amendments made by this section [amending this section and section 152 of this title] shall apply to taxable years beginning after December 31, 1983.’’ Amendment by section 711(b) of Pub. L. 98–369 effec- tive as if included in the provision of the Tax Equity and Fiscal Responsibility Act of 1982, Pub. L. 97–248, to which such amendment relates, see section 715 of Pub. L. 98–369, set out as a note under section 31 of this title. EFFECTIVE DATE OF 1982 AMENDMENT Pub. L. 97–248, title II, § 202(c), Sept. 3, 1982, 96 Stat. 421, provided that: ‘‘(1) SUBSECTION (a).—The amendment made by sub- section (a) [amending this section] shall apply to tax- able years beginning after December 31, 1982. ‘‘(2) SUBSECTION (b).—The amendments made by sub- section (b) [amending this section and section 105 of this title] shall apply to taxable years beginning after December 31, 1983.’’ EFFECTIVE DATE OF 1976 AMENDMENT Amendment by section 504(c)(1) of Pub. L. 94–455 ap- plicable to taxable years beginning after Dec. 31, 1975, see section 508 of Pub. L. 94–455, set out as a note under section 3 of this title. EFFECTIVE DATE OF 1965 AMENDMENT Pub. L. 89–97, title I, § 106(e), July 30, 1965, 79 Stat. 337, provided that: ‘‘The amendments made by this section [amending this section and sections 72, 79, 401, and 405 of this title] shall apply to taxable years beginning after December 31, 1966.’’ EFFECTIVE DATE OF 1964 AMENDMENT Pub. L. 88–272, title II, § 211(b), Feb. 26, 1964, 78 Stat. 49, provided that: ‘‘The amendment made by subsection (a) [amending this section] shall apply to taxable years beginning after December 31, 1963.’’ EFFECTIVE DATE OF 1962 AMENDMENT Pub. L. 87–863, § 1(c), Oct. 23, 1962, 76 Stat. 1141, pro- vided that: ‘‘The amendments made by subsections (a) and (b) [amending this section] shall apply only with respect to taxable years beginning after December 31, 1961.’’ EFFECTIVE DATE OF 1960 AMENDMENT Pub. L. 86–470, § 3(b), May 14, 1960, 74 Stat. 133, pro- vided that: ‘‘The amendment made by subsection (a) [amending this section] shall apply to taxable years be- ginning after December 31, 1959.’’ EFFECTIVE DATE OF 1958 AMENDMENT Amendment by section 16 of Pub. L. 85–866 applicable to taxable years beginning after Dec. 31, 1953, and end- ing after Aug. 16, 1954, see section 1(c)(1) of Pub. L. 85–866, set out as a note under section 165 of this title. Pub. L. 85–866, § 17(c), Sept. 2, 1958, 72 Stat. 1614, pro- vided that: ‘‘The amendments made by subsections (a) and (b) [amending this section] shall apply only with respect to taxable years beginning after December 31, 1957.’’ [§ 214. Repealed. Pub. L. 94–455, title V, § 504(b)(1), Oct. 4, 1976, 90 Stat. 1565] Section, acts Aug. 16, 1954, ch. 736, 68A Stat. 70; Apr. 2, 1963, Pub. L. 88–4, § 1, 77 Stat. 4; Feb. 26, 1964, Pub. L. 88–272, title II, § 212(a), 78 Stat. 49; Dec. 10, 1971, Pub. L. 92–178, title II, § 210(a), 85 Stat. 518; Mar. 29, 1975, Pub. L. 94–12, title II, § 206, 89 Stat. 32, provided for allowance of deduction for household and dependent care services necessary for gainful employment; defined ‘‘qualifying individual’’, ‘‘employment-related expenses’’, ‘‘main- taining a household’’; limitation on deductible amount; income limitation; and special rules and regulations applicable in the determination and allowance of de- duction. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF REPEAL Repeal applicable to taxable years beginning after Dec. 31, 1975, see section 508 of Pub. L. 94–455, set out as an Effective Date of 1976 Amendment note under sec- tion 3 of this title. [§ 215. Repealed. Pub. L. 115–97, title I, § 11051(a), Dec. 22, 2017, 131 Stat. 2089] Section, act Aug. 16, 1954, ch. 736, 68A Stat. 71; Pub. L. 98–369, div. A, title IV, § 422(b), July 18, 1984, 98 Stat. 797, related to a deduction for alimony or separate maintenance payments paid during an individual’s tax- able year. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF REPEAL Repeal applicable to any divorce or separation instru- ment (as defined in former section 71(b)(2) of this title as in effect before Dec. 22, 2017) executed after Dec. 31, 2018, and to such instruments executed on or before Dec. 31, 2018, and modified after Dec. 31, 2018, if the modification expressly provides that the amendment made by section 11051 of Pub. L. 115–97 applies to such modification, see section 11051(c) of Pub. L. 115–97, set out as an Effective Date of 2017 Amendment note under section 61 of this title. § 216. Deduction of taxes, interest, and business depreciation by cooperative housing cor- poration tenant-stockholder (a) Allowance of deduction In the case of a tenant-stockholder (as defined in subsection (b)(2)), there shall be allowed as a deduction amounts (not otherwise deductible) paid or accrued to a cooperative housing cor- poration within the taxable year, but only to the extent that such amounts represent the ten- ant-stockholder’s proportionate share of—

