HR 10778 — 119th Congress

To amend the Internal Revenue Code of 1986 to establish a credit to incentivize the use of certain low-emission anesthetic gases by health care facilities, and for other purposes.

Introduced Oct 9, 2026 Open for voting
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Core Policy Mechanism Top 2

Low-Emission Anesthetic Gas Tax Credit for Health Facilities

Creates a new federal tax credit for hospitals and surgical centers that switch from high-emission anesthetic gases to cleaner alternatives, covering 15–50 percent of qualifying gas purchases based on emission reductions, plus up to $1,500 per retrofitted machine.

  • Population Scope Low The credit targets hospitals, ambulatory surgical centers, and other designated facilities that purchase specific anesthetic gases — a narrow institutional class representing a small fraction of all U.S. entities.
  • Budgetary Magnitude Medium The credit offsets 15–50% of qualifying gas purchases plus up to $1,500 per retrofitted machine, recurring annually through 2029, but the eligible population is small enough that aggregate federal cost is unlikely to reach major-program scale.
  • Legal / Regulatory Depth Medium Creates a new statutory entitlement in the Internal Revenue Code — a new section with tiered credit rates, defined qualifying expenditures, and an elective direct-payment option — which is a substantive addition to tax law rather than a procedural change.
  • Degree of Discretion Granted Medium The Secretary of the Treasury must prescribe certification procedures for emission reduction rates and may designate additional facility types, with guidance to be developed in consultation with the Department of Health and Human Services (HHS) and the Environmental Protection Agency (EPA), granting meaningful but bounded rulemaking authority.
  • Implementation & Enforcement Burden Low Compliance relies on standard tax-filing and certification mechanisms rather than new enforcement infrastructure, placing the primary burden on facilities to document and certify emission reductions in the manner the IRS prescribes.
  • Temporal Commitment Low The credit hard-expires for expenditures after December 31, 2029 — a statutory cutoff within three years of the effective date — and self-terminates unless Congress affirmatively extends it.
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Duration, Sunset, and Review Top 2

Credit Termination After December 31, 2029

The low-emission anesthetic gas tax credit expires and no credit is allowed for amounts paid or incurred after December 31, 2029, giving the incentive a fixed three-year window.

  • Population Scope Low Affects the same narrow set of health care facilities eligible for the underlying credit, with no distinct or broader population reached by the sunset itself.
  • Budgetary Magnitude Low The termination provision does not authorize or obligate funds; it limits the period during which the credit mechanism can generate federal cost.
  • Legal / Regulatory Depth Low The sunset imposes no new substantive duty or entitlement — it simply deactivates an existing credit provision on a fixed date, a discrete administrative boundary rather than a legal change of independent consequence.
  • Degree of Discretion Granted Low The termination is a hard statutory cutoff with no agency discretion to extend, waive, or modify the end date.
  • Implementation & Enforcement Burden Low No new enforcement infrastructure or compliance obligation arises from the sunset; the cutoff is self-executing upon the calendar date.
  • Temporal Commitment Low Self-terminates on December 31, 2029, binding no future actor beyond that date unless Congress acts to extend it.
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Summary

This bill creates a new federal tax credit to encourage hospitals and surgical centers to switch from high-emission anesthetic gases to cleaner alternatives. Health care facilities that reduce their use of desflurane and nitrous oxide — gases with high global warming potential — and instead buy isoflurane or sevoflurane can claim a credit worth 15 to 50 percent of those purchases, depending on how much they cut emissions. Facilities can also claim up to $1,500 per machine for retrofitting equipment to work with the lower-emission gases. The credit expires after 2029.

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Version Event Date User support Your vote Roll calls
Original
Initial publication
Oct 9, 2026
Oct 9, 2026 No votes yet — —

Core Policy Mechanism Top 2

Low-Emission Anesthetic Gas Tax Credit for Health Facilities

Creates a new federal tax credit for hospitals and surgical centers that switch from high-emission anesthetic gases to cleaner alternatives, covering 15–50 percent of qualifying gas purchases based on emission reductions, plus up to $1,500 per retrofitted machine.

  • Population Scope Low The credit targets hospitals, ambulatory surgical centers, and other designated facilities that purchase specific anesthetic gases — a narrow institutional class representing a small fraction of all U.S. entities.
  • Budgetary Magnitude Medium The credit offsets 15–50% of qualifying gas purchases plus up to $1,500 per retrofitted machine, recurring annually through 2029, but the eligible population is small enough that aggregate federal cost is unlikely to reach major-program scale.
  • Legal / Regulatory Depth Medium Creates a new statutory entitlement in the Internal Revenue Code — a new section with tiered credit rates, defined qualifying expenditures, and an elective direct-payment option — which is a substantive addition to tax law rather than a procedural change.
  • Degree of Discretion Granted Medium The Secretary of the Treasury must prescribe certification procedures for emission reduction rates and may designate additional facility types, with guidance to be developed in consultation with the Department of Health and Human Services (HHS) and the Environmental Protection Agency (EPA), granting meaningful but bounded rulemaking authority.
  • Implementation & Enforcement Burden Low Compliance relies on standard tax-filing and certification mechanisms rather than new enforcement infrastructure, placing the primary burden on facilities to document and certify emission reductions in the manner the IRS prescribes.
  • Temporal Commitment Low The credit hard-expires for expenditures after December 31, 2029 — a statutory cutoff within three years of the effective date — and self-terminates unless Congress affirmatively extends it.
No signal yet

Core Policy Mechanism

Low-Emission Anesthetic Gas Tax Credit for Health Facilities

Duration, Sunset, and Review Top 2

Credit Termination After December 31, 2029

The low-emission anesthetic gas tax credit expires and no credit is allowed for amounts paid or incurred after December 31, 2029, giving the incentive a fixed three-year window.

  • Population Scope Low Affects the same narrow set of health care facilities eligible for the underlying credit, with no distinct or broader population reached by the sunset itself.
  • Budgetary Magnitude Low The termination provision does not authorize or obligate funds; it limits the period during which the credit mechanism can generate federal cost.
  • Legal / Regulatory Depth Low The sunset imposes no new substantive duty or entitlement — it simply deactivates an existing credit provision on a fixed date, a discrete administrative boundary rather than a legal change of independent consequence.
  • Degree of Discretion Granted Low The termination is a hard statutory cutoff with no agency discretion to extend, waive, or modify the end date.
  • Implementation & Enforcement Burden Low No new enforcement infrastructure or compliance obligation arises from the sunset; the cutoff is self-executing upon the calendar date.
  • Temporal Commitment Low Self-terminates on December 31, 2029, binding no future actor beyond that date unless Congress acts to extend it.
No signal yet

Duration, Sunset, and Review

Credit Termination After December 31, 2029