HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.
![handle is hein.congrecreports/crptxagag0001 and id is 1 raw text is: AUTHENTICATED7'
U.S. GOVERNMENT
INFORMATION
GPr
118TH CONGRESS REPORT
2d Session HOUSE OF REPRESENTATIVES 118-401
BIPARTISAN HSA IMPROVEMENT ACT OF 2023
FEBRUARY 26, 2024.-Committed to the Committee of the Whole House on the State
of the Union and ordered to be printed
Mr. SMITH of Missouri, from the Committee on Ways and Means,
submitted the following
R E P O R T
together with
DISSENTING VIEWS
[To accompany H.R. 5688]
[Including cost estimate of the Congressional Budget Office]
The Committee on Ways and Means, to whom was referred the
bill (H.R. 5688) to amend the Internal Revenue Code of 1986 to im-
prove health savings accounts, having considered the same, reports
favorably thereon with an amendment and recommends that the
bill as amended do pass.
CONTENTS
Page
I. SUMMARY AND BACKGROUND ............................................................. 5
A. Purpose and Summary ..................................................................... 5
B. Background and Need for Legislation ............................................. 5
C. Legislative History ........................................................................... 5
D. Designated Hearing ......................................................................... 5
II. EXPLANATION OF THE BILL ................................................................... 6
A. Treatment of Direct Primary Care Service Arrangements (sec.
2 of the bill and sec. 223 of the Code) ........................................... 6
B. On-site Employee Clinics (sec. 3 of the bill and sec. 223 of
the Code) ......................................................................................... 8
C. Contributions Permitted if Spouse Has Health Flexible Spend-
ing Arrangement (sec. 4 of the bill and sec. 223 of the Code) 10
D. FSA and HRA Terminations or Conversions to Fund HSAs
(sec. 5 of the bill and secs. 106 and 223 of the Code) .................. 12
III. VOTES OF THE COMMITTEE .................................................................... 15
IV. BUDGET EFFECTS OF THE BILL ........................................................... 19
A. Committee Estimate of Budgetary Effects ...................................... 19
49-006](ViewImageLocal?handle=hein.congrecreports/crptxagag0001&div=1&collection=&method=preview&ext=.png&size=3)