HSA News for October 20, 2025

HSA news is compiled weekly by Mr. HSA, Roy Ramthun.

News from Washington

Where Is the DOL Going With the Fiduciary Rule?

The Department of Labor announced in September that it would be revisiting the definition of fiduciary adviser, with the aim of issuing a new rule in 2026. But the regulatory agenda that DOL published recently did not provide much detail on what a new rule might look like, saying only that it “will ensure that the regulation is based on the best reading of the statute.” Meanwhile, the previous rule remains tied up in federal court.

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HSA Studies & Analysis

HSA Day Report: Where Do Health Savings Accounts Stand in Their Mid-22nd Year?

The state of the HSA market is impressive, as highlighted in the most recent Devenir Research semi-annual market survey. All evidence points to growth as more hard-working American families integrate these accounts into their strategy to secure their financial future. The numbers tell an impressive story. 

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Morningstar: The Best HSA Providers of 2025

If you’re looking for a way to stretch your healthcare dollars, you might consider an HSA. Morningstar evaluates the top HSA providers that offer retail accounts for those looking to shop around. If you decide that an HSA is right for you or you want to see how your employer-sponsored plan stacks up, consider our list of the best HSA providers of 2025.

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HSA Limits Rise, but Frustrated Users Leave Money Behind

When employees use their HSA regularly, they are more likely to contribute funds, which, in turn, increases tax savings for both employee and employer, according to a recent survey. Despite that mutual benefit, many employers may not realize that their employees are not only frustrated with the HSA experience, but also leaving money on the table.

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Cost Sharing Mandates and "Vaccine" Bills: Inside the State-by-State Effort to Save HSAs 

State legislators do not understand potential conflicts between the state benefit mandates that they pass and their impact on HSAs. As the issue becomes more widespread, a preventive approach is the superior approach. Absent this state-by-state protective shield, HSA advocates and the professional organizations that represent their interests must remain vigilant whenever a new state benefit mandate is introduced.

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Compliance Corner

Does a High Income Preclude You from the Full Benefits of a Health Savings Account?

My income precludes me from participating in some tax-advantaged programs, like IRAs. Can I open and fund an HSA? Yes, if you satisfy all the HSA eligibility requirements. Income is not a factor in determining your eligibility to open and fund an HSA.

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I Turned 65 in April, But I’m Still Working and on My Employer’s Health Plan. I Was Advised Not to Sign up for Medicare. But Now I’m Paranoid That I Made a Mistake. What’s My Move?

If you’re still actively working and covered under an employer’s high deductible health plan, it’s usually best not to sign up for Medicare Part A or B right away. For one, enrolling in Part A disqualifies you from making HSA contributions. As long as you sign up for Part B within eight months of losing your employer coverage, you won’t face any penalties. 

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HSA Industry News

HealthEquity Introduces GLP-1 Telehealth and Direct HSA Enrollment Platforms 

HealthEquity, Inc. announced two consumer-focused initiatives designed to expand access to affordable healthcare solutions for millions of American families: a curated platform connecting its HSA members with affordable healthcare solutions beginning with GLP-1 weight management medications, and a direct HSA enrollment platform.

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Best Practices

Helping Employees Maximize Their HSA Benefits on National HSA Day

In recognition of National HSA Day on October 15, the Plan Sponsor Council of America has released a suite of free educational resources to help employers inform employees about the value of HSAs as a powerful tool for both current and future health care savings — and as a strategic component of overall retirement planning.

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Explore These HSA Day 2025 Resources

In celebration of National HSA Awareness Day (HSA Day), WEX is making it easier than ever to understand, adopt, and maximize the benefits of HSAs. Whether you’re an employer, HR professional, or employee, these resources will help you clear up misconceptions, learn from real data, and take your HSA strategy to the next level.

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Reducing Costs and Improving Health Outcomes With an HSA

Here's how a technology company increased Health Savings Account adoption and enhanced employee healthcare outcomes at an affordable cost for all—including the company itself. 

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10 Surprising Expenses Employees Can Pay for With Their HSAs: A Guide for Employers

HSAs are a powerful tool for employees to manage healthcare costs, but many don’t realize just how flexible these accounts can be. As an employer, helping your team understand the full scope of HSA-eligible expenses can dramatically improve benefit utilization, boost employee satisfaction, and reinforce your commitment to wellness.

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HSAs & Retirement

HSAs (Still) Underused for Retirement Savings Despite Improvements

Morningstar’s 2025 HSA Landscape Report finds that while account quality has improved and fees have fallen, most participants (73%) use HSAs primarily as spending vehicles for near-term health care expenses rather than long-term savings tools for retirement.

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Think You’ve Stashed Enough in Your HSA? Don't Forget to Plan for These 3 Expenses Medicare Doesn’t Cover — They Can Total Over $100K a Year 

There are a number of common healthcare expenses Medicare won’t cover. It’s important to know what they are so you can take steps to prepare; namely, by boosting contributions to your HSA or other savings so you have the funds to pay for them.

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Maximizing Your HSA

Boost Your HSA Savings With These Smart and Savvy Moves 

If you understand the benefits of an HSA, there are some moves you can make to get the most out of having one. After all, the money you’re saving in your HSA isn’t just sitting there. It is being invested and growing and compounding and hopefully becoming a nice nest egg. 

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HSA 101: How to Turn Your Health Care Fund Into a Tax-Free Investment Engine 

Using an HSA to cover health expenses in retirement is a smart strategy so you avoid a funding shortfall when you are on a fixed income. Another strategy is called “cashflowing your HSA” where you track your medical expenses over multiple years and pay for them using your after-tax cash flow while leaving your HSA funds in the account to compound.

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HSA Obstacles: 6 Common Missteps That Prevent Your Health Savings from Reaching Full Potential

Health Savings Accounts are rocketing in popularity, and it’s easy to see why. The only problem with HSAs is that some of us don’t use them to their fullest potential. So today, I’m going to introduce you to several common HSA money mistakes—and show you how to avoid making them.

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How to Open a Health Savings Account if You’re Self-Employed

A self-employed individual may be eligible for an HSA if they have a qualified HDHP. This includes Instacart shoppers, freelance consultants, Uber drivers, and small-business owners. You do not need to have an employer or a full-time job to be eligible for an HSA. Here’s how to open an HSA.

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