Summary
The Treasury Department and the IRS have issued new rules to expand who can use Health Savings Accounts (HSAs). These changes will allow more Americans to save money tax-free for medical costs, especially benefiting those with high-deductible plans, Bronze, Catastrophic plans, and direct primary care arrangements.
Key Facts
- New guidelines from the IRS expand Health Savings Account (HSA) eligibility.
- Telehealth services can still be used before meeting a deductible without losing HSA eligibility.
- Starting January 1, 2026, Bronze and Catastrophic health plans will count as high-deductible plans for HSAs.
- Direct primary care users can start contributing to HSAs and use those funds tax-free beginning in 2026.
- HSAs provide three tax benefits: tax-deductible contributions, tax-free growth, and tax-free withdrawals for medical expenses.
- The IRS is inviting public comments on these changes until March 6, 2026.
- These updates come from the One, Big, Beautiful Bill and align with President Donald Trump's tax cuts legislation.