H.R. 6306House115th Congress (2017-2019)In Committee

Health Care Security Act of 2018

Introduced July 3, 2018

AI-Generated Summary

Updated April 15, 2026 at 10:51 PM UTC

The Health Care Security Act of 2018 changes the tax rules for Health Savings Accounts (HSAs). It raises the annual contribution limits to match the deductible and out‑of‑pocket maximums, lets both spouses contribute catch‑up amounts to the same family HSA, and clarifies that medical expenses incurred within 60 days of opening an HSA count toward qualified expenses. These changes affect individuals and families who have high‑deductible health plans and use HSAs.

Key Provisions

  • Increases the maximum HSA contribution for self‑only coverage and family coverage to the amounts set by the deductible and out‑of‑pocket limits, rather than fixed dollar caps.
  • Allows married couples with family coverage to split the contribution limit equally (or by agreement) and to include catch‑up contributions for both spouses if each is age 55 or older.
  • Adds a rule that treats an HSA as having been established on the first day of high‑deductible coverage if the account is opened within 60 days, so expenses incurred in that period count as qualified medical expenses.

Legislative Activity

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5 earlier actions
HouseCalendars Latest Action

Placed on the Union Calendar, Calendar No. 656.

July 19, 2018

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HouseIntro Referral

Introduced in House

July 3, 2018

HouseIntro Referral

Referred to the House Committee on Ways and Means.

July 3, 2018

HouseCommittee

Committee Consideration and Mark-up Session Held.

July 11, 2018

HouseCommittee

Ordered to be Reported (Amended) by the Yeas and Nays: 22 - 16.

July 11, 2018

HouseCommittee

Reported (Amended) by the Committee on Ways and Means. H. Rept. 115-847.

July 19, 2018

HouseCalendars

Placed on the Union Calendar, Calendar No. 656.

July 19, 2018

Bill Text

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Reported in HouseIssued July 19, 2018

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Union Calendar No. 656

115th CONGRESS

2d Session

H. R. 6306

[Report No. 115–847]

IN THE HOUSE OF REPRESENTATIVES

July 3, 2018

Mr. Paulsen introduced the following bill; which was referred to the Committee on Ways and Means

July 19, 2018

Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed

Strike out all after the enacting clause and insert the part printed in italic

For text of introduced bill, see copy of bill as introduced on July 3, 2018


A BILL

To amend the Internal Revenue Code of 1986 to increase the contribution limitation for health savings accounts, and for other purposes.


1.

Short title

This Act may be cited as the Health Care Security Act of 2018.

2.

Maximum contribution limit to health savings account increased to amount of deductible and out-of-pocket limitation

(a)

Self-Only coverage

Section 223(b)(2)(A) of the Internal Revenue Code of 1986 is amended by striking $2,250 and inserting the amount in effect under subsection (c)(2)(A)(ii)(I).

(b)

Family coverage

Section 223(b)(2)(B) of such Code is amended by striking $4,500 and inserting the amount in effect under subsection (c)(2)(A)(ii)(II).

(c)

Conforming amendments

Section 223(g)(1) of such Code is amended—

(1)

by striking subsections (b)(2) and both places it appears and inserting subsection, and

(2)

in subparagraph (B), by striking determined by and all that follows through calendar year 2003. and inserting determined by substituting calendar year 2003 for calendar year 2016 in subparagraph (A)(ii) thereof..

(d)

Effective date

The amendments made by this section shall apply to taxable years beginning after December 31, 2018.

3.

Allow both spouses to make catch-up contributions to the same health savings account

(a)

In general

Section 223(b)(5) of the Internal Revenue Code of 1986 is amended to read as follows:

(5)

Special rule for married individuals with family coverage

(A)

In general

In the case of individuals who are married to each other, if both spouses are eligible individuals and either spouse has family coverage under a high deductible health plan as of the first day of any month—

(i)

the limitation under paragraph (1) shall be applied by not taking into account any other high deductible health plan coverage of either spouse (and if such spouses both have family coverage under separate high deductible health plans, only one such coverage shall be taken into account),

(ii)

such limitation (after application of clause (i)) shall be reduced by the aggregate amount paid to Archer MSAs of such spouses for the taxable year, and

(iii)

such limitation (after application of clauses (i) and (ii)) shall be divided equally between such spouses unless they agree on a different division.

(B)

Treatment of additional contribution amounts

If both spouses referred to in subparagraph (A) have attained age 55 before the close of the taxable year, the limitation referred to in subparagraph (A)(iii) which is subject to division between the spouses shall include the additional contribution amounts determined under paragraph (3) for both spouses. In any other case, any additional contribution amount determined under paragraph (3) shall not be taken into account under subparagraph (A)(iii) and shall not be subject to division between the spouses.

.

(b)

Effective date

The amendment made by this section shall apply to taxable years beginning after December 31, 2018.

4.

Special rule for certain medical expenses incurred before establishment of health savings account

(a)

In general

Section 223(d)(2) of the Internal Revenue Code of 1986 is amended by adding at the end the following new subparagraph:

(D)

Treatment of certain medical expenses incurred before establishment of account

If a health savings account is established during the 60-day period beginning on the date that coverage of the account beneficiary under a high deductible health plan begins, then, solely for purposes of determining whether an amount paid is used for a qualified medical expense, such account shall be treated as having been established on the date that such coverage begins.

.

(b)

Effective date

The amendment made by this section shall apply with respect to coverage beginning after December 31, 2018.

July 19, 2018

Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed