More Affordable Care Act

Alternative Funding for Residents: For individuals and small employers who would not qualify for traditional premium tax credits or cost-sharing reductions under a State waiver, the Secretary will provide an alternative by paying into Trump Health Freedom Accounts (Section 2.a.5.A).

Flexibility in Account Usage: Eligible residents have the option to receive their account payments in monthly, quarterly, or one-time lump sum payments (Section 2.a.5.B).

Simplified Waiver Process: The Secretary will create a process that allows a State to submit a single application for various waivers, coordinating the process across different Federal laws (Section 2.a.6).

Expanded Small Employer Credits: Eligible small employers in waiver states can receive an increased health insurance credit of 50 percent and are not subject to the previous phaseout rules (Section 4.a.2 and 4.a.4).

Improved Price Transparency: The bill requires the disclosure of actual prices for items and services rather than just estimates, and requires providers to report outcomes data (Section 5.1 and 5.4).

Restrictions on Health Account Usage: Amounts held in a Trump Health Freedom Account may not be used to pay for gender transition procedures or abortion services (Section 3.a.8.A).

Limitations on Health Savings Accounts: An individual with a Trump Health Freedom Account is prohibited from being an eligible individual for any other type of health savings account (Section 3.a.6.A).

Specific Definitions of Gender Transition: The bill includes a very broad definition of "gender transition procedure" that restricts the use of funds for various medical interventions, including hormone treatments and several types of surgeries (Section 3.a.9.A).

Specific Definitions of Abortion Services: The bill defines "abortion services" in a way that prohibits the use of account funds for drugs or procedures intended to end a life in the womb, with specific narrow exceptions (Section 3.a.9.F).