{"id":8487,"date":"2026-01-16T15:00:17","date_gmt":"2026-01-16T21:00:17","guid":{"rendered":"https:\/\/westplexnews.com\/index.php\/2026\/01\/16\/trump-rolls-out-framework-on-health-care-costs-thats-silent-on-aca-tax-credits\/"},"modified":"2026-01-16T15:00:17","modified_gmt":"2026-01-16T21:00:17","slug":"trump-rolls-out-framework-on-health-care-costs-thats-silent-on-aca-tax-credits","status":"publish","type":"post","link":"https:\/\/westplexnews.com\/index.php\/2026\/01\/16\/trump-rolls-out-framework-on-health-care-costs-thats-silent-on-aca-tax-credits\/","title":{"rendered":"Trump rolls out framework on health care costs that\u2019s silent on ACA tax credits"},"content":{"rendered":"

\"President<\/p>\n

President Donald Trump addresses the Detroit Economic Club at the MotorCity Casino on Jan. 13, 2025. (Photo by Ben Solis\/Michigan Advance)<\/p>\n

WASHINGTON \u2014 President Donald Trump outlined his health care proposals to Congress on Thursday, asking lawmakers to approve several broad policy changes \u201cwithout delay\u201d \u2014 but left out any mention of enhanced tax credits whose expiration has left some Americans with skyrocketing costs.\u00a0<\/p>\n

Health care costs, especially the rising price of health insurance, have become a frequent talking point for politicians from both political parties following last year\u2019s government shutdown, when Democrats repeatedly called on Republicans to extend the\u00a0now-expired\u00a0enhanced tax credits for Affordable Care Act marketplace plans.\u00a0<\/p>\n

Trump reiterated in\u00a0a five-minute video<\/a> that he wants Congress to give Americans money directly so they can use it to offset the cost of health insurance or health care, a proposal that has so far been unable to get the traction needed to advance on Capitol Hill.\u00a0<\/p>\n

Trump didn\u2019t detail any income caps on the direct payments, which would likely be sent to Health Savings Accounts as opposed to a simple check. He also didn\u2019t say how much per month or annually he wants lawmakers to provide Americans, leaving it for members of Congress to hash out.\u00a0<\/p>\n

\u201cThe government is going to pay the money directly to you. It goes to you, and then you take the money and buy your own health care,\u201d Trump said. \u201cNobody has ever heard of that before, and that\u2019s the way it is. The big insurance companies lose and the people of our country win.\u201d<\/p>\n

The enhanced ACA marketplace tax credits, first implemented by Democrats during the coronavirus pandemic, expired at the end of 2025. The subsidies helped to keep premiums lower than they would have otherwise been for about 22 million Americans on those health insurance plans.\u00a0<\/p>\n

The House voted earlier this month to keep the enhanced tax credits going for another three years, but the bill has stalled in the Senate as a bipartisan group of lawmakers\u00a0tries to reach consensus<\/a> on two more years of the subsidies with significant changes.\u00a0<\/p>\n

Lower drug prices<\/h4>\n

Trump said in the video that Congress should approve legislation that requires prescription drug companies to ensure Americans pay the lowest price in the world for pharmaceuticals, a policy known as \u201cmost favored nation\u201d that he has pursued during his second term.\u00a0<\/p>\n

\u201cSo instead of Americans paying the highest drug prices in the world, which we have for decades, we will now be paying the lowest cost paid by any other nation,\u201d he said. \u201cSo any other nation that\u2019s paying the lowest cost, that\u2019s what we\u2019re going to pay. And the American people will get the savings.\u201d<\/p>\n

Trump said the legislative request, which he dubbed \u201cThe Great Health Care Plan,\u201d would require health insurance companies and health care providers to publicly share easy-to-understand information about what they charge and how much they make in profit.\u00a0\u00a0<\/p>\n

\u201cAs the saying goes, sunlight is the best disinfectant. That is why my plan orders all insurance companies to publish rate and coverage comparisons in very plain English,\u201d Trump said. \u201cIt requires insurers to publish detailed information about how much of your money they\u2019re going to be paying out in claims versus how much they\u2019re taking in in profits.\u201d\u00a0<\/p>\n

Health insurance companies, he said, would be required to detail how many claims they deny and whether those refusals to pay for health care were overturned on appeal.\u00a0<\/p>\n

