Great American Healthcare Act

Key Points

• The bill raises how much you can put into a Health Savings Account each year and lets you use HSA money for new things like gym memberships, fitness trackers, vitamins, dietary supplements, and healthy food, with monthly limits based on your account balance.
• Hospitals, labs, imaging providers, and surgery centers would have to post real prices and negotiated insurance rates. Hospitals that hide prices face fines that can reach tens of dollars per bed per day, with no waivers allowed.
• Providers must give patients an itemized bill and cannot send bills to collections for charges that exceed a good faith estimate unless they prove the extra services were medically necessary and unforeseen.
• Pharmacists, nurse practitioners, and physician assistants could dispense a federal list of expanded-access drugs like antibiotics and maintenance medications after a patient assessment, unless a state opts out.
• You could move up to $5,000 from an HSA to seed a Trump account for a designated child, and could roll an HSA to your child, parent, or grandparent without extra tax on death.
• The bill also repeals the Federal Reserve's authority to pay interest on bank reserve balances, a major and unrelated change to monetary policy tucked into Title VI.