Do You Have to Report HSA on State Tax Returns? - All You Need to Know

When it comes to health savings accounts (HSA), many people wonder about the tax implications, especially at the state level. So, do you have to report HSA on state tax returns?

The simple answer is that it depends on the state you live in. Most states follow the federal tax treatment of HSAs, but there may be specific rules or requirements in your state that differ. Here are some key points to consider:

  • Most states conform to federal HSA tax laws, meaning contributions are deductible from state taxes.
  • If you use HSA funds for qualified medical expenses, withdrawals are tax-free at both federal and state levels.
  • Some states, like California, New Jersey, and Alabama, do not provide the same tax benefits for HSAs as the federal government.
  • States like New Hampshire and Tennessee tax interest and dividend income from HSA investments.

It's essential to research and understand your state's specific guidelines regarding HSA reporting on state tax returns to ensure compliance. Consulting with a tax professional can also provide clarity on any state-specific requirements.


When considering your health savings account (HSA) and state tax returns, it's crucial to note that while many states mirror federal tax laws regarding HSAs, there are unique differences to be aware of based on your state’s regulations.

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