What the “One Big Beautiful Bill” Could Mean for Your Health Insurance

A new law passed by Congress—the One Big Beautiful Bill Act (OBBB)—includes several changes that may affect how Americans access and pay for health insurance. While the law covers a wide range of budget and policy areas, it also introduces updates to Medicaid, the Affordable Care Act (ACA) Marketplace, and Health Savings Account (HSA) rules that could influence your coverage in the coming years.

If you purchase health insurance through an agent, this is a good time to stay informed and consider how these changes might affect your options.

Changes to ACA Marketplace Coverage

If you buy your health insurance through the ACA Marketplace, the OBBB introduces a few adjustments:

• Shorter enrollment period: Open enrollment will now end on December 15 instead of January 15, so it’s important to review your coverage earlier in the season.
• Income verification: You may be asked to provide additional documentation when applying for premium tax credits, especially if your income varies or wasn’t reported on a recent tax return.
• Auto-enrollment fees: If you’re automatically re-enrolled in a zero-premium plan, a small monthly charge may apply unless you actively confirm your eligibility.
• Tax credit changes: Enhanced subsidies that helped lower premiums in recent years are scheduled to expire at the end of 2025. This could affect affordability for some consumers.

Your agent can help you understand these updates and explore alternative plans if needed.

Medicaid and CHIP Updates

The OBBB also includes changes to Medicaid and the Children’s Health Insurance Program (CHIP). These programs are typically used by lower-income individuals and families, but even if you don’t use them directly, the changes may affect your community or loved ones. Key updates include:

• Work and activity requirements: Some adults under 65 may need to meet work, training, or volunteer hours to maintain coverage.
• More frequent eligibility checks: States will review Medicaid eligibility every six months instead of annually.
• Cost-sharing adjustments: Some enrollees may see higher copays for doctor visits or prescriptions.

If you or someone you know relies on Medicaid or CHIP, it’s a good idea to check with your state’s health department or your agent to stay current on eligibility requirements.

Positive News for HSA Users

One helpful change in the OBBB is the permanent extension of telehealth coverage under high-deductible health plans (HDHPs). This means:

• You can access telehealth services before meeting your deductible.
• You’ll still be eligible to contribute to a Health Savings Account (HSA).

This flexibility makes HDHPs more attractive for people who want to manage costs while maintaining access to virtual care.

What You Can Do

While some of these changes may seem technical, your agent is here to help you make sense of them. Here are a few steps you can take:

• Schedule a coverage review before open enrollment begins
• Ask about HSA-qualified plans and telehealth options
• Stay informed about documentation and eligibility updates
• Reach out with questions—your agent is your advocate

Health insurance is evolving, and staying proactive can help you make the most of your coverage. As always, your agent is ready to guide you through the changes and help you find a plan that fits your needs and budget.

In this issue:

A New Way to Offer Health Benefits: What Is an ICHRA?

What the “One Big Beautiful Bill” Could Mean for Your Health Insurance

What Are Living Benefits in Life Insurance—and Why They Matter

Why Human Guidance Still Matters in a Digital World

2025 HSA Tips That Can Save You Money

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