When the Affordable Care Act was signed into law four years ago, it seemed poised to deal a death blow to health savings accounts — tax-advantaged vehicles available only to consumers with high-deductible health plans.

After all, in Massachusetts, where similar legislation has been in effect for several years, HSAs have lagged in popularity. “Many people feared that the [act] would dampen HSA growth or even eliminate HSA options,” says Todd Berkley, president of HSA Consulting Services in Minnetonka, Minn.

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