Protecting Life in Health Savings Accounts Act

This bill, known as the "Protecting Life in Health Savings Accounts Act," proposes significant changes to the Internal Revenue Code regarding the treatment of abortion expenses. Its primary purpose is to prohibit most distributions and reimbursements for abortions from being considered qualified medical expenses across various tax-advantaged health accounts. Specifically, the legislation amends provisions related to Health Savings Accounts (HSAs) , Archer Medical Savings Accounts (MSAs) , Health Flexible Spending Arrangements (FSAs) , Health Reimbursement Arrangements (HRAs) , and Retiree Health Accounts . Under these amendments, funds from these accounts could not be used for or reimbursed for abortion services. However, the bill includes specific exceptions, defining an "excluded abortion" as one performed in cases of rape or incest , or when a physician certifies that the woman's life is in danger due to a physical condition caused by or arising from the pregnancy. These changes are slated to take effect for taxable years beginning after December 31, 2025.