HSA news is compiled weekly by Mr. HSA, Roy Ramthun.
News from Washington
Trump Set to Propose Framework to Fix Obamacare Subsidies
President Donald Trump is expected to announce, as early as November 24, a general framework to address health care costs, calling on Congress to send a bill to his desk that would halt Affordable Care Act premium spikes, according to White House officials. The proposal is expected to call for re-directing government subsidies to personal HSAs.
Cassidy Pitches New Health Care Plan in Line With Trump’s
Senate HELP Committee Chair Bill Cassidy (R-LA) laid out his proposal for putting money directly in Americans’ Health Savings Accounts — the favored approach of President Donald Trump. Cassidy’s proposal is the most substantive health policy to be publicly released by any Republican that aligns with Trump’s vision to lower health care costs.
Compliance Corner
Yes, You Can Own More Than One HSA. No, You Cannot Do That with Two HSAs.
You can own more than one Health Savings Account. While the federal tax code imposes no limit on the number that you can own, most people own no more than two. There are some financial strategies that lend themselves to multiple HSAs. But federal tax law does not offer special privileges that owners of only one account do not enjoy.
Can an Employer "Claw Back" Up-front Contributions If Worker Leaves Mid-year?
Can my employer take back any portion of the contribution to my HSA now that I'm leaving the company? No. Contributions to your HSA vest immediately. An employer can claw back all or a portion of an employer contribution only in specific circumstances. An employee’s leaving employment is not one of those situations.
HSA Industry News
HSA Bank Launches Education Campaign for Newly Eligible Consumers
HSA Bank is introducing a new campaign, including resources to educate eligible consumers enrolling in a Bronze or Catastrophic health plan in the wake of changes to federal legislation enacted earlier this year. HSA Bank’s webpage features educational content to help consumers make informed decisions during the open enrollment period.
HealthEquity to Enhance Member Experience With Agentic AI
HealthEquity announced that it will deploy agentic AI capabilities that fundamentally change how members access support, working with leading customer experience agent builder Parloa to mark a significant evolution in leveraging intelligent, conversational AI that understands member needs and takes action in real time.
Best Practices
The Vital Role of HSAs: More Than Just a Health Care Spending Vehicle
HSAs represent an underutilized opportunity that can drive long-term financial security, tax efficiency and retirement readiness. By elevating the role of HSAs within an organization’s benefits strategy, employers can help their workforce thrive while reinforcing a culture of smart, sustainable financial planning.
How to Drive HSA Adoption and Engagement
Employers are feeling the pressure to offer benefits that provide real value. HSAs have become a powerful tool for doing just that, but it’s important for employers to understand how their employees think and feel about HSAs. Here's what motivates consumers to adopt and engage with HSAs—and what holds others back.
Expanding HSA Eligibility Could Pay for GLP-1s
As employers face growing pressure to cover costly GLP-1s for weight loss, an expansion of HSAs may be the best hope to satisfy massive consumer demand for this emerging drug category. It's also an opportunity to empower health plan members to shoulder financial responsibility in making this lifestyle choice.
HSAs & Retirement
For High Earners Reluctant to Go Roth, There's Another 'Catch-Up' Option
In some cases, retirement savers would be better served directing catch-up money into an HSA rather than a Roth account. This route can offer added flexibility because once taxpayers turn 65 or become disabled, HSA withdrawals for qualified medical expenses remain untaxed, but withdrawals for non-QMEs incur no additional penalty.
What to Know if You’re Nearing Age 65 With an HSA: Some Retirees Have ‘Meaningful’ Balances
HSA assets are highest among people ages 60 to 64, followed by the 55-to-59 age range. But more retirees are sitting on meaningful HSA balances without a clear plan for how to use them most effectively, according to one financial planner. One of the most important aspects to know about HSAs as you approach age 65 involves Medicare.
Maximizing Your HSA
Don’t Pass Up ‘Free Money’ During Open Enrollment—How to Choose FSA and HSA Contributions
When you select coverage for the upcoming year, you may be given the option to contribute to an FSA or HSA. Both accounts allow you to divert money from a paycheck into an account you can use to pay for out-of-pocket medical expenses. Here’s how these accounts work, and how much money experts say you should consider putting in them.
Consumer-Driven Health Care
92 Useful and Surprising Things You Can Pay for With Your HSA in 2026
You can use your HSA to purchase a wide range of qualified medical expenses that are not covered by your health insurance or reimbursed by another plan. Expenses that qualify for the medical- and dental-expense deduction meet the criteria. GoodRx explains how to use an HSA and provides a list of 92 HSA-eligible expenses for 2026.