Donald Trump is intensifying efforts to reshape the
Affordable Care Act by focusing on changing COVID-era subsidies that assist 24 million Americans with their health insurance premiums through
ACA marketplaces.
Trump declared he would not support extending the subsidies unless funds are sent directly to individuals instead of insurance companies, accusing insurers of profiteering. Republicans propose reforms like Trump Health Freedom Accounts, but Democrats reject direct payments and maintain current tax credits are sufficient.