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New Member

Does the payment for Nanny care can be deducted under HSA expense?

I pay nanny to take care of my 1 year old child.  Can this expense be deducted under HSA when I do not have FSA?
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New Member

Does the payment for Nanny care can be deducted under HSA expense?

Distributions from a health savings account (HSA) must be used to pay  qualified medical expenses , or the disbursements are subject to income tax and may be subject to an additional 20% penalty.

A list of qualified medical expenses can be found in IRS publication 502 (available here:

Some dependent care expenses may be deductible if your child is disabled.  For more information on this, please see IRS publication 503 (available here:  

If you child is not considered disbled, then payments for his/her care (including a nanny) are not considered to be qualified medical expenses and cannot be paid tax- (or penalty-) free using your HSA.

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