Legislative work

Senator Paul's health finance bills

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Are these the concepts of a plan? Is this what health finance reform will look like next year?

Maybe so.

Just last week, Senator Paul rolled out two health finance bills: the Health Marketplace for All Act of 2024 and the Health Savings Accounts for All Act. Both would tweak the current system to tackle rising costs.

Here’s the breakdown:

1. Health Marketplace for All Act of 2024:

• Changes ERISA to allow “health marketplace pools” to be considered an employer when offering group health plans.

• Lets groups like churches, credit unions, wholesale clubs, or professional associations band together to negotiate health insurance.

• These organizations could snag better rates, much like big companies do, and offer plans across state lines.

• The goal? To give individuals and small groups affordable coverage options they couldn’t get on their own.

• Buyer beware: this could flood the market with choices, so it’ll be crucial to pick out the solid plans with good financial backing and governance from those that might not.

2. Health Savings Accounts for All Act:

• Makes Health Savings Accounts (HSAs) available to everyone, no longer requiring High Deductible Health Plan (HDHP) coverage.

• HSAs let you make tax-free contributions, enjoy investment growth, and take out money tax-free for qualified medical expenses.

• The balances roll over year to year and stay with you, even if you switch jobs.

Senator Paul describes these bills as a way to “expand access” and reduce unnecessary restrictions, giving you more control over your health care decisions.

If they pass, these measures could change how individuals and small groups access and manage their health care.

Do you think these policies will gain traction?

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Originally posted on LinkedIn, where the discussion and source links live in the comments.

About the author

Chris Vanderwolk is Director of Compliance and Innovation at OneDigital | Kistler Tiffany Benefits General Agency, where he helps brokers and employers navigate the regulatory complexity of employee benefits. An ERISA attorney with more than 19 years in the benefits industry, he specializes in translating what the law actually requires into language people can use.

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