The New ACA Repeal and Replace: Health Savings Accounts Authors: Larry Levitt and Cynthia Cox Published: Nov 21, 2025

https://www.kff.org/affordable-care-act/the-new-aca-repeal-and-replace-health-savings-accounts/ Proposals from some Republicans in Congress would effectively repeal some or all of the ACA premium tax credits and replace them with contributions to Health Savings Accounts (HSAs) or something similar. Senator Rick Scott proposes “Trump Health Freedom Accounts” and Senator Bill Cassidy proposes HSA contributions available only for people who enroll in bronze level ACA plans to pay for out-of-pocket health care costs.