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What They Are Saying: The One, Big, Beautiful Bill Delivers More Health Care Choices, Lower Costs, & Flexibility for Americans

August 06, 2025

WASHINGTON, D.C. – Americans are gaining more freedom, flexibility, and choices in their health care thanks to The One, Big, Beautiful Bill passed by Congressional Republicans and signed into law by President Trump. The law puts patients back in control of their health care by expanding access to health savings accounts (HSAs) to reduce out-of-pocket costs, advancing innovative direct primary care (DPC) arrangements, and making permanent pre-deductible telehealth coverage for individuals with high-deductible health plans and HSAs.

Ways and Means Committee Chairman Jason Smith (MO-08) said:

“In addition to providing direct tax relief for working families, the law enhances policies that help individuals and families better afford routine life expenses like child care, education, and health care. On the health care front, with this landmark legislation, Republicans have delivered on their promise to empower patients, expand personal freedom, and unleash innovation to Make America Healthy Again.”

Organizations that champion more personalized, flexible health care choices have been speaking out about how The One, Big, Beautiful Bill empowers patients.

America First Policy Institute (AFPI)

“Health-insurance companies have long dictated which doctors Americans can consult, trapping patients in narrow networks and bureaucratic red tape. The One Big Beautiful Bill Act breaks that monopoly. By loosening the grip of insurers and empowering families with greater choice and flexibility, this bold reform restores control to patients.” – Bobby Jindal, Chair, Center for a Healthy America, AFPI

Americans for Prosperity

The GOP just uberized health care for more than 75 million Americans by removing barriers to affordable Direct Primary Care, an innovative model that gives patients direct, affordable access to the medicines they need and the doctors they trust, with no insurance company middleman. Republicans just put ‘health care at your fingertips’ for more than seven million Americans by expanding access to tax-advantaged Health Savings Accounts, a powerful financial tool that gives families more choice and control and the equivalent of a 20-30% discount on every medical purchase.” – Dean Clancy, Senior Health Policy Fellow, Americans for Prosperity

Americans for Tax Reform (ATR)

“The bill expands Health Savings Accounts (HSAs) by allowing Bronze and Catastrophic health plans to be used in connection with HSAs by adding them to the definition of a ‘high-deductible health plan.’ This allows taxpayers to save and invest more of their own money tax-free to use for health care expenses.” – ATR

American Telemedicine Association (ATA)

“Since the pandemic, when this telehealth flexibility was introduced under President Trump’s first administration in 2020, this has been a top priority for ATA Action. Making this permanent will provide certainty for healthcare providers and employers, improve health outcomes, strengthen employer-sponsored health benefits, and reduce disparities in care.” – Kyle Zebley, Executive Director, ATA Action; Senior Vice President, ATA

Council for Affordable Health Coverage (CAHC)

“For over 20 years, HSAs have helped Americans access affordable health coverage while allowing them to save, tax-free, for future medical needs. Now, thanks to Congress, millions more Americans will be able to contribute to their own HSAs and have more options on where and how they can use them, including for telehealth visits.” – Joel White, President, CAHC

DPC Action

“…[Y]ou and your doctor can now work directly together without having to go through insurance. You can pay a simple flat monthly fee for care — no co-pays, no deductibles, no surprises. Just you and your doctor. And here’s the best part: the IRS now officially recognizes this as a valid medical expense, so your payments can be tax-deductible.” – Dr. Lee Gross, Chairman, DPC Action

The ERISA Industry Committee (ERIC)

“…[I]ncludes key provisions to modernize employer-sponsored health benefits, expand affordable care, and strengthen the health and financial security of America’s workforce.” – James Gelfand, President and CEO, ERIC

The LIBRE Initiative

“The One Big Beautiful Bill Act (OBBBA) delivers lasting meaningful reform to our healthcare system by restoring choice and control to Americans—while preserving affordable options that meet diverse needs. The bill achieves this by expanding Health Savings Accounts (HSAs), increasing access to telehealth services, and reclassifying Direct Primary Care (DPC) as a qualified medical expense, making it eligible for HSA coverage. These changes empower individuals to choose the care that best fits their lives…OBBBA ensures these choices remain accessible and affordable for millions of Americans.” – Sandra Benitez, Executive Director, The LIBRE Initiative