High Deductible Health Plans in the State Health Benefit Plan

HB 422 would require the State Health Benefit Plan (SHBP) to offer at least two high-deductible health plans (HDHPs) by October 1, 2025. These plans must be paired with health savings accounts (HSAs), allowing employees to make pre-tax contributions directly from their paychecks. While HDHPs appear desirable to cost-conscious enrollees, they may face high out-of-pocket costs if they do not contribute to their HSA or do not contribute enough to offset the high deductible. The bill does not include a requirement to educate enrollees about the trade-offs of an HDHP and the importance of contributing to the HSA.