Trump Unveils 'Great Healthcare Plan' Amid ACA Deadline

On January 16, 2026, President Donald Trump released “The Great Healthcare Plan” on the final ACA enrollment deadline. The proposal would shift federal insurance subsidies directly to consumers via health‑savings accounts, apply a most‑favored‑nation drug‑price pact, and cut Obamacare premiums by an estimated 10% per the Congressional Budget Office. Trump urged Congress to legislate the framework immediately, but the plan’s one‑page fact sheet offers no figures on consumer payouts or total funding. Health‑policy experts—including KFF’s Cynthia Cox and former HHS official Dr. Sachin Jain—warned that many provisions duplicate existing ACA rules and could destabilise the marketplace, especially after a 1.4 million‑person drop in enrollment when premium‑tax credits expired in 2025. Democrats rebuffed the plan, citing insufficient detail and the risk of eliminating pre‑existing‑condition protections.