HSA Tax Benefits in Iowa (2026)
Iowa follows federal HSA tax treatment.
State Income Tax
4.4%–5.7%
HSA Deduction
Yes
Growth Tax-Free
Yes
How Iowa Treats HSAs
Iowa conforms to federal HSA tax treatment. Contributions are deductible, earnings grow tax-free, and qualified withdrawals for medical expenses are not subject to state income tax.
Iowa HSA FAQs
Are HSA contributions tax-deductible in Iowa?
Yes. Iowa follows federal HSA tax treatment, so contributions are deductible on your state income tax return.
What is the state income tax rate in Iowa?
Iowa's state income tax rate is 4.4%–5.7%.
Is HSA investment growth taxed in Iowa?
No. Iowa follows federal treatment — investment growth inside your HSA is not subject to state income tax.
This information is for general guidance only and does not constitute tax advice. State tax laws change frequently. Consult a tax professional for advice specific to your situation.
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