This page outlines his proposal. I regard it as a great improvement
over Obamacare. I like two significant changes he proposes for Health
Savings Accounts – that HSA money can be used to pay health
insurance premiums (not allowed now), and removing the current strict
rules on having a high deductible health insurance policy. However,
there are two things regarding HSAs that I find misguided.
First, he proposes a tax credit for contributions to an HSA
rather than a tax deduction. Common
usage of the terms in bold are (a) a credit reduces tax owed, and (b) a tax deduction reduces taxable income. Also, a credit would be
incoherent with the Equalize the Tax Treatment section of the
proposal.
To clarify this, assume the following. John Doe is single and paid wages of $50,000, and contributes $3,000 to his HSA. Assume no
other complicating deductions or credits. For 2016 his Form 1040
numbers would be the first column of numbers following. The second
column of numbers shows what they would be with a tax credit rather
than a tax deduction.
Wages $50,000 $50,000 $53,000
HSA deduction - 3,000 0 0
Standard deduction - 6,300 - 6,300 - 6,300
Personal exemption - 4,050 - 4,050 - 4,050
Taxable income = 36,650 =
39,650 = 42,650
Tax $5,038 $5,690 $6,440
HSA credit 0 -3,000 - 3,000
Net tax $5,038 $2,690 $3,440
Moreover, if John Doe’s employer provided and paid for insurance
coverage for him, his tax would be the $5,690 shown in the second column (with no deduction or
credit as is the case now). However, if an HSA contribution became a credit, it would be
wise for the employer to stop paying for the coverage, increase John Doe's pay $3,000, and John Doe buy his own
insurance. That would reduce his tax to $3,440 (from $5,690) as shown in the third
column of numbers. Hordes of other employees would follow suit, and much larger federal deficits would follow.
The second thing, which makes no sense to me, is to allow individuals
to make unlimited contributions to an HSA. That would turn HSAs into a
huge tax haven. One could put all of one’s investments into the HSA
and shelter interest, dividends, and capital gains from income taxes
(until withdrawn?).