One week following a very polarizing Presidential Election, we can look ahead to some industry related priorities in 2025. Commentators and industry experts opine that the following items may be first on the new administration's agenda when it comes to the employer sponsored health insurance sphere:

• Increase (or elimination) of Flexible Spending Account (FSA) and Dependent Care Account (DCA) annual limits

• Expansion of Health Savings Account (HSA) permitted uses and annual contribution limits, to align more closely with statutory maximum HDHP deductible amounts

• Streamlining of Section 6055 and 6056 (employer mandate) reporting 

• Reduction to Section 4980(H) employer mandate penalties (similar to the elimination of the ACA individual mandate penalty under the Tax Cuts and Jobs Act back in December, 2017)

• Expansion of in vitro fertilization coverage by government and private insurers

• Emphasis on telehealth and virtual care options

With the Republican majority in both the House and the Senate, it is likely we will not hear further discussion of ‘Medicare for all’ or single payer health care as a replacement to the employer sponsored industry. As cabinet appointments are still in the early phases, more exact agenda items for the new administration should be apparent early in the new year.