PolicyBrief
H.R. 74
119th CongressJan 3rd 2025
Freedom for Families Act
IN COMMITTEE

This bill expands the use of health savings accounts (HSAs) by allowing tax-free distributions for family caregiving expenses and removing the requirement to have a high-deductible health plan, while also increasing the maximum annual contribution limit to $9,000.

Andy Biggs
R

Andy Biggs

Representative

AZ-5

LEGISLATION

Freedom for Families Act: HSA Funds Can Now Be Used Tax-Free for Caregiving, Contribution Limits Tripled

The Freedom for Families Act is shaking up how Health Savings Accounts (HSAs) work, offering some major changes that could impact your wallet. This bill does three big things: it lets you use HSA money tax-free for caregiving, ditches the requirement for a high-deductible health plan, and significantly boosts the amount you can stash away in your HSA each year.

Caregiving Costs Covered

This is a game-changer for anyone who's had to take time off to care for a new baby, or a family member with serious health issues. The bill specifically ties this to the Family and Medical Leave Act (FMLA). So, if your situation qualifies for FMLA leave—like welcoming a new child (birth, adoption, or foster care) or caring for a spouse, child, or parent with a serious health condition—you can now tap into your HSA tax-free to cover expenses during that time. (SEC. 2)

  • Real-World Impact: Imagine a construction worker who needs to take unpaid leave when their child is born. Now, they can use their HSA to help cover living expenses during that period, without getting hit with a tax penalty. Or, picture an office manager caring for an elderly parent with a serious illness – their HSA can now be a financial lifeline during that challenging time.

No More High-Deductible Hassle

Previously, you could only get an HSA if you had a high-deductible health plan. This bill throws that rule out the window. (SEC. 3) Starting when this bill goes into effect, anyone can open and contribute to an HSA, regardless of their health plan.

  • Real-World Impact: This opens up HSAs to folks who might prefer a lower-deductible plan but still want the tax advantages of an HSA. Think of a small business owner who needs more predictable monthly healthcare costs – they can now benefit from an HSA without being forced into a high-deductible plan.

Contribution Limits Skyrocket

The bill also triples the amount you can contribute to your HSA each year, bumping the limit up to $9,000. (SEC. 3) This is a significant increase, giving individuals and families a much bigger opportunity to save for future healthcare costs.

  • Real-World Impact: For someone managing a chronic condition, this higher limit means more tax-free money can be set aside for ongoing medical expenses. It also benefits those who want to aggressively save for healthcare in retirement. However it should be noted that people with more money to set aside will benefit the most from this.

Potential Downsides

While the increased flexibility and contribution limits are appealing, there are a few potential hitches. It is possible that some people might try to claim caregiving expenses that don't actually qualify under FMLA rules, potentially leading to audits or penalties. Also, getting rid of the high-deductible requirement could mean fewer people choose those plans, which might affect premiums for those who stick with them. It's also worth noting that the higher contribution limits are most beneficial to those who have enough disposable income to max out their contributions – potentially widening the gap between those who can afford a lot of healthcare and those who can't.

The Bottom Line

The Freedom for Families Act aims to give families more control over their healthcare finances. It's designed to provide more flexibility during times of caregiving, expand HSA access, and boost savings opportunities. But, like any major change, it's worth keeping an eye on how it plays out in practice.