ICHRA Legislation Watch

Tracking ICHRA legislation across all 50 states and at the federal level. An independent, open resource for brokers, consultants, employers, and policymakers.

9
States With Bills
12 state bills tracked
2
Enacted
1
Passed 1 Chamber
5
Federal Bills

Legislation at a Glance

State ICHRA bills on the left · Federal bills on the right

Enacted
Passed One Chamber
Introduced / In Committee
Did Not Advance
No Activity
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Federal Bills

119th Congress · Applies to all 50 states

HB5498

Small Business Health Options Awareness Act of 202...

HouseSenateMay 20, 2026

HB6708

ICHRA Permanency Act

HouseSenateDec 15, 2025

HB6512

Putting Patients First Healthcare Freedom Act End ...

HouseSenateDec 9, 2025

HB5463

Choice Arrangement

HouseSenateSep 18, 2025

SB2875

CHOICE Act Custom Health Option and Individual Car...

HouseSenateSep 18, 2025
PassedIn ProgressNot Yet
View full federal tracker ↓

State Legislation Detail

All 12 states with active ICHRA legislation

Mississippi (MS)

Enacted

HB343

An Act To Authorize An Income Tax Credit For Certain Employers That Offer An Individual Coverage Health Reimbursement Arrangement In Lieu Of A Traditional Employer-provided Health Insurance Plan; To Provide The Amount Of The Tax Credit; To Provide The Reporting Requirements With The Department Of Revenue; And For Related Purposes.

Approved by Governor

Updated Apr 6, 2026

Indiana (IN)

Enacted

HB 1004

First state to enact an HRA tax credit. Provides credits to small employers offering HRAs (including ICHRAs and QSEHRAs) to employees.

Credit: $400/employee (Year 1), $200/employee (Year 2)

Signed into law by Governor Holcomb (effective Jan 1, 2024)

Updated May 4, 2023

Ohio (OH)

Passed One Chamber

HB133

To amend sections 3901.21, 3901.22, 3937.19, and 5747.98 and to enact section 5747.87 of the Revised Code to authorize a nonrefundable income tax credit for small employers that cover their employees with an individual coverage health reimbursement arrangement and to prohibit certain acts or practices intended to steer an individual away from employer-provided insurance.

Referred to committee: Ways and Means

Updated Jun 11, 2025

Illinois (IL)

Introduced / In Committee

SB3619

Amends the Illinois Income Tax Act. Creates an income tax credit for a qualified employer who makes a qualified contribution toward a health reimbursement arrangement for the qualified taxpayer's employees. Provides that the amount of the credit is $400 per covered employee in the first taxable year and $200 per covered employee in the second taxable year. Effective immediately.

Added as Co-Sponsor Sen. Mike Porfirio

Updated May 6, 2026

New Hampshire (NH)

Introduced / In Committee

SB635

Establishing a health reimbursement arrangement tax credit program and making an appropriation for improvements in the department of revenue administration's information management system.

Pending Motion Refer to Finance Rule 4-5; 03/05/2026; Senate Journal 5

Updated Mar 5, 2026

Georgia (GA)

Introduced / In Committee

HB1110

A BILL to be entitled an Act to amend Article 2 of Chapter 7 of Title 48 of the Official Code of Georgia Annotated, relating to imposition, rate, computation, exemptions, and credits for income taxes, so as to create a tax credit for certain employers that offer individual coverage health reimbursement arrangements to employees; to provide for terms, conditions, and limitations; to provide for preapproval; to provide for aggregate annual limits; to provide for rules and regulations; to provide for definitions; to provide for a sunset; to provide for related matters; to provide for a short title; to provide for an effective date and applicability; to repeal conflicting laws; and for other purposes.

House Committee Favorably Reported By Substitute

Updated Mar 3, 2026

Arizona (AZ)

Introduced / In Committee

HB2694

Tax credit; health reimbursement arrangement

House read second time

Updated Jan 26, 2026

Texas (TX)

Introduced / In Committee

SB1949

Relating to a refund of sales and use taxes or a credit against the franchise tax for certain small employers who contribute to an individual coverage health reimbursement arrangement.

