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Trump unveils plan to replace ACA subsidies with cash payments, capping drug prices and cutting premiums.
On January 15, 2026, President Donald Trump unveiled "The Great Healthcare Plan," proposing direct cash payments to Americans to help cover health insurance costs.
The plan aims to replace federal subsidies to insurers with individual payments, increase price transparency, and cap drug prices at levels in other developed countries.
It also seeks to eliminate payments to insurance brokers and pharmacy managers, reduce premiums, and expand consumer choice.
Details on funding, eligibility, and implementation remain unclear, and the proposal has not yet been introduced in Congress.
The announcement comes ahead of a Senate vote on extending Affordable Care Act subsidies.
Trump revela un plan para reemplazar los subsidios de la ACA con pagos en efectivo, limitando los precios de los medicamentos y recortando las primas.