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US. GOVERNMENT
INFORMATION
GP
107TH CONGRESS REPORT
2d Session HOUSE OF REPRESENTATIVES 107-572
IMPROVING ACCESS TO LONG-TERM CARE ACT OF 2002
JULY 15, 2002.-Committed to the Committee of the Whole House on the State of
the Union and ordered to be printed
Mr. THOMAS, from the Committee on Ways and Means,
submitted the following
REPORT
[To accompany H.R. 4946]
[Including cost estimate of the Congressional Budget Office]
The Committee on Ways and Means, to whom was referred the
bill (H.R. 4946) to amend the Internal Revenue Code to provide
health care incentives related to long-term care, having considered
the same, report favorably thereon with an amendment and rec-
ommend that the bill as amended do pass.
CONTENTS
Page
I. Sum m ary and Background .............................................................................. 5
A. Purpose and Sum m ary ....................................................................... 5
B. Background and Need for Legislation ............................................... 6
C. Legislative H istory ............................................................................. 6
II. Explanation of the Bill ..................................................................................... 6
A. Above-the-Line Deduction for Long-Term Care Insurance Pre-
miums (sec. 2 of the bill and new sec. 223 of the Code) ................ 6
B. Provide an Additional Personal Exemption to Home Caregivers
of Family Members (sec. 3 of the bill and sec. 151 of the Code) .... 8
C. Expand Human Clinical Trials Expenses Qualifying for the Or-
phan Drug Tax Credit (sec. 4 of the bill and sec. 45C of the
C ode) .................................................................................................. . 10
D. Add Vaccines Against Hepatitis A to the List of Taxable Vaccines
(sec. 5 of the bill and sec. 4131 of the Code) .................................... 11
E. Adjustment of Employer Contributions to Combined Benefit Fund
to Reflect Medicare Prescription Drug Benefit (sec. 6 of the bill
and sec. 9704 of the Code) ................................................................. 12
F. Modifications to Medicare+Choice MSAs (sec. 7 of the bill and
sec. 220 of the Code) .......................................................................... 13
III. Votes of the Com m ittee ................................................................................... 15
IV. Budget Effects of the Bill ................................................................................. 16
A. Committee Estimate of Budgetary Effects ........................................ 16
B. Statement Regarding New Budget Authority and Tax Expendi-
tures Budget Authority ...................................................................... 18
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