Bill · S. 2875· Senate(119-S-2875)
CHOICE Act
- Introduced
- 9/18/2025
- Last activity
- 9/18/2025 — Read twice and referred to the Committee on Finance.
- Sponsored by
- Tim Sheehy
- Cosponsors
- - 4 - 0
- Introduced
- In Committee
What this bill would do
The "Custom Health Option and Individual Care Expense Act," or "CHOICE Act," updates the Internal Revenue Code to allow for a specific type of health reimbursement arrangement. These arrangements are employer-funded and provide payments for medical care to employees who have individual health insurance or Medicare. The bill establishes rules for nondiscrimination, substantiation, and notice for these plans. It also creates a tax credit for eligible employers who provide these arrangements. Additionally, it allows participants in these arrangements to purchase exchange insurance under a cafeteria plan.
Yes· 3 of 15
Would business owners be better off under this?+7
Offers a significant tax credit to small business owners for providing these benefits.
Does this make it easier to run a small business?+6
Gives small businesses a direct financial incentive via tax credits to provide flexible health benefits.
Would people over 65 be better off under this?+5
Specifically allows Medicare recipients to participate in these reimbursement arrangements.
The opposite
Does this reduce what the federal government owes?-1
Creates a new tax credit for employers, which slightly reduces federal tax revenue.
Who it would affect, and how
Potential Positive Impacts for People
-
Increased Flexibility in Health Coverage: Employees can receive employer-funded reimbursements for medical care while maintaining individual health insurance or Medicare coverage, as described in Section 2(a)(2)(B)(ii).
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Employer Incentives to Provide Benefits: Small employers (those who are not applicable large employers) may receive a tax credit of $100 per month for the first year and half that amount for the second year for each enrolled employee, which may encourage them to offer these benefits under Section 4(a).
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Access to Exchange Insurance: Employees in a CHOICE arrangement are granted an exception that allows them to purchase exchange insurance under a cafeteria plan, according to Section 3(a).
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Protections Against Discrimination: The bill requires that these arrangements be offered to all employees within a specified class on the same terms, as detailed in Section 2(a)(2)(C)(i).
Potential Negative Impacts for People
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Limited Availability Based on Employee Class: Employers can restrict these arrangements to specific "specified classes" of employees, such as full-time, part-time, or salaried employees, which means not all employees at a company may be eligible under Section 2(a)(2)(C)(ii).
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Coverage Requirements: To receive reimbursements, individuals must maintain specific types of coverage, such as individual health insurance (excluding excepted benefits) or Medicare, as stated in Section 2(a)(2)(B)(ii).
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Reporting Requirements: The total amount of permitted benefits received under a CHOICE arrangement will be included on the employee's W-2, as required by Section 2(b)(1).
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+7Good For Retirees+5Good For Seniors+5Good For Low Income Households+4Good For Middle Class Households+4Good For Middle Aged+3Good For Young Adults+3Good For High Income Households+2
- Economy And Finance
- Improves Small Business Support+6Reduces Small Business Taxes+5Reduces Middle Class Taxes+2Improves Economic Growth+1Reduces National Debt-1
- Healthcare
- Improves Healthcare Access+5Increases Affordable Care Act Support+3
- Social Issues And Justice
- Improves Poverty Reduction+2
- 6/9/2026
- 1 Cosponsor added.
- 11/20/2025
- 1 Cosponsor added.
- 11/19/2025
- 1 Cosponsor added.
- 11/18/2025
- 1 Cosponsor added.
- 9/18/2025
- Read twice and referred to the Committee on Finance.
- Introduced in Senate
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.
Marsha BlackburnRepublican · Tennessee
Jim BanksRepublican · Indiana
Kevin CramerRepublican · North Dakota
Roger MarshallRepublican · Kansas