Big news! The IRS just explained how the One Big Beautiful Bill Act (OBBBA) changes Health Savings Account (HSA) rules. Here’s what it means in plain language:
✅ 1. Telehealth Gets the Green Light
- If your high-deductible health plan (HDHP) covered telehealth before July 4, 2025, you can still put money into your HSA for the whole year.
- Only services on the official Medicare telehealth list count. In-person visits, equipment, or prescriptions don’t qualify unless listed.
✅ 2. Bronze & Catastrophic Plans Count as HDHPs
- Starting in 2026, bronze and catastrophic plans from ACA exchanges will qualify as HDHPs—even if they don’t meet the usual deductible rules.
- Employers can use ICHRAs to help employees buy these plans.
✅ 3. Direct Primary Care (DPCSA) Rules
- Monthly fee limits: $150 per person or $300 per family.
- Fees must be fixed and regular—no surprise bills for members.
- HDHPs can’t count these fees toward deductibles or offer extra primary care before the deductible.
✅ 4. Using Your HSA for DPCSA Fees
- You can use HSA money for DPCSA fees if they only cover primary care and follow IRS rules.
- If fees go over the monthly limit, you can’t add money to your HSA during that time.
- Employer-paid fees can’t be reimbursed from your HSA.
What Should You Do?
- Check your telehealth coverage.
- Update plan info for bronze/catastrophic HDHP status.
- Make sure DPCSA agreements follow the new limits.
- Share these changes with employees.
Bottom Line: These updates make HSAs more flexible for telehealth, ACA plans, and direct primary care—but you need to follow the IRS rules to stay eligible.
Source: Thomson Reuters