News Archive

"[1] HSAs mainly help people with higher incomes, while doing little for people struggling the most with health care costs.... [2] HSAs benefit insurance companies and banks at the expense of people with low and moderate incomes.... [3] HSAs exacerbate racial disparities in wealth.... [4] HSAs don't protect people from major health care costs.... [5] The cost of HSAs crowds out policies that truly address affordability."  MORE >>

"Recently, the IRS, DOL and HHS released certain annual adjustments for 2027 plan years. The adjustments include the largest one-year increase to the [ACA] out-of-pocket maximum (OOPM) in more than a decade -- a $1,400 jump for self-only coverage. High-deductible health plan (HDHP) thresholds and health savings account (HSA) contribution limits rose modestly, and the excepted benefit health reimbursement arrangement (EBHRA) limit was increased by $50. The current 2026 limits and new 2027 limits are illustrated in the table below."  MORE >>

"[T]he employer is only responsible for determining the following with respect to each employee: [1] whether the employee is covered under an HDHP or a non-HDHP (e.g., a general-purpose health FSA or HRA) sponsored by that employer; and [2] the employee's age, for determining whether the employee is eligible for age 55 catch-up contributions (the employer may rely on employees' representations as to their dates of birth)."  MORE >>

"Voice has become a major fraud risk as deepfakes, voice cloning, and social engineering make traditional call center verification methods easier to bypass. Knowledge-based authentication is no longer enough – a layered approach is needed to ensure voice-based attacks do not negatively impact the member experience."  MORE >>

"This In Focus examines [IRS] tax return data on HSA contributions to assess how HSA contribution amounts vary by source and adjusted gross income (AGI). These trends may inform congressional consideration of proposals to modify HSA eligibility, contribution limits, or the tax treatment of contributions. These data are available at the tax return level: a return can represent one or multiple individuals if the return is filed jointly with a spouse or includes dependents." [IF13244 Jun. 5, 2026]  MORE >>

"In 2027, tax-deductible/tax-free HSA contribution limits, HDHP in-network out-of-pocket maximums, and HDHP minimum annual deductibles will rise from 2026 levels for both self-only and family coverage levels. The aggregate fixed monthly fees for an HSA-compatible direct primary care service arrangement (DPCSA) will remain unchanged.... The 2027 maximum annual employer contribution for an excepted-benefit HRA will increase to $2,250."  MORE >>

"The [IRS] recently announced cost-of-living adjustments to the applicable dollar limits for health savings accounts (HSAs), high-deductible health plans (HDHPs), and excepted benefit health reimbursement arrangements (HRAs) for 2027. In addition, this year's guidance includes inflation-adjusted limits for the aggregate fees that can be made available under direct primary care service arrangements (DPCSAs), which were first made available under the One Big Beautiful Bill Act (OBBBA). Most of the dollar limits currently in effect for 2026 will change for 2027."  MORE >>

"Starting in 2007, the Tax Relief and Health Care Act of 2006 (TRHCA) requires that the IRS release the upcoming year's new HSA and Excepted Benefit Health Reimbursement Arrangement (EBHRA) limits prior to June 1st. Thus, we now have the 2027 limits[.]"  MORE >>

"For calendar year 2027, the annual limitation on deductions under section 223(b)(2)(A) for an individual with self-only coverage under a high deductible health plan is $4,500. For calendar year 2027, the annual limitation on deductions under Section 223(b)(2)(B) for an individual with family coverage under a high deductible health plan is $9,000.

"For calendar year 2027, a DPCSA is not treated as a health plan with respect to an otherwise eligible individual if the aggregate monthly fees for all DPCSAs with respect to the individual do not exceed $150 or, if the individual is covered by a DPCSA that covers more than one individual, $300.

"For calendar year 2027, a 'high deductible health plan' is defined under section 223(c)(2)(A) as a health plan with an annual deductible that is not less than $1,750 for self-only coverage or $3,500 for family coverage, and for which the annual out-of-pocket expenses (deductibles, co-payments, and other amounts, but not premiums) do not exceed $8,700 for self-only coverage or $17,400 for family coverage.

"For plan years beginning in 2027, the maximum amount that may be made newly available for the plan year for an excepted benefit HRA under Section 54.9831-1(c)(3)(viii) is $2,250."  MORE >>

"With tax deadlines still fresh and enrollment activity behind you, now is the ideal time to address ongoing obligations that are often overlooked until they become urgent. This checklist highlights the key compliance areas benefits administrators should review early in Q2 to stay on track and avoid costly mistakes later in the year."  MORE >>

"Total health savings account (HSA) assets added up to $173.8 billion at the end of 2025 across 41.7 million accounts ... This represents an increase from $146.6 billion in 2024, a 19% increase.... The total number of accounts also grew by 6% from 39.3 million at the end of 2024. Most withdrawals (78%) were made using a debit card."  MORE >>

