HR 5688 · 118th Congress 2023–2025, ended

Bipartisan HSA Improvement Act of 2023

Latest action · Feb 26, 2024 Placed on the Union Calendar, Calendar No. 330.

Progress

Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.

  1. IntroducedSep 26, 2023
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Bipartisan HSA Improvement Act of 2023

This bill allows an individual to contribute to a health savings account (HSA), as part of a high deductible health plan (HDHP), while also participating in a primary care service arrangement, receiving qualified items or services at an employer-sponsored on-site clinic, or if covered under a spouse’s flexible spending arrangement (FSA). Further, the bill allows individuals to rollover amounts in an FSA or health reimbursement arrangement (HRA) into an HSA.

The bill defines a primary care service arrangement as one in which an individual is provided primary care services by a primary care practitioner for a periodic fixed fee of no more than $150 a month for an individual (or no more than $300 a month for an arrangement that covers more than one individual).

Additionally, under the bill, qualified items or services received at an employer-sponsored, on-site clinic include physical exams, immunizations, nonprescription drugs or biologicals, treatment for injuries related to an individual’s employment, preventative care for chronic conditions, and vision and hearing screenings.

The bill allows an individual to contribute to an HSA, as part of an HDHP, even if covered by a spouse’s FSA. However, amounts in the spouse’s FSA must be used to reimburse the spouse’s eligible medical expenses for the plan year before being rolled over into the individual’s HSA.

Finally, individuals may be able to rollover up to the annual FSA contribution limit from an FSA or HRA into an HSA upon enrolling in an HDHP. 

Cosponsors 1

Members who signed on, in the order they did. All signed on Sep 26, 2023.

SeatCosponsorSigned on
D-OREarl BlumenauerOriginalSep 26, 2023

Committees 1

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseWays and Means Committee
Referred Sep 26, 2023Markup Sep 28, 2023Reported Feb 26, 2024

Actions 6

Everything that happened, newest first.

  1. Feb 26, 2024Reported (Amended) by the Committee on Ways and Means. H. Rept. 118-401.
  2. Feb 26, 2024Placed on the Union Calendar, Calendar No. 330.
  3. Sep 28, 2023Committee Consideration and Mark-up Session Held
  4. Sep 28, 2023Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 28 - 14.
  5. Sep 26, 2023Introduced in House
  6. Sep 26, 2023Referred to the House Committee on Ways and Means.

Research

What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.

Committee report

Congressional Budget Office cost estimate

  1. Nov 15, 2023H.R. 5688, Bipartisan HSA Improvement Act of 2023As ordered reported by the House Committee on Ways and Means on September 28, 2023

Constitutional authority

Congress has the power to enact this legislation pursuant to the following: Congress has the power to enact this legislation pursuant to Section VIII of Article I of the U.S. Constitution. The single subject of this legislation is: This bill makes improvements to the regulation of Health Savings Accounts (HSAs) to expand access to more Americans.

The sponsor’s statement, as printed in the Congressional Record, vol. 169, no. 156, September 26, 2023, page H4499.

Related bills 2

Companion bills and other measures the record links to this one.

BillTitleRelationshipLatest action
HR 5716Health Savings for Families Act of 2023Related billDec 17, 2024
HR 5777To amend the Internal Revenue Code of 1986 to improve health savings accounts.Related billDec 17, 2024

Titles 3

Every title it has carried, official and short, at each stage.

Official Title as Introduced
To amend the Internal Revenue Code of 1986 to improve health savings accounts.
Short Title(s) as Introduced
Bipartisan HSA Improvement Act of 2023
Short Title(s) as Reported to House
Bipartisan HSA Improvement Act of 2023

Subjects

Assigned by the Library of Congress. Policy area: Taxation.

Text 2

Each version as it was printed, newest first.

  1. Feb 26, 2024Reported in House
  2. Sep 26, 2023Introduced in House

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Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.