HR Policy Association
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House Hearing on HSAs Sets Stage for Moving Legislation

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Authors: D. Mark Wilson

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A House Ways and Means health subcommittee hearing looked at ways to expand use of health savings accounts as HR Policy and other business groups urged Congress to support the Bipartisan HSA Improvement Act (H.R. 5138).

While Democrats were not focused on opposition to HSAs under any circumstances, they were skeptical that new policies would address the escalating costs that employees face.

Another business community letter notes H.R. 5138 would align the HSA rules in the tax code with the evolving and improving benefits offerings sponsored by employers that have developed since 2003.

Among other provisions, H.R. 5138 allows for first dollar coverage of services for chronic care and disease management; provides for the use of services at employer on-site and retail clinics; and enables employees to use an HSA for wellness benefits including gym memberships.

Next steps:  The House Ways and Means Committee is expected to mark up an HSA improvement bill, or a series of HSA bills, later this month with possible floor action in July.

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