How the DGT's position has evolved
Current position
The Personal Income Tax (IRPF) Law does not provide for tax credits against the tax liability or tax benefits for expenses related to illness, medical treatments, medication, or surgical interventions. The adjustment of the tax burden to personal circumstances is carried out exclusively through the personal and family minimum. This minimum operates via a zero-rate bracket that covers the taxpayer's basic needs.
The DGT's position has remained constant since 2019. The administration maintains that health expenses or basic needs do not have a specific deduction, but are instead absorbed by the zero-rate bracket of the personal and family minimum. No changes in the interpretation of the rule have been observed throughout the sequence.
Analysis based on 9 of 9 rulings with a stated position. Updated 29 September 2026.