March 30, 2023

Business Group on Health, in conjunction with a group of health care provider, employer plan sponsor and insurer stakeholders, sent a letter urging the Department of Treasury (Department) and Internal Revenue Service (IRS) to issue guidance on preserving high-deductible health plan (HDHP) status when covering preventive services on a pre-deductible basis. Business Group and other signatories emphasized the need for confirmation that a health plan will not fail to be a HDHP solely because it covers, pre-deductible, items and services that have an “A” or “B” rating from the U.S. Preventive Services Task Force (USPSTF). The coalition highlights the need for clarification given the U.S. District Court for the Northern District of Texas’ ruling in Braidwood Management, Inc. v. Becerra that found certain parts of the preventive services provisions of the Affordable Care Act (ACA) to be unconstitutional, including the requirement that plans cover USPSTF “A” or “B” rated services without cost-sharing. The Business Group and other signatories requested a meeting to discuss the issue and are continuing to advocate for the Department and IRS to issue the requested guidance in a timely fashion.

Business Group and Other Stakeholders Request Guidance on HDHP Status and Pre-Deductible Preventive Care

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