Health Savings Account Act

I 116TH CONGRESS 1ST SESSION H. R. 457 To amend the Internal Revenue Code of 1986 to increase the maximum contribution limit for health savings accounts, and for other purposes. IN THE HOUSE OF REPRESENTATIVES JANUARY 10, 2019 Mr. FORTENBERRY introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend the Internal Revenue Code of 1986 to increase the maximum contribution limit for health savings ac- counts, and for other purposes. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Health Savings Ac- 4 count Act’’. 5 SEC. 2. MAXIMUM CONTRIBUTION LIMIT TO HSA IN- 6 CREASED TO AMOUNT OF DEDUCTIBLE AND 7 OUT-OF-POCKET LIMITATION. 8 (a) SELF-ONLY COVERAGE.—Section 223(b)(2)(A) 9 of the Internal Revenue Code of 1986 is amended by strik- 10 VerDate Sep 11 2014 22:32 Jan 24, 2019 Jkt 089200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H457.IH H457 pbinns on DSK79D2C42PROD with BILLS 2 •HR 457 IH ing ‘‘$2,250’’ and inserting ‘‘the amount in effect under 1 subsection (c)(2)(A)(ii)(I)’’. 2 (b) FAMILY COVERAGE.—Section 223(b)(2)(B) of 3 such Code is amended by striking ‘‘$4,500’’ and inserting 4 ‘‘the amount in effect under subsection (c)(2)(A)(ii)(II)’’. 5 (c) EFFECTIVE DATE.—The amendments made by 6 this section shall apply to taxable years beginning after 7 the date of the enactment of this Act. 8 SEC. 3. TREATMENT OF DIRECT PRIMARY CARE SERVICE 9 ARRANGEMENTS. 10 (a) IN GENERAL.—Section 223(c) of the Internal 11 Revenue Code of 1986 is amended by adding at the end 12 the following new paragraph: 13 ‘‘(6) TREATMENT OF DIRECT PRIMARY CARE 14 SERVICE ARRANGEMENTS.—An arrangement under 15 which an individual is provided coverage restricted to 16 primary care services in exchange for a fixed peri- 17 odic fee or payment for such services— 18 ‘‘(A) shall not be treated as a health plan 19 described in subclause (I) or (II) of paragraph 20 (1)(A)(ii) for purposes of such paragraph, and 21 ‘‘(B) shall not be treated as insurance for 22 purposes of subsection (d)(2)(B).’’. 23 (b) CERTAIN PROVIDER FEES TO BE TREATED AS 24 MEDICAL CARE.—Section 213(d) of such Code is amend- 25 VerDate Sep 11 2014 22:32 Jan 24, 2019 Jkt 089200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H457.IH H457 pbinns on DSK79D2C42PROD with BILLS 3 •HR 457 IH ed by redesignating paragraph (4) as paragraph (5) and 1 by inserting after paragraph (3) the following new para- 2 graph: 3 ‘‘(4) PERIODIC PROVIDER FEES.—The term 4 ‘medical care’ shall include— 5 ‘‘(A) periodic fees paid to a primary care 6 physician for a defined set of medical services 7 or the right to receive medical services on an 8 as-needed basis, and 9 ‘‘(B) pre-paid primary care services de- 10 signed to screen for, diagnose, cure, mitigate, 11 treat, or prevent disease and promote 12 wellness.’’. 13 (c) EFFECTIVE DATE.—The amendments made by 14 this section shall apply to taxable years beginning after 15 the date of the enactment of this Act. 16 SEC. 4. FITNESS CENTER MEMBERSHIP AS AN ALLOWABLE 17 HSA EXPENSE. 18 (a) IN GENERAL.—Subparagraph (A) of section 19 223(d)(2) of the Internal Revenue Code of 1986 is amend- 20 ed by adding at the end the following: ‘‘Such term shall 21 include amounts paid for membership in a fitness center.’’. 22 VerDate Sep 11 2014 22:32 Jan 24, 2019 Jkt 089200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H457.IH H457 pbinns on DSK79D2C42PROD with BILLS 4 •HR 457 IH (b) EFFECTIVE DATE.—The amendments made by 1 this section shall apply to taxable years beginning after 2 the date of the enactment of this Act. 3 Æ VerDate Sep 11 2014 22:32 Jan 24, 2019 Jkt 089200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6301 E:\BILLS\H457.IH H457 pbinns on DSK79D2C42PROD with BILLS