Very Few Changes Were Made to HSA Account As A Result of The Big Beautiful Tax Bill

Описание: The Big Beautiful Tax Bill made waves with several high-profile tax changes, but surprisingly, very few changes were made to Health Savings Accounts (HSAs).
The original House version of the bill proposed several generous HSA reforms, but many of those provisions did not survive final negotiations in the Senate. What passed into law is far more limited in scope—but still important for HSA participants and high-deductible health plan (HDHP) users to understand.
Below we outline what made it into the final bill, what got removed, and what retirees—especially those on Medicare—need to know going forward.

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00:00 Introduction
00:11 Changes Made to HSA Accounts
00:48 Increase in Annual Contribution Limits
01:13 Expanded Eligible Expenses
01:43 Misinformation About Changes
03:15 Strategic Planning

Frequently Asked Questions (FAQs):

What HSA changes were included in the Big Beautiful Tax Bill?
The final bill made only modest updates to Health Savings Accounts (HSAs), including a small inflation-based increase in contribution limits beginning in 2026 and expanded eligibility for certain health-related expenses such as fitness programs, home health monitoring devices, and nutritional counseling.

Did the Big Beautiful Tax Bill double HSA contribution limits?
No. The Senate removed the House’s proposed doubling of annual HSA contribution limits. Instead, contribution limits will continue to rise modestly based on standard inflation adjustments tied to high-deductible health plan (HDHP) thresholds.

Can retirees on Medicare still contribute to an HSA?
No. The new law did not change the rule preventing Medicare enrollees—including those enrolled only in Part A—from contributing to an HSA. Once you enroll in Medicare, you can no longer make new contributions, though you can continue using existing funds for qualified medical expenses.

What expenses can HSAs now cover under the new law?
Beginning in 2026, HSAs can be used for a slightly broader range of qualified expenses, including physician-approved fitness and wellness programs, telehealth services before meeting the deductible, certain home monitoring devices, and medically prescribed nutritional counseling or weight loss programs.

What HSA reforms were removed from the final bill?
The following proposals from the House version were cut by the Senate:

Allowing Medicare enrollees to continue contributing to HSAs

Doubling annual HSA contribution limits

Allowing married couples to make both catch-up contributions into one HSA

What should retirees know about HSAs and Medicare under current law?
If you are 65 or older and enrolled in any part of Medicare, you cannot contribute new funds to an HSA. However, you may still withdraw from your HSA tax-free to pay for qualified medical expenses, including Medicare premiums, long-term care insurance (within IRS limits), and out-of-pocket healthcare costs.

Are HSAs still valuable after the Big Beautiful Tax Bill?
Yes. Even with limited reform, HSAs remain a “triple-tax-advantaged” account: contributions are tax-deductible, growth is tax-free, and withdrawals for qualified expenses are tax-free. Pre-retirees should maximize contributions while eligible to take full advantage of these benefits.