Bill > HR6183

This bill proposes several reforms to Health Savings Accounts (HSAs), a tax-advantaged savings account designed to help individuals with high-deductible health plans save for medical expenses. The key provisions include: limiting HSA contributions based on modified adjusted gross income with specific income thresholds for different filing statuses; restricting HSA reimbursements to expenses incurred within two years of payment; requiring substantiation of medical expenses through provider assessments; excluding certain expenses like spa treatments and limiting exercise equipment reimbursement to $500 per year; imposing an excise tax on trustees who charge excessive HSA fees; and mandating reporting of earnings on HSA cash balances by comparing the account's average yield to the national savings account average. These changes would apply to taxable years and distributions beginning after December 31, 2025, and aim to provide more oversight, transparency, and fiscal responsibility in how HSAs are managed and used. The bill modifies the Internal Revenue Code of 1986 to implement these reforms, potentially affecting how individuals can use and benefit from HSAs in the future.