Are Rules on HSA Set by Government or Employer?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, but many people are unsure about who sets the rules governing these accounts. So, are the rules on HSAs set by the government or the employer?

HSAs are subject to various regulations and guidelines that are primarily set by the government:

  • The Internal Revenue Service (IRS) establishes the rules and contribution limits for HSAs.
  • The Department of Treasury oversees the implementation and enforcement of HSA regulations.
  • Federal laws such as the Affordable Care Act may also impact HSA rules.

While the government plays a significant role in regulating HSAs, employers also have some influence over these accounts:

  • Employers can choose to offer HSAs as part of their employee benefits package.
  • Employers may set certain policies regarding HSA contributions and matching contributions.
  • Employers may provide educational resources to help employees understand how to make the most of their HSA.

Ultimately, the rules on HSAs are primarily set by the government, but employers can enhance and customize the HSA experience for their employees.


Health Savings Accounts (HSAs) are incredibly beneficial for tackling medical costs, yet many individuals remain unclear about whether the regulations surrounding these accounts are set by the government or their employers. While the government indeed sets the primary rules governing HSAs, employers can further enhance these accounts for their employees.

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