Sponsors (6)
The bill expands HSA access to people with Exchange and employer group plans—potentially reducing out‑of‑pocket costs for many—while increasing federal tax expenditures, risking greater benefit concentration among higher earners, and imposing administrative costs on plan sponsors and insurers.
People enrolled in Marketplace (Exchange) qualified health plans and in employer group health plans can contribute to HSAs beginning in 2027, giving them new tax‑advantaged savings for medical expenses.
Patients — including those with chronic conditions and lower incomes — gain access to HSA tax benefits even if they are not in high‑deductible plans, which can lower out‑of‑pocket costs for routine and unexpected care.
Taxpayers and the IRS could see reduced administrative complexity and more consistent taxpayer guidance due to simplified cross‑references in the tax code.
All taxpayers may face higher federal tax expenditures because expanding HSA eligibility to non‑HDHP enrollees increases the cost of tax preferences.
Wealthier and middle‑income individuals are likely to capture a disproportionate share of the expanded HSA tax advantages, which could worsen coverage and tax‑benefit equity for low‑income Americans.
Employers, insurers, small businesses, and health system plan administrators will likely incur compliance and plan‑redesign costs to integrate HSA access into QHPs and group plans.
Based on analysis of 2 sections of legislative text.
Expands HSA eligibility so people covered by Exchange qualified plans or group health plans can be eligible, removing the HDHP-only requirement.
Introduced February 25, 2026 by Aaron Bean · Last progress February 25, 2026
Expands who can open and contribute to health savings accounts (HSAs) by changing the eligibility rule so that any person covered by a qualified Exchange plan or a group health plan can be an “eligible individual.” The bill removes the current requirement that someone be enrolled in a high-deductible health plan and updates related tax-code references. The change takes effect for taxable years beginning after December 31, 2026.