States could get more control over health insurance, changing how people get help paying for care.
This bill would let states opt out of some federal health insurance rules, like those from the Affordable Care Act. Instead of current subsidies, eligible residents in those states would get money in new "Trump Health Freedom Accounts" to pay for health plans, though with some restrictions. Small businesses would also see changes to their tax credits, and healthcare providers would need to share more price information.
Today, federal laws set many rules for health insurance, and eligible people get financial help through premium tax credits and cost-sharing reductions. After this bill, states could choose to waive many of these federal rules, and instead, eligible residents would receive direct payments into special "Trump Health Freedom Accounts." Also, today's price reporting rules would be updated to require actual prices and outcomes data from healthcare providers and plans.
S 3264 · 119th Congress · November 20, 2025 · AI Summary by gemini-2.5-flash · 7/10
Sign in to see your representatives' phone numbers
3 filings mentioned this bill
Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.