ATR today led a coalition of 30 organizations and activists in support of efforts to expand tax-advantaged Health Savings Accounts (HSAs). The legislation being considered today by the House Ways and Means Committee will build on the success of HSAs in many ways including by doubling the contribution limit, ending the prohibition on purchasing over-the-counter medications, expanding access to HSAs, and allowing HSAs to be used by working seniors.

You can read the letter here or below:

 Dear Chairman Brady & Chairman Roskam:

On behalf of the undersigned organizations, we write in support of your Committee’s efforts to expand tax-advantaged Health Savings Accounts (HSAs). HSAs promote consumer driven healthcare, reduce taxes for families, and encourage lower healthcare spending.

There are numerous important pieces of legislation that your Committee is considering that will improve HSAs including proposals to double the contribution limit, end the prohibition on purchasing over-the-counter medications, expand access to HSAs, and allow HSAs to be used by working seniors.

Since they were created in 2004, HSAs have become a popular and successful vehicle that promotes patient choice in health care. HSAs are used in conjunction with low premium, high deductible health insurance plans and provide a vehicle for individuals to spend and control their own money on their own health needs. Today, HSAs are used by over 25 million American families and individuals. 

HSAs contribute to lower healthcare spending by promoting consumer driven healthcare. HSA funds are completely controlled by the individual and follow them between jobs creating an incentive to spend funds wisely.

Research shows that families and individuals that utilize HSAs spend less on health care and use fewer medical services without forgoing necessary primary and preventative care.

HSAs are already a significant vehicle to pay for healthcare expenses. An HSA user can accumulate as much as $360,000 after contributing to an account for 40 years assuming a rate of return of just 2.5 percent, according to the Employee Benefit Research Institute. With a rate of return of 5 percent, an HSA user can accumulate $600,000 over 40 years.

HSAs also reduce taxes for American families. HSAs offer triple tax benefits to users – contributions made are tax free, interest and investment is earned tax free, and payments made to qualifying health expenses are tax free. Expanding HSAs will provide additional tax reduction for American families and will promote saving and investment.

Since they were created almost 15 years ago, HSAs have proven successful in promoting healthcare choice, lowering taxes and lowering healthcare costs. Expanding HSAs will build on this success.


Grover Norquist 
President, Americans for Tax Reform                

James L. Martin
Founder/Chairman, 60 Plus Association

Saulius “Saul” Anuzis
President, 60 Plus Association

Dan Weber
Founder and President, Association of Mature American Citizens

Ashley N. Varner
Executive Director, ALEC Action

Lisa B. Nelson
CEO, American Legislative Exchange Council

Brent Wm. Gardner
Chief Government Affairs Officer, Americans for Prosperity

Norm Singleton
President, Campaign for Liberty

Bob Carlstrom
President, The Carlstrom Group

Thomas Schatz
President, Council for Citizens Against Government Waste

Star Parker
President/Founder, CURE

Katie McAuliffe
Executive Director, Digital Liberty

Palmer Schoening
President, Family Business Coalition

Patrick Purtill
Director of Legislative Affairs, Faith & Freedom Coalition

Nathan Nascimento
Executive Vice President, Freedom Partners Chamber of Commerce

Jason Pye
Vice President of Legislative Affairs, FreedomWorks

Grace Marie Turner
Founder and President, Galen Institute (Affiliation listed for information purposes only.)

Naomi Lopez Bauman
Director of Healthcare Policy, Goldwater Institute

Jeff Kanter
Co-founder, Health Freedom Hub

Mario H. Lopez
President, Hispanic Leadership Fund

Daniel Perrin
Executive Director, HSA Coalition

Dean Clancy
President, HSAs for All

Carrie Lukas
President, Independent Women’s Forum

Heather R Higgins
CEO, Independent Women’s Voice

Andrew Langer
President, Institute for Liberty          

Daniel Garza
President, The LIBRE Initiative

Gov. Gary Johnson 
Honorary Chairman, Our America Initiative

Pete Sepp
President, National Taxpayers Union

David Williams
President, Taxpayers Protection Alliance

Nancy Piotter
Executive Director, Virginians for Quality Healthcare