How Regulated are HSAs? A Comprehensive Guide to Health Savings Accounts Regulation

Health Savings Accounts (HSAs) are a popular option for individuals to save for medical expenses while enjoying tax benefits. Many people wonder how regulated HSAs are and what rules govern them. Let's delve into the regulations surrounding HSAs to help you understand better.

HSAs are governed by a set of regulations to ensure they function as intended and provide benefits to account holders. Here are some key points to consider:

  • HSAs are regulated by the Internal Revenue Service (IRS) and must adhere to guidelines set forth in the Internal Revenue Code.
  • Contributions to HSAs are subject to annual limits, which are adjusted for inflation each year.
  • Withdrawals from HSAs for qualified medical expenses are tax-free, but non-qualified withdrawals may incur taxes and penalties.
  • Employers offering HSAs must follow specific rules regarding contribution limits and eligibility criteria for employees.
  • Individuals must have a high-deductible health plan (HDHP) to be eligible to open and contribute to an HSA.

In addition to federal regulations, some states may have their own rules regarding HSAs. It's essential to understand both federal and state regulations when setting up and using an HSA.


Health Savings Accounts (HSAs) offer a flexible and efficient way to save for healthcare costs while reaping tax advantages. Understanding the regulations that govern HSAs can empower users to maximize their benefits. Key regulations come from the Internal Revenue Service (IRS), which stipulates the operational guidelines designed to protect consumers.

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