{"id":386262,"date":"2025-11-17T23:18:14","date_gmt":"2025-11-17T23:18:14","guid":{"rendered":"https:\/\/www.europesays.com\/us\/386262\/"},"modified":"2025-11-17T23:18:14","modified_gmt":"2025-11-17T23:18:14","slug":"replace-aca-tax-credits-with-hsas-sen-bill-cassidy","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/us\/386262\/","title":{"rendered":"Replace ACA tax credits with HSAs: Sen. Bill Cassidy"},"content":{"rendered":"<p><a href=\"https:\/\/www.cassidy.senate.gov\/\" target=\"_blank\" rel=\"noopener\">Sen. Bill Cassidy<\/a> on Monday proposed replacing enhanced <a href=\"https:\/\/www.cnbc.com\/2025\/10\/31\/aca-open-enrollment-starts-enhanced-subsidies.html\" target=\"_blank\" rel=\"noopener\">Affordable Care Act<\/a> premium tax credits with pre-paid <a href=\"https:\/\/www.cnbc.com\/2025\/11\/17\/health-savings-accounts-expanded-access.html\" target=\"_blank\" rel=\"noopener\">health savings accounts<\/a>.<\/p>\n<p>The Louisiana Republican&#8217;s proposal comes as lawmakers scramble to find a remedy for <a href=\"https:\/\/www.cnbc.com\/2025\/11\/08\/aca-subsidy-cliff-government-shutdown.html\" target=\"_blank\" rel=\"noopener\">skyrocketing costs<\/a> of Obamacare health insurance premiums.<\/p>\n<p>The boosted <a href=\"https:\/\/www.cnbc.com\/2025\/11\/08\/aca-subsidy-cliff-government-shutdown.html\" target=\"_blank\" rel=\"noopener\">ACA tax credits<\/a>, which this year have lowered the cost of <a href=\"https:\/\/www.cnbc.com\/2024\/10\/01\/obamacares-future-hangs-in-the-balance-in-2024-election-.html\" target=\"_blank\" rel=\"noopener\">Obamacare<\/a> plans for about 20 million Americans, are <a href=\"https:\/\/www.cnbc.com\/2025\/09\/10\/aca-enhanced-subsidies-expire-obamacare-premiums-rise.html\" target=\"_blank\" rel=\"noopener\">set to expire<\/a> at the end of December.<\/p>\n<p>Cassidy&#8217;s proposal would allow people who signed up for a so-called <a href=\"https:\/\/www.healthcare.gov\/choose-a-plan\/plans-categories\/\" target=\"_blank\" rel=\"noopener\">Bronze Plan<\/a> through Obamacare marketplaces to get a pre-paid HSA, funded in part by the lapsed tax credits.<\/p>\n<p>While HSAs would not help pay for monthly premiums, Cassidy told reporters that they would help reduce the cost of health-care expenses, such as co-payments, deductibles, and coinsurance.<\/p>\n<p>Bronze plans  generally cover 60% of an enrollee&#8217;s health costs, with the enrollee responsible for paying the remaining 40% out of pocket.<\/p>\n<p>&#8220;Is there anybody who would not want to take a large portion of that, which we&#8217;re using to help Americans purchase health care, and give it directly to the individual, so that 100% of its used to purchase health care, as opposed to, as opposed to giving that money to the insurance company, of which 20% goes for profit and overhead?&#8221; asked Cassidy, who is chairman of the Senate Committee on Health, Education, Labor and Pensions.<\/p>\n<p>The federal government shut down on Oct. 1, and remained shut down for weeks when Senate Democrats refused to vote for a stopgap funding bill because it did not include an extension of the enhanced ACA credits.<\/p>\n<p>Last week, seven Democrats and independent Sen. Angus King of Maine, who caucuses with them, agreed to end the 43-day-long shutdown by voting for a funding bill. <\/p>\n<p>Their agreement came after Senate Majority Leader <a href=\"https:\/\/www.cnbc.com\/2025\/11\/10\/government-shutdown-senate-deal-democrats.html\" target=\"_blank\" rel=\"noopener\">John Thune, D-.S.C.,  promised<\/a> to hold a vote by mid-December on a bill of Democrats&#8217; choosing to extend the tax credits.<\/p>\n<p>But even a temporary extension of the ACA credits faces a near-impossible obstacle course to being passed into law, in part because it would require Republican support. <\/p>\n<p>GOP members of Congress have long tried to gut the Affordable Care Act, which became law under President Barack Obama with only Democratic votes.<\/p>\n<p>Cassidy said he is <a href=\"https:\/\/www.cnbc.com\/video\/2025\/10\/20\/sen-bill-cassidy-what-democrats-are-proposing-doesnt-lower-the-cost-of-health-care.html\" target=\"_blank\" rel=\"noopener\">talking with other senators<\/a>, as well as the Trump administration, about how his HSA plan would work.<\/p>\n<p>With roughly a month to go before a planned vote, lawmakers have little time to finalize their plans before presenting them.<\/p>\n<p>Yet Cassidy&#8217;s plan is already meeting with some resistance from some Democrats and health-care policy experts.<\/p>\n<p>Larry Levitt, an expert with the KFF health policy research group, on Sunday responded to an interview Cassidy did with CBS&#8217; &#8220;Face the Nation.&#8221;<\/p>\n<p>&#8220;Giving ACA enrollees cash in flexible spending accounts would help with out-of-pocket health costs like deductibles,&#8221;<a href=\"https:\/\/x.com\/larry_levitt\/status\/1990156312173502512\" target=\"_blank\"> Levitt tweeted<\/a>.<\/p>\n<p>&#8220;But, they wouldn&#8217;t do someone much good if they can&#8217;t afford health insurance to begin with and end up getting sick.&#8221;<\/p>\n<p>On Monday, Levitt tweeted, &#8220;Without the enhanced ACA premium tax credits, people would have a harder time buying plans with affordable deductibles.&#8221;<\/p>\n<p>&#8220;But, I do not believe this plan from <a href=\"https:\/\/x.com\/SenBillCassidy\" target=\"_blank\">@SenBillCassidy<\/a> would cause a premium death spiral in the same way as other health account proposals that&#8217;ve been floated,&#8221; he wrote.<\/p>\n<p>Death spirals occur when healthy people exit a health-care insurance plan, leading to ever-rising premiums for less healthy people who remain in the plan.<\/p>\n","protected":false},"excerpt":{"rendered":"Sen. Bill Cassidy on Monday proposed replacing enhanced Affordable Care Act premium tax credits with pre-paid health savings&hellip;\n","protected":false},"author":3,"featured_media":386263,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[76,81,210,1141,3168,1142,8121,169890,80,9159,67,132,68],"class_list":{"0":"post-386262","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health-care","8":"tag-breaking-news-politics","9":"tag-business-news","10":"tag-health","11":"tag-health-care","12":"tag-health-insurance","13":"tag-healthcare","14":"tag-john-thune","15":"tag-patient-protection-and-affordable-care-act","16":"tag-politics","17":"tag-social-issues","18":"tag-united-states","19":"tag-unitedstates","20":"tag-us"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@us\/115567598614132502","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/386262","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/comments?post=386262"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/386262\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media\/386263"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media?parent=386262"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/categories?post=386262"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/tags?post=386262"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}