Health Affairs October 22, 2025
Editor’s Note
This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation. Articles in this topic offer timely analyses of regulatory, legislative, and judicial developments in health policy under the Trump-Vance Administration and the 119th Congress. Health Affairs Forefront alone reviews all submissions then selects, edits, and publishes them only if they meet Forefront’s editorial standards.
One health care issue that doesn’t break cleanly along ideological lines is Individual Coverage Health Reimbursement Arrangements, or ICHRAs. Created through regulations by the first Trump Administration in 2019, ICHRAs permit employers to provide pre-tax dollars for employees to purchase individual market health...
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