PRIA Logo™
119-hr-4243119th CongressWALLET

Homecare for Seniors Act

Sponsored By: Representative Smith, Adrian [R-NE-3]

Introduced

Summary

Expands tax-free Health Savings Account payouts to cover qualified in‑home senior care. This bill would add a new "specified medical care" category and let HSA funds pay tax-free for qualifying home‑care contracts.

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Free to download

Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Use HSA money for home care

If enacted, you would be able to use HSA money tax-free for qualified home care. The contract must include at least 3 of these in-home services: help with eating, toileting, transferring, bathing, dressing, continence, or taking medicine. Care must be provided in the home by a state-licensed provider or in a way that follows state rules. You could not use HSA funds if the provider is related to the person getting care. It would apply to amounts you pay for tax years that start after the bill becomes law.

Public campaign on tax-free home care

HHS, with Treasury, would run a public campaign to explain which home care costs can be paid tax-free from HSAs. This would share information only and would not change tax rules. The bill does not set funding or a start date.

Sponsors & CoSponsors

Sponsor

Smith, Adrian [R-NE-3]

NE • R

Cosponsors

  • Rep. Panetta, Jimmy [D-CA-19]

    CA • D

    Sponsored 6/27/2025

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 10/3/2025

  • Rep. Neguse, Joe [D-CO-2]

    CO • D

    Sponsored 12/23/2025

  • Rep. Hayes, Jahana [D-CT-5]

    CT • D

    Sponsored 9/21/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
Back to Legislation