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Updated: Mar 2, 2026

A Quantitative Measurement of Reactive Oxygen Species and Senescence-associated Secretory Phenotype in Normal Human Fibroblasts During Oncogene-induced Senescence
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Door Is Open for HRAs to Make a Comeback.

Jan Greene

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    |May 17, 2017
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    Summary

    Health reimbursement arrangements (HRAs) are now permitted again for employers to offer tax-free health insurance premium reimbursements to employees. This follows a four-year ban under the ACA, with the 21st Century Cure Act reviving the HRA option.

    Area of Science:

    • Healthcare Policy
    • Employee Benefits
    • Health Economics

    Background:

    • The Affordable Care Act (ACA) previously prohibited employers from offering health reimbursement arrangements (HRAs) for premium reimbursements.
    • This prohibition created a gap in flexible employee benefits for four years.
    • Businesses sought alternative ways to support employee health insurance costs.

    Purpose of the Study:

    • To inform employers and employees about the reinstatement of HRAs.
    • To clarify the regulatory changes allowing premium reimbursements.
    • To highlight the impact of the 21st Century Cure Act on employee benefits.

    Main Methods:

    • Analysis of legislative text from the 21st Century Cure Act.
    • Review of previous ACA regulations concerning HRAs.

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  • Interpretation of legal and policy implications for businesses.

    • Main Results:

    • The 21st Century Cure Act includes provisions that revive HRAs.
    • Employers can now legally reimburse employees for health insurance premiums tax-free.
    • This change effectively reverses the ACA's prior restriction on HRAs.

    Conclusions:

    • The reintroduction of HRAs offers employers a valuable tool for employee benefits.
    • This policy change provides greater flexibility in how businesses support employee health coverage.
    • The 21st Century Cure Act addresses a significant limitation in employer-sponsored health insurance options.