By A bloc of 23 House Republicans, led by Rep. Chip Roy, a Republican from Texas, is urging Senate GOP leaders to reinstate key provisions expanding Health Savings Accounts (HSAs) in a sweeping Republican tax package expected to be unveiled in the coming days. In a June 23 letter addressed to House Speaker Mike Johnson and Senate Majority Leader John Thune, the lawmakers warn that omitting these provisions from the final bill would represent a missed opportunity to advance patient-centered, market-driven healthcare reform.
At the heart of their appeal is a demand that the Senate restore language from the House-passed version of the legislation that would significantly broaden the scope and utility of HSAs. Those provisions—championed by fiscal conservatives and health policy reformers alike—aim to allow Americans to contribute more to their tax-advantaged accounts, use the funds for a wider range of healthcare services, and, in the case of married couples, combine contributions into a joint account, writes Politico.
The language dropped by the Senate Republicans in their recently unveiled legislation would “help Americans better afford healthcare services while creating a consumer-controlled market to drive competition,” the House Republicans wrote. “It is especially problematic to tell middle-class Americans we would rather ‘save’ money by not including these provisions, while we focus on corporate tax breaks and expanding tax credits under this very legislation,” they added.
The letter includes some notable signers, including House Freedom Caucus Chair Andy Harris (R-Md.) and several members of the tax writing House Ways and Means Committee. It shows how House Republicans are scrambling to preserve their favorite provisions as Senate Republicans prepare to release the full text of their megabill as soon as tomorrow.
The dropping of the provisions by Senate Finance Chair Mike Crapo (R-Idaho) comes as Senate Republicans are facing daunting arithmetic on the marquee border, energy and tax legislation. Removing the HSA proposals would save tens of billions of dollars, according to the most recent estimate of the House-passed tax legislation by Congress’ nonpartisan tax scorer.
Among other changes to HSAs, the House-passed legislation would increase the amount of deductions certain taxpayers can take for their HSA contributions and allow married couples to pool more contributions into a single HSA plan.
🚨NEW: Rep. Roy sent a letter along with 23 other House colleagues to Speaker Johnson and Majority Leader Thune urging them to reinstate the HSA provisions from the House-passed “The One Big Beautiful Bill Act” (OBBBA) that were omitted from the Senate. pic.twitter.com/Gvg6a10cVp
— Rep. Chip Roy Press Office (@RepChipRoy) June 24, 2025
Supporters argue that these changes would enhance flexibility for families and incentivize personal responsibility in managing healthcare costs.
House conservatives argue that the long-term savings and improved health outcomes associated with broader HSA use justify the upfront cost. They frame the issue as not only a matter of fiscal prudence but of moral clarity—empowering Americans, not government bureaucracies, to make decisions about their healthcare.
With the Senate’s version of the tax package expected to be released before the July recess, the fate of the HSA provisions remains uncertain. The letter represents a shot across the bow from a determined faction of House Republicans who are prepared to defend what they see as one of the few remaining levers of patient autonomy in an increasingly regulated system.
Whether Senate leadership will heed their warning—or continue down a path more narrowly focused on corporate tax priorities—may determine the degree of unity the GOP can maintain as it prepares for a broader fiscal showdown later this year.
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