Becker's Healthcare July 7, 2025
Jakob Emerson

On July 4, President Donald Trump signed the “One Big Beautiful Bill Act,” which includes major changes for employee benefits.

Six notes:

1. Starting January 1, individuals enrolled in bronze and catastrophic ACA plans will be eligible to contribute to HSAs.

2. Direct Primary Care arrangements are now HSA-eligible, as long as DPC fees do not exceed $150/month for individuals or $300/month for families. DPC fees are also recognized as qualified medical expenses that can be paid tax-free from an HSA.

3. The HSA-first-dollar coverage for telehealth services is permanently allowed, effective retroactively from plan years beginning after December 31, 2024. This ensures that telehealth and remote care services are accessible without disqualifying the HSA.

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Topics: ACA (Affordable Care Act), Congress / White House, Employer, Govt Agencies, Insurance, Patient / Consumer
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