Bill > HR1157

This bill, known as the "Affordable Care and Comprehensive Economic Support through Savings Act" (ACCESS Act), allows individuals enrolled in silver-level health insurance plans through the Affordable Care Act (ACA) Exchanges to choose between traditional cost-sharing reductions and contributions to a health savings account (HSA). Under the proposed legislation, if an eligible insured selects this option, the health insurance issuer would make monthly contributions to the individual's HSA equivalent to one-twelfth of the annual reduced cost-sharing amount. These contributions would be reimbursed by the government. The bill requires that HSAs receiving these contributions can only distribute funds through a qualified medical debit card, which can only be used for medical expenses. Additionally, health insurers offering silver-level plans must provide a high-deductible health plan option and make HSA contributions when an eligible insured elects this alternative. Starting in January 2026, insurance issuers and Exchanges must provide information to prospective enrollees about this HSA contribution option and how to establish and use an HSA. The bill aims to provide more flexibility and potential financial benefits for individuals purchasing health insurance through ACA Exchanges.

Budget and Finance

https://www.congress.gov/bill/119th-congress/house-bill/1157/all-info