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Health Savings Accounts For All Act of 2025

USA119th CongressS-3248| Senate 
| Updated: 11/20/2025
Rand Paul

Rand Paul

Republican Senator

Kentucky

Finance Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
The "Health Savings Accounts For All Act of 2025" proposes significant reforms to Health Savings Accounts (HSAs) by primarily increasing contribution limits and fundamentally altering eligibility requirements, removing the current mandate that HSAs must be paired with a high-deductible health plan. This change allows individuals to contribute to an HSA regardless of their health insurance type. The bill also reintroduces an additional contribution amount for individuals aged 50 or older, aligning HSA limits more closely with those of other retirement accounts. Furthermore, the legislation broadens the scope of expenses that can be paid for with HSA funds. It explicitly allows for the use of HSA funds for direct primary care service arrangements and expands the definition of qualified medical expenses to include items such as vitamins, dietary supplements, gym memberships, and wearable fitness trackers. The bill also permits HSA funds to cover medical expenses for children up to age 27, even if they are not tax dependents, and allows certain expenses incurred before an account's establishment to be covered. To enhance administrative flexibility, the bill permits the correction of administrative, clerical, or payroll contribution errors to HSAs without penalty if rectified before the tax filing deadline. It also expands the options for beneficiaries upon an account holder's death, allowing HSAs to be rolled over to a child, parent, or grandparent, not just a surviving spouse. Finally, the bill grants HSAs equivalent bankruptcy protections as individual retirement accounts, safeguarding these savings in financial distress.
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Timeline

Bill from Previous Congress

S 116-4367
Health Savings Accounts For All Act of 2020

Bill from Previous Congress

S 117-5302
Health Savings Accounts For All Act of 2022

Bill from Previous Congress

S 118-5297
Health Savings Accounts For All Act of 2024
Nov 20, 2025
Introduced in Senate
Nov 20, 2025
Read twice and referred to the Committee on Finance.
  • Bill from Previous Congress

    S 116-4367
    Health Savings Accounts For All Act of 2020


  • Bill from Previous Congress

    S 117-5302
    Health Savings Accounts For All Act of 2022


  • Bill from Previous Congress

    S 118-5297
    Health Savings Accounts For All Act of 2024


  • November 20, 2025
    Introduced in Senate


  • November 20, 2025
    Read twice and referred to the Committee on Finance.

Taxation

Related Bills

  • HR 119-8324: Great American Healthcare Plan
  • S 119-3362: Health Marketplace and Savings Accounts for All Act

Health Savings Accounts For All Act of 2025

USA119th CongressS-3248| Senate 
| Updated: 11/20/2025
The "Health Savings Accounts For All Act of 2025" proposes significant reforms to Health Savings Accounts (HSAs) by primarily increasing contribution limits and fundamentally altering eligibility requirements, removing the current mandate that HSAs must be paired with a high-deductible health plan. This change allows individuals to contribute to an HSA regardless of their health insurance type. The bill also reintroduces an additional contribution amount for individuals aged 50 or older, aligning HSA limits more closely with those of other retirement accounts. Furthermore, the legislation broadens the scope of expenses that can be paid for with HSA funds. It explicitly allows for the use of HSA funds for direct primary care service arrangements and expands the definition of qualified medical expenses to include items such as vitamins, dietary supplements, gym memberships, and wearable fitness trackers. The bill also permits HSA funds to cover medical expenses for children up to age 27, even if they are not tax dependents, and allows certain expenses incurred before an account's establishment to be covered. To enhance administrative flexibility, the bill permits the correction of administrative, clerical, or payroll contribution errors to HSAs without penalty if rectified before the tax filing deadline. It also expands the options for beneficiaries upon an account holder's death, allowing HSAs to be rolled over to a child, parent, or grandparent, not just a surviving spouse. Finally, the bill grants HSAs equivalent bankruptcy protections as individual retirement accounts, safeguarding these savings in financial distress.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

S 116-4367
Health Savings Accounts For All Act of 2020

Bill from Previous Congress

S 117-5302
Health Savings Accounts For All Act of 2022

Bill from Previous Congress

S 118-5297
Health Savings Accounts For All Act of 2024
Nov 20, 2025
Introduced in Senate
Nov 20, 2025
Read twice and referred to the Committee on Finance.
  • Bill from Previous Congress

    S 116-4367
    Health Savings Accounts For All Act of 2020


  • Bill from Previous Congress

    S 117-5302
    Health Savings Accounts For All Act of 2022


  • Bill from Previous Congress

    S 118-5297
    Health Savings Accounts For All Act of 2024


  • November 20, 2025
    Introduced in Senate


  • November 20, 2025
    Read twice and referred to the Committee on Finance.
Rand Paul

Rand Paul

Republican Senator

Kentucky

Finance Committee

Taxation

Related Bills

  • HR 119-8324: Great American Healthcare Plan
  • S 119-3362: Health Marketplace and Savings Accounts for All Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted