As of June 2025, the Senate is still reviewing the bill. Senate Republicans hold a slim majority and have drafted their own version of the legislation. Notably, this version excludes several key HSA-related provisions passed by the House. Negotiations are ongoing, with Senate leaders aiming for a resolution by early July.
Key HSA Provisions: Included vs. Excluded
The original House bill proposed several significant HSA changes:
However, these expansions are currently excluded from the Senate version. Advocates continue urging the Senate to include these beneficial measures in the final bill.
Comparison of HSA Provisions: House vs. Senate
HSA Provision |
House Version (Passed May 22, 2025) ✅ |
Senate Version (Current) ⚠️ |
Medicare Part A Contributions |
Included: Allow contributions if enrolled in employer HDHP |
Not Included |
ACA Bronze/Catastrophic Plans HSA Eligibility |
Included: Plans eligible for HSA contributions |
Not Included |
Fitness Expense Withdrawals |
Included: Up to $500 individual / $1,000 family annually |
Not Included |
Joint Catch-Up Contributions for Couples |
Included: Spouses allowed combined catch-up contributions in one account |
Not Included |
What’s Next?
The Senate continues negotiations on the bill’s details. If differences remain between the House and Senate versions, a joint conference committee will be necessary before a final version is sent to the President for signature.
Stay tuned, as the outcomes could have significant implications for how millions of Americans manage their healthcare expenses and financial planning.