More Affordable Care Act

This bill would let a state, through its governor or legislature, choose to have federal officials waive certain Affordable Care Act insurance rules, the premium tax credit, cost-sharing reductions, and the individual mandate, starting in 2026, if the state keeps a high-risk insurance pool or similar program. In waiver states, residents who would have qualified for premium tax credits or cost-sharing help would instead receive that amount in new health savings accounts called Trump Health Freedom Accounts. Money in these accounts could not be used for plans that cover, or to pay for, gender transition procedures or abortion services, with listed exceptions. The bill would also expand a tax credit for small employers in waiver states and direct federal agencies to require disclosure of actual health care prices and public reporting of provider outcomes data.

Full text and official record on Congress.gov

Sponsors

• Rick Scott Republican sponsor
• 2 cosponsors