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Members of the House voted 215-214 to pass the One Big Beautiful Act tax and budget package Thursday, and 14 provisions that could affect health savings accounts and health reimbursement arrangements are in there.
Related: House Ways & Means budget bill includes major ICHRA, HSA, paid leave and student loan provisions
The sections getting most of the attention would do things like keep the estate tax exemption high, cut Medicaid funding and increase the federal excise tax on large colleges' endowment earnings to 21%, from 1.4% today.
House Republican leaders will now have to negotiate with Republican Senate leaders to come up with a something that can get through both the House and the Senate and be signed into law by President Donald Trump.
The FSA and HSA provisions, which are tucked away in the Investing in Health of American Families and Workers section, have received little attention as they've moved through House committees.
For a closer look at each of the 14 provisions, see the gallery accompanying this article.
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