Fact Sheet: President Donald J. Trump Calls on Congress to Enact The Great Healthcare Plan

This article details President Donald J. Trump’s call for Congress to enact the “Great Healthcare Plan,” a comprehensive legislative framework designed to lower costs, increase transparency, and shift power from insurance companies to patients.The plan is organized into four primary pillars:Most-Favored-Nation (MFN) Pricing: The plan codifies the policy that Americans should pay the same low prices for drugs as people in other developed nations. It builds on 16 voluntary deals already secured with pharmaceutical manufacturers.Over-the-Counter (OTC) Expansion: By making more verified safe drugs available without a prescription, the plan aims to increase competition and eliminate the need for costly doctor visits for routine medications.Direct Subsidies: The plan stops sending taxpayer-funded subsidies directly to big insurance companies, instead providing those funds to eligible Americans to purchase the insurance of their choice.Cost-Sharing Reduction: By funding a cost-sharing program, the administration expects to save taxpayers $36 billion and reduce "Obamacare" premiums by over 10%.Eliminating Kickbacks: The legislation targets "brokerage middlemen" and Pharmacy Benefit Managers (PBMs) to end deceptive practices that inflate insurance costs."Plain English" Standard: Insurance companies would be required to use simple, non-technical language on their websites to describe rates and coverage.Profit and Performance Disclosure: Insurers must prominently publish their profit margins (revenue vs. claims paid), as well as their claim rejection rates and average wait times for routine care.Universal Price Posting: Any provider or insurer accepting Medicare or Medicaid must prominently post all prices and fees at their place of business.Restoring Enforcement: The plan aims to strictly enforce transparency regulations that the administration claims were neglected during the Biden years, ensuring patients know exactly what they will be charged upfront.The article frames this legislative push as the culmination of several "second-term" actions, including:The May 2025 Executive Order on Most-Favored-Nation pricing.The "Making America Healthy Again" Executive Order focused on actionable healthcare pricing.The Working Families Tax Cuts law, which expanded Health Savings Accounts (HSAs) for ten million people and increased investment in rural healthcare.Conclusion:The "Great Healthcare Plan" is presented as a "common-sense" overhaul of the medical system intended to foster competition and transparency while delivering significant financial relief to American families.1. Lowering Prescription Drug Prices2. Lowering Insurance Premiums3. Holding Insurance Companies Accountable4. Maximizing Price TransparencyContext and Previous Actions