\u201cAnd most importantly, it will require any hospital or insurer who accepts Medicare or Medicaid to prominently post all prices at their place of business so that you are never surprised and you can easily shop for a better deal or better care,\u201d Trump said, though a 2019 rule<\/a> created\u00a0a similar requirement<\/a>. \u201cWe will have maximum price transparency and costs will come down incredibly.\u201d<\/p>\n

Path through Congress<\/h4>\n

A\u00a0one-page outline<\/a> of the proposal posted to the White House website doesn\u2019t detail whether Trump wants Congress to approve the policy requests through the complex budget reconciliation process that Republicans used to approve the \u201cbig, beautiful\u201d law this summer or to negotiate a bipartisan bill with Democrats.\u00a0<\/p>\n

A White House official, speaking on background on a call with reporters to detail the plan and the next steps, said the administration believes the \u201cproposals all have broad support from the American people.\u201d<\/p>\n

\u201cWe expect both Republicans and Democrats to be able to embrace them, so reconciliation would not be necessary,\u201d the official said.<\/p>\n

The framework is intended to provide \u201cbroad direction\u201d to lawmakers, leaving negotiators the ability to take any bill they may write in different directions, the official said, adding the administration is \u201copen to working\u201d with Congress on the details.\u00a0<\/p>\n

\u201cWe want to make progress,\u201d the official said. \u201cWe\u2019re not laying out a specific path.\u201d<\/p>\n

The official said the president leaving out any mention of the expired enhanced tax credits for people who purchase their health insurance from the Affordable Care Act marketplace was not intended to cut off ongoing bipartisan talks in the Senate.\u00a0<\/p>\n

\u201cThis does not specifically address those bipartisan congressional negotiations that are going on,\u201d the official said. \u201cIt does say that we have a preference that money goes to people, as opposed to insurance companies.\u201d<\/p>\n

Engaging drugmakers<\/h4>\n

Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz said on the same call with reporters that the framework focused on \u201cfour pillars\u201d the administration believes must be codified into law \u2014 solidifying most favored nation drug pricing, lowering health insurance costs, transparency from health insurance companies and more pricing information from health care providers.\u00a0<\/p>\n

\u201cAlthough we\u2019re taking major action at CMS, including fines and the like, having Congress say, \u2018This is how it\u2019s going to be, this is a law of the land\u2019 is important,\u201d Oz said, adding that he really does believe there can be bipartisan support for at least some of the proposals.\u00a0<\/p>\n

Oz said the administration\u2019s approach to bring down the cost of prescription drugs to the lowest level offered anywhere in the world is not intended to impede innovation and reiterated that lawmaking is crucial for longer-term stability.\u00a0<\/p>\n

\u201cWe believe by codifying it, we\u2019ll make sure that the drug companies stay engaged for future administrations,\u201d Oz said. \u201cWe also believe that by doing it correctly, we\u2019ll not overreach and create challenges to life-saving drugs being continually evolved and developed in the United States.\u201d<\/p>\n

The Trump administration, he said, wants Congress to give the Food and Drug Administration more leeway to convert prescription medications to over-the-counter availability, possibly increasing competition and decreasing prices.\u00a0<\/p>\n

Oz said the price transparency portion of the request would help Americans to have more information about how long it takes to get routine appointments and whether health insurance companies are able to keep their rates down by frequently denying claims.<\/p>","protected":false},"excerpt":{"rendered":"

President Donald Trump addresses the Detroit Economic Club at the MotorCity Casino on Jan. 13, 2025. (Photo by Ben Solis\/Michigan Advance) WASHINGTON \u2014 President Donald Trump outlined his health care proposals to Congress on Thursday, asking lawmakers to approve several broad policy changes \u201cwithout delay\u201d \u2014 but left out any mention of enhanced tax credits…<\/p>\n","protected":false},"author":2,"featured_media":8488,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8487","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\nTrump rolls out framework on health care costs that\u2019s silent on ACA tax credits - WestplexNews.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/westplexnews.com\/index.php\/2026\/01\/16\/trump-rolls-out-framework-on-health-care-costs-thats-silent-on-aca-tax-credits\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Trump rolls out framework on health care costs that\u2019s silent on ACA tax credits - WestplexNews.com\" \/>\n<meta property=\"og:description\" content=\"President Donald Trump addresses the Detroit Economic Club at the MotorCity Casino on Jan. 13, 2025. 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