House Budget Bill Aims to Boost ICHRA Adoption — But Would It?

May 30
May 30, 2025

For supporters of Individual Coverage Health Reimbursement Arrangements (ICHRAs), the budget bill recently passed by House Republicans contains a lot to be excited about. However, some industry and health policy experts say there’s also reason to be skeptical that the legislative package — if passed — could massively increase ICHRA uptake.

“It’s not a giant switch that when it’s flipped, suddenly ICHRA is going to explode or be the best deal,” says Sam Melamed, CEO at supplemental benefits company NCD.
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Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.