Which States Tax HSA Contributions? Exploring Taxation on Health Savings Accounts

Health Savings Accounts (HSAs) offer individuals a way to save for medical expenses while enjoying certain tax benefits. However, not all states treat HSA contributions the same way in terms of taxation. Let's explore which states tax HSA contributions.

States that tax HSA contributions:

  • California
  • New Jersey
  • Tennessee - Only taxes interest and dividends
  • Alabama - Only taxes interest and dividends
  • Hawaii - Only taxes interest and dividends

It's important to be aware of your state's regulations regarding HSA contributions to fully maximize the benefits of your account and minimize tax implications.


Health Savings Accounts (HSAs) are an invaluable resource for American taxpayers looking to manage medical expenses while enjoying favorable tax treatment. However, it’s essential to understand that not every state has the same approach to HSA contributions.

In particular, states such as California and New Jersey impose taxes on HSA contributions, which can affect your overall savings.

Additionally, Tennessee, Alabama, and Hawaii specifically tax only the interest and dividends generated from your HSA, which is important to consider when planning your savings strategy.

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