President Obama signed The Patient Protection and Affordable Care Act into law at a boisterous White House signing ceremony. Like it, or not, it has become the law of the land, and those still spending a lot of time and energy opposing the change might be better off thinking about how it will impact your opportunity to make a living.

Some experts are already predicting that it is time to bone up on consumer-directed health plans and health savings accounts (HSAs).

A recent Reuters article, cites industry experts who expect that many consumers who will be entering the health insurance market will opt for lower premium, high-deductible plans featuring HSAs.

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While the more prevalent flexible spending accounts (FSAs) will take a bit of hit in 2013 when a $2,500 annual cap (indexed for inflation) comes into play, HSAs have come through the process pretty much in one piece.

Two changes will impact HSAs:

  1. Effective Jan. 1, 2011, tax free HSA dollars may no longer be used to purchase over-the-counter drugs not prescribed by a doctor. (This change also impacts FSAs and HRAs.)
  2. Effective Jan. 1, 2011, the tax on HSA distributions that are not used for qualified medical expenses will increase to 20 percent from 10 percent.

Republicans first backed HSAs as a way to make individuals more aware of medical costs. Now many Democrats are saying they support the principles of HSAs. President Obama even mentioned them in a March 2 letter to Republican lawmakers, when he offered rules to promote more high-deductible plans.

So, if you have been slow to add consumer-directed health plans to your portfolio, this might be the time to get on board the wagon.

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