Do HSA Distributions Have to Be Reported on Taxes?

If you are using a Health Savings Account (HSA), you might be wondering whether the distributions from your HSA need to be reported on your taxes. The answer is yes, HSA distributions do need to be reported on your taxes. It's essential to understand how these distributions are taxed and the specific rules that apply to HSAs to ensure you stay compliant with the tax regulations.

When it comes to reporting HSA distributions on your taxes, here are a few key points to keep in mind:

  • HSA distributions used for qualified medical expenses are tax-free.
  • Distributions used for non-qualified expenses are subject to income tax and may incur a 20% penalty.
  • Form 1099-SA is used to report HSA distributions, and you will need to include this information on your tax return.
  • It's essential to keep accurate records of your HSA distributions and expenses to make tax reporting easier.

Overall, while HSA distributions do need to be reported on your taxes, understanding the rules and using the funds for qualified medical expenses can help you maximize the tax benefits of your HSA.


When utilizing a Health Savings Account (HSA), it’s crucial to be aware that HSA distributions must be reported on your taxes. The distributions you withdraw can have varying tax implications depending on how you use the funds.

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