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HR 5688 118th Congress House Taxation Bank accounts, deposits, capital Health care costs and insurance Health care coverage and access Health facilities and institutions Income tax deductions Inflation and prices

Bipartisan HSA Improvement Act of 2023

Introduced: September 26, 2023 Introduced by: Smucker, Lloyd Republican · Pennsylvania See on congress.gov
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This bill died when the 118th Congress ended
It never became law before the 118th Congress (2023–2024) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 6 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Feb 26, 2024
Placed on the Union Calendar, Calendar No. 330.
Feb 26, 2024
Reported (Amended) by the Committee on Ways and Means. H. Rept. 118-401.
Sep 28, 2023
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 28 - 14.
Sep 28, 2023
Committee Consideration and Mark-up Session Held
Sep 26, 2023
Introduced in House
Sep 26, 2023
Referred to the House Committee on Ways and Means.
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 Plain-English summary Congressional Research Service

Bipartisan HSA Improvement Act of 2023

This bill allows an individual to contribute to a health savings account (HSA), as part of a high deductible health plan (HDHP), while also participating in a primary care service arrangement, receiving qualified items or services at an employer-sponsored on-site clinic, or if covered under a spouse’s flexible spending arrangement (FSA). Further, the bill allows individuals to rollover amounts in an FSA or health reimbursement arrangement (HRA) into an HSA.

The bill defines a primary care service arrangement as one in which an individual is provided primary care services by a primary care practitioner for a periodic fixed fee of no more than $150 a month for an individual (or no more than $300 a month for an arrangement that covers more than one individual).

Additionally, under the bill, qualified items or services received at an employer-sponsored, on-site clinic include physical exams, immunizations, nonprescription drugs or biologicals, treatment for injuries related to an individual’s employment, preventative care for chronic conditions, and vision and hearing screenings.

The bill allows an individual to contribute to an HSA, as part of an HDHP, even if covered by a spouse’s FSA. However, amounts in the spouse’s FSA must be used to reimburse the spouse’s eligible medical expenses for the plan year before being rolled over into the individual’s HSA.

Finally, individuals may be able to rollover up to the annual FSA contribution limit from an FSA or HRA into an HSA upon enrolling in an HDHP. 

What's happening now February 26, 2024

Placed on the Union Calendar, Calendar No. 330.

 Related & companion bills 2
  • HR 5716 Related bill Health Savings for Families Act of 2023
  • HR 5777 Related bill To amend the Internal Revenue Code of 1986 to improve health savings accounts.
 Bill text 2 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
 Lobbying activity 9

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

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APA
U.S. Congress. (2026). H.R. 5688: Bipartisan HSA Improvement Act of 2023. 118th Congress. Open America. https://openamerica.io/bill/118-HR-5688/
MLA
"H.R. 5688: Bipartisan HSA Improvement Act of 2023." 118th Congress, 2026, Open America, https://openamerica.io/bill/118-HR-5688/.
Bluebook (legal)
H.R. 5688, 118th Cong. (2026), https://openamerica.io/bill/118-HR-5688/.
Markdown link
[H.R. 5688: Bipartisan HSA Improvement Act of 2023](https://openamerica.io/bill/118-HR-5688/)
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