IRS rules on nutrition, wellness, and health expenses

The IRS recently posted frequently asked questions that address whether certain costs related to nutrition, wellness, and general health are medical expenses that may be paid or reimbursed under a health savings account (HSA), health flexible spending arrangement (FSA), Archer medical savings account (Archer MSA), or health reimbursement arrangement (HRA).

The FAQs are part of the National Strategy on Hunger, Nutrition, and Health, providing a roadmap of actions the federal government will take to end hunger and reduce diet-related diseases by 2030.

Generally, a deduction is allowed for expenses paid during the taxable year for medical care if certain requirements are met. Alternatively, medical expenses are eligible to be paid or reimbursed under an HSA, FSA, Archer MSA, or HRA. The FAQs address issues such as whether the cost of nutritional counseling, weight-loss programs, gym memberships, and treatment for substance use disorders are considered medical expenses that may be paid or reimbursed under an HSA, FSA, Archer MSA or HRA.

For more information about whether costs related to nutrition, wellness, and general health are medical expenses, see Publication 502, Medical and Dental Expenses, and see Tax Topic 502, Medical and Dental Expenses.

For more information about HSAs, FSAs, Archer MSAs and HRAs, see Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans.