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Trump Unveils Health Care Plan that Would Pay Americans Directly to Buy Coverage

The plan aims to redirect billions in subsidies directly to individuals, increase drug price transparency, and fund cost-sharing reductions to lower premiums and drug costs.

  • On Jan. 15, 2026, President Donald J. Trump unveiled the `Great Healthcare Plan` in a White House video, presenting it as a blueprint for Congress to enact, saying it "puts you first and puts more money in your pocket."
  • With enhanced ACA subsidies having expired at year-end, millions face higher premiums as a Jan. 8 House bill to extend tax credits passed but faces resistance in the Republican-led Senate.
  • The White House projects a $36 billion savings and a 10% premium reduction from a new cost-sharing plan, with funds shifted directly to Americans via HSAs or direct payments, and drug sales through TrumpRx.gov.
  • After the rollout, observers noted critics called the `Great Healthcare Plan` short on details and warned it would raise costs and reduce coverage, while Sen. Bernie Moreno praised it and the White House cited momentum in Congress.
  • Longer term, enactment would depend on Congress and federal rulemaking, as the plan omits an extension of recently expired subsidies, leaving some HealthCare.gov shoppers without relief this month.
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Lean Left

Some policy experts struggle to make sense of new Trump health plan

Experts weighed in on Trump's "Great Healthcare Plan."

·United States
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Center

By Tami Luhby, CNN Seeking to show Americans that he is concerned about the problem of affordability, President Donald Trump presented on Thursday his long-awaited plan to address the high cost of health care. The proposal, which does not go into detail, is a general framework of the president's health priorities, including the reduction of drug prices, the lowering of health insurance premiums, and the increase in price transparency. The plan l…

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Lean Left

Ambiguities about how this process would be carried out and who the beneficiaries would be have generated scepticism among health experts

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KARE broke the news in Minneapolis, United States on Thursday, January 15, 2026.
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