On May 13, 2025, the U.S. House Committee on Ways and Means introduced a bill aimed at extending the 2017 tax cuts. The reconciliation bill, currently under consideration in Congress, includes several exciting provisions for employer-sponsored healthcare that position consumers at the center.
The “One Big Beautiful Bill” would codify Individual Coverage Health Reimbursement Arrangements (ICHRAs) — the personalized insurance model that has transformed how employers offer health benefits — into law as CHOICE Arrangements, or Custom Health Option and Individual Care Expense arrangements.
The proposed shift represents a step towards more personalized and flexible healthcare benefits that meet the moment for today’s workforce. While the fundamental concept remains the same — employer-funded r