Reps. Bera and Smith Reintroduce Bill to Expand Health Savings Accounts to Seniors Covered by Medicare

By: Ami Bera
By: Ami Bera
Date: April 7, 2022
Location: Washington, DC

Representatives Ami Bera, M.D. (D-CA) and Jason Smith (R-MO) today reintroduced H.R. 3796, the Health Savings for Seniors Act, bipartisan legislation that would allow seniors covered under Medicare to continue using or create new Health Savings Accounts (HSA). Under current law, Medicare beneficiaries are prohibited from continuing to contribute to or opening a new health savings account; they may only draw down from it.

"As a doctor who has cared for our seniors, I know firsthand how stretched our seniors are with their medical bills," said Representative Bera, who previously served as Chief Medical Officer for Sacramento County. "Unfortunately, seniors covered under Medicare are currently prohibited from contributing to a Health Savings Account, a critical tool that many individuals routinely use before they are on Medicare. HSAs would particularly help seniors pay for services such as dental and vision care that is currently not covered under Medicare, leading to a healthier and happier life, and a more dignified retirement. I'm proud to work with Rep. Smith to introduce bipartisan legislation to end this unnecessary constraint on our nation's seniors."

"The federal government should make it easier -- not harder -- for older Americans to access health care," said Representative Smith. "The threat of rising inflation underscores the need to give seniors more flexibility with how and when they can pay for their out-of-pocket health care expenses. Allowing Medicare-enrolled seniors to contribute to Health Savings Accounts is a sensible reform that will not only save money in the long-run, but promote better health outcomes. I'm grateful for Rep. Bera's partnership in helping to bring this bipartisan legislation forward to protect America's seniors."

An HSA allows individuals to set aside pre-tax money to pay for out-of-pocket medical expenses such as copayments, deductibles, and other qualified expenses. These funds remain in the account and are not "use it or lose it" like other types of flexible savings accounts. Additionally, HSAs are interest-bearing accounts, further encouraging individuals to save for future unexpected health care expenses.

The legislation is supported by Association of Mature American Citizens, Better Medicare Alliance, Corporate Health Care Coalition, Employers Council on Flexible Compensation, Healthcare Leadership Council, National Association of Health Underwriters.


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