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Proposed

Bill · 119th Congress · S 4353

Health Savings Account Expansion Act

Refreshed 6 h ago

Introduced 2026-04-21Topic: health care · taxes

Summary

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This bill would change federal tax rules for health savings accounts (HSAs) starting in tax years after December 31, 2026. People covered by Medicare, Medicaid, CHIP, or federal employee health plans, and people in health care sharing ministries, could become eligible for HSAs. The bill would remove the out-of-pocket spending limit from the definition of a high deductible health plan. It would also allow HSA money to pay for health plan and insurance premiums and for periodic fees paid to doctors. It would treat health care sharing ministry fees and shared medical costs as medical care for tax purposes and change HSA rules for medicines and drugs.

Full text and official record on Congress.gov

Sponsors

Action history

DateChamberActionStatus effect
2026-04-21SenateRead twice and referred to the Committee on Finance.refer
2026-04-21Introduced in Senateintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-09-11. Provisions and opinion polling arrive in a later release.