Bill · H.R. 5463· House(119-HR-5463)
Choice Arrangement
- Introduced
- 9/18/2025
- Last activity
- 9/18/2025 — Referred to the House Committee on Ways and Means.
- Sponsored by
- Kevin Hern
- Cosponsors
- - 11 - 0
- Introduced
- In Committee
What this bill would do
The Choice Arrangement Act of 2025 changes the Internal Revenue Code to allow employers to provide "custom health option and individual care expense arrangements." These are employer-funded health reimbursement arrangements for employees who have individual health insurance or Medicare. The bill sets rules for how these plans must be offered without discrimination and requires specific notices to employees. It also allows certain employees to use cafeteria plans to buy exchange insurance. Additionally, it creates a tax credit for eligible employers who establish these arrangements.
Yes· 3 of 9
Would business owners be better off under this?+5
Provides a direct tax credit for small business owners implementing these plans.
Does this make it easier to run a small business?+5
Offers financial incentives via tax credits specifically for employers who are not applicable large employers.
Does this cut taxes for small businesses?+4
Provides a tax credit to small employers who establish CHOICE arrangements.
The opposite
Does this reduce what the federal government owes?-1
The creation of a new tax credit for employers may slightly reduce federal tax revenue.
Who it would affect, and how
Potential Positive Impacts for People
-
Expanded Health Coverage Options: Employees can receive employer-funded reimbursements for medical care if they have individual health insurance or Medicare (Section 2(a)(2)(B)).
-
Financial Support for Small Businesses: Employers who are not "applicable large employers" can receive a tax credit of $100 per month for each enrolled employee in the first year, and half that amount in the second year (Section 4(a)).
-
Flexible Insurance Purchasing: Employees in these arrangements are granted an exception that allows them to purchase exchange insurance under a cafeteria plan (Section 3(a)).
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Adjustments for Dependents and Age: The bill allows the maximum dollar amount of reimbursements to increase if an employee has additional dependents or as the participant gets older (Section 2(a)(2)(C)(v)).
Potential Negative Impacts for People
-
Limited Eligibility for Credits: The tax credit for providing these arrangements is only available to employers who are not "applicable large employers," meaning larger companies and their employees may not benefit from this specific incentive (Section 4(c)(3)).
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Strict Coverage Requirements: To receive reimbursements, individuals must maintain specific types of coverage, such as individual health insurance or Medicare Part A, B, or C (Section 2(a)(2)(B)(ii)).
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Reporting Requirements: The total amount of benefits provided under these arrangements must now be included on an employee's W-2 form (Section 2(b)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Business Owners+5Good For Retirees+3Good For Seniors+3Good For Low Income Households+2Good For Middle Class Households+2
- Economy And Finance
- Improves Small Business Support+5Reduces Small Business Taxes+4Reduces National Debt-1
- Healthcare
- Improves Healthcare Access+4Increases Affordable Care Act Support+2
- 7/20/2026
- 1 Cosponsor added.
- 7/9/2026
- 1 Cosponsor added.
- 3/5/2026
- 1 Cosponsor added.
- 11/20/2025
- 1 Cosponsor added.
- 11/17/2025
- 2 Cosponsors added.
- 10/21/2025
- 2 Cosponsors added.
- 10/8/2025
- 1 Cosponsor added.
- 9/18/2025
- Referred to the House Committee on Ways and Means.
- 2 Cosponsors added.
- Introduced in House
2 bills Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Scott FitzgeraldRepublican · Wisconsin
Nicole MalliotakisRepublican · New York
Max MillerRepublican · Ohio
Nathaniel MoranRepublican · Texas
Robert OnderRepublican · Missouri
Adrian SmithRepublican · Nebraska
W. SteubeRepublican · Florida
Claudia TenneyRepublican · New York
Beth Van DuyneRepublican · Texas
Derrick Van OrdenRepublican · Wisconsin
Rudy YakymRepublican · Indiana