Understanding Health Insurance Deductions : Insights from Clause 126 of the Income Tax Bill, 2025 Vs. Section 80D of the Income Tax Act, 1961

Clause 126 Deduction in respect of health insurance premia.

Income Tax Bill, 2025

Introduction

The Income Tax Bill, 2025, introduces Clause 126, which seeks to provide deductions in respect of health insurance premia. This clause is significant as it aims to offer tax relief to individuals and Hindu Undivided Families (HUFs) who incur expenses on health insurance and medical expenditures. This commentary will provide a detailed analysis of Clause 126, comparing and contrasting it with the existing Section 80D of the Income Tax Act, 1961. The analysis will cover the legislative intent, detailed breakdown of provisions, practical implications, and a comparative analysis between the two provisions.

Objective and Purpose

The primary objective of Clause 126 in the Income Tax Bill, 2025, is to provide tax deductions to individuals and HUFs for expenses related to health insurance premiums and medical expenditures. The legislative intent is to encourage taxpayers to invest in health insurance and prioritize preventive health care. This provision aligns with the broader policy considerations of promoting health insurance coverage and reducing the financial burden of medical expenses on taxpayers.

Section 80D of the Income Tax Act, 1961, serves a similar purpose by offering deductions for health insurance premiums paid by individuals and HUFs. The historical background of Section 80D reflects a consistent effort by the legislature to incentivize health insurance coverage and support taxpayers in managing their healthcare expenses.

Detailed Analysis 

Clause 126 of the Income Tax Bill, 2025

General Provision

Sub-section (1) allows an assessee, whether an individual or an HUF, to claim a deduction from their taxable income for amounts specified in subsequent sub-sections. This provision sets the groundwork for the specific deductions outlined in the following clauses, highlighting the inclusive nature of the clause by covering both individuals and HUFs.

Deductions for Individuals

Sub-section (2) details the deductions available to individual assessees. It allows for deductions on: - Health insurance premiums for the assessee or their family, contributions to the Central Government Health Scheme, or payments for preventive health check-ups, capped at Rs. 25,000. - Health insurance or preventive health check-up payments for the assessee's parents, also capped at Rs. 25,000. - Medical expenditure on the assessee or their family, capped at Rs. 50,000. - Medical expenditure on the assessee's parents, capped at Rs. 50,000. This sub-section emphasizes the importance of both insurance and direct medical expenditure, reflecting a comprehensive approach to healthcare costs.

Preventive Health Check-up

Sub-section (3) specifies that deductions for preventive health check-ups (under sub-sections 2(a) and 2(b)) are capped at Rs. 5,000 in aggregate. This provision underscores the government's emphasis on preventive healthcare, encouraging taxpayers to undergo regular health check-ups.

Aggregate Limit

Sub-section (4) imposes an aggregate limit of Rs. 50,000 on the deductions under sub-sections 2(a) and 2(c), or 2(b) and 2(d). This cap ensures that the deductions remain within a reasonable range, balancing the need for financial relief with fiscal responsibility.

Deductions for HUFs

Sub-section (5) outlines the deductions available to HUFs, allowing for deductions on: - Health insurance premiums for any family member, capped at Rs. 25,000. - Medical expenditure for any family member, capped at Rs. 50,000. This provision ensures that HUFs, which often have multiple dependents, are also able to benefit from tax relief on healthcare expenses.

Aggregate Limit for HUFs

Sub-section (6) imposes an aggregate limit of Rs. 50,000 on deductions for HUFs, similar to the provision for individuals. This maintains consistency and ensures equitable treatment across different taxpayer categories.

Deduction for Senior Citizens

Sub-section (7) allows deductions for medical expenditure on senior citizens if no health insurance premium has been paid for them. This provision recognizes the higher medical costs associated with aging and provides additional relief for senior citizens.

Enhanced Deduction for Senior Citizens 

Sub-section (8) provides an enhanced deduction limit of Rs. 50,000 for senior citizens, replacing the standard Rs. 25,000 limit. It also allows for deductions on lump-sum payments spread over multiple tax years. This provision acknowledges the increased healthcare needs of senior citizens and offers flexibility in managing insurance payments.

Mode of Payment

Sub-section (9) specifies the modes of payment eligible for deductions. Payments for preventive health check-ups can be made in cash, while other payments must be made through non-cash modes. This provision aims to encourage transparency and accountability in financial transactions.

Definitions

Sub-section (10) provides definitions for terms such as "appropriate fraction," "family," and "relevant tax year." These definitions ensure clarity and precision in the application of the clause.

Insurance Schemes 

Sub-section (11) specifies that eligible health insurance must be provided by the General Insurance Corporation of India or other insurers approved by the Insurance Regulatory and Development Authority. This ensures that the insurance schemes meet regulatory standards and provide adequate coverage.

Practical Implications

Clause 126 has significant implications for various stakeholders:

- Individuals and HUFs: The clause provides substantial tax relief, encouraging investment in health insurance and preventive healthcare. It also offers flexibility in managing healthcare costs, particularly for senior citizens.

- Insurance Providers: The clause may lead to increased demand for health insurance products, prompting insurers to offer more competitive and comprehensive plans.

- Government: By promoting health insurance and preventive healthcare, the clause aligns with broader public health objectives, potentially reducing the burden on public healthcare systems.

Comparative Analysis with Section 80D

Clause 126 of the Income Tax Bill, 2025, and Section 80D of the Income Tax Act, 1961, share similar objectives but exhibit differences in their provisions. Both provisions offer deductions for health insurance premiums and medical expenses, but Clause 126 introduces some enhancements and clarifications.

Aggregate Deduction Limits  - Both Clause 126 and Section 80D set an aggregate deduction limit of twenty-five thousand rupees for health insurance premiums and preventive health check-ups. However, Clause 126 explicitly allows additional deductions for medical expenses up to fifty thousand rupees, which is a significant enhancement.

Senior Citizen Provisions - Both provisions offer enhanced deductions for senior citizens, increasing the limit from twenty-five thousand to fifty thousand rupees. Clause 126 further clarifies the treatment of lump sum payments for health insurance covering multiple years, providing a more detailed framework for such deductions.

Preventive Health Check-ups - Clause 126 and Section 80D both allow deductions for preventive health check-ups, capped at five thousand rupees. This reflects a consistent policy approach to promoting preventive healthcare practices.

Mode of Payment - Both provisions mandate non-cash payments for most deductions, allowing cash payments only for preventive health check-ups. This ensures transparency and traceability of transactions.

Definitions and Clarifications - Clause 126 provides detailed definitions for terms such as "appropriate fraction," "family," and "relevant tax year." These clarifications enhance the understanding and application of the provision, reducing potential ambiguities in interpretation.

Conclusion

Clause 126 of the Income Tax Bill, 2025, and Section 80D of the Income Tax Act, 1961, both aim to provide tax relief for health insurance premiums and medical expenses. Clause 126 introduces enhancements and clarifications that align with contemporary policy goals of promoting health insurance coverage and preventive healthcare. The provision supports senior citizens and encourages taxpayers to prioritize healthcare. Future reforms could focus on further expanding deduction limits and simplifying compliance requirements to enhance the effectiveness of these provisions.

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Full Text:

Clause 126 Deduction in respect of health insurance premia.

 

Dated: 15-4-2025