US EditionLawmakers Weigh Replacing Obamacare Tax Credits with Health Savings Accounts
Republicans argue shifting subsidies to patient-controlled accounts will restore consumer control and reduce insurer overhead, citing $27 billion cost from ineligible enrollees in 2025.
- On Wednesday, Senate Republicans proposed replacing enhanced Obamacare Premium Tax Credits that go to insurers with HSAs or patient-controlled accounts at a Senate Finance Committee hearing as credits are set to revert on Dec. 31.
- Republicans argue low enrollee premiums reduce price discipline, allowing insurers to raise costs while keeping up to 20% of subsidies for overhead and profit.
- Under the plan, 100% of subsidies would flow into a patient-driven account usable for a physician, dentist or drugs, with Republicans citing budget reconciliation provisions that made Bronze-plan enrollees HSA-eligible.
- Republicans say the change would shift $27 billion in taxpayer costs and could increase patient choice by altering insurer incentives.
- Given timing constraints, lawmakers acknowledge the 2026 implementation timeline is infeasible, and experts warn healthy enrollees leaving the pool could spike premiums for marketplace enrollees.
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The GOP Circles the Wagons on ACA
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie's stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to Z,” now in its third edition. …
Lawmakers Weigh Replacing Obamacare Tax Credits With Health Savings Accounts
By Thérèse Boudreaux | The Center Square (Worthy News) – With millions of Americans’ health insurance premiums projected to rise in 2026, due partially to enhanced Obamacare subsidies expiring, Republicans are eyeing health savings accounts as a solution. “Both sides agree the cost of health care is too high. But sending billions of dollars to insurance companies while premiums continue to rise and the deficit continues to grow is not a solution…
Lawmakers Weigh Replacing Obamacare Tax Credits With Health Savings Accounts
(The Center Square)–With millions of Americans’ health insurance premiums projected to rise in 2026, due partially to enhanced Obamacare subsidies expiring, Republicans are eyeing health savings accounts as a solution. “Both sides agree the cost of health care is too high. But sending billions of dollars to insurance companies while premiums continue to rise and the deficit continues to grow is not a solution,” Sen. Mike Crapo, R-Idaho, Chairman…
Lawmakers weigh replacing Obamacare tax credits with health savings accounts
(The Center Square) – With millions of Americans’ health insurance premiums projected to rise in 2026, due partially to enhanced Obamacare subsidies expiring, Republicans are eyeing health savings accounts as a solution.
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