Trump unveils health-care plan outline as Congress wrestles over Obamacare subsidies

Politics

Trump unveils health-care plan outline as Congress wrestles over Obamacare subsidies

Published Thu, Jan 15 2026

12:19 PM EST

Updated 13 Min Ago

Kevin Breuninger@KevinWilliamBGarrett Downs@in/garrett-downs-28528513b/@_garrettdownsAnnika Kim Constantino@annikakimcWATCH LIVE

Key Points

  • President Donald Trump rolled out the broad outline of a health-care plan that the White House claims will lower drug prices and insurance premiums.
  • The Trump administration's initiative is dubbed "The Great Healthcare Plan," the president said in a video unveiling the policy framework.
  • The announcement came as Congress' effort to extend key Affordable Care Act tax credits faces headwinds from Senate Republicans.

U.S. President Donald Trump, in front of U.S. Secretary of Health and Human Services Robert F. Kennedy Jr., delivers remarks at the White House, in Washington, D.C., U.S., Sept. 22, 2025.

Kevin Lamarque | Reuters

President Donald Trump on Thursday rolled out the broad outline of a health-care plan that the White House claims will lower drug prices and insurance premiums.

The announcement came as a congressional effort to extend key Affordable Care Act tax credits faces headwinds from Senate Republicans, leaving millions at risk of seeing their health insurance premiums spike.

The Trump administration dubbed the initiative "The Great Healthcare Plan," the president said in a video unveiling the policy Thursday morning.

"I'm calling on Congress to pass this framework into law without delay," Trump said. "Have to do it right now."

The plan would codify the deals Trump recently struck with major drugmakers to slash the cost of certain prescription drugs in the U.S. by pegging them to lower prices abroad, as part of his "most-favored-nation" policy.

More than a dozen pharmaceutical companies agreed to lower prices on certain products for Medicaid patients in exchange for a three-year exemption from tariffs.

As part of those deals, companies also agreed to sell some medicines at a discount on Trump's direct-to-consumer platform, Trump Rx.

Trump, in his video announcement, said those lower drug prices will take effect on the platform when it launches this month. He claimed that those prices would plunge by as much as 500%, even though that would mean prices would fall far below $0.

The health-care framework would "make more verified safe pharmaceutical drugs available for over-the-counter purchase," according to a White House fact sheet.

It would also purportedly send money for health insurance coverage "directly to the American people" instead of giving "big insurance companies billions in extra taxpayer-funded subsidy payments," the fact sheet says. Trump has repeatedly floated similar proposals in recent remarks.

The plan would additionally "fund a cost-sharing reduction program," which the administration says would "reduce the most common Obamacare plan premiums by over 10%."

Other components of the policy include requiring health insurers to prominently post coverage comparisons "in plain English" on their websites, along with other information about overhead costs and claim denial rates.

It would also require providers who accept either Medicare or Medicaid "to publicly and prominently post their pricing and fees to avoid surprise medical bills."

This is developing news. Please check back for updates.

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