PlainBillCongress, translated.Legislation. Context. Public interest.Referred to the House Committee on Ways and Means.
Congressional Research Service
Version 00 · Introduced in House · Mar 1, 2018
Bipartisan HSA Improvement Act of 2018
This bill amends the Internal Revenue Code to modify various requirements for health savings accounts (HSAs).
The bill allows:
Showing the opening paragraphs of the official summary.
individuals participating in an HSA to receive or be eligible to receive specified items and services at onsite employee clinics and retail health clinics,
individuals who are covered by a spouse's health flexible spending arrangement to contribute to an HSA,
high deductible health plans that are required for an HSA to include coverage with no deductible for care and prescription medications related to the treatment of medically complex chronic conditions, and
HSAs to be used for certain sports and fitness expenses.
The bill also:
expands the definition of insurance that is permitted under an HSA to include insurance consisting of coverage for excepted benefits (Excepted benefits are not subject to certain requirements under the Patient Protection and Affordable Care Act.),
modifies the definition of a dependent to include a child who has not attained the age of 27, and
modifies the eligibility rules and other requirements for individuals who also participate in health flexible spending arrangements or health reimbursement arrangements.
People & committees
Rep. Kelly, Mike [R-PA-3] · R–PA
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Referred to the House Committee on Ways and Means.
Introduced in House
Introduced in House
Primary sources
Text links open the official source. We currently store references to these documents.
Source last updated: Aug 11, 2025. Consult Congress.gov for the current record.
AI Conversation Starters
Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.
Analyze H.R.5138 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
Examine H.R.5138 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.
Examine H.R.5138 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.
Examine H.R.5138 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.