Hey Bosses: The “One Big Beautiful Bill” Is Here to Shake Up Your Health Plan. Let’s Not Get Played.

Hey, business owners —
While you’ve been out here literally minding your business, Congress slipped a plot twist into your benefits strategy: the One Big Beautiful Bill. Spoiler alert — it’s here to flip how you support your people and how you spend your dollars.
If you’ve got a team — or you want to offer real-deal benefits without setting fire to your profits — keep reading. We’re about to unpack what just happened and how to play it smarter than Uncle Sam thinks you will.
CHOICE Arrangements & ICHRAs: Your Exit From the Group Plan Hamster Wheel
For years, small business owners have been stuck: rising premiums, rinse, repeat, rage scream.
This new bill says: “You don’t have to keep doing that.”
Say hello to Individual Coverage HRAs (ICHRA) and “CHOICE arrangements.” Fancy names, simple shifts:
👉 Instead of overpaying for a group plan, reimburse your employees (tax-free!) when they buy their own coverage through the Marketplace.
👉 They may get a subsidy. You may get a tax break. And sanity may just return to the benefits process.
If you’ve got fewer than 50 employees, this could be your benefits glow-up. Just know — you can’t CashApp them their premium and call it a day. The IRS will not be amused. Follow the rules or risk the consequences.
HSAs Got a Mini Makeover
You already know I’m Team HSA — tax-free money for healthcare? Sign me up. And now? The updates are actually helpful:
✔️ Spouses can both make “catch-up” contributions to the same HSA.
✔️ Rolling leftover FSA or HRA funds into your HSA is easier.
✔️ Paying for direct primary care? That now counts as an eligible HSA expense.
✔️ More Bronze plans now qualify for HSA use.
Translation: HSAs are now easier to use and more valuable. If you offer one, shout it from the rooftops. If you don’t — maybe this is your sign.
PBMs Just Got Put on Watch
The bill also takes a swipe at shady Pharmacy Benefit Manager (PBM) practices under Medicaid. It doesn’t touch commercial plans (yet), but if you’re self-funded or deal with a PBM? Eyes open. States love to follow the money — and each other.
So, What’s a Smart Boss Supposed to Do?
Great question:
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Still offering a group plan? Run the numbers.
If it’s not working anymore, it’s time to consider a hybrid plan, level-funded option, or ICHRA.
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No plan yet? CHOICE might be your moment.
Do something solid for your team without incinerating your margins.
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Already have HSAs? Educate your crew.
Don’t let them miss out on tax-free savings. Tell them what’s new.
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Call your broker (hi, that’s me).
This is not the year to DIY benefits. I’ll read the fine print, review your costs, and make sure you're squeezing every dollar the legal way.
TL;DR?
Congress keeps remixing the benefits rulebook — but smart business owners don’t get caught sleeping. You don’t have to be the expert here. That’s my lane. Yours is to keep your team thriving, your profits intact, and your accountant off blood pressure meds.
Still wondering:
❓“Is my group plan even worth it?”
❓“Should I switch to an ICHRA?”
❓“Could an HSA actually help my team save money?”
Hit reply. Let’s run the math before your next renewal hits like a plot twist you didn’t see coming.
— Carmen Londono
The Insurance Pros







