Starting on January 1, 2026, significant changes will take effect regarding Health Savings Accounts (HSAs) in the United States. This adjustment follows the passage of the One Big Beautiful Bill (OBB), which was enacted under the Trump administration. The Internal Revenue Service (IRS) confirmed these changes on December 9, 2025, announcing that individuals enrolled in Bronze-level and catastrophic health plans will now be able to utilize HSAs tax-free, regardless of whether their plans meet the technical definition of a high-deductible health plan (HDHP).
The shift aims to broaden access for those typically excluded from HSA benefits. Previously, only individuals with traditional HDHPs could contribute to these accounts, which allow tax-free savings for medical expenses. The changes enable a wider range of health plans to qualify, offering more flexibility for millions of Americans seeking to manage their healthcare costs.
Key Changes to HSA Regulations
The HSA program serves as a financial tool for individuals and employers, enabling them to set aside tax-free funds for medical needs. Under the new regulations, individuals will not be limited to traditional HDHPs to access these benefits. Previously, annual contributions were capped at $4,300 for individuals and $8,550 for families.
With the upcoming changes, the definition of eligible health plans expands. Bronze and catastrophic plans, which typically feature low monthly premiums but high out-of-pocket costs, will now qualify for HSA contributions. This inclusion allows many people who previously could not contribute to HSAs to take advantage of tax savings. Notably, these plans do not need to be purchased through an official insurance marketplace to qualify, significantly broadening access for consumers.
Telemedicine and Direct Primary Care Access
The One Big Beautiful Bill also aims to enhance access to telemedicine and direct primary care (DPC) services. Telemedicine, which gained prominence during the COVID-19 pandemic, will now be a permanent option for HSA holders. Patients can utilize telemedicine services without losing eligibility to contribute to their HSAs, even before meeting their health plan deductible.
Additionally, individuals enrolled in DPC arrangements will have the freedom to use their HSA funds for direct medical services without restrictions. This change aims to foster a more integrated and accessible healthcare model, allowing patients to manage their health more efficiently.
It is essential to highlight that HSAs remain under the ownership of the individual, regardless of employment changes. This means that funds accumulated in an HSA can be used for a variety of healthcare expenses, including doctor visits, medical equipment, and prescription medications. The new regulations are designed to empower consumers by removing previous barriers that limited access for lower-income earners and those with economical plans.
As the United States prepares for these changes, numerous questions arise regarding the implications for consumers.
What new plans will be able to have an HSA account in 2026? Starting in January, individuals with Bronze and catastrophic plans will be eligible to open HSA accounts without needing to meet the definition of a high-deductible health plan.
What changes occur for telemedicine and DPC services? The new regulations make access to telemedicine a permanent feature of HSAs, allowing use of HSA funds for DPC fees tax-free.
Do I lose my money if I change jobs? No, HSAs are portable. The account remains the property of the individual, ensuring that funds stay accessible even after changing jobs.
With these regulatory updates, the administration aims to enhance healthcare accessibility and financial flexibility for millions of Americans, enabling them to save more effectively for their medical expenses.
