ABA HSAC Letter to Centers for Medicare and Medicaid Services

Dear Acting Administrator Carlton,

The Health Savings Account Council applauds the Trump administration's support for expanding the uses of Health Savings Accounts (HSAs) and the great work completed in President Trump’s first term. We are pleased to see that support continue through the words of HHS Secretary Kennedy.

"There are all kinds of exciting things we could be doing including health savings accounts . . ."
-- Robert F. Kennedy, Jr., Senate confirmation hearing, January 29, 2025

HSAs were created in the federal Internal Revenue Code, and we will work with Treasury Secretary Bessent to build on President Trump's legacy expanding pre-deductible coverage for chronic disease prevention and other key improvements to Make Americans Healthy Again. Unfortunately, there are also three policy challenges within the regulatory authority of the Centers for Medicare & Medicaid Services (CMS) that are limiting the growth of HSAs:

1. Medicare Part A
2. Medicare Part D
3. CMS regulation of state health insurance marketplaces

Below is a summary of how the past policies of CMS are limiting the growth of HSAs. We welcome the opportunity to work with you to address these limitations and outline our specific requests below.

Download the letter to read the full text.