"Health Savings Accounts (HSAs) are an attractive target for fraudsters, and HSA providers must use automated methods to stop them before funds are lost....Best practices include: [1] Retiring micro-deposit verification through bank accounts. [2] Integrating instant bank account verification inside the member app. [3] Enabling real-time verification outcomes."  MORE >>

"PLR 202434006 permitted an election between a defined contribution plan, an HRA, an HSA, and student loan payments under a qualified educational assistance program. The [OPTIONS Act (HR 8314)] goes beyond that and allows an election for any benefits that are excluded under the Code. Presumably, this would include benefits such as a dependent care assistance program and a Trump Account."  MORE >>

"How do you prepare for thousands of dollars in upfront costs? One option is a health savings account, or HSA, which lets you save pretax money and is now available to people enrolled in lower-tier state and federal exchange plans, including bronze and catastrophic coverage. These plans generally have the lowest premiums on the exchange but the highest out-of-pocket costs when you need care."  MORE >>

"[S]ection 1860D-13(b)(6)(B)(i) of the [Social Security Act] requires that 'entities that offer prescription drug coverage' must provide creditable coverage disclosures.... [CMS proposes] to revise Section 423.56(b)(3) so that account-based entities are not required to provide the creditable coverage disclosures.... [R]equiring account-based plans, such as HRAs, including ICHRAs, to determine if their coverage is creditable, and requiring them to report the creditable status of that coverage, unduly increases administrative burden on these entities ... After consideration of the comments received on this provision by a broad range of stakeholders, we are finalizing this policy as proposed without modification. "  MORE >>

"A spouse's enrollment in a general purpose health FSA provides 'coverage' (i.e., the ability to have out-of-pocket medical expenses reimbursed) for both the spouse and the employee. Because the general purpose health FSA is disqualifying coverage for HSA eligibility purposes, the spouse's FSA enrollment blocks both the spouse and the employee from making or receiving HSA contributions."  MORE >>

18 pages. "Retail and digital-first health merchants increased their share of HSA spend year over year. Amazon remains one of the top merchants by transaction volume.... Mental health platforms including Headway, BetterHelp, and therapy- focused apps like Ivy represent growing engagement. Vision and optical retailers such as Warby Parker and 1-800 Contacts rank among top recurring spend merchants. H.... Hospitals and health systems continue to drive the largest dollar totals, but represent a smaller share of total transaction count. Rx continues to be the most frequent usage (total debit card swipes)"  MORE >>

"Individuals who receive services at a Veterans Affairs (VA) or an Indian Health Services (IHS) facility generally lose HSA eligibility for a three-month period. Veterans with a service-connected disability can receive VA services without the three-month block on HSA contributions."  MORE >>

"The White House and Congress have coalesced around a health reform concept: promoting high-deductible health plans linked with subsidized spending accounts to pay for out-of-pocket costs. A central argument is that shifting costs from insurance companies to consumers will encourage them to shop for services, lowering health care utilization, prices, and thus costs.... [This] article reviews the evidence and arguments for this approach, concluding that it should be abandoned rather than expanded. Policy makers could start where the current policy debate is centered: lowering deductibles in the [ACA] health insurance marketplace plans."  MORE >>

"It would be helpful if the IRS would issue specific guidelines with clear criteria that is not specific to Medicare to determine whether a service is a qualifying telehealth or other remote care service that aligns with Congress' intentions to ensure HSA-eligible individuals can access meaningful benefits on a pre-deductible basis.... [S]pecifying guidance would be helpful to [employers] and their employees to aid in determining the scope of 'primary care services.' "  MORE >>

"Health savings accounts may have tax advantages for long-term savings, but most respondents in a new survey ... reported using an HSA for immediate costs. When [HSA owners were asked] how they used their accounts, 67% said they were for out-of-pocket expenses from the past year or near term. Only 35% reported saving in their HSA for health care costs in retirement, and 28% said they had invested their account funds."  MORE >>

"This report summarizes the principal rules governing HSAs, covering such matters as eligibility, qualifying health insurance, contributions, withdrawals, and tax advantages. It concludes with a discussion of HSA data limitations and recent trends in HDHP enrollment and HSA utilization. It includes HSA-related changes in the fiscal year (FY) 2025 budget reconciliation law sometimes referred to as the One Big Beautiful Bill Act[.]" [R45277 updated Feb. 23, 2026]  MORE >>

"HSAs are increasingly operating like powerful long-term investment vehicles rather than just spending accounts. Yet misconceptions persist across the workforce, and employee education continues to lag.... [This article examines] the triple tax advantages, workforce perception trends, and evidence-based insights to guide employers in maximizing HSA participation and value."  MORE >>

22 pages. "What's new: [1] Telehealth and other remote care services.... [2] Health Flexible Spending Arrangement (FSA) contribution and carryover for 2025."  MORE >>

23 pages. "What's new: [1] Telehealth and other remote care services.... [2] Health Flexible Spending Arrangement (FSA) contribution and carryover for 2025."  MORE >>