Referred to Finance

Updated Mar 17, 2025

Georgia (GA)

Introduced / In Committee

HB341

A BILL to be entitled an Act to amend Article 2 of Chapter 7 of Title 48 of the Official Code of Georgia Annotated, relating to imposition, rate, computation, exemptions, and credits for income taxes, so as to create a tax credit for certain employers that offer individual coverage health reimbursement arrangements to employees; to provide for terms, conditions, and limitations; to provide for preapproval; to provide for aggregate annual limits; to provide for rules and regulations; to provide for definitions; to provide for related matters; to repeal conflicting laws; and for other purposes.

House Withdrawn, Recommitted

Updated Mar 6, 2025

Mississippi (MS)

No Activity

SB2868

An Act To Provide An Income Tax Credit For Certain Small Employers Offering Their Employees An Individual Coverage Health Reimbursement Arrangement (ichra) In Lieu Of A Traditional Employer-provided Health Insurance Plan; To Provide The Amount Of The Credit; To Provide A Reporting Requirement To The Department Of Revenue; And For Related Purposes.

Died In Conference

Updated Mar 28, 2026

Wisconsin (WI)

No Activity

SB896

An Act to amend 71.05 (6) (a) 15., 71.21 (4) (a), 71.26 (2) (a) 4., 71.34 (1k) (g) and 71.45 (2) (a) 10.; to create 71.07 (4y), 71.10 (4) (em), 71.28 (4y), 71.30 (3) (am), 71.47 (4y) and 71.49 (1) (am) of the statutes; Relating to: tax credit for small businesses offering individual coverage health reimbursement arrangements. (FE)

Failed to pass pursuant to Senate Joint Resolution 1

Updated Mar 23, 2026

Wisconsin (WI)

No Activity

AB915

An Act to amend 71.05 (6) (a) 15., 71.21 (4) (a), 71.26 (2) (a) 4., 71.34 (1k) (g) and 71.45 (2) (a) 10.; to create 71.07 (4y), 71.10 (4) (em), 71.28 (4y), 71.30 (3) (am), 71.47 (4y) and 71.49 (1) (am) of the statutes; Relating to: tax credit for small businesses offering individual coverage health reimbursement arrangements. (FE)

Failed to concur in pursuant to Senate Joint Resolution 1

Updated Mar 23, 2026

Federal Legislation Tracker

Tracking ICHRA-related bills through the 119th Congress

HB5498

Small Business Health Options Awareness Act of 202...

119th Congress Congress

To require the Administrator of the Small Business Administration to provide information to small business concerns on individual coverage health reimbursement arrangements, and for other purposes.

Introduced
House
Senate
Signed into Law

Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 13 - 11.

Updated May 20, 2026

View on Congress.gov →

HB6708

ICHRA Permanency Act

119th Congress Congress

To codify certain rules related to health reimbursement arrangements and other account-based group health plans, and for other purposes.

Introduced
House
Senate
Signed into Law

Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Updated Dec 15, 2025

View on Congress.gov →

HB6512

Putting Patients First Healthcare Freedom Act End ...

119th Congress Congress

To Empower American Families with Direct Control Over Healthcare Dollars, Codify President Trump's Proven Reforms for Flexibility and Choice, Prohibit Taxpayer Funding for Abortion and Gender Transition Procedures, Eliminate Waste and Fraud in the Affordable Care Act, and Reject Extensions of Enhanced Subsidies to Insurance Companies.

Introduced
House
Senate
Signed into Law

Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Workforce, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Updated Dec 9, 2025

View on Congress.gov →

HB5463

Choice Arrangement

119th Congress Congress

To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.

Introduced
House
Senate
Signed into Law

Referred to the House Committee on Ways and Means.

Updated Sep 18, 2025

View on Congress.gov →

SB2875

CHOICE Act Custom Health Option and Individual Car...

119th Congress Congress

A bill to amend the Internal Revenue Code of 1986 to provide for the treatment of health reimbursement arrangements integrated with individual market coverage.

Introduced
House
Senate
Signed into Law

Read twice and referred to the Committee on Finance.

Updated Sep 18, 2025

View on Congress.gov →

Latest Updates

Recent ICHRA legislative activity and news

StateCT

Connecticut HB 5041 Advances to House Floor

HB 5041 is assigned File Number 404 by the Connecticut House, advancing the bill toward a floor vote following the Joint Favorable committee report.

