HR 6199 Would expand usefulness of HSAs

H.R. 6199, renamed the Restoring Access to Medication and Modernizing Health Savings Accounts Act and passed by a margin of 277-142, would:

  • Reverse the Affordable Care Act’s (ACA’s) prohibition on using tax-favored health accounts to purchase over-the-counter medical products.
  • Treat menstrual care products as qualified medical expenses that could be purchased with all tax-advantaged health care accounts.
  • Treat certain sports and fitness expenses–including gym memberships and the cost to participate in certain physical exercise programs–as qualified medical expenses up to a limit of $500 a year for an individual and $1,000 a year for a family.
  • Allow high-deductible health plans (HDHPs) to cover up to $250 (self-only) and $500 (family) annually for nonpreventive services that currently may not be covered predeductible. This would let HDHPs cover outside the deductible, albeit on a limited basis, chronic-condition treatment and telehealth services, for example.
  • Permit individuals with HSA-qualifying family coverage to contribute to an HSA if their spouse is enrolled in a medical flexible spending account (FSA), currently a disqualifying scenario.
  • Allow limited use of employer onsite medical clinics and other employment-related health services without risking HSA eligibility.
  • Protect HSA-eligible individuals who participate in a direct primary care (DPC) arrangement from losing their HSA eligibility and allow DPC provider fees to be covered with HSAs (capped monthly at $150 per individual and $300 per family).

Read more coverage at SHRM:

https://www.shrm.org/ResourcesAndTools/hr-topics/benefits/Pages/House-passes-bills-enhancing-HSAs-FSAs-HRAs.aspx