On May 22, 2025, the House of Representatives passed the “One Big Beautiful Bill Act” to implement President Trump’s agenda as part of the budget reconciliation process. In addition to the bill’s numerous tax provisions, the legislation includes a large number of sweeping changes to the rules governing tax-advantaged savings accounts, Medicaid, PBM transparency, and Medicare. However, the bill is still in the early stages of the legislative process, and these provisions could change significant