From ICHRA to CHOICE Arrangements: What’s Changing and What Remains the Same
The Individual Coverage Health Reimbursement Arrangement (ICHRA) has quickly become one of the fastest-growing health benefit models in the market. Now, it has a new name: CHOICE (Custom Health Option and Individual Care Expense) Arrangements or CHOICE Accounts. The new branding was announced by the Centers for Medicare & Medicaid Services (CMS) and the U.S. Small Business Administration (SBA) September 3, 2026, but the underlying benefit remains unchanged. While the name may be new, the