Health Savings Accounts For All Act of 2022
A BILL
To amend the Internal Revenue Code of 1986 to increase the limitations on contributions to health savings accounts, and for other purposes.
2. Increase in contribution limitations
“(2) Additional contributions for individuals 50 or older—In the case of an individual who has attained age 50 before the close of the taxable year, the amount of the limitation under paragraph (1) shall be increased by an amount equal to the applicable dollar amount under subparagraph (B)(i) of section 414(v)(2) (as adjusted pursuant to subparagraph (C) of such section).”
“(B) the cost-of-living adjustment determined under section 1(f)(3) for the calendar year in which such taxable year begins determined by substituting “calendar year 2003” for “calendar year 2016” in subparagraph (A)(ii) thereof.”
3. Freedom from mandate
“(a) Deduction allowed—In the case of an individual, there shall be allowed as a deduction for the taxable year an amount equal to the aggregate amount paid in cash during such taxable year by or on behalf of such individual to a health savings account of such individual.”
“(3) Treatment as rollover contribution—A qualified HSA distribution shall be treated as a rollover contribution described in section 223(e)(4).”
“(b) Rules and requirements
“(1) In general—An employer meets the requirements of this subsection for any calendar year if the employer makes available comparable contributions to the health savings accounts of all comparable participating employees for each coverage period during such calendar year.
“(2) Comparable contributions
“(A) In general—For purposes of paragraph (1), the term comparable contributions means contributions—
“(i) which are the same amount, or
“(ii) if the employees are covered by a health plan, which are the same percentage of the annual deductible limit under the plan covering the employees.
“(B) Part-year employees—In the case of an employee who is employed by the employer for only a portion of the calendar year, a contribution to the health savings account of such employee shall be treated as comparable if it is an amount which bears the same ratio to the comparable amount (determined without regard to this subparagraph) as such portion bears to the entire calendar year.
“(3) Comparable participating employees—For purposes of paragraph (1), the term comparable participating employees means all employees who are covered (if at all) under the same health plan of the employer and have the same category of coverage. For purposes of the preceding sentence, the categories of coverage are self-only and family coverage.
“(4) Part-time employees
“(A) In general—Paragraph (3) shall be applied separately with respect to part-time employees and other employees.
“(B) Part-time employee—For purposes of subparagraph (A), the term part-time employee means any employee who is customarily employed for fewer than 30 hours per week.”
4. Amounts paid for health insurance or direct primary care service arrangement
5. Special rule for certain medical expenses incurred before establishment of account
“(C) Certain medical expenses incurred before establishment of account treated as qualified—An expense shall not fail to be treated as a qualified medical expense solely because such expense was incurred before the establishment of the health savings account if such expense was incurred—
“(i) during either—
“(I) the taxable year in which the health savings account was established, or
“(II) the preceding taxable year, in the case of a health savings account established after the taxable year in which such expense was incurred but before the time prescribed by law for filing the return for such taxable year (not including extensions thereof), and
“(ii) for medical care which (but for the fact that it was incurred before the establishment of the account) otherwise meets the requirements of the preceding subparagraphs.”
6. Administrative error correction before due date of return
“(D) Exception for administrative errors corrected before due date of return—Subparagraph (A) shall not apply if any payment or distribution is made to correct an administrative, clerical, or payroll contribution error and if—
“(i) such distribution is received by the individual on or before the last day prescribed by law (including extensions of time) for filing such individual's return for such taxable year, and
“(ii) such distribution is accompanied by the amount of net income attributable to such contribution.”
7. Allowing HSA rollover to child or parent of account holder
8. Coverage for amounts paid for vitamins, dietary supplements, gym memberships, and wearable fitness trackers
“(C) Qualified wellness expenses—For purposes of this paragraph, the term qualified wellness expenses means amounts paid for—
“(i) vitamins,
“(ii) dietary supplements (as defined in section 201(ff) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 321(ff))),
“(iii) membership at a gym or fitness facility, or
“(iv) wearable fitness trackers.”
9. Equivalent bankruptcy protections for health savings accounts as retirement funds
“(r) Treatment of health savings accounts—For purposes of this section, any health savings account (as described in section 223 of the Internal Revenue Code of 1986) shall be treated in the same manner as an individual retirement account described in section 408 of such Code.”