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<bill bill-stage="Introduced-in-House" dms-id="HB6BC984F91CE4171B374FEBC429E083C" public-private="public" bill-type="olc"> 
<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>110 HR 3234 IH: HSA Improvement and Expansion Act of 2007</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2007-07-31</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<form> 
<distribution-code display="yes">I</distribution-code> 
<congress>110th CONGRESS</congress> <session>1st Session</session> 
<legis-num>H. R. 3234</legis-num> 
<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber> 
<action> 
<action-date date="20070731">July 31, 2007</action-date> 
<action-desc><sponsor name-id="C001046">Mr. Cantor</sponsor> (for himself and <cosponsor name-id="J000174">Mr. Sam Johnson of Texas</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HWM00">Committee on Ways and Means</committee-name></action-desc> 
</action> 
<legis-type>A BILL</legis-type> 
<official-title>To amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts.</official-title> 
</form> 
<legis-body id="H20D375EC85674879AD2806F1FD75E39E" style="OLC"> 
<section id="H7049E26070F64D40AD5EB700C30414AC" section-type="section-one"><enum>1.</enum><header>Short title, etc</header> 
<subsection id="HDAB0B41438364C838B41147CCBED6F5B"><enum>(a)</enum><header>Short title</header><text display-inline="yes-display-inline">This Act may be cited as the <quote><short-title>HSA Improvement and Expansion Act of 2007</short-title></quote>.</text></subsection> 
<subsection id="H58B5E754C67F42A49071035943361B00" display-inline="no-display-inline"><enum>(b)</enum><header>Amendment of 1986 Code</header><text>Except as otherwise expressly provided, whenever in this Act an amendment or repeal is expressed in terms of an amendment to, or repeal of, a section or other provision, the reference shall be considered to be made to a section or other provision of the Internal Revenue Code of 1986.</text></subsection> 
<subsection id="HEE2E6F73EDDC4B0EBA801FE39989FF16"><enum>(c)</enum><header>Table of contents</header><text>The table of contents is as follows:</text> 
<toc container-level="legis-body-container" quoted-block="no-quoted-block" lowest-level="section" regeneration="yes-regeneration" lowest-bolded-level="division-lowest-bolded"> 
<toc-entry idref="H7049E26070F64D40AD5EB700C30414AC" level="section">Sec. 1. Short title, etc.</toc-entry> 
<toc-entry idref="H1CC6B34D4E8942D4A397F24B664F42" level="section">Sec. 2. Health reimbursement arrangements and spending arrangements in combination with health savings accounts.</toc-entry> 
<toc-entry idref="H682EFFA845714823BB99EFF49428AD99" level="section">Sec. 3. Increase in annual HSA contribution limitation.</toc-entry> 
<toc-entry idref="H5F098E02523645E0AA89B019D3CFA99B" level="section">Sec. 4. Purchase of health insurance from HSA account.</toc-entry> 
<toc-entry idref="H63D7E21AE65B4E43938EBAC5C9A212FA" level="section">Sec. 5. Special rule for certain medical expenses incurred before establishment of account.</toc-entry> 
<toc-entry idref="H1231BA0C6F344CC48D2D37D557802081" level="section">Sec. 6. Provisions relating to Medicare.</toc-entry> 
<toc-entry idref="H2F8B574DF4C242498F9D269FE8E76800" level="section">Sec. 7. Individuals eligible for veterans benefits for a service-connected disability.</toc-entry> 
<toc-entry idref="H4DBC2F0816F04B49A73FE7B5D093BBF" level="section">Sec. 8. Allow both spouses to make catch-up contributions to the same HSA account.</toc-entry> 
<toc-entry idref="H71744DD816CE481DA9263B9F2F4D005D" level="section">Sec. 9. FSA and HRA Termination to fund HSAs.</toc-entry> </toc> </subsection></section> 
<section id="H1CC6B34D4E8942D4A397F24B664F42" section-type="subsequent-section"><enum>2.</enum><header>Health reimbursement arrangements and spending arrangements in combination with health savings accounts</header> 
<subsection id="H0E2D502F75424FA083B6E67EAD2EB446"><enum>(a)</enum><header>In general</header><text>Subparagraph (B) of section 223(c)(1) (relating to certain coverage disregarded) is amended by striking <quote>and</quote> at the end of clause (ii), by striking the period at the end of clause (iii) and inserting <quote>, and</quote>, and by inserting after clause (iii) the following new clause: </text> 
