Are HSA Distributions Taxed in California?

When it comes to Health Savings Accounts (HSAs) and taxes, many people wonder if HSA distributions are taxed in California. The good news is that in most cases, HSA distributions are not taxed in California or at the federal level if they are used for qualified medical expenses.

Here's a breakdown of how HSA distributions are taxed in California:

  • Tax-Free Distributions: If you use your HSA funds for qualified medical expenses, such as doctor's visits, prescriptions, or other eligible healthcare costs, the distributions are not taxed in California.
  • Taxed Distributions: If you use your HSA funds for non-qualified expenses, the distributions may be subject to taxes and penalties in California.
  • State Tax Deductions: Contributions to your HSA are tax-deductible on your federal tax return, but California is one of the few states that does not conform to this deduction. Therefore, you cannot deduct HSA contributions on your California state tax return.
  • Interest and Investment Earnings: Any interest or investment earnings on your HSA balance are tax-free in California as long as the funds are used for qualified medical expenses.

It's important to keep accurate records of your HSA distributions and have a clear understanding of the tax implications to avoid any potential penalties or issues. Consulting with a tax professional can also provide personalized guidance based on your specific situation.


In California, HSA distributions used for qualified medical expenses not only avoid taxation at the state level but also provide a significant advantage for managing healthcare costs.

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