How the DGT's position has evolved
Current position
Grants for medical expenses not covered by the Health Service or Mutual Insurance intended for treatment or health recovery are not income subject to IRPF (Personal Income Tax). Benefits aimed at alleviating the recipient's economic situation or those covering expenses already covered by public healthcare are taxed as employment income.
The DGT's position has remained constant since 2015. The criterion systematically distinguishes between grants for health recovery, which are exempt, and benefits intended to alleviate the economic situation or cover expenses already covered by public healthcare, which are taxable.
Analysis based on 37 of 38 rulings with a stated position. Updated 23 September 2026.