Do HSA Distribution Reversals Have to Be Reversed in the Same Year as Distributed?

Health Savings Accounts (HSAs) can be a great way to save for medical expenses while enjoying tax benefits. However, there are certain rules and regulations surrounding HSA distributions and reversals that accountholders need to be aware of. One common question that arises is whether HSA distribution reversals have to be reversed in the same year as they were distributed.

According to the IRS guidance, HSA distribution reversals do not necessarily have to be reversed in the same year as they were distributed. However, there are specific conditions that must be met:

  • The distribution reversal must be made by the individual who received the distribution.
  • The reversal must be made by the tax filing deadline for the year the distribution was included in the accountholder's income.
  • The distribution reversal must include an amount equal to the distribution, including any earnings or gains on the distributed amount.

It is important for HSA accountholders to follow these rules to avoid any penalties or tax implications. While the IRS does not mandate that the reversal must occur in the same year, it is crucial to adhere to the deadlines and requirements set forth to maintain the tax-advantaged status of the HSA.


Understanding the intricacies of Health Savings Accounts (HSAs) can be quite beneficial, especially when it comes to distribution reversals. One important aspect to consider is whether you can reverse an HSA distribution in a different year than when it was actually distributed.

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