Overshadowed by the political drama surrounding the Affordable Care Act (ACA) is tax legislation enacted in December 2016 to make stand-alone health reimbursement arrangements (HRAs) available to employees of certain small employers. An HRA typically consists of an arrangement under which an employer makes nontaxable reimbursements of an employee’s medical expenses up to a predetermined annual maximum. The Internal Revenue Service (IRS) had interpreted the ACA to prohibit an employer from offering any HRA to its active employees unless the HRA was “integrated” with an employer’s group health plan complying with the ACA market reform requirements. That interpretation deterred employers without group health plans from maintaining stand-alone HRAs to reimburse their employees for the cost of health insurance the employees purchased for themselves in the individual insurance market. The new legislation, called the 21st Century Cures Act, has created a means for certain small employers to pay some of that cost on a tax-favored basis without tripping over the ACA restrictions on stand-alone HRAs.