Critics of impending changes to medical spending accounts have been arguing for months to push back provisions that will take effect by the beginning of next year. Last week, the IRS issued guidance on such changes that aims to clarify certain restrictions on medical expense reimbursement through these accounts.

According to IRS guidelines, beginning Jan. 1, employees won’t be able to make over-the-counter drug purchases using their flexible spending account or health reimbursement account unless they have a prescription.

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