Bill > S3264

This bill establishes a Health Freedom Waiver Program that allows states to opt out of certain provisions of the Affordable Care Act starting in 2026, provided they maintain a high-risk insurance pool. States can apply for a waiver through their governor or legislature, which would exempt them from specific ACA requirements like essential health benefits, insurance market reforms, premium tax credits, and individual mandate penalties. For residents in waiver states who would have previously qualified for premium subsidies, the federal government will deposit equivalent funds into new "Trump Health Freedom Accounts" that can be used to purchase health insurance. The bill also creates specific restrictions on these accounts, prohibiting their use for gender transition procedures or abortion services. Additionally, the legislation increases tax credits for small employers in waiver states, expands the definition of eligible small employers, and requires the Department of Health and Human Services to improve healthcare price and outcomes transparency by updating existing regulations to mandate more precise pricing disclosure and public reporting of healthcare outcomes. The bill aims to provide states more flexibility in designing health insurance markets while maintaining certain consumer protections like pre-existing condition coverage.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/3264/all-info