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        PRIOR PRINTER'S NOS. 99, 1493                 PRINTER'S NO. 1922

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 107 Session of 2005


        INTRODUCED BY PAYNE, BALDWIN, BASTIAN, BIRMELIN, BOYD, BROWNE,
           BUNT, CAPPELLI, CAUSER, CRAHALLA, CREIGHTON, DALEY, DALLY,
           DENLINGER, ELLIS, FAIRCHILD, FLEAGLE, GILLESPIE, GINGRICH,
           HARHART, HARPER, HARRIS, HENNESSEY, HERMAN, HUTCHINSON,
           JAMES, KILLION, LEH, MAHER, MAITLAND, MAJOR, S. MILLER,
           RAYMOND, READSHAW, REICHLEY, SATHER, SCAVELLO, SCHRODER,
           T. STEVENSON, TIGUE, TURZAI, WATSON, WILT, YUDICHAK, KENNEY,
           PICKETT, PALLONE, REED, GERGELY, BARRAR, ARMSTRONG, NICKOL,
           KAUFFMAN, MUSTIO AND PETRARCA, JANUARY 25, 2005

        AS AMENDED ON THIRD CONSIDERATION, HOUSE OF REPRESENTATIVES,
           MAY 9, 2005

                                     AN ACT

     1  Authorizing the establishment and maintenance of health savings
     2     accounts; providing an exclusion from State income tax FOR     <--
     3     SPECIAL TAX PROVISIONS RELATING TO EXCLUSIONS FROM PERSONAL
     4     INCOME TAX; and imposing restrictions on health savings
     5     accounts.

     6     The General Assembly of the Commonwealth of Pennsylvania
     7  hereby enacts as follows:
     8  Section 1.  Short title.
     9     This act shall be known and may be cited as the Health
    10  Savings Account Act.
    11  Section 2.  Legislative intent.
    12     It is the intent of the General Assembly to extend special
    13  tax provisions to health savings accounts established pursuant
    14  to section 223 of the Internal Revenue Code of 1986 (Public Law
    15  99-514, 26 U.S.C. § 223).


     1  Section 3.  Definitions.
     2     The following words and phrases when used in this act shall
     3  have the meanings given to them in this section unless the
     4  context clearly indicates otherwise:
     5     "ACCOUNT BENEFICIARY."  AS DEFINED IN SECTION 223(D)(3) OF     <--
     6  THE INTERNAL REVENUE CODE OF 1986 (PUBLIC LAW 99-514, 26 U.S.C.
     7  § 223(D)(3)).
     8     "Excess contribution distribution."  A distribution described
     9  in section 223(f)(3) of the Internal Revenue Code of 1986
    10  (Public Law 99-514, 26 U.S.C. § 223(f)(3)). The term shall not
    11  include amounts of income attributable to such distribution.
    12     "Health insurance policy."  An individual or group health,
    13  sickness or accident policy or subscriber contract or
    14  certificate issued by an entity subject to any one of the
    15  following:
    16         (1)  The act of May 17, 1921 (P.L.682, No.284), known as
    17     The Insurance Company Law of 1921.
    18         (2)  The act of December 29, 1972 (P.L.1701, No.364),
    19     known as the Health Maintenance Organization Act.
    20         (3)  The act of May 18, 1976 (P.L.123, No.54), known as
    21     the Individual Accident and Sickness Insurance Minimum
    22     Standards Act.
    23         (4)  40 Pa.C.S. Ch. 61 (relating to hospital plan
    24     corporations) or 63 (relating to professional health services
    25     plan corporations).
    26     "Health savings account."  As defined in section 223(d) of
    27  the Internal Revenue Code of 1986 (Public Law 99-514, 26 U.S.C.
    28  § 223(d)).
    29     "Qualified medical expenses."  As defined in section 223(d)
    30  of the Internal Revenue Code of 1986 (Public Law 99-514, 26
    20050H0107B1922                  - 2 -     

     1  U.S.C. § 223(d)).
     2  Section 4.  State income tax exclusion.                           <--
     3     (a)  General rule.--Coverage under a health savings account,
     4  any income of a health savings account, any excess contribution
     5  distribution and any payment or distribution from a health
     6  savings account that is used exclusively to pay qualified
     7  medical expenses and money reimbursed to an account holder or an
     8  employee for qualified health expenses shall be excluded from
     9  taxation under Article III of the act of March 4, 1971 (P.L.6,
    10  No.2), known as the Tax Reform Code of 1971.
    11     (b)  Nonqualified payments or distributions.--A payment or
    12  distribution from a health savings account that is used for any
    13  purpose other than to pay qualified medical expenses shall be
    14  included in the income of the account holder under Article III
    15  of the Tax Reform Code of 1971 to the extent that the amounts
    16  paid or distributed were not previously included in income. The
    17  cost recovery method shall be used to determine the portion of
    18  the payment or distribution to be included in income.
    19  SECTION 4.  SPECIAL TAX PROVISIONS.                               <--
    20     (A)  GENERAL RULE.--THE FOLLOWING SHALL BE EXCLUDED FROM
    21  TAXATION UNDER ARTICLE III OF THE ACT OF MARCH 4, 1971 (P.L.6,
    22  NO.2), KNOWN AS THE TAX REFORM CODE OF 1971:
    23         (1)  ANY CONTRIBUTION TO A HEALTH SAVINGS ACCOUNT BY AN
    24     ACCOUNT BENEFICIARY OR THE EMPLOYER OF THAT ACCOUNT
    25     BENEFICIARY THAT CONFORMS TO SECTION 223(A) AND (B) OF THE
    26     INTERNAL REVENUE CODE OF 1986 (PUBLIC LAW 99-514, 26 U.S.C. §
    27     223(A) AND (B));
    28         (2)  ANY INCOME OF A HEALTH SAVINGS ACCOUNT;
    29         (3)  ANY AMOUNT PAID OR DISTRIBUTED OUT OF A HEALTH
    30     SAVINGS ACCOUNT THAT IS USED EXCLUSIVELY TO PAY THE QUALIFIED
    20050H0107B1922                  - 3 -     