<quoted-block style="OLC" id="H52EC5E9BA895447DBB50AD48C98155A" display-inline="no-display-inline"> 
<clause id="H9DDD24F2E504425000A3E304CAB09B79"><enum>(iv)</enum><text display-inline="yes-display-inline">coverage under a flexible spending arrangement or a health reimbursement arrangement, or both, which meets the requirements of paragraph (6).</text></clause><after-quoted-block>.</after-quoted-block></quoted-block></subsection> 
<subsection id="H871D1E2CBDFB48348D2771FCA49368BE"><enum>(b)</enum><header>Combination health reimbursement, savings, and spending arrangements</header><text>Subsection (c) of section 223 (relating to definitions and special rules) is amended by adding at the end the following new paragraph:</text> 
<quoted-block style="OLC" id="H8E16DE38BAEF4756B4C7C71572157862" display-inline="no-display-inline"> 
<paragraph id="H6E50E2410D3540468EAC2C557192943F"><enum>(6)</enum><header>Combined limit for contributions or credits to health reimbursement, arrangements and spending arrangements</header> 
<subparagraph id="H4EC15FDD74004FBE8FBF00CF2E95D8EC"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">In the case of coverage under a flexible spending arrangement or a health reimbursement arrangement, or both, such coverage meets the requirements of this paragraph if, with respect to an individual—</text> 
<clause id="HCBECCD58997E430F9898C12800050063"><enum>(i)</enum><text>the sum of—</text> 
<subclause id="H0FA5E8A2B6E54D0F85F0CDEA9BAED9C9"><enum>(I)</enum><text>the amount allowable as a deduction under subsection (a), </text></subclause> 
<subclause id="H487766CAA48B4B50AD9938512E0217E0"><enum>(II)</enum><text>the salary reduction amount elected by the individual and, if applicable, the employer contribution or credit allocated to the individual for the taxable year under the flexible spending arrangement (as defined in section 106(c)(2)), plus</text></subclause> 
<subclause id="HFCF665CC5AE248D08CE007152F59468"><enum>(III)</enum><text display-inline="yes-display-inline">the amounts that the individual is permitted, under the terms of the plan, to receive in reimbursements for the taxable year under the health reimbursement arrangement, does not exceed</text></subclause></clause> 
<clause id="H8CEC8933E8A449EA8D1DDD3FF8B422A7"><enum>(ii)</enum><text>the sum of the annual deductible and the other annual out-of-pocket expenses (other than for premiums) required to be paid under the plan by the eligible individual for covered benefits. </text></clause></subparagraph> 
<subparagraph id="H5292FBCEA77D4F349E2D2D84BCD804A6"><enum>(B)</enum><header>Exceptions for disregarded coverage</header><text display-inline="yes-display-inline">For purposes of subparagraph (A)— </text> 
<clause id="HECAFD794CF1B43CF8EBD0008C3A8E388"><enum>(i)</enum><header>Certain flexible spending arrangements</header><text display-inline="yes-display-inline">Any flexible spending arrangement salary reduction amounts or employer contributions or credits that are restricted by the employer to use for coverage described in paragraph (1)(B) shall not be taken into account under subparagraph (A)(i)(II).</text></clause> 
<clause id="H59CFA00BF43E4887A4A69B557F09C6E6"><enum>(ii)</enum><header>Certain health reimbursement arrangements</header><text display-inline="yes-display-inline">Any reimbursements from a health reimbursement arrangement for coverage described in paragraph (1)(B) shall not be taken into account under subparagraph (A)(i)(III).</text></clause> 
<clause id="H373E81D277CE4838AFAAD09F99280596"><enum>(iii)</enum><header>Qualified HSA distributions from FSA and HRA terminations</header><text>Any qualified HSA distribution (as defined in section 106(e)) shall not be taken into account under subparagraph (A)(i).</text></clause></subparagraph> 
<subparagraph id="HC252048FE7A049DFA9FBA062AC9500E5"><enum>(C)</enum><header>Termination</header><text>Coverage shall not be treated as meeting the requirements of this paragraph for any taxable year beginning after December 31, 2012.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection> 