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Federal law — U.S. Code and appendices · legal_authorities

26 U.S.C. § 213 — Medical, dental, etc., expenses

**(a) Allowance of deduction** There shall be allowed as a deduction the expenses paid during the taxable year, not compensated for by insurance or otherwise, for medical care of the taxpayer, his spouse, or a dependent (as defined in section 152, determined without regard to subsections (b)(1), (b)(2), and (d)(1)(B) thereof), to the extent that such expenses exceed 7.5 percent of adjusted gross income. **(b) Limitation with respect to medicine and drugs** An amount paid during the taxable year for medicine or a drug shall be taken into account under subsection (a) only if such medicine or drug is a prescribed drug or is insulin. **(c) Special rule for decedents** (1) **Treatment of expenses paid after death** — For purposes of subsection (a), expenses for the medical care of the taxpayer which are paid out of his estate during the 1-year period beginning with the day after the date of his death shall be treated as paid by the taxpayer at the time incurred. (2) **Limitation** — Paragraph (1) shall not apply if the amount paid is allowable under section 2053 as a deduction in computing the taxable estate of the decedent, but this paragraph shall not apply if (within the time and in the manner and form prescribed by the Secretary) there is filed— (A) a statement that such amount has not been allowed as a deduction under section 2053, and (B) a waiver of the right to have such amount allowed at any time as a deduction under section 2053. **(d) Definitions** For purposes of this section— (1) The term “medical care” means amounts paid— (A) for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body, (B) for transportation primarily for and essential to medical care referred

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1395x — Manufacturer discount program

**(a) Establishment** The Secretary shall establish a manufacturer discount program (in this section referred to as the “program”). Under the program, the Secretary shall enter into agreements described in subsection (b) with manufacturers and provide for the performance of the duties described in subsection (c). **(b) Terms of agreement** (1) **In general** (A) *Agreement* — An agreement under this section shall require the manufacturer to provide, in accordance with this section, discounted prices for applicable drugs of the manufacturer that are dispensed to applicable beneficiaries on or after January 1, 2025. (B) *Clarification* — Nothing in this section shall be construed as affecting— (i) the application of a coinsurance of 25 percent of the negotiated price, as applied under paragraph (2)(A) of [section 1395w–102(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395w–102/b&num=0&edition=prelim), for costs described in such paragraph; or (ii) the application of the copayment amount described in paragraph (4)(A) of such section, with respect to costs described in such paragraph. (C) *Timing of agreement* (i) *Special rule for 2025* — In order for an agreement with a manufacturer to be in effect under this section with respect to the period beginning on January 1, 2025, and ending on December 31, 2025, the manufacturer shall enter into such agreement not later than March 1, 2024. (ii) *2026 and subsequent years* — In order for an agreement with a manufacturer to be in effect under this section with respect to plan year 2026 or a subsequent plan year, the manufacturer shall enter into such agreement not later than a calendar quarter or semi-annual deadline established by the Secretary. (2)

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1395x — Definitions

Page 3523 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 1395x Revenue Code of 1986 with respect to the man- ufacturer. (d) Definition of manufacturer In this section, the term ‘‘manufacturer’’ has the meaning given such term in section 1395w–114a(g)(5) of this title. (Aug. 14, 1935, ch. 531, title XVIII, § 1860D–43, as added Pub. L. 111–148, title III, § 3301(a), Mar. 23, 2010, 124 Stat. 461; amended Pub. L. 111–152, title I, § 1101(b)(1), Mar. 30, 2010, 124 Stat. 1037; Pub. L. 117–169, title I, §§ 11001(b)(1)(G)(i), 11201(e)(7), Aug. 16, 2022, 136 Stat. 1853, 1892.) Editorial Notes REFERENCES IN TEXT Section 5000D(c)(1) of the Internal Revenue Code of 1986, referred to in subsec. (c)(2), is classified to section 5000D(c)(1) of Title 26, Internal Revenue Code. AMENDMENTS 2022—Subsec. (a)(1). Pub. L. 117–169, § 11201(e)(7)(A)(i), added par. (1) and struck out former par. (1) which read as follows: ‘‘participate in the Medicare coverage gap discount program under section 1395w–114a of this title;’’. Subsec. (a)(2). Pub. L. 117–169, § 11201(e)(7)(A)(ii), added par. (2) and struck out former par. (2) which read as follows: ‘‘have entered into and have in effect an agreement described in subsection (b) of such section with the Secretary; and’’. Subsec. (a)(3). Pub. L. 117–169, § 11201(e)(7)(A)(iii), sub- stituted ‘‘section 1395w–114a of this title’’ for ‘‘such sec- tion’’. Subsec. (b). Pub. L. 117–169, § 11201(e)(7)(B), added sub- sec. (b) and struck out former subsec. (b). Prior to amendment, text read as follows: ‘‘Subsection (a) shall apply to covered part D drugs dispensed under this part on or after January 1, 2011.’’ Subsec. (c). Pub. L. 117–169, § 11001(b)(1)(G)(i), des- ignated existing provisions as par. (1) and inserted heading, sub

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