HIT Consultant December 23, 2025
Fred Pennic

What You Should Know:

– A new survey from the Cornell Health Policy Center reveals that 70% of health policy scholars believe converting ACA subsidies into Health Savings Accounts (HSAs) would worsen affordability for enrollees.

– Additionally, 81% of experts agree that ending automatic renewals—a policy slated for 2028 under the “One Big Beautiful Bill Act”—will substantially reduce Marketplace enrollment. These findings come as policymakers scramble to find alternatives to enhanced premium tax credits set to expire at the end of 2025.

The HSA Pivot: A Recipe for Unaffordability?

One of the most prominent alternatives to current subsidies is a proposal by Senator Bill Cassidy (R-LA), which would deposit the incremental value of a household’s ePTC into a Health...

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