Lawmakers should consider policies that strengthen the value and accessibility of health savings accounts rather than policies that inadvertently discourage employers from offering HSA-qualified coverage, the American Bankers Association’s Health Savings Council said today in a letter to the Senate Finance Committee.
The committee recently issued a request for comment on policies to improve access, quality and affordability of health coverage. In its letter, the HSA Council sought to dispel the perception of HSAs as tools only for the “healthy and wealthy,” noting that the accounts covered an estimated 62 million Americans at the end of 2025, with most account holders living in ZIP codes with median household incomes below $100,000.
The council offered several recommendations to make HSAs more useful to all Americans. They include encouraging meaningful employer HSA contributions, improving HSA education and decision support, and expanding access to HSA-qualified coverage where appropriate.
“While we recognize that HSAs are not a complete solution to the nation’s health-care affordability challenges, we believe HSAs should be considered an important part of the committee’s examination of how to make health coverage more affordable and give Americans greater control over their health-care dollars,” the HSA Council said.