<subsection id="HFACE7252046E4DAC97FBE52042D0EDC7" display-inline="no-display-inline"><enum>(c)</enum><header>Effective date</header><text>The amendments made by this section shall apply to taxable years beginning after December 31, 2007.</text></subsection></section> 
<section id="H682EFFA845714823BB99EFF49428AD99"><enum>3.</enum><header>Increase in annual HSA contribution limitation</header> 
<subsection id="HB0B49260A3EA405998B72FE2008DE2A"><enum>(a)</enum><header>In general</header><text>Paragraph (2) of section 223(b) (relating to monthly limitation) is amended—</text> 
<paragraph id="H6DAB3A049B7C4002BB327EF0557C8732"><enum>(1)</enum><text>in subparagraph (A) by striking <quote>$2,250</quote> and inserting <quote>$4,500</quote>, and</text></paragraph> 
<paragraph id="H6A12A4DFB76048A694F0F1151854334C"><enum>(2)</enum><text>in subparagraph (B) by striking <quote>$4,500</quote> and inserting <quote>$9,000</quote>.</text></paragraph></subsection> 
<subsection id="HC5B683EFDB464A768DACC70068788120"><enum>(b)</enum><header>Cost-of-living adjustment</header><text><external-xref legal-doc="usc" parsable-cite="usc/26/223">Section 223(g)(1)(B)(i)</external-xref> is amended by striking <quote>calendar year 1997</quote> and inserting <quote>calendar year 2007</quote>.</text></subsection> 
<subsection id="HD55C16AAA8B248C98F48B835999523A"><enum>(c)</enum><header>Effective date</header><text>The amendments made by this section shall apply to taxable years beginning after December 31, 2007.</text></subsection></section> 
<section id="H5F098E02523645E0AA89B019D3CFA99B"><enum>4.</enum><header>Purchase of health insurance from HSA account</header> 
<subsection id="H894F2AFB3C7940FBA3A56FC03A0BCFD"><enum>(a)</enum><header>In general</header><text>Paragraph (2) of section 223(d) (defining qualified medical expenses) is amended—</text> 
<paragraph id="H3DC61FE8B290412B91951954E3EF5E8"><enum>(1)</enum><text>by striking subparagraphs (B) and (C),</text></paragraph> 
<paragraph id="HE1AAB80C30D54E8AB9ADFDB75BF0A5BD"><enum>(2)</enum><text>in subparagraph (A) by striking <quote><header-in-text level="subparagraph" style="OLC">(A) In general.—</header-in-text></quote> and moving the text 2 ems to the left, and</text></paragraph> 
<paragraph id="H0F7A26F24A494C72B13DA8F690EA95EB"><enum>(3)</enum><text>by inserting <quote> and including payment for insurance)</quote> after <quote>section 213(d)</quote>.</text></paragraph></subsection> 
<subsection id="H7BEA54C5F42F44CE9EDC2DEED3E0E600"><enum>(b)</enum><header>Effective date</header><text>The amendments made by this section shall apply with respect to insurance purchased after the date of the enactment of this Act in taxable years beginning after such date.</text></subsection></section> 
<section id="H63D7E21AE65B4E43938EBAC5C9A212FA"><enum>5.</enum><header>Special rule for certain medical expenses incurred before establishment of account</header> 
<subsection id="H8D38ABDFE5544DA2B8BB75DF1D075895"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Subsection (d) of <external-xref legal-doc="usc" parsable-cite="usc/26/223">section 223</external-xref>, as amended by <external-xref legal-doc="usc" parsable-cite="usc/26/4">section 4,</external-xref> is amended by redesignating paragraph (4) as paragraph (5) and by inserting after paragraph (3) the following new paragraph: </text> 
<quoted-block style="OLC" id="HF8CA19D7C9084AEBB9795632035DE8CD" display-inline="no-display-inline"> 
<paragraph id="H94318C98778B4334B3E728B737150238"><enum>(4)</enum><header>Certain medical expenses incurred before establishment of account treated as qualified</header> 
<subparagraph id="HD28E93EEA4AC42E9A3E7F3838DCEFF9C"><enum>(A)</enum><header>In general</header><text>For purposes of paragraph (2), an expense shall not fail to be treated as a qualified medical expense solely because such expense was incurred before the establishment of the health savings account if such expense was incurred during the 60-day period beginning on the date on which the high deductible health plan is first effective.</text></subparagraph> 
