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HSA Tax Benefits. There are three key tax benefits to a Health Savings Account (HSA). Money goes into and comes out of an HSA tax-free (as long as funds are used to pay for qualified medical expenses). Contributions to HSAs are not subject to federal income taxes.*. Earnings to an HSA from interest and investments are tax-free.
Most states also offer the same deductions on state income taxes. However, since Health Savings Accounts were set up as a federal program, the individual states can choose to comply with the federal guidelines concerning tax treatment of Health Savings Accounts, or establish their own rules. Click Here to see the states that do not tax income, but do tax dividends and interest on HSA accounts. 2  Currently, only Washington DC has not indicated their position on Health Savings Accounts: We currently do not have information on whether they will offer deductions on state income tax for HSA contributions.