Here's the rub. The Affordable Care Act (ACA, PPACA, or ObamaCare) clearly contemplates HDHPs and health savings accounts (HSAs). The law tells us all of the following:
- For an individual to make (or for the individual's employer to make on the individual's behalf) tax-favored contributions to an HSA, the individual must participate in an HDHP.
- Further, the HDHP must not pay any benefits to the individual until the [high] deductible is satisfied.
- The ACA requires that a health plan must provide first dollar coverage for certain preventive care services.
Thankfully, the IRS made a completely reasonable decision. It determined that those benefits that must be provided should not preclude the use of an HSA. IRS went further by saying that anything that is preventive care under Notices 2004-23 or 2004-50 is preventive care for this purpose whether or not it is specified as preventive care under the ACA.
Phew! And, you were worried that this little glitch was going to blow up ObamaCare.