Lets states waive some federal health insurance rules and offer new health accounts with spending limits.
This bill would let states opt out of some federal health insurance rules, like those from the Affordable Care Act. Instead, people in those states would get federal funds for health costs deposited into new 'Trump Health Freedom Accounts.' However, these accounts couldn't pay for certain services. Small businesses in these states would also get bigger and longer-lasting tax breaks for offering health insurance.
Today, states must follow many federal health insurance rules, and individuals receive premium tax credits or cost-sharing reductions for plans on federal or state exchanges. This bill would allow states to waive these federal rules, instead giving eligible residents federal funds in new 'Trump Health Freedom Accounts.' These accounts would have specific restrictions, including not being usable for gender transition procedures or abortion services. Small businesses in waiver states would also get a more generous and permanent tax credit for offering health insurance. Additionally, healthcare providers would be required to publicly report actual prices and patient outcomes.
HR 6538 · 119th Congress · December 9, 2025 · AI Summary by gemini-2.5-flash · 9/10
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4 filings mentioned this bill
Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.