5. S. 12: Health Savings Act of 2019

This could expand HSA eligibility and make HSAs more useful.

Sen. Marco Rubio, R-Fla.

4. H.R. 748/S. 684: Middle Class Health Benefits Tax Repeal Act of 2019

This could ax the Affordable Care Act 'Cadillac plan' tax, reducing pressure on employers to slash HSA and FSA contributions.

Rep. Joe Courtney, D-Conn. (Photo: Courtney)

3. H.R. 1922/S. 1089: Restoring Access to Medicine Act of 2019

This could let people use FSAs, HSAs and HRAs to pay for over-the-counter drugs without doctors' prescriptions.

Rep. Ron Kind, D-Wis. (Photo: Kind)

2. H.R. 1384: Medicare for All Act of 2019

After President Trump is out office, a child of this bill, or one like it, could eliminate employer health plans, and employer-sponsored health accounts.

Rep. Pramila Jayapal (Photo: Jayapal)

1. Post-ACA Demise Legislation

If the Supreme Court kills the ACA, Sweetnam says, bills seeking to patch the resulting legislative issues could have big, unpredictable effects on health account rules.

U.S. Supreme Court (Photo: J. Scott Applewhite/AP)</em


Members of Congress are returning from a spring break this week with health insurance on their minds.

The House Rules Committee, for example, is set to meet at 10 a.m. Tuesday to talk about H.R. 1384, the Medicare for All Act of 2019 bill.

Bill Sweetnam, the legislative and technical director for the Employers Council for Flexible Compensation, is looking for signs of what will really happen to the rules governing health savings accounts (HSAs), health reimbursement arrangements (HRAs), flexible spending accounts (FSAs) and other personal health and benefits accounts, and to the federal Affordable Care Act (ACA) commercial health insurance regulatory framework.

Sweetnam sent us an email listing the federal legislation ECFC is watching closely now. For a look at those five bills, and links to the bills’ official congressional tracking pages, see the idea cards in the slideshow above.

— Read Insurers Give Congress 3 Ideas for Making HSAs Work Betteron ThinkAdvisor.

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