To amend the Internal Revenue Code of 1986 to expand and improve health savings accounts, and for other purposes.
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
The bill expands eliminates the High Deductible Health Plan (HDHP) requirement for HSA eligibility, replacing it with eligibility for anyone covered under any group or individual health plan, health insurance (including, expands increases HSA annual contribution limits from $2,250 to $10,800 for individual coverage and from $4,500 to $29,500 for family coverage, with a cost-of-living adjustment base year updated to 2023, and expands allows HSA funds to be used to pay health plan and health insurance premiums by removing the prohibition on using HSA distributions for insurance premiums, except for certain excluded coverage types. It relies on tax deduction expansion, eligibility expansion, and penalty reduction. The main policy areas are Healthcare and Finance.
Who Benefits and How
Direct primary care physicians could gain revenue opportunities, Health care sharing ministry members could see lower costs, and Health care sharing ministries could gain revenue opportunities.
Who Bears the Burden and How
Federal Treasury could face higher costs, High-deductible health plan insurers could lose revenue opportunities, and Traditional health insurance companies could lose revenue opportunities.
Key Provisions
- Expands eliminates the High Deductible Health Plan (HDHP) requirement for HSA eligibility, replacing it with eligibility for anyone covered under any group or individual health plan, health insurance (including...
- Expands increases HSA annual contribution limits from $2,250 to $10,800 for individual coverage and from $4,500 to $29,500 for family coverage, with a cost-of-living adjustment base year updated to 2023.
- Expands allows HSA funds to be used to pay health plan and health insurance premiums by removing the prohibition on using HSA distributions for insurance premiums, except for certain excluded coverage types.
- Creates makes direct primary care (DPC) arrangements a qualified medical expense for HSA purposes, including periodic physician fees and prepaid preventive/diagnostic services, while clarifying that such arrangements...
- Amends IRC Section 213(d) to treat periodic fees paid to physicians for a defined set of medical services provided on an as-needed basis as amounts paid for medical care, making them deductible.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill expands eliminates the High Deductible Health Plan (HDHP) requirement for HSA eligibility, replacing it with eligibility for anyone covered under any group or individual health plan, health insurance (including, expands increases HSA annual contribution limits from $2,250 to $10,800 for individual coverage and from $4,500 to $29,500 for family coverage, with a cost-of-living adjustment base year updated to 2023, and expands allows HSA funds to be used to pay health plan and health insurance premiums by removing the prohibition on using HSA distributions for insurance premiums, except for certain excluded coverage types.
Key Policy Areas
Healthcare, Finance
Primary Purpose
The bill expands eliminates the High Deductible Health Plan (HDHP) requirement for HSA eligibility, replacing it with eligibility for anyone covered under any group or individual health plan, health insurance (including, expands increases HSA annual contribution limits from $2,250 to $10,800 for individual coverage and from $4,500 to $29,500 for family coverage, with a cost-of-living adjustment base year updated to 2023, and expands allows HSA funds to be used to pay health plan and health insurance premiums by removing the prohibition on using HSA distributions for insurance premiums, except for certain excluded coverage types.
Policy Domains
HSA Eligibility Expansion & Contribution Limits (Sections 2-3)
Identified Gains
- Direct primary care physicians
- Health care sharing ministry members
- Health care sharing ministries
- Individuals with non-HDHP health coverage
- High-income individuals and families
Identified Costs
- Federal Treasury
- High-deductible health plan insurers
- Traditional health insurance companies
Sponsors
Legislative Progress
IntroducedMr. Roy (for himself, Mr. Crane, Mr. Burlison, Ms. Hageman, …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
HSA account holders, Health care sharing ministries, Health care sharing ministry members
HSA account holders making non-medical withdrawals, HSA custodians and administrators, HSA custodians and financial advisors
Health insurance companies, High-deductible health plan insurers, Traditional health insurance companies
Positive-direction: Health insurance companies
Negative-direction: High-deductible health plan insurers, Traditional health insurance companies
Concierge medicine providers, Direct primary care physicians
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_secretary"
- → Secretary of the Treasury (IRS)
Key Definitions
Terms defined in this bill
Any individual covered under a group or individual health plan, health insurance (including short-term limited duration or medical indemnity), a government plan (Medicare, Medicaid, CHIP, TRICARE, VA, IHS, FEHB), or a participant in a health care sharing ministry.
Periodic fees paid to a physician for a defined set of medical services or for the right to receive medical services on an as-needed basis, and amounts prepaid for medical services to screen for, diagnose, cure, mitigate, treat, or prevent disease and promote wellness.
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology