Protecting Life in Health Savings Accounts Act

Senate Bill

S. 251

119th Congress

Protecting Life in Health Savings Accounts Act

In Committee

Introduced:Jan 24, 2025

Primary Sponsor

Mike Lee

R - UT

Cosponsors

7

Quick Stats

Policy Area

Taxation

Summary

This bill prohibits using health savings accounts, flexible spending accounts, and similar tax-advantaged medical accounts to pay for abortions. Exceptions apply for pregnancies resulting from rape or incest, or when the pregnant woman life is in danger as certified by a physician.

Latest Action

Read twice and referred to the Committee on Finance.

Introduced1/24/2025

StatusRead twice and referred to the Committee on Finance.

ChamberSenate

Data from Congress.gov

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Vote Prediction

Protecting Life in Health Savings Accounts Act

This bill prohibits using health savings accounts, flexible spending accounts, and similar tax-advantaged medical accounts to pay for abortions. Exceptions apply for pregnancies resulting from rape or incest, or when the pregnant woman life is in danger as cer

Community Breakdown

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This bill prohibits using health savings accounts, flexible spending accounts, and similar tax-advantaged medical accounts to pay for abortions. Exceptions apply for pregnancies resulting from rape or incest, or when the pregnant woman life is in danger as certified by a physician.

Bill Number: 251
Introduced: 1/24/2025
Status: Read twice and referred to the Committee on Finance.
Policy Area: Taxation

Data from Congress.gov

AI-generated summary

Fact Sheet

Title: Protecting Life in Health Savings Accounts Act
Bill Number: 251
Sponsor: No sponsor
Status: Read twice and referred to the Committee on Finance.
Introduced: 1/24/2025
Summary: This bill prohibits using health savings accounts, flexible spending accounts, and similar tax-advantaged medical accounts to pay for abortions. Exceptions apply for pregnancies resulting from rape or incest, or when the pregnant woman life is in danger as certified by a physician.

Data from Congress.gov

AI Summary

Plain-English explanation of this bill

This bill prohibits using health savings accounts, flexible spending accounts, and similar tax-advantaged medical accounts to pay for abortions. Exceptions apply for pregnancies resulting from rape or incest, or when the pregnant woman life is in danger as certified by a physician.

Last updated: 1/5/2026

Official Summary

Congressional Research Service summary

Protecting Life in Health Savings Accounts ActThis bill excludes expenses paid for an abortion from qualified medical expenses eligible for reimbursement from certain tax-exempt savings accounts. (Some exceptions apply.)Under the bill, amounts paid for an abortion, other than an excluded abortion, are not qualified medical expenses eligible for reimbursement from a health savings account, Archer medical savings account, health flexible spending arrangement, health reimbursement arrangement, or retiree health account.The bill defines excluded abortion as any abortion (1) related to a pregnancy that is the result of rape or incest; or (2) performed because a woman is suffering from a physical disorder, injury, or illness (including a life-endangering physical condition caused by or arising from the pregnancy itself) that would, as certified by a physician, place the woman in danger of death if an abortion were not performed.

Key Points

Main provisions of the bill

Excludes most abortions from HSA eligible expenses
Prohibits FSA reimbursement for abortion
Allows exceptions for rape, incest, or life endangerment
Affects health reimbursement arrangements too
Limits tax-advantaged payment for abortion

How This Impacts Americans

Potential effects on citizens and communities

People could no longer use pre-tax health account funds for most abortion expenses. This would increase out-of-pocket costs for abortion care. The exceptions mirror those in other abortion funding restrictions. Pro-life groups support the measure while reproductive rights advocates oppose it.

Policy Areas

Primary Policy Area

Taxation

Scope & Jurisdiction

Jurisdiction Level

federal

Congressional Session

119th Congress

Citation Reference

251, 119th Congress (2025). "Protecting Life in Health Savings Accounts Act". Source: Voter's Right Platform. https://votersright.org/bills/118-s-251

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