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lip <br />Date: 1115/03 <br />Item umber: <br />Department Approval Manager Approval Agenda section <br />Item Description: <br />� III �; �_; r ,�_i•i � ���_i <br />Background <br />Consent <br />On Sept. 3, 2003, the Internal Revenue Service (IRS) and the Treasury Department released revenue <br />Ruling 2003-102, which clarifies that aver - the - counter drugs can now be reimbursed (if properly <br />substantiated) through an employer-sponsored flexible spending account or health reimbursement <br />arrangement. <br />A flexible spending account allows employees to set aside pre -tax dollars to pay for qualified medical <br />expenses for themselves or eligible dependents. <br />Items that are available for reimbursement must be considered a "medicine or drug." Antacids, allergy <br />medications, pain relievers and cold medicines were listed as acceptable "medicines or drugs. }" The ruling <br />noted that toiletries, cosmetics, and sundry items do not meet the definition of "medicines or drugs} so <br />they do not qualify for reimbursement. An item that is merely beneficial to the overall health of the <br />individual (i.e., vitamins) also does not qualify for reimbursement. <br />The new revenue ruling does not change the existing law# rather it is a new interpretation of the law. <br />}Therefore, although no effective date was specified for the new ruling, it appears that the change would <br />tale effect immediately for the current plan year (luck to the first day of the plan year). Thus allowing <br />employees greater flexibility in how their 2003 accounts may be used. <br />Policy oh i ectiycs <br />In reviewing the wording in the city's plan document it was found that it does not specifically exclude <br />nonprescription drugs. Thus, as a matter of interpretation, the City may rely on the new IRS ruling and <br />allow for reimbursement of these expenses. <br />With allowing for the new interpretation employees may now see greater tax savings by putting more into <br />the flex account to cover these over the counter medical expenses. Thus, it would make sense to increase <br />the allowable cap on this account to allow for this additional savings. <br />The current allowable health spending cap of $3,120 has been in place since the cafeteria plan document <br />was put into plane on January 1, 1994. This account has not received an increase over the years and out <br />of pocket expenses for health care have rapidly increased. Now this new IRS interpretation has added <br />even more pressure to increase the allowable amount to $5,000 in order to keep up with marketpb1ce <br />changes and allow employees and the City the greatest level of tax savings. The plain, document would <br />have amencbment number two added to it which is enclosed for your review. <br />