Updated April 18, 2024
The following bills have been introduced in the 118th Congress and could impact Health Savings Accounts if enacted. The link for each bill number will take you to Congress.gov where you can find more information about each bill, including names of the bill sponsors and cosponsors, the text and summary of each bill, as well as action on bills. You can even create a free online account and sign up for alerts on bills of interest.
House Bills
H.R. 107 (introduced by Rep. Andy Biggs [R-AZ-5] on January 9, 2023); To amend the Internal Revenue Code of 1986 to allow for tax-advantaged distributions from health savings accounts during family or medical leave, and for other purposes; referred to the House Ways & Means Committee
H.R. 677 (introduced by Rep. Matthew Rosendale [R-MT-2] on January 31, 2023); To amend the Internal Revenue Code of 1986 to make improvements to Health Savings Accounts; referred to the House Ways & Means Committee
H.R. 1170 (introduced by Rep. Jodey Arrington [R-TX-19] on February 24, 2023); To amend the Internal Revenue Code of 1986 to clarify that expenses for blood storage qualify as expenses for medical care; referred to the House Ways & Means Committee
H.R. 1582 (introduced by Rep. Mike Kelly [R-PA-16] on March 14, 2023); To amend the Internal Revenue Code of 1986 to treat certain amounts paid for physical activity, fitness, and exercise as amounts paid for medical care; referred to the House Ways & Means Committee
H.R. 1769 (introduced by Rep. Chip Roy [R-TX-21] on March 23, 2023); To amend the Internal Revenue Code of 1986 to create health freedom accounts available to all individuals; referred to the House Ways & Means Committee
H.R. 1795 (introduced by Rep. Adrian Smith [R-NE-3] on March 24, 2023); To amend the Internal Revenue Code of 1986 to allow qualified distributions from health savings accounts for certain home care expenses; referred to the House Ways & Means Committee
H.R. 1843 (introduced by Rep. Michelle Steel [R-CA-45] on March 28, 2023); To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules; referred to the House Ways & Means Committee
H.R. 2769 (introduced by Rep. Robert Latta [R-OH-5] on April 20, 2023); To amend the Internal Revenue Code of 1986 to allow individuals only enrolled in Medicare Part A to contribute to health savings accounts; referred to the House Ways & Means Committee
H.R. 2959 (introduced by Rep. Jake LaTurner [R-KS-2] on April 27, 2023); To amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts, and for other purposes; referred to the House Ways & Means Committee, Judiciary Committee, and Energy & Commerce Committee
H.R. 3029 (introduced by Rep. Lloyd Smucker [R-PA-11] on April 28, 2023); To amend the Internal Revenue Code of 1986 to allow individuals with direct primary care service arrangements to remain eligible individuals for purposes of health savings accounts, and for other purposes; referred to the House Ways & Means Committee
H.R. 3129 (introduced by Rep. Pete Sessions [R-TX-17] on May 9, 2023); To ensure health care fairness and affordability for all Americans through universal access to equitable health insurance tax credits, reformed health savings accounts, and strengthened consumer protections, and for other purposes; referred to the House Energy & Commerce Committee, Ways & Means Committee, and Education & the Workforce Committee
H.R. 3800 (introduced by Rep. Brad Wenstrup [R-OH-2] on June 5, 2023); To codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions as meeting the preventive care deductible safe harbor for purposes of high deductible health plans in connection with health savings accounts; referred to the House Ways & Means Committee
H.R. 4794 (introduced by Rep. Darin LaHood [R-IL-16] on July 20, 2023); To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts, flexible spending arrangements, and health reimbursement arrangements for dietary supplements; referred to the House Ways & Means Committee
H.R. 4803 (introduced by Rep. Chip Roy [R-TX-21] on July 20, 2023); To amend the Internal Revenue Code of 1986 to expand and improve health savings accounts, and for other purposes; referred to the House Ways & Means Committee
H.R. 5546 (introduced by Rep. John Moolenaar [R-MI-2] on September 18, 2023); To amend the Internal Revenue Code of 1986 to permit individuals eligible for Indian Health Service assistance to qualify for health savings accounts; referred to the House Ways & Means Committee
H.R. 5607 (introduced by Rep. Greg Steube [R-FL-17] on September 20, 2023); To amend the Internal Revenue Code of 1986 to allow both spouses to make catch-up contribution to the same health savings account; referred to the House Ways & Means Committee
H.R. 5608 (introduced by Rep. Greg Steube [R-FL-17] on September 20, 2023); To allow individuals to elect to receive contributions to a health savings account in lieu of reduced cost-sharing under health insurance obtained through a health insurance Exchange; referred to the House Ways & Means Committee and Energy & Commerce Committee
H.R. 5687 (introduced by Rep. Beth Van Duyne [R-TX-24] on September 26, 2023); To amend the Internal Revenue Code of 1986 to modernize health savings accounts; referred to the House Ways & Means Committee
H.R. 5688 (introduced by Rep. Lloyd Smucker [R-PA-11] on September 26, 2023); To amend the Internal Revenue Code of 1986 to improve health savings accounts; referred to the House Ways & Means Committee
H.R. 5690 (introduced by Rep. Blake Moore [R-UT-1] on September 26, 2023); To amend the Internal Revenue Code of 1986 to allow for certain distributions from a health savings account for medical expenses incurred during the 60-day period before the account was established; referred to the House Ways & Means Committee
H.R. 5709 (introduced by Rep. Michelle Fischbach [R-MN-7] on September 26, 2023); To amend the Internal Revenue Code of 1986 to allow individuals entitled to Medicare Part A to make contributions to health savings accounts; referred to the House Ways & Means Committee
