Health Plan Provisions in the House Reconciliation Package

By Kayla Holgash, Maddie News, Debra Curtis, Rodney Whitlock, Amy Kelbick, Leigh Feldman, Josh Jorgensen and Julia Grabo on June 17, 2025

Posted In Employee Benefits, Health and Welfare Plans

On May 22, 2025, the US House of Representatives passed its reconciliation package, now known as H.R.1, One Big Beautiful Bill Act, by a 215 – 214 – 1 vote, advancing an agenda that extends and builds on tax cuts enacted in President Trump’s first term. The bill contains several policies impacting group health insurance plans, health savings accounts, and employer tax credits for paid family and medical leave.

Read more about these proposed policy changes and others in this comprehensive report, which highlights the health-related provisions in the House reconciliation package.

Tags: employer tax credits, group health insurance plans, health savings accounts, One Big Beautiful Bill Act, paid family and medical leave, President Trump, US House of Representatives

Kayla Holgash
Kayla is a skilled, passionate health policy professional with experience covering health policy legislation, research, complex policy and data analyses, and strategic planning for leading DC-area institutions. Read Kayla Holgash's full bio.

Maddie News
Maddie delivers comprehensive research and analysis of key federal healthcare legislative and regulatory developments. She assists clients with real-time tracking and analysis of health care policy initiatives in Washington, DC, and helps clients achieve advocacy and policy goals. Read Maddie News's full bio.

Debra Curtis
Debbie is a highly respected health policy authority who helps clients advance their missions in Congress and beyond. With more than three decades of experience working both on the Hill and with the health insurance exchange marketplace, she helps clients execute payment strategy, see around the corner on policy and regulatory changes, and pursue effective advocacy. In addition, Debbie has deep experience working closely with payers, industry stakeholders and government officials at the federal, state and local levels. Read Debbie Curtis's full bio.

Rodney Whitlock
Rodney is an accomplished health care advisor with more than two decades on the Hill where he specialized in rural health, the health care safety net and disability policy. With more than 30 years of experience, Rodney possesses and offers clients the kind of knowledge that is uniquely available to those who have drafted and advanced legislation. He strategically guides clients through dense Medicare and Medicaid issues that have significant business impact.Read Rodney's full bio.

Amy Kelbick
Amy is a highly experienced health policy and advocacy professional who brings the benefit of nearly fifteen years of experience working on Capitol Hill in health-specific policy roles, and as a lobbyist and health policy specialist for a major national advocacy association. Read Amy Kelbick's full bio.

Leigh Feldman
Leigh offers clients nuanced health policy and legislative affairs insights informed by more than a decade of experience at the Centers for Medicare & Medicaid Services (CMS) and on Capitol Hill. A skilled legislative and regulatory strategist, Leigh helps clients evaluate health policy proposals and anticipate policy changes. Read Leigh Feldman's full bio.

Josh Jorgensen
Josh is a skilled legislative technician with extensive experience helping clients navigate the complex health policy landscape in Washington, DC. Prior to joining McDermott+, Josh served as lead lobbyist at the Alliance of Community Health Plans, advocating on issues pertaining to Medicare Advantage, Medicaid, the individual market, and prescription drug policy. He also served as lead lobbyist for the National Rural Health Association, guiding rural providers through COVID-19-era legislative activity. During this time, Josh worked with congressional leaders to secure millions of dollars dedicated to ensuring stability for the rural health safety net. Read Josh Jorgensen's full bio.

Julia Grabo
Julia produces comprehensive research and analysis of key federal healthcare policy developments and legislative initiatives. She assists clients with real-time monitoring and analysis of fast-breaking legislative, policy and regulatory developments in Washington, DC. She also coordinates coalition and client collaborations to achieve advocacy and policy goals. Read Julia Grabo's full bio.

Health Plan Provisions in the House Reconciliation Package

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