What does Preamble of Health Marketplace and Savings Accounts for All Act do?

This bill proposes to amend the Internal Revenue Code of 1986. The stated purpose is to increase limitations on contributions to health savings accounts.

What does SHORT TITLE. of Health Marketplace and Savings Accounts for All Act do?

This bill is formally titled the Health Savings Accounts For All Act of 2025.

What does INCREASE IN CONTRIBUTION LIMITATIONS. of Health Marketplace and Savings Accounts for All Act do?

This section amends section 223 of the Internal Revenue Code of 1986, related to contribution limitations for retirement plans. It modifies the calculation of contribution limits, referencing amounts under sections 402(g) and 414(v)(2). The section introduces an additional contribution allowance for individuals aged 50 or older. Several paragraphs within section 223 are struck, redesignated, or amended to align with the changes. Conforming amendments are made to sections 223(d)(1), 223(g)(1), 26(b)(2)(S), and 408(d)(9)(C)(i)(I) of the Internal Revenue Code. The cost-of-living adjustment calculation in section 223(g)(1)(B) is modified, substituting 'calendar year 2003' for 'calendar year 2016'. The amendments apply to taxable years beginning after the date of enactment of this Act.

What does FREEDOM FROM MANDATE. of Health Marketplace and Savings Accounts for All Act do?

This section amends Section 223 of the Internal Revenue Code of 1986, relating to health savings accounts (HSAs). Subsections (c) and (g) of Section 223 are struck, and subsequent subsections are redesignated. Section 223(a) is amended to allow a deduction for cash payments made to an individual's HSA. Numerous sections of the Internal Revenue Code are amended to replace references to 'section 223(d)' with 'section 223(c)' and 'section 223(f)' with 'section 223(e)'. Section 106(e) is amended to include a new paragraph regarding treatment of qualified HSA distributions as rollover contributions. Section 4980G is amended to establish rules and requirements for employers making comparable contributions to HSAs of employees. The amendments apply to taxable years beginning after the date of enactment of this Act.

What does AMOUNTS PAID FOR HEALTH INSURANCE OR DIRECT PRIMARY CARE of Health Marketplace and Savings Accounts for All Act do?

This section amends section 223(c) of the Internal Revenue Code of 1986. It expands the definition of amounts paid for health insurance to include arrangements providing primary care coverage for a fixed fee. Subparagraphs (B) and (C) of section 223(c)(2) are struck, and subparagraph (D) is redesignated as (B). The definition of 'dependent' is modified to include children up to age 27. Sections 220(d)(2)(A) and 106(f) of the Internal Revenue Code of 1986 are amended to reference the revised section 223(c)(2)(B). The amendments in subsections (a) and (b) apply to amounts paid after the date of enactment of this Act, for taxable years beginning after that date. The technical amendments in subsection (c) apply to taxable years beginning after the date of enactment.

What does SPECIAL RULE FOR CERTAIN MEDICAL EXPENSES INCURRED BEFORE of Health Marketplace and Savings Accounts for All Act do?

This section amends section 223(c) of the Internal Revenue Code of 1986. It establishes a rule regarding certain medical expenses incurred before a health savings account (HSA) is established. An expense will not be disqualified as a qualified medical expense solely because it was incurred before the HSA's establishment. The expense must have been incurred during the taxable year the HSA was established or the preceding taxable year. The HSA must be established after the year the expense was incurred but before the tax return filing deadline. The expense must otherwise meet the requirements of the preceding subparagraphs for qualified medical care.

What does ADMINISTRATIVE ERROR CORRECTION BEFORE DUE DATE OF RETURN. of Health Marketplace and Savings Accounts for All Act do?

This section amends paragraph (4) of section 223(e) of the Internal Revenue Code of 1986. It creates an exception to the application of subparagraph (A) if a payment or distribution is made to correct an administrative, clerical, or payroll contribution error. The exception applies if the distribution is received by the individual on or before the last day prescribed by law for filing their return, including extensions. The distribution must also be accompanied by the amount of net income attributable to the contribution. Any net income received will be included in the individual's gross income for the taxable year.

What does ALLOWING HSA ROLLOVER TO CHILD OR PARENT OF ACCOUNT HOLDER. of Health Marketplace and Savings Accounts for All Act do?

This section amends section 223(e) of the Internal Revenue Code of 1986 to allow health savings accounts (HSAs) to be rolled over to a child, parent, or grandparent of the account holder. The amendment expands the definition of eligible beneficiaries to include children, parents, and grandparents. The amendments apply to taxable years beginning after the date of enactment of this Act. If a child acquires an interest in the HSA and another taxpayer can claim a deduction under section 151 for that child, the HSA is treated as belonging to the child.

What does COVERAGE FOR AMOUNTS PAID FOR VITAMINS, DIETARY SUPPLEMENTS, of Health Marketplace and Savings Accounts for All Act do?

This section amends section 223(c) of the Internal Revenue Code of 1986 to include 'qualified wellness expenses' as eligible for certain tax treatments. Qualified wellness expenses are defined as amounts paid for vitamins, dietary supplements, gym memberships, and wearable fitness trackers. The definition of 'dietary supplements' references section 201(ff) of the Federal Food, Drug, and Cosmetic Act. These amendments apply to taxable years beginning after the date of enactment of this Act.

What does EQUIVALENT BANKRUPTCY PROTECTIONS FOR HEALTH SAVINGS ACCOUNTS of Health Marketplace and Savings Accounts for All Act do?

This section amends Section 522 of Title 11 of the United States Code. It adds a new subsection (r) to treat health savings accounts (HSAs) similarly to individual retirement accounts (IRAs) within the context of bankruptcy proceedings. The amendment applies to bankruptcy cases commencing after the enactment of this Act.

Back to bills

Health Marketplace and Savings Accounts for All Act

Last updated: 12/4/2025 · Introduced: 12/4/2025

Author: Rand Paul (R-KY)

TL;DR (AI)

This bill increases contribution limits for health savings accounts (HSAs), including an additional allowance for individuals aged 50 or older, adjusting for cost-of-living.
The bill expands the definition of deductible health insurance payments to include arrangements providing primary care coverage for a fixed fee and increases the age limit for dependent children for HSA purposes to 27.
It allows individuals to roll over HSA funds to their children, parents, or grandparents, and clarifies that certain medical expenses incurred before HSA establishment are still eligible.
The legislation provides bankruptcy protections for HSAs, treating them similarly to individual retirement accounts (IRAs) in bankruptcy proceedings.
This bill allows health marketplace pools to be deemed 'employers' under ERISA, enabling them to offer group health plans and insurance coverage while clarifying that participation does not automatically create employer or fiduciary relationships.

119th Congressin committeeHR. 8324(In Committee)Official page

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