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How the One Big Beautiful Bill Act may impact you

The 2025 One Big Beautiful Bill Act (OBBBA) brings changes that may impact how you save, spend and plan for you and your family's needs.

October 15, 2025 | 4-minute read

In this article

How the OBBBA affects health care benefits

The OBBBA was signed into law on July 4, 2025, introducing several updates to benefits that might affect you and your family’s financial planning. Some changes are already in effect, while others will roll out in 2026.

Here are some examples. This list is not inclusive of all the changes brought on by the OBBBA. Please consult with a legal or tax professional for more information on the OBBBA.

Telehealth coverage

If you’re enrolled in a qualifying high-deductible health plan (HDHP), you can continue to receive first-dollar coverage for eligible telehealth services — without needing to meet your deductible first.

This benefit, previously temporary, is now permanently extended and retroactive for all of 2025.

Adoption credit

Starting in 2025, up to $5,000 of the adoption credit may be refundable, helping families access more financial support when growing through adoption.

Dependent care assistance

Beginning in 2026, the annual contribution limit for dependent care flexible spending accounts (DCFSA) will increase to:

  • $7,500 per household (previously $5,000)
  • $3,750 for married individuals filing separately (previously $2,500)

This change helps families better manage childcare costs.

Commuter benefits

The bicycle commuting reimbursement option ($20/month tax-free) is permanently removed.

This change does not affect Optum Financial commuter benefits, which do not support bicycle reimbursements.

Direct primary care (DPC) and health savings accounts (HSA)

Beginning in 2026, certain direct primary care service arrangements will be HSA-eligible:

  • Monthly fees up to $150 per individual or $300 per family can be paid with HSA dollars.
  • Eligible primary care services qualify. Services such as procedures requiring general anesthesia, prescription drugs (except vaccines) and certain lab tests are not eligible.

Also starting in 2026, all bronze and catastrophic health plans will be treated as high-deductible health plans (HDHPs), making them eligible for HSAs.* This expands access to HSA benefits for more individuals enrolled in these plan types.

How to be proactive with OBBBA changes

As these changes take effect, it’s a good time to check in on your benefits.

  • Review your current benefits plan to see how updates like increased contribution limits or expanded coverage may apply to you.
  • Connect with your benefits plan administrator to understand how your benefits package may evolve in response to the new law.
  • Sign in to your Optum Financial account(s) to manage your HSA, flexible spending account and other benefit accounts.

This communication is not legal or tax advice. Please consult with a legal or tax professional to determine how the OBBBA may impact you directly.