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LegalText 26 U.S.C. § 139D Indian health care benefits us united_states_code code_section 26 INTERNAL REVENUE CODE 1 NORMAL TAXES AND SURTAXES 139D 26 U.S.C. § 139D current 119-100 2026-06-26 official https://uscode.house.gov/download/releasepoints/us/pl/119/100/xml_usc26@119-100.zip /us/usc/t26/s139D data/legal/raw/us/code/title-26/usc26.xml 544e25211302320c53aff6f2dfe404fe0120dac98ebb2356d952aba3fd00fbb6 a261f094809116f42a96648a3d5eee80fa010379d67412551c21dd5c900b27f4 dce670c72a36b48860353953070154de850d67edab7471c58169bfccfdc0d4df 2026-07-04 official
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26 U.S.C. § 139D - Indian health care benefits

Text

(a) General rule Except as otherwise provided in this section, gross income does not include the value of any qualified Indian health care benefit.

(b) Qualified Indian health care benefit For purposes of this section, the term “qualified Indian health care benefit” means—

(1) any health service or benefit provided or purchased, directly or indirectly, by the Indian Health Service through a grant to or a contract or compact with an Indian tribe or tribal organization, or through a third-party program funded by the Indian Health Service,

(2) medical care provided or purchased by, or amounts to reimburse for such medical care provided by, an Indian tribe or tribal organization for, or to, a member of an Indian tribe, including a spouse or dependent of such a member,

(3) coverage under accident or health insurance (or an arrangement having the effect of accident or health insurance), or an accident or health plan, provided by an Indian tribe or tribal organization for medical care to a member of an Indian tribe, include a spouse or dependent of such a member, and

(4) any other medical care provided by an Indian tribe or tribal organization that supplements, replaces, or substitutes for a program or service relating to medical care provided by the Federal government to Indian tribes or members of such a tribe.

(c) Definitions For purposes of this section—

(1) Indian tribe The term “Indian tribe” has the meaning given such term by section 45A(c)(6).

(2) Tribal organization The term “tribal organization” has the meaning given such term by section 4(l) of the Indian Self-Determination and Education Assistance Act.

(3) Medical care The term “medical care” has the same meaning as when used in section 213.

(4) Accident or health insurance; accident or health plan The terms “accident or health insurance” and “accident or health plan” have the same meaning as when used in section 105.

(5) Dependent The term “dependent” has the meaning given such term by section 152, determined without regard to subsections (b)(1), (b)(2), and (d)(1)(B) thereof.

(d) Denial of double benefit Subsection (a) shall not apply to the amount of any qualified Indian health care benefit which is not includible in gross income of the beneficiary of such benefit under any other provision of this chapter, or to the amount of any such benefit for which a deduction is allowed to such beneficiary under any other provision of this chapter.

(Added Pub. L. 111148, title IX, § 9021(a), Mar. 23, 2010, 124 Stat. 873.)

Notes

Editorial Notes

References in TextSection 4(l) of the Indian Self-Determination and Education Assistance Act, referred to in subsec. (c)(2), is classified to section 5304(l) of Title 25, Indians.

Codification Another section 139D, added Pub. L. 111148, title X, § 10108(f)(1), Mar. 23, 2010, 124 Stat. 913, related to free choice vouchers, prior to repeal by Pub. L. 11210, div. B, title VIII, § 1858(b)(2)(A), Apr. 15, 2011, 125 Stat. 168, effective as if included in the provisions of, and the amendments made by, the provisions of Pub. L. 111148 to which it relates, see section 1858(d) of Pub. L. 11210, set out as an Effective Date of 2011 Amendment note under section 36B of this title.

Statutory Notes and Related Subsidiaries

Effective DatePub. L. 111148, title IX, § 9021(c), Mar. 23, 2010, 124 Stat. 874, provided that: “The amendments made by this section [enacting this section] shall apply to benefits and coverage provided after the date of the enactment of this Act [Mar. 23, 2010].”

No Inference With Respect to Exclusion From Gross Income of Certain BenefitsPub. L. 111148, title IX, § 9021(d), Mar. 23, 2010, 124 Stat. 874, provided that: “Nothing in the amendments made by this section [enacting this section] shall be construed to create an inference with respect to the exclusion from gross income of— “(1) benefits provided by an Indian tribe or tribal organization that are not within the scope of this section, and “(2) benefits provided prior to the date of the enactment of this Act [Mar. 23, 2010].”