H.R. 5716 (introduced by Rep. Darin LaHood [R-IL-16] on September 26, 2023); To amend the Internal Revenue Code of 1986 to allow contributions to a health savings account when a spouse has a health flexible spending account; referred to the House Ways & Means Committee
H.R. 5737 (introduced by Rep. Beth Van Duyne [R-TX-24] on September 26, 2023); To amend the Internal Revenue Code of 1986 to increase the maximum contribution limit for health savings accounts; referred to the House Ways & Means Committee
H.R. 5752 (introduced by Rep. Brian Fitzpatrick [R-PA-1] on September 27, 2023); To amend the Internal Revenue Code of 1986 to allow first-dollar coverage of mental health services for purposes of health savings accounts; referred to the House Ways & Means Committee
H.R. 5774 (introduced by Rep. Adrian Smith [R-NE-3] on September 27, 2023); To amend the Internal Revenue Code of 1986 to clarify the treatment of distributions from health savings accounts for long-term care services; referred to the House Ways & Means Committee
H.R. 5777 (introduced by Rep. Brad Wenstrup [R-OH-2] on September 27, 2023); To amend the Internal Revenue Code of 1986 improve health savings accounts; referred to the House Ways & Means Committee
H.R. 5787 (introduced by Rep. Mike Carey [R-OH-15] on September 28, 2023); To amend the Internal Revenue Code of 1986 to allow, without regard to disability, individuals eligible for veterans benefits to contribute to health savings accounts; referred to the House Ways & Means Committee
H.R. 6279 (introduced by Rep. Michelle Steel [R-CA-45] on November 7, 2023); To amend the Internal Revenue Code of 1986 to allow certain wearable devices to be purchased using health savings accounts and other spending arrangements and reimbursement accounts; referred to the House Ways & Means Committee
H.R. 6857 (introduced by Rep. Mike Gallagher [R-WI-8] on December 19, 2023); To amend the Internal Revenue Code of 1986 to modernize health savings accounts, and for other purposes; referred to the House Ways & Means Committee
H.R. 7222 (introduced by Rep. Vern Buchanan [R-FL-16] on February 5, 2024); To amend the Internal Revenue Code of 1986 to allow expenses for parents to be taken into account as medical expenses, and for other purposes; referred to the House Ways & Means Committee
H.R. 7681 (introduced by Rep. Brad Wenstrup [R-OH-2] on March 13, 2024); To amend the Internal Revenue Code of 1986 to extend the exemption for telehealth services from certain high deductible health plan rules, to establish a safe harbor for high deductible health plans with no deductible for certain primary care services, and to direct the Comptroller General of the United Sates to conduct a study on the effects of such safe harbor; referred to the House Ways & Means Committee
H.R. 7693 (introduced by Rep. Kevin Hern [R-OK-1] on March 15, 2024); To amend the Internal Revenue Code of 1986 to treat distributions from health savings accounts for funeral expenses of the account beneficiary as qualified distributions; referred to the House Ways & Means Committee
H.R. 8049 (introduced by Rep. Alexander Mooney [R-WV-2] on April 17, 2024; To amend the Internal Revenue Code of 1986 to prohibit treatment of certain distributions and reimbursements for certain abortions as qualified medical expenses; referred to the House Ways & Means Committee
Senate Bills
S. 628 (introduced by Sen. Bill Cassidy [R-LA] on March 2, 2023); A bill to amend the Internal Revenue Code of 1986 to provide for the treatment of direct primary care service arrangements as medical care, to provide that such arrangements do not disqualify deductible health savings account contributions, and for other purposes; referred to the Senate Finance Committee
S. 655 (introduced by Sen. John Thune [R-SD] on March 6, 2023); A bill to amend the Internal Revenue Code of 1986 to permit high deductible health plans to provide chronic disease prevention services to plan enrollees prior to satisfying their plan deductible; referred to the Senate Finance Committee
S. 731 (introduced by Sen. John Kennedy [R-LA] on March 9, 2023); A bill to amend the Internal Revenue Code of 1986 to make permanent the permissible first-dollar coverage of telehealth services for purposes of health savings accounts; referred to the Senate Finance Committee
S. 786 (introduced by Sen. John Thune [R-SD] on March 14, 2023); A bill to amend the Internal Revenue Code of 1986 to treat certain amounts paid for physical activity, fitness, and exercise as amounts paid for medical care; referred to the Senate Finance Committee
S. 1001 (introduced by Sen. Steve Daines [R-MT] on March 28, 2023); A bill to amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules; referred to the Senate Finance Committee
S. 1158 (introduced by Sen. Marco Rubio [R-FL] on March 30, 2023); A bill to amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts, and for other purposes; referred to the Senate Finance Committee
S. 2621 (introduced by Sen. Ted Cruz [R-TX] on July 27, 2023); A bill to amend the Internal Revenue Code of 1986 to expand and improve health savings accounts, and for other purposes; referred to the Senate Finance Committee
S. 3224 (introduced by Sen. John Thune [R-SD] on November 2, 2023); A bill to codify Internal Revenue Service guidance relating to treatment of certain services and items for chronic conditions as meeting the preventive care deductible safe harbor for purposes of high deductible health plans in connection with health savings accounts; referred to the Senate Finance Committee
S. 3254 (introduced by Sen. Jacky Rosen [D-NV] on November 8, 2023); A bill to amend the Internal Revenue Code of 1986 to allow expenses for parents to be taken into account as medical expenses, and for other purposes; referred to the Senate Finance Committee
S. 3608 (introduced by Sen. Mike Lee [R-UT] on January 17, 2024); A bill to amend the Internal Revenue Code of 1986 to prohibit treatment of certain distributions and reimbursements for certain abortions as qualified medical expenses; referred to the Senate Finance Committee