TX 9201L1146C14 Sales and/or Use Tax (State,Local,MTA) 1992-01-14

Were lumbar cushions and cervical pillows taxable when sold to health-care providers or prescribed individuals?

Short answer: They were taxable when sold to hospitals, clinics, nursing homes, physicians, and other health-care providers for their use, but exempt as therapeutic devices when sold to an individual under a doctor's prescription to treat illness or disease.

Apply this to your situation

This page answers the general question as of 1992. Ezel answers yours, under current Texas tax law, with citations.

Currency note: this ruling is from 1992
Subsequent statutory amendments, regulation changes, court decisions, or later rulings may have changed the analysis. Treat this page as historical context, not current tax advice. Verify current law before relying on any specific rule, rate, or position mentioned here.
Disclaimer: This is an official Texas Comptroller of Public Accounts letter published on the State Tax Automated Research (STAR) system. Letters on STAR can be the basis of a detrimental reliance claim only for the taxpayer to whom the letter was directly issued (see 34 Tex. Admin. Code Rules 3.1 and 3.10); documents on STAR may no longer represent current policy even if not marked superseded. Taxpayer-identifying details are redacted. This summary is informational only and is not legal or tax advice. Consult a licensed Texas tax professional about your specific situation.
About this page: The plain-English summary, reader guidance, and Q&A below were written by Ezel based on the official state tax ruling. The original ruling (linked on this page) is the authoritative source for any reliance.

Plain-English summary

Lumbar cushions and cervical pillows were taxable when health-care providers bought them for their own use. They qualified as exempt therapeutic devices when sold to an individual under a doctor's prescription for treatment of illness or disease.

The seller needed a sales-tax permit and had to collect tax unless the buyer supplied a resale certificate or a copy of the prescription.

What this means for you

Medical-product sellers should document who is buying and why. Provider use was taxable; an individual's qualifying prescription supported exemption.

Common questions

Were hospital purchases taxable? Yes, for the hospital's use. Were prescribed individual purchases exempt? Yes. What documentation did the seller need? A resale certificate or prescription copy.

Citations and references

  • 34 Tex. Admin. Code Rule 3.284(a)(11) and (c)(7) (medical devices)

Source

Original ruling text

January 14, 1992




Dear **:

This is a follow-up to our telephone conversation of January 9,
1992, concerning the taxability of lumbar cushions and cervical
pillows.

Lumbar cushions and cervical pillows are taxable when sold to
health care providers (hospitals, clinic, nursing homes, physicians,
etc.) for their use.

These items qualify for exemption as therapeutic devices when
they are sold to individuals under a doctor's prescription for
the treatment of an illness or disease. See sections (a)(11) and
(c)(7) of Rule 3.284 concerning medical devices.

You are required to have a sales tax permit. A sales tax application
packet is being mailed under separate cover. You will be
required to collect sales tax on sales of these items unless the
purchaser issues a properly completed resale certificate or gives
you a copy of a doctor's prescription.

This opinion is based on the facts provided. If there are
additional or different facts, the opinion could change.

You may call toll free 1-800-252-5555 if you have any questions or
need more information. You may write to Tax Administration Division,
Comptroller of Public Accounts.

Sincerely,

Eddie C. Washington
Tax Administration Division

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