US Code Title 26A1BVII

TITLE 26 > Subtitle A > CHAPTER 1 > Subchapter B > PART VII > § 213
§ 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 to in subparagraph (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 supplementary medical insurance for the aged) covering medical care
referred to in subparagraphs (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 insurance contract (as defined in section 7702B (b)), only
eligible long-term care premiums (as defined in paragraph (10)) shall be taken into account 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 paragraph (1)(A) is provided by a physician in a licensed hospital (or
in a medical care facility which is related to, or the equivalent of, a licensed hospital), and

(B)

there is no significant element of personal pleasure, recreation, or vacation in the travel away from
home.

The amount taken into account under the preceding sentence shall not exceed $50 for each night for each individual.

(3) Prescribed drug.— The term “prescribed drug” means a drug or biological which requires 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 divorced parents, etc.— Any child to whom section 152 (e) applies shall
be treated as a dependent of both parents for purposes of this section.
(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 either separately stated in the contract, or furnished to the policyholder
by the insurance company in a separate statement,

(B)

the amount taken into account as the amount paid for such insurance shall not exceed 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 statement) as the charge for
such insurance is unreasonably 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 constitutes medical care if premiums
for such insurance 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 period of less than 5 years).
(8) The determination of whether an individual is married at any time during the taxable year shall be made in
accordance with the provisions of section 6013 (d) (relating to determination of status as husband and wife).
(9) Cosmetic surgery.—

(10)

(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 deformity arising from, or
directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma,
or disfiguring disease.

(B)

Cosmetic surgery defined.— For purposes of this paragraph, the term “cosmetic surgery” means
any procedure which is directed at improving the patient’s appearance and does not meaningfully
promote the proper function of the body or prevent or treat illness or disease.

Eligible long-term care premiums.—
(A)

In general.— For purposes of this section, the term “eligible long-term care premiums” 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 extent such amount does not exceed the limitation
determined under the following table:
In the case of an individual with an attained age before the The limitation close of the taxable
year of: 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 taxable 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 increase determined under
the preceding sentence is not a multiple of $10, such increase shall be rounded to the
nearest multiple 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 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.
The Secretary shall, in consultation with the Secretary of Health and Human
Services, prescribe an adjustment which the Secretary determines is more
appropriate for purposes of this paragraph than the adjustment described in the
preceding sentence, and the adjustment so prescribed shall apply in lieu of the
adjustment described in the preceding sentence.

(11)

Certain payments to relatives treated 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 individual shall be treated as not
paid for medical 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 service 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 “relative” means an individual bearing a relationship to the
individual which is described in any of subparagraphs (A) through (G) of section 152 (d)(2). This
paragraph shall not apply for purposes of section 105 (b) with respect to reimbursements through
insurance.

(e) Exclusion of amounts allowed for care of certain dependents
Any expense allowed as a credit under section 21 shall not be treated as an expense paid for medical care.