<subparagraph id="H68E236CD706E415F9011F979B7234937"><enum>(B)</enum><header>Special rules</header><text>For purposes of subparagraph (A)—</text> 
<clause id="H3BBEDF724862447CBB40D2F700E5EBB5"><enum>(i)</enum><text>an individual shall be treated as an eligible individual for any portion of a month for which the individual is described in subsection (c)(1), determined without regard to whether the individual is covered under a high deductible health plan on the 1st day of such month, and</text></clause> 
<clause id="H82D2607134BB4CED93DC174FACC58DD7"><enum>(ii)</enum><text display-inline="yes-display-inline">the effective date of the health savings account is deemed to be the date on which the high deductible health plan is first effective after the date of the enactment of this paragraph. </text></clause></subparagraph></paragraph> <after-quoted-block>.</after-quoted-block></quoted-block></subsection> 
<subsection id="HBBFC894CBE004C78910017949256C51F"><enum>(b)</enum><header>Effective date</header><text>The amendment made by this section shall apply with respect to insurance purchased after the date of the enactment of this Act in taxable years beginning after such date.</text></subsection> </section> 
<section id="H1231BA0C6F344CC48D2D37D557802081"><enum>6.</enum><header>Provisions relating to Medicare</header> 
<subsection id="H2374D45F1D9B473EBF906242AB9CFBA8"><enum>(a)</enum><header>Individuals over age 65 only enrolled in Medicare Part A</header><text>Section 223(b)(7) (relating to contribution limitation on Medicare eligible individuals) is amended by adding at the end the following new sentence: <quote>This paragraph shall not apply to any individual during any period the individual’s only entitlement to such benefits is an entitlement to hospital insurance benefits under part A of title XVIII of such Act pursuant to an enrollment for such hospital insurance benefits under section 226(a)(1) of such Act.</quote>.</text></subsection> 
<subsection id="H224D559F741F43EAAB37FD8DE4A0FC96"><enum>(b)</enum><header>Medicare beneficiaries participating in Medicare Advantage MSA may contribute their own money to their MSA</header><text>Subsection (b) of <external-xref legal-doc="usc" parsable-cite="usc/26/138">section 138</external-xref> is amended by striking paragraph (2) and redesignating paragraphs (3) and (4) as paragraphs (2) and (3), respectively.</text></subsection> 
<subsection id="H553DD9587CD844CBAE829B279EC7C7F4"><enum>(c)</enum><header>Effective date</header><text>The amendments made by this section shall apply to taxable years beginning after the date of the enactment of this Act.</text></subsection></section> 
<section id="H2F8B574DF4C242498F9D269FE8E76800"><enum>7.</enum><header>Individuals eligible for veterans benefits for a service-connected disability</header> 
<subsection id="H9816BDE83143492FAD00D9055F51F764"><enum>(a)</enum><header>In general</header><text>Section 223(c)(1) (defining eligible individual) is amended by adding at the end the following new subparagraph:</text> 
<quoted-block id="H5FC2DBD195624D29B337806463C94745"> 
<subparagraph id="H5B182EC909484FFAAAC8448B3EC5F5DC"><enum>(D)</enum><header>Special rule for individuals eligible for certain veterans benefits</header><text>For purposes of subparagraph (A)(ii), an individual shall not be treated as covered under a health plan described in such subparagraph merely because the individual receives periodic hospital care or medical services for a service-connected disability under any law administered by the Secretary of Veterans Affairs but only if the individual is not eligible to receive such care or services for any condition other than a service-connected disability.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection> 
<subsection id="H6C1DA9DBAA504B0FBA6D52253FCB66E1" display-inline="no-display-inline"><enum>(b)</enum><header>Effective date</header><text>The amendments made by this section shall apply to taxable years beginning after the date of the enactment of this Act.</text></subsection> </section> 
