Is the One Big Beautiful Bill Act an Employee Benefits Crystal Ball?
Takeaways Republicans in the U.S. House of Representatives attempt to deliver on President Trump’s campaign promises in the One Big Beautiful Bill Act (BBB or the Act), which passed the House by a razor-thin margin of 215 in favor and 214 opposed on May 22, 2025 . BBB shows favoritism of Health Savings Accounts and Health Reimbursement Account benefits , making changes to broaden their scope, increase utilization, and bolster savings. The Act also provides a glimpse into legislative or regulatory changes that may be on the horizon for ERISA-governed plans, including standards for Pharmacy Benefit Manager compensation, contractual requirements, and disclosures applicable to government-subsidized plans. Related Links One Big Beautiful Bill Act (H.R. 1) Executive Order: Lowering Drug Prices by Once Again Putting Americans First Executive Order: Delivering Most-Favored-Nation Prescription Drug Pricing to American Patients Fact Sheet: President Donald J. T...