Bill > HR6538

This bill establishes a Health Freedom Waiver Program that allows states to opt out of certain Affordable Care Act requirements 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 provisions like essential health benefits and individual mandate penalties. For residents in waiver states, the federal government will deposit equivalent premium tax credits and cost-sharing reduction amounts into newly created "Trump Health Freedom Accounts" that individuals can use to purchase health insurance. The bill restricts these accounts from being used for gender transition procedures or abortion services and defines these terms comprehensively. Additionally, the legislation provides enhanced small business tax credits for employers in waiver states, increases the eligible employer size from 25 to 50 employees, and mandates higher percentage credits. The bill also requires federal health agencies to update price transparency regulations within 90 days, focusing on requiring disclosure of actual prices, standardizing pricing information, improving enforcement of reporting requirements, and mandating public reporting of healthcare outcomes data.

Business and Industry

https://www.congress.gov/bill/119th-congress/house-bill/6538/all-info