Can You Purchase Medical Marijuana with an HSA?

Many people wonder if they can use their HSA funds to purchase medical marijuana, especially with the increasing acceptance and legalization of medical cannabis in several states. However, the answer to this question is not straightforward due to the federal laws governing HSAs and marijuana.

Here is some important information to consider:

  • HSAs are governed by federal regulations under the Internal Revenue Service (IRS).
  • Marijuana is classified as a Schedule I controlled substance by the federal government.
  • Since HSAs are regulated federally, using HSA funds to purchase marijuana, even for medical purposes, is not allowed.

While you cannot directly use your HSA funds to buy medical marijuana, there are some alternatives for covering the cost of medical cannabis:

  • Check if your state allows medical marijuana purchases through a separate program or fund.
  • Use out-of-pocket funds or other eligible medical expenses covered by your HSA to reimburse yourself for medical marijuana expenses.
  • Explore other payment options such as a flexible spending account (FSA) if applicable.

It's essential to consult with a tax professional or financial advisor to understand the implications of using HSA funds for medical marijuana and explore legal and compliant ways to manage medical expenses related to cannabis.


The question of whether you can purchase medical marijuana with your HSA funds is becoming increasingly common as more states legalize medical cannabis. However, navigating the regulations can be tricky.

It's crucial to recognize the following points:

  • HSAs are subject to federal governance by the Internal Revenue Service (IRS), which sets forth strict guidelines.
  • Marijuana remains classified as a Schedule I controlled substance under federal law.
  • Therefore, while some states might permit its use for medicinal purposes, you cannot use HSA funds for its purchase.

If you’re exploring ways to cover your medical marijuana costs, consider these alternatives:

  • Investigate specific state programs that may help fund medical marijuana purchases.
  • Consider using personal funds and seek reimbursement from your HSA for other eligible medical expenses.
  • Look into flexible spending accounts (FSAs) if available, as they may have different regulations regarding medical cannabis.

Consulting a tax advisor can provide valuable insights into navigating HSA regulations related to medical marijuana.

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