"The guidance that enrolling in a [Direct Primary Care Arrangement (DPCA)] will not cause individuals to lose HSA eligibility is helpful. However, questions remain regarding how DPCA offerings can be structured so that their services can be reimbursed from an HSA, and what services may be treated as primary care services. In addition, [Notice 2026-5] provides some flexibility with respect to individuals enrolling in bronze and catastrophic plans off-Exchange or through an ICHRA."  MORE >>