In 2003, the Medicare Prescription Drug, Improvement, and Modernization Act created the Health Savings Account (HSA) which is an individual, employee-owned health savings account that can be used to pay for qualifying current and future medical expenses. Individuals and/or employers make pre-tax contributions in amounts equal to established limits. Only those employees under 65 years of age and covered by certain high-deductible health plan (HDHP) are eligible to participate in an HSA. HSA funds are fully vested and may be carried over from year to year, and from employer to employer. Howell helps employers effectively implement and manage HSA programs.