Protecting Life in Health Savings Accounts Act
Sponsored By: Senator Lee, Mike [R-UT]
Introduced
Summary
Bars reimbursements for abortions from tax-advantaged health accounts. The bill would prevent using Health Savings Accounts, Archer medical savings accounts, health Flexible Spending Arrangements, health reimbursement arrangements, and retiree health accounts to pay for abortions except in narrow cases.
Show full summary
- People with HSAs or Archer MSAs: They would not be able to use those accounts to pay for abortions except for the bill's narrow exceptions.
- Workers with employer FSAs or HRAs: These plans would be barred from reimbursing abortion expenses except for the same exceptions. The restriction would apply starting in 2026 for expenses incurred in taxable years beginning after Dec. 31, 2025.
- Retirees with retiree health accounts: Abortion expenses would not qualify for reimbursements except for the exceptions spelled out in the bill.
- People seeking abortions: Reimbursements would be allowed only for abortions resulting from rape or incest or when a physician certifies a life-threatening physical condition.
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.
Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 1 costs, 0 mixed.
Limits abortion payments from health accounts
This bill would prevent most abortions from being treated as qualified medical expenses in tax-advantaged accounts. HSAs, Archer MSAs, health FSAs, HRAs, and retiree 401(h) accounts would no longer reimburse abortion costs that are not excepted. Exceptions would be abortions after rape or incest, or when a physician certifies a life‑threatening physical condition. The rule would apply to amounts paid for taxable years beginning after December 31, 2025. If enacted, people whose abortions do not meet these narrow exceptions would likely face higher out‑of‑pocket costs.
Sponsors & CoSponsors
Sponsor
Lee, Mike [R-UT]
UT • R
Cosponsors
Sen. Banks, Jim [R-IN]
IN • R
Sponsored 1/24/2025
Sen. Daines, Steve [R-MT]
MT • R
Sponsored 1/24/2025
Cindy Hyde-Smith
MS • R
Sponsored 1/24/2025
Bill Hagerty
TN • R
Sponsored 1/24/2025
Sen. Cramer, Kevin [R-ND]
ND • R
Sponsored 1/24/2025
Sen. Blackburn, Marsha [R-TN]
TN • R
Sponsored 1/24/2025
Sen. Hawley, Josh [R-MO]
MO • R
Sponsored 1/24/2025
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov