Overview
- The framework would codify Most-Favored-Nation drug pricing, expand over-the-counter access to certain medicines, and tighten insurer transparency rules on payouts, denials, and posted prices.
- The White House says it would stop routing some subsidies to insurers and instead send money directly to eligible Americans, with President Trump touting deposits into individuals’ health savings accounts.
- Cost projections diverge sharply, as the Committee for a Responsible Federal Budget estimates about $50 billion in 10-year savings from cost-reducing provisions but up to $350 billion in added deficits depending on ACA subsidy design.
- A related Republican measure previously analyzed by the Congressional Budget Office was projected to save $35.6 billion over a decade, cut average premiums roughly 11% through 2035, and reduce coverage by about 100,000 people.
- The plan is presented as a high-level outline that does not alter Medicare, Medicaid, or employer plans, and critics say it remains skeletal and leaves key policy details unresolved.