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Easier Health Savings Accounts with Direct Medical Care

New rules allow individuals using direct medical care arrangements (e.g., doctor subscriptions) to remain eligible for Health Savings Accounts (HSAs). Fees for such care will be treated as medical expenses, potentially offering tax benefits. Employers will need to report these fees on W-2 forms.
Key points
You can have a Health Savings Account (HSA) even if you use a direct medical care service arrangement (like a fixed-fee doctor's plan).
Fees paid for direct medical care services will count as eligible medical expenses for tax purposes.
Employers will report the total fees for direct medical care arrangements on your W-2 form.
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Status:
Introduced
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Additional Information
Direct Medical Care Freedom Act of 2025
Print number: HR 1140
Sponsor: Rep. Roy, Chip [R-TX-21]
Process start date: 2025-02-07