Read more →
StateMS

Mississippi Becomes Second State to Enact an ICHRA Tax Credit

Governor signs HB 343 into law, making Mississippi the second state — after Indiana — to enact a state-level tax credit for small employers offering Individual Coverage Health Reimbursement Arrangements. Companion SB 2868 had died in conference committee on March 28.

Read more →
StateMS

Mississippi SB 2868 Dies in Conference Committee

The Senate companion to HB 343 dies in conference committee, ending its path forward. The House version (HB 343) continues toward final passage.

Read more →
StateWI

Wisconsin ICHRA Bills Fail at End of Session

Both AB 915 and companion SB 896 fail to advance and are killed pursuant to Senate Joint Resolution 1, the standard end-of-session resolution. Advocates may reintroduce in the next session.

StateCT

Connecticut Introduces ICHRA-Related Health Coverage Bill

HB 5041, a Governor's budget bill expanding health care coverage with ICHRA provisions, receives Joint Favorable report from the Human Services Committee.

Read more →
StateMS

Mississippi ICHRA Bills Head to Conference Committee

Both SB 2868 and companion HB 343 passed their opposing chambers with amendments. Both chambers declined to concur, inviting a conference committee to resolve differences.

Read more →
StateMS

Mississippi House Passes Amended ICHRA Tax Credit Bill

HB 343, the companion ICHRA tax credit bill, passes the Mississippi Senate with amendments and is returned to the House for concurrence.

Read more →
StateFL

All Three Florida ICHRA-Related Bills Die in Committee

Florida HB 141 dies in the Insurance & Banking Subcommittee, and both Senate companions SB 440 and SB 1460 die in Senate Health Policy on the same day, ending the Florida Employee Health Choices Program effort for the 2026 session.

Read more →
StateNH

New Hampshire Senate Advances ICHRA Tax Credit Bill

SB 635 receives Ought to Pass with Amendment recommendation from Senate Ways and Means Committee (3-2 vote). Amendment adopted by voice vote; pending referral to Finance Committee.

Read more →
StateGA

Georgia HB 1110 Passes House Ways and Means Committee

HB 1110, the Georgia Small Business Healthcare Affordability Act, advances from the House Ways and Means Committee. The bill now moves to the House Rules Committee.

Read more →
StateMS

Mississippi Senate Passes ICHRA Bill 49-0

SB 2868 passes the Mississippi Senate unanimously, providing tax credits up to $400 per employee for small businesses adopting ICHRAs.

Read more →
StateGA

Georgia ICHRA Tax Credit Bill Advances in Committee

HB 1110, the Georgia Small Business Healthcare Affordability Act, is referred to the House Ways and Means Committee for consideration.

Read more →
StateWI

Wisconsin Files Companion ICHRA Bills

AB 915 and SB 896 introduced in both Wisconsin chambers to establish an ICHRA tax credit program.

StateAZ

Arizona Introduces ICHRA Legislation

HB 2694 introduced in Arizona to create tax credit incentives for small employers offering ICHRAs.

Read more →
Federal

ICHRA Permanency Act Introduced in Congress

H.R. 6708 is introduced as a standalone bill to permanently codify ICHRA into federal statute.

Read more →
Federal

House Passes H.R. 6703 with CHOICE Provisions

The Lower Health Care Premiums for All Americans Act passes 216-211, containing key CHOICE Arrangement language to codify ICHRAs.

Read more →
Federal

CHOICE Arrangement Bills Introduced in Both Chambers

H.R. 5463 (House) and S. 2875 (Senate) introduced to codify employer-provided health reimbursement arrangements integrated with individual market coverage.

Read more →
Federal

CHOICE Provisions Stripped from Reconciliation Bill

ICHRA codification language removed from H.R. 1 during Senate negotiations. Advocates look to standalone bills as alternative path.

Read more →
StateOH

Ohio House Unanimously Passes ICHRA Tax Credit

HB 133 passes the Ohio House with full bipartisan support, offering $400/employee credits for small businesses.

Read more →

Resources

Key tools, data, and references for ICHRA research