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Does California Tax HSA? Everything You Need to Know

Published May 9, 2023

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Short answer: California does not tax HSA contributions, but it does not conform to federal treatment, and non-medical withdrawals are taxed as income with an additional 2.5% penalty.

California’s tax treatment of HSA contributions

Health Savings Accounts (HSAs) are a tax-advantaged way to save for medical expenses. If you're living in California, you might be wondering, 'Does California tax HSA?'

Here's what you need to know:

While California does not tax contributions to HSAs, it does not conform to the federal tax treatment of HSAs. This means that while contributions are tax-deductible at the federal level, they are not deductible on California state tax returns.

How California taxes HSA interest and withdrawals

Additionally, California does not tax interest or investment earnings on funds in an HSA account. This can help your savings grow over time without being subjected to state taxes.

However, withdrawals for non-medical expenses in California are taxed as regular income and subject to an additional 2.5% penalty, which is unique to the state.

Health Savings Accounts (HSAs) in California offer a unique approach to managing medical expenses, but many residents still wonder, 'Does California tax HSA contributions?' The short answer is no, but there are some nuances to understand.

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