US SB3248

Increases HSA contribution limits to match 401(k) limits (currently $23,500 for 2025), with an additional catch-up contribution for individuals age 50 or older matching 401(k) catch-up amounts

Eliminates the requirement to be enrolled in a high-deductible health plan (HDHP) to open and contribute to an HSA, allowing any individual to establish an account

Expands qualified medical expenses to include direct primary care arrangements, vitamins, dietary supplements, gym memberships, and wearable fitness trackers

Allows HSA funds to cover dependents under age 27 and permits tax-free rollovers to a child, parent, or grandparent upon the account holder's death

Provides bankruptcy protection for HSAs equivalent to retirement accounts and allows reimbursement for medical expenses incurred in the year before the HSA was established