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Washington, D.C. — President Donald Trump on Thursday outlined a new health care framework he wants Congress to advance, as Republicans face mounting pressure over rising insurance premiums following the expiration of Affordable Care Act subsidies at the end of 2025.

According to the White House, Trump’s proposal would codify his administration’s efforts to lower prescription drug prices by tying U.S. prices to the lowest rates paid by other developed countries. The plan also centers on sending federal funds directly to Americans through health savings accounts, allowing individuals to purchase insurance or care without relying on government-managed programs.

“The government is going to pay the money directly to you,” Trump said in a video released by the White House, arguing the approach would reduce costs and give families more control. Democrats have criticized the idea, saying such accounts would be insufficient to cover most Americans’ health care expenses.

The plan also calls for fully funding cost-sharing reductions for Affordable Care Act enrollees, which Trump says would lower premiums for popular mid-tier plans. Analysts note that restoring those payments could reduce silver-level premiums but may raise net costs for some consumers on other plans.

Separately, Trump said his proposal would expand price transparency requirements for hospitals and insurers participating in Medicare and Medicaid, forcing them to publicly disclose prices and fees. He also claimed recent agreements with major pharmaceutical companies would significantly reduce drug prices, though independent confirmation of those figures has not been provided.

It remains unclear whether Republican leaders in Congress plan to formally introduce the proposal, as bipartisan talks continue over extending ACA subsidies with new eligibility limits.

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