<section id="H4DBC2F0816F04B49A73FE7B5D093BBF"><enum>8.</enum><header>Allow both spouses to make catch-up contributions to the same HSA account</header> 
<subsection id="H03534984F4754D398400C60101E410BE"><enum>(a)</enum><header>In general</header><text>Paragraph (3) of <external-xref legal-doc="usc" parsable-cite="usc/26/223">section 223(b)</external-xref> is amended by adding at the end the following new subparagraph:</text> 
<quoted-block style="OLC" id="H7529E6E5B1414466A27B8C47715EEF6E" display-inline="no-display-inline"> 
<subparagraph id="H5A0795314F894F409F209722F5CF5300"><enum>(C)</enum><header>Special rule where both spouses are eligible individuals with 1 account</header><text display-inline="yes-display-inline">If—</text> 
<clause id="H982600F8F7024225B4E292EF5434E7EF"><enum>(i)</enum><text>an individual and the individual’s spouse have both attained age 55 before the close of the taxable year, and</text></clause> 
<clause id="H7C605517B1524648B1B2588CCE57B6B2"><enum>(ii)</enum><text>the spouse is not an account beneficiary of a health savings account as of the close of such year,</text></clause><continuation-text continuation-text-level="subparagraph">the additional contribution amount shall be 200 percent of the amount otherwise determined under subparagraph (B).</continuation-text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection> 
<subsection id="HF13B56BC11B24C5D899BCD61671BDCD"><enum>(b)</enum><header>Effective date</header><text>The amendments made by this section shall apply to taxable years beginning after the date of the enactment of this Act.</text></subsection></section> 
<section id="H71744DD816CE481DA9263B9F2F4D005D"><enum>9.</enum><header>FSA and HRA Termination to fund HSAs</header> 
<subsection id="H299C709CDA36435AADB1B06DE7C389C9"><enum>(a)</enum><header>Grace period not required</header><text display-inline="yes-display-inline"><external-xref legal-doc="usc" parsable-cite="usc/26/106">Section 106(e)(2)</external-xref> of the Internal Revenue Code of 1986 is amended by adding at the end the following new sentence: <quote>A distribution shall not fail to be treated as a qualified HSA distribution merely because the balance in such arrangement is determined without regard to the requirement that unused amounts remaining at the end of a plan year must be forfeited in the absence of a grace period.</quote>.</text></subsection> 
<subsection id="H88CDC07326BF463B00529983D11E3D1"><enum>(b)</enum><header>Deposit in limited FSA or HRA of funds in excess FSA or HRA termination distribution</header><text>Paragraph (1) of section 106(e) of such Code is amended by inserting before the period at the end thereof the following: <quote>and the deposit of funds in excess of a qualified HSA distribution amount into a health flexible spending account or health reimbursement arrangement which is compatible with a health savings account and which, on the date of such distribution, is a part of the employer’s plan</quote>.</text></subsection> 
<subsection id="HB2D44E925E3C487B9036776C2447E996"><enum>(c)</enum><header>Disclaimer of disqualifying coverage</header><text>Subparagraph (B) of section 223(c)(1) of such Code is amended by striking <quote>and</quote> at the end of clause (ii), by striking the period at the end of clause (iii) and inserting <quote>, and</quote>, and by inserting after clause (iii) the following new clause:</text> 
<quoted-block style="OLC" id="HD7F5D75ECA2B4A808995731EA49FFB24" display-inline="no-display-inline"> 
<clause id="H5442FDF1CC2B44E6BB358095BDE75D44"><enum>(iv)</enum><text>any coverage (whether actual or prospective) otherwise described in subparagraph (A)(ii) which is disclaimed at the time of the creation or organization of the health savings account.</text></clause><after-quoted-block>.</after-quoted-block></quoted-block></subsection> 
<subsection id="H78EF2E127F0C4DAEA4BDC503434C624B"><enum>(d)</enum><header>Effective date</header><text display-inline="yes-display-inline">The amendments made by this section shall apply to taxable years beginning after the date of the enactment of this Act.</text></subsection></section> 
</legis-body> 
</bill> 


