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Story perspectives

One Big Beautiful Bill: Millions Gain New Health Savings Accounts

1/5/2026

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Story summary
  • Starting in 2026, the One Big Beautiful Bill Act expands health savings accounts for millions.
  • The change could add 3 to 4 million new HSA accounts to the current 40 million.
  • Eligible individuals include those with bronze and catastrophic health plans and those using direct primary care.
  • Telehealth can be covered before deductibles to improve affordability and access.