HSA News for August 4, 2025
HSA news is compiled weekly by Mr. HSA, Roy Ramthun.
News from Washington
White House Has No Plan to Mandate IVF Care, Despite Campaign Pledge
The White House does not plan to require health insurers to provide coverage for in vitro fertilization services, even though the idea was one of President Donald Trump’s key campaign pledges. White House officials are backing away from proposals to mandate IVF coverage for the roughly 50 million people on the Obamacare exchanges.
HSA Studies & Analysis
Survey: More Than 59 Million People Covered by Health Savings Accounts in 2024
HSAs helped cover health care expenses for more than 59.3 million Americans in 2024, according to a new survey. There were 39.3 million HSAs by the end of last year, and approximately 30% of HSAs were held by individuals in their 30s. Account holders 55 and older had accumulated over $63 billion in their accounts at the end of 2024, a 21% increase from the previous year.
Health Savings Accounts: Providing High-Quality Coverage to Nearly 39 Million People
A new nationwide survey finds that as of January 1, 2024, 38.8 million people were enrolled in HSA-eligible health plans, accounting for 17.9% of the total commercial health plan enrollment. Policies offered by employers with 50 or more employees accounted for 90% of HSA-eligible health plan enrollees. 36% of HSA-eligible health plan enrollees were 25 to 44 years old.
Benefitfocus Analyzes HDHP-HSA Plan Trends In the 2025 State of Employee Benefits Report
In its latest report, Benefitfocus found that Gen Z workers had the highest HSA-eligible HDHP participation relative to Millennials, Gen Xers, and Baby Boomers. Benefitfocus’ data showed that HSA-eligible HDHP participation increased among Gen Zers at a greater clip compared to Millennials, Gen Xers, and Baby Boomers from 2024 to 2025.
Is Recent Legislation a First Step to "Decoupling" HSAs From Rigid Designs?
The One Big, Beautiful Bill Act offers a second path to creating an HSA-qualified plan by defining all Bronze and Catastrophic coverage available on federal- and state-facilitated insurance marketplaces as HSA-qualified plans. How will this change affect the non-group market? Will it mean more or fewer HSA-qualified options in public marketplaces?
Compliance Corner
Can Your Employer Claw Back a Mistaken Excess Contribution? Maybe. In Part.
I received too much money in my HSA from my employer. Can my employer request that its HSA provider correct the error and return the money? Yes, your employer can correct the error, but only partially. Although HSA contributions vest immediately, this is one of the exceptions.
How the One Big Beautiful Bill Will Impact Telehealth Coverage for HDHPs
Congress has made permanent the safe harbor allowing HSA-qualified plans to cover telehealth and other remote services before the deductible is met. It may seem like a small technical change, but it creates real, practical opportunity, especially for those dealing with high-cost health issues, such as cancer care. As a result, employers now have the ability to change access, availability, and utilization of critical health services.
Industry News
Lively’s 2025 HSA Spend Report Highlighting How Americans Are Navigating Skyrocketing Healthcare Costs
Lively, Inc. unveiled its 7th annual 2025 HSA Spend Report, revealing how U.S. account holders are using their HSAs to cope with record-high healthcare prices. As inflation unnerves consumers and medical costs keep climbing, HSAs are proving to be more than just expense accounts—they’re becoming essential financial safety nets.
Market Trends
Employees Are Turning 65 With No Plans to Retire: What This Means for Benefits
A recent survey paints a picture of growing anxiety around retirement readiness and income security, particularly among Gen X and Baby Boomers, who increasingly fear outliving their savings. As employees move through different life stages with vastly different financial realities, benefit leaders have a critical role to play in supporting them with tools and guidance tailored to their needs.
Sixty Is the New Forty: More Older Americans Are Staying in the Workforce Longer
51% of retirement-age Americans now say they plan to work indefinitely. This isn’t just a minor uptick. It’s a fundamental shift in how Americans approach their later years. The workforce transformation is dramatic. Between 2015 and 2024, the number of Americans 65 and older still punching the clock surged by more than 33%. Medical expenses are a major reason older adults keep working.
HSAs & Retirement
The Average Retiree Is Facing $173K in Health Care Costs, Fidelity Says
According to Fidelity, a 65-year-old retiring this year will need an average of $172,500 to cover health care and medical expenses throughout retirement, more than a 4% increase from last year’s estimate. As steep as it is, Fidelity's projection likely falls short of the real costs retirees confront today, as it still doesn't account for long-term care expenses.
Health Savings Accounts: How to Use Your HSA to Save for Retirement
A Health Savings Account is a powerful financial tool available to many Americans, yet they remain underused and often misunderstood. Using an HSA to save for retirement is not a “hack” but rather a key purpose for which these accounts were designed. Here’s what you should know about how to use an HSA to secure a successful retirement.
Where and How to Invest Your Long-Term-Care ‘Bucket’
Morningstar's Christine Benz often talks about “bucketing" in relation to overall retirement spending, and she has created numerous portfolios based on that basic concept. But the approach can be useful for other savings and investment goals, too, including covering long-term-care costs out of pocket. But where and how should those funds be invested?