Arizona Rep Unveils Conservative Blueprint to Overhaul HSA's and More

Rep. Andy Biggs (R-AZ) has introduced the "Putting Patients First Healthcare Freedom Act," a sweeping legislative package that bundles existing conservative proposals into a single blueprint designed to replace the Affordable Care Act.

• Escaping the system: "The American people are being strangled by a broken healthcare system, and it is long past time for Republicans to confront it with real reform centered around freedom, affordability, and real choice,” Biggs said in a statement.

• The conservative playbook: The legislation rests on three pillars: redirecting federal support to families via expanded Health Savings Accounts (HSAs), codifying Trump-era policies like ICHRAs to expand options outside of rigid Obamacare mandates, and permanently blocking federal funds for abortions and gender transition surgeries.

• Joining the chorus: Biggs's proposal is the latest in a growing list of Republican healthcare efforts. It follows the "Lower Health Care Premiums for All Americans Act," which the House passed in mid-December, and the Senate's "Health Care Freedom for Patients Act of 2025," which also focuses on expanding HSAs.

This bill is not a one-off proposal; it signals a coordinated, multi-front Republican strategy to present a unified alternative to the ACA. Meanwhile, the employee benefits industry is closely watching how these legislative pushes could reboot ICHRAs and other employer-focused health plans.