Close Close
Popular Financial Topics Discover relevant content from across the suite of ALM legal publications From the Industry More content from ThinkAdvisor and select sponsors Investment Advisor Issue Gallery Read digital editions of Investment Advisor Magazine Tax Facts Get clear, current, and reliable answers to pressing tax questions
Luminaries Awards
ThinkAdvisor
Thumbs up, thumbs down

Life Health > Health Insurance > HSAs

Debate: Would This HSA Expansion Bill Help Taxpayers?

X
Your article was successfully shared with the contacts you provided.

Recent legislation has been introduced by Republicans in Congress to expand the use of health savings accounts.

The Simplify and Expand Health Savings Accounts Act would increase the maximum annual HSA contribution limit to $10,000 per individual and $20,000 for family coverage. Employers would also be permitted to contribute to an employee’s HSA and allow those funds to be used to purchase individual health coverage in order to satisfy the employer’s mandate under the Affordable Care Act. 

HSA funds would also be allowed to be used for direct primary care arrangements.

We asked two professors and authors of ALM’s Tax Facts with opposing political viewpoints to share their opinions about the impact of recent proposals to expand the use of health savings accounts.

Below is a summary of the debate that ensued between the two professors.

Their Votes:

thumbs up Byrnes
Bloink

Their Reasons:

Byrnes: Increasing the HSA contribution limits both gives workers greater control of their health care spending and is realistic in light of the ever-increasing costs of health services. We all know that Obamacare health plans come with sky-high deductibles and that every individual who funds an HSA must deal with those costs. The only real appeal of a high-deductible health plan is the HSA funding option, and this legislation would make the structure much more workable.

Bloink: These proposals do much more than merely raise the annual HSA contribution limit substantially. They also allow employers to avoid offering health coverage to employees when they otherwise would be legally mandated to do so. Instead, employers would be entitled to simply fund the individual’s HSA and allow those funds to be used to purchase health coverage in the individual market to satisfy the ACA employer mandate. 

Byrnes: It makes complete sense to raise the annual contribution limit so that it actually is likely to exceed the individual’s deductible, so that the individual then actually has the funds necessary to make their health insurance plan work for them — assuming that the individual is able to maximize pretax HSA contributions in the first place. 

Bloink: While giving the employee the choice to use HSA funds to buy marketplace coverage is a positive step, letting employers off the hook for offering health coverage at all circumvents important protections put into place under the ACA for a reason. It’s also likely to create confusion for individuals who must then evaluate health plans and determine whether the health plan qualifies for an HSA in the first place.

Byrnes: With low HSA contribution rates, it can take several years of funding (assuming the individual makes no actual withdrawals to cover health-related expenses over the funding period) to cover a single year’s plan deductible. Contribution limits at minimum must be high enough to allow employees who max out their contributions to satisfy their plan deductibles.

Bloink: By this point, we all should recognize that the Affordable Care Act, while not perfect, provides critical protections for millions of Americans. If this proposal became law in its full form, it would strip some of those important protections by giving large employers the option of not offering comprehensive health coverage in the first place — essentially placing the burden on the individual to find a qualifying plan. 

  • Learn more with Tax Facts, the go-to resource that answers critical tax questions with the latest tax developments. Online subscribers get access to exclusive e-newsletters.
  • Discover more resources on finance and taxes on the NU Resource Center.
  • Follow Tax Facts on LinkedIn and join the conversation on financial planning and targeted tax topics.
  • Get 10% off any Tax Facts product just for being a ThinkAdvisor reader! Complete the free trial form or call 859-692-2205 to learn more or get started today.

NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.