One Big Beautiful Bill: What Brokers Need to Know
- Sarah Borders
- 2 days ago
- 2 min read
Updated: 1 day ago
The One Big Beautiful Bill Act became law on July 4, 2025. Key provisions land squarely on the desks of agencies and brokerage teams guiding employer clients through plan renewals, cafeteria‑plan updates, and voluntary‑benefit strategy. Understanding the changes now will help you get ahead of the questions that are sure to come through the current and coming plan years.
One Big Beautiful Bill Fast‑Track Highlights
Provision | Effective Date | Broker‑Level Action |
Low- or no-cost telehealth | Plan years ≥ 2025 (retroactive to 1‑1‑25) | Align HDHP documents and HSA marketing narratives, and see if vendors can reprocess YTD claims to apply the correct copay for employers wanting a retroactive change |
Direct Primary Care (DPC) + HSAs | 1‑1‑26 | Align HDHP documents and HSA marketing narratives to encourage employees to utilize compliant DPC arrangements |
Marketplace Bronze & Catastrophic qualify as HSA-qualified plans | 1‑1‑26 | Refresh ICHRA illustrations to showcase HSA pathways |
Dependent‑Care FSA limit rises to $7,500 | 2026 tax year | Coordinate plan amendments and employee communications, being mindful of the impact on nondiscrimination testing |
Student‑loan repayment is tax‑free permanently under written education assistance plans to an annual limit | 2026 forward (indexed 2027) | Add to voluntary/total‑rewards conversations |
Direct Primary Care Now HSA‑Compatible
Beginning January 1, 2026, employees may enroll in a qualifying DPC membership and continue contributing to an HSA, provided monthly fees remain within forthcoming federal ceilings and services stay primary‑care focused, and HSAs can start reimbursing such DPC membership fees.
Telehealth & HDHPs: Permanent Harmony
Plans can waive or reduce cost‑sharing for telehealth visits without jeopardizing HSA eligibility, retroactive to January 1st, 2025. Your existing $0 tele‑visit strategies remain fully compliant.
Bronze & Catastrophic Exchange Plans Qualify as HDHPs
Marketplace Bronze and Catastrophic policies now receive official HDHP status starting in 2026, opening new HSA pathways for ICHRA‑ and QSEHRA‑funded employees.
Dependent‑Care FSA Limit Climbs to $7,500
For tax years beginning in 2026, parents can contribute an extra $2,500 pre‑tax toward day‑care expenses, bringing the annual cap to $7,500. Married filing separately continues to be able to claim up to half of the annual limit, or $3,750 starting in 2026.
Broker‑Level Action Steps
Refresh HDHP Collateral – Integrate the permanent telehealth provision and DPC compatibility into every HSA sales deck.
Map Local DPC Options – Identify clinics, vet pricing, and draft employee communications and HSA contribution strategies that encourage “HDHP + DPC” plan changes ahead of the 2026 quoting cycle.
Audit ICHRA Designs – Flag participants poised to switch to HSA‑qualified Bronze or Catastrophic plans and craft migration guides.
Coordinate with TPAs – Update Dep‑Care FSA plan documents and nondiscrimination tests before open enrollment.
Opportunity
Stay informed on compliance changes and understand how they may impact your business. Book a free 30-minute call today!
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