S 4353 United States Senate · 119th Congress

Health Savings Account Expansion Act

The Health Savings Account Expansion Act modifies tax rules to allow individuals with government-sponsored health plans, such as Medicare or Medicaid, and those in health care sharing ministries to contribute to Health Savings Accounts. It also clarifies that payments for these specific types of coverage can be made using HSA funds and expands the definition of eligible medical expenses to include membership fees and administrative costs for health care sharing ministries. Additionally, the bill permits the use of HSA funds to purchase over-the-counter drugs and insulin without a prescription. These changes are scheduled to take effect for taxable years beginning after December 31, 2026.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2026
Committee Review
Floor Vote
President
Introduced Apr 21, 2026 Last action Apr 21, 2026
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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
Apr 21, 2026
Committee
Read twice and referred to the Committee on Finance.
upper
Apr 21, 2026
Introduced
Introduced in Senate
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Roger Marshall
Roger Marshall
RRepublican
KS
n/a