HSA for Fertility Act

Full Title:
Health Savings and Affordability for Fertility Act

Summary#

This bill would change the tax code so money in a health savings account (HSA) can be used to pay for many fertility-related medical expenses. It adds a definition of "fertility treatment" to Internal Revenue Code section 223(d)(2). The definition includes: preservation and long-term storage of eggs, sperm, or embryos; several kinds of artificial insemination (intravaginal, intracervical, intrauterine); assisted reproductive technology such as in vitro fertilization when clinically appropriate; fertility medications prescribed by a clinician; and gamete donation, including reimbursements to a donor and medical costs to get donated material.

The change applies to amounts paid or incurred after the date the law is enacted. The text also says this change should not be read to create any inference about payments made before enactment, and it does not stop other fertility-related expenses from still being treated as medical expenses after enactment.

What it means for you#

If this becomes law, people with HSAs could use their HSA funds to pay for the listed fertility services and related costs. That can include storage fees, IVF and similar procedures, prescribed fertility drugs, and payments tied to gamete donation, provided the expense fits the bill's definition. The rule applies only to payments made or costs incurred after the law is enacted.

Expenses#

Covered expenses listed in the bill are:

  • Preservation and long-term storage of eggs, sperm, or embryos
  • Artificial insemination (intravaginal, intracervical, intrauterine)
  • Assisted reproductive technology, including in vitro fertilization when clinically appropriate
  • Prescribed fertility medications
  • Gamete donation, including reimbursement to a donor and medical costs to obtain donated material

No publicly available information on estimated federal costs or budgetary effects is included in the bill text or provided metadata.

Proponents' View#

No publicly available information.

Opponents' View#

No publicly available information.