The US House of Representatives Republican leadership has issued its tax reform proposal. If enacted as written, it would eliminate some CDH products. The bill also includes good news for the industry. This is just a first step in a long tax reform process that will continue at least until the end of the year. Throughout that time, Alegeus and the CDH industry will actively monitoring this process and educate Congress on the important benefits CDH products provide. UPDATE: Read the blog for an update on the provision regarding Dependent Care FSAs.
On October 31st, the IRS released a notice with guidance on Qualified Small Employer Health Reimbursement Arrangements (QSEHRAs). The guidance is provided in the form of questions and answers and details what is needed to establish a QSEHRA, eligibility for QSEHRA, tax consequences, written notices and how QSEHRAs will interact with HSAs. While these are not the final regulations, the notice does provide some clarity on how to establish and manage a QSEHRA program. Two questions that Alegeus and the CDH industry had requested further guidance on from the IRS were what defines an eligible employer and how a QSEHRA interacts with HSAs. The Notice does provide guidance on those questions.
On October 24th, key congressional healthcare committee leaders issued a bicameral agreement to reform the Affordable Healthcare Act (ACA), including a two-year funding extension for the ACA’s cost-sharing reduction (CSR) payments and increasing the maximum HSA contribution limit. The legislative text for the House and Senate bill was released on November 1st and does include an increase in the HSA contribution limit, but only through 2022.
The IRS has released the cost-of-living adjusted 2018 limits for FSAs, QSEHRAs, transit/parking, 401(k)s, and the adoption expenses exclusion.
Senators strike bipartisan deal on a short-term Afffordable Care Act (ACA) fix, but is it dead on arrival?
On October 12th, the US House of Representatives Financial Services Committee passed the “Pass Act of 2017.” If enacted this bill would repeal the Department of Labor (DOL) fiduciary rule and change the jurisdiction of fiduciary duty regulation to the Securities and Exchange Commission (SEC). Can this bill pass the full House and Senate?
On October 12th, following months of failed congressional actions to repeal and replace the Affordable Care Act (ACA), President Trump used his administrative authority to issue a far-reaching executive order that directs the departments of Treasury, Labor, and Health and Human Services (HHS) to “consider” changes to current regulations so that (1) HRAs could be used to cover insurance premiums and be offered without associated group coverage, (2) association health plans (AHPs) could be offered across state lines, and (3) the availability of short-term and limited-duration insurance could be expanded. The executive order does not include details on these requested revisions or provide any substance on how these changes would be implemented, so the CDH industry will continue to meet with and provide feedback to these agencies as they work to implement the executive order.
Leveraging platform data and metrics, Alegeus shares benchmarks and best practices that translate into tangible cost savings for your business. Follow the best practices and calculate the savings.
As a benefit service provider (BSP), you can help your employer groups better prepare to communicate account-based benefits and maximize CDH account adoption, funding and usage. Current employer-to-employee engagement is far from optimal. Partner with Alegeus to deliver direct-to-member engagement campaigns for your employer groups.
Following last month’s failure to repeal/replace the Affordable Care Act (ACA), Senate Republicans are looking towards a proposal by Sens. Lindsey Graham (R-SC), Bill Cassidy (R-LA) and Dean Heller (R-NV) as a possible path forward to achieve the promise of repeal and replace. This proposal was first introduced as an amendment to the Senate’s failed Better Care Reconciliation Act, but never received a vote. What does this proposal include and how does it address the CDH provisions? When could a vote be held and can it be passed under budget reconciliation?