Does California Tax HSA Distributions?

When it comes to Health Savings Accounts (HSAs) and taxes, understanding the rules and regulations can be confusing. One common question that arises is: does California tax HSA distributions? Let’s dive into the details to get a better understanding.

HSAs are tax-advantaged accounts that allow individuals to save money for qualified medical expenses. Contributions to HSAs are tax-deductible, and the funds in the account grow tax-free. However, when it comes to distributions from an HSA, the tax treatment can vary depending on the state.

California, like most states, follows the federal tax treatment of HSAs. This means that HSA contributions are tax-deductible on both state and federal tax returns. Additionally, withdrawals from an HSA for qualified medical expenses are tax-free at the federal level.

When it comes to California state taxes, the good news is that HSA distributions for qualified medical expenses are also tax-free. This means that California does not tax HSA distributions used for medical expenses. However, it’s important to note that non-qualified distributions from an HSA may be subject to state income tax and an additional 2.5% penalty.

In summary, California does not tax HSA distributions used for qualified medical expenses. It’s essential to keep accurate records of your HSA transactions to ensure compliance with state and federal tax laws.


In California, utilizing your Health Savings Account (HSA) for qualified medical expenses is a smart financial move since these distributions are not subjected to state taxes. This means you can utilize your HSA funds without the fear of losing a chunk of your savings to California state tax.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter