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May an HSA trust or custodial agreement restrict HSA distributions to pay or reimburse only the account beneficiarys qualified medical expenses?

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No. The HSA trust or custodial agreement may not contain a provision that restricts HSA distributions to pay or reimburse only the account beneficiary’s qualified medical expenses. Thus, the account beneficiary is entitled to distributions for any purpose. Only the account beneficiary may determine how the HSA distributions will be used.

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