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Trump Administration Proposes Plans to Broaden Eligible Use of Health Savings Accounts

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Authors: D. Mark Wilson

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The Trump administration has reportedly prepared options for Congress to consider significantly expanding the types of health care plans that could be used in conjunction with health savings accounts.

One option would be to allow any insurance plan, individual or employer-provided, that covers some percentage of health care costs, (i.e., actuarial value) to be coupled with an HSA.

Currently, insurance plans must meet certain criteria and have high deductibles in order to qualify for use with an HSA.

The number of employees with HSAs could almost triple from 11 million to 28.5 million by 2020, assuming HSAs could be paired with any employer plan that has pays for up to 75 percent of the plan costs, according to the Treasury Department analysis.

The House Ways and Means Committee is expected to mark up the bill before the August recess, said Chairman Kevin Brady (R-TX).

The bottom line: “We're looking at a number of options and ideas how we can maximize use of HSAs to make health care more affordable,” according to Chairman Brady.  “You’re going to see, I think, an expansion of the amount people can use and the expansion of the choices you can make with your health savings account.”  

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