How the DGT's position has evolved
Current position
State regulations for IRPF (Personal Income Tax) do not contemplate tax credits in the tax liability or tax benefits for health expenses, medical treatments, therapeutic hospitalizations, or contributions to healthcare agreements for family members. These concepts are considered integrated into the personal and family minimum through the zero-rate bracket. The deductibility of Social Security contributions is limited exclusively to recipients of income from employment.
The DGT's position is constant in its refusal to recognize deductions for health or assistance expenses, arguing that these are already covered by the personal and family minimum. The rulings have maintained the same doctrinal line since 2019, clarifying that the adjustment of the tax burden is carried out through the zero-rate bracket and not through specific deductions.
Analysis based on 16 of 16 rulings with a stated position. Updated 26 September 2026.