An Article addressing proposed regulations issued by the Departments of Labor (DOL), Health and Human Services (HHS), and Treasury that would, among other changes, allow health reimbursement arrangements (HRAs) to be integrated with individual market health insurance coverage. The proposed regulations would also permit certain HRAs to be recognized as limited excepted benefits that would not be subject to certain requirements for group health plans under the Affordable Care Act (ACA). This Article also addresses follow-on IRS guidance, Notice 2018-88, that addresses issues under the ACA's employer mandate and Code Section 105(h) as related to the proposed regulations.