Can You Deduct Child Care Expenses in 2018 Paid with an HSA?

When it comes to HSA (Health Savings Account) and child care expenses, there are some important things to consider.

First of all, it's crucial to understand how HSAs work. An HSA allows individuals to save money for medical expenses on a tax-free basis. The contributions made to an HSA are tax-deductible, and the withdrawals for qualified medical expenses are also tax-free.

However, when it comes to child care expenses, the rules are a little different. In general, you cannot use HSA funds to pay for child care expenses unless they are considered eligible medical expenses under the IRS guidelines.

For child care expenses to be considered eligible medical expenses, they must meet certain criteria set by the IRS. Typically, child care expenses that are primarily for the well-being and protection of a child, and not for the convenience of the parent, may qualify. Examples of eligible child care expenses may include:

  • Child care services provided by a licensed caregiver while the parent is receiving medical care
  • Counseling services for a child with special needs
  • Diagnostic services for a child with a medical condition

It's important to note that regular daycare expenses for a healthy child are usually not considered eligible medical expenses that can be paid for using HSA funds.

So, in most cases, you cannot deduct child care expenses in 2018 paid with an HSA unless they meet the IRS criteria for eligible medical expenses. It's always a good idea to consult with a tax professional or financial advisor to determine the specific rules and regulations regarding HSA funds and child care expenses.


Understanding the relationship between HSA funds and child care expenses can be a bit complex. While HSAs provide a tax-advantaged way to save for medical expenses, using those funds for child care is generally not permissible unless the expenses align with specific IRS definitions.

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