     1     MEDICAL EXPENSES OF THE ACCOUNT BENEFICIARY; AND
     2         (4)  ANY AMOUNT PAID OR DISTRIBUTED OUT OF A HEALTH
     3     SAVINGS ACCOUNT THAT IS USED EXCLUSIVELY TO REIMBURSE AN
     4     ACCOUNT BENEFICIARY FOR QUALIFIED MEDICAL EXPENSES.
     5     (B)  TAXABLE DISTRIBUTIONS.--THE FOLLOWING SHALL BE INCLUDED
     6  IN THE INCOME OF THE ACCOUNT BENEFICIARY AND SHALL BE SUBJECT TO
     7  TAXATION UNDER ARTICLE III OF THE TAX REFORM CODE OF 1971:
     8         (1)  ANY AMOUNT PAID OR DISTRIBUTED OUT OF A HEALTH
     9     SAVINGS ACCOUNT THAT IS USED FOR ANY PURPOSE OTHER THAN TO
    10     PAY THE QUALIFIED MEDICAL EXPENSES OF THE ACCOUNT
    11     BENEFICIARY.
    12         (2)  ANY EXCESS CONTRIBUTION DISTRIBUTION THAT HAS NOT
    13     PREVIOUSLY BEEN INCLUDED IN THE ACCOUNT BENEFICIARY'S INCOME.
    14         (3)  ANY AMOUNT OF THE ACCOUNT BENEFICIARY'S INCOME
    15     ATTRIBUTABLE TO AN EXCESS CONTRIBUTION DISTRIBUTION.
    16     (C)  INDIVIDUAL OR GROUP HEALTH INSURANCE POLICY.--ANY
    17  PAYMENT BY A PERSON TO PURCHASE AN INDIVIDUAL HEALTH INSURANCE
    18  POLICY, AND ANY PAYMENT BY A PERSON TO SECURE COVERAGE UNDER A
    19  GROUP HEALTH INSURANCE POLICY FOR THE PERSON, A SPOUSE OR A
    20  DEPENDENT SHALL BE EXCLUDED FROM TAXATION UNDER ARTICLE III OF
    21  THE ACT OF MARCH 4, 1971 (P.L.6, NO.2), KNOWN AS THE TAX REFORM
    22  CODE OF 1971.
    23  Section 5.  Mandated benefits.
    24     (a)  General rule.--A health insurance policy that would
    25  qualify as a high deductible health plan under section 223(c)(2)
    26  of the Internal Revenue Code of 1986 (Public Law 99-514, 26
    27  U.S.C. § 223(c)(2)) shall be subject to any provision of law
    28  mandating a minimum health insurance benefit or reimbursement.
    29     (b)  Construction.--Nothing in this act shall be construed to  <--
    30  prohibit or prevent a health insurance policy that would qualify
    20050H0107B1922                  - 4 -     

     1  as a high deductible health plan under section 223(c)(2) of the
     2  Internal Revenue Code of 1986 from applying deductibles or
     3  copayments to benefits offered under these mandated minimum
     4  health insurance benefits.
     5     (B)  EXCEPTION.--A HEALTH INSURANCE POLICY THAT WOULD QUALIFY  <--
     6  AS A HIGH DEDUCTIBLE HEALTH PLAN UNDER SECTION 223(C) OF THE
     7  INTERNAL REVENUE CODE OF 1986, WHEN OFFERED IN CONJUNCTION WITH
     8  A HEALTH SAVINGS ACCOUNT, SHALL NOT BE SUBJECT TO ANY PROVISION
     9  OF LAW WHICH RESTRICTS OR LIMITS DEDUCTIBLES OR COPAYMENTS FOR
    10  MANDATED MINIMUM HEALTH INSURANCE BENEFITS OR REIMBURSEMENTS
    11  EXCEPT TO THE EXTENT SUCH PROVISION MANDATES BENEFITS FOR
    12  PREVENTIVE CARE, AS DETERMINED BY THE STANDARDS SET FORTH BY THE
    13  INTERNAL REVENUE SERVICE.
    14  Section 6.  Applicability.
    15     Section 4 shall apply to taxable years beginning after
    16  December 31, 2004.
    17  Section 7.  Effective date.
    18     This act shall take effect in 60 days.








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