S 12 Health Savings Act of 2019

About S.12

Modifies the requirements for health savings accounts (HSAs) to rename high deductible health plans as HSA-qualified health plans; allow spouses who have both attained age 55 to make catch-up contributions to the same HSA; make Medicare Part A (hospital insurance benefits) beneficiaries eligible to participate in an HSA; allow individuals eligible for hospital care or medical services under a program of the Indian Health Service or a tribal organization to participate in an HSA; allow members of a health care sharing ministry to participate in an HSA; allow individuals who receive primary care services in exchange for a fixed periodic fee or payment, or who receive health care benefits from an onsite medical clinic of an employer, to participate in an HSA; include amounts paid for prescription and over-the-counter medicines or drugs as "qualified medical expenses" for which distributions from an HSA or other tax-preferred savings accounts may be used; increase the limits on HSA contributions to match the sum of the annual deductible and out-of-pocket expenses permitted under a high deductible health plan; and allow HSA distributions to be used to purchase health insurance coverage. The bill also:

• (1) exempts HSAs from creditor claims in bankruptcy, and
• (2) reauthorizes Medicaid health opportunity accounts

The bill allows a medical care tax deduction for:

• (1) exercise equipment, physical fitness programs, and membership at a fitness facility;
• (2) nutritional and dietary supplements; and
• (3) periodic fees paid to a primary care physician and amounts paid for pre-paid primary care services.