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Monday, December 1, 2025

Trump to Extend ACA Tax Credits for Two Years With New Limits

Key Takeaways

  • President Trump to announce a two-year extension of ACA tax credits, averting potential premium hikes for 22 million Americans.
  • The “Healthcare Price Cuts Act” introduces new eligibility limits and eliminates zero-premium subsidies.
  • Plan includes health savings accounts for those opting for lower-premium coverage.

President Donald Trump is set to announce a two-year extension of Affordable Care Act subsidies, preventing potential premium increases for nearly 22 million Americans. The move comes as subsidies were due to expire at the end of December, which could have doubled insurance costs early next year.

The new proposal, called the “Healthcare Price Cuts Act,” will introduce stricter eligibility criteria and eliminate zero-premium subsidies to prevent system exploitation. It will require minimum premium payments from recipients.

President Donald Trump flanked by Health and Human Services Robert F Kennedy Jr and Centers for Medicare and Medicaid Services Administrator Dr Mehmet Oz at the White House in September (AP)

New Healthcare Framework Details

The plan features a deposit program encouraging people to choose lower-premium options on ACA exchanges. Those who downgrade coverage would receive cost differences in taxpayer-funded Health Savings Accounts.

This announcement follows Senate Republicans’ commitment to hold a vote by mid-December, secured during recent government shutdown negotiations with eight Democratic senators.

Senate Majority Leader John Thune convinced eight Democrats to help end the record government shutdown this month by promising a vote to address expiring ACA subsidies (AP)

Growing Public Pressure

Public support for subsidy extension is strong, with a KFF poll showing 74% of Americans favoring extension, including 50% of Republicans. Treasury Secretary Scott Bessent acknowledged the urgency, stating: “We believe healthcare is going to come down,” while hinting at imminent cost-tackling measures.

The White House announcement will feature Dr. Mehmet Oz, CMS Administrator. Previously, Trump opposed simple subsidy extension, advocating instead for direct consumer payments to bypass insurance companies – an approach he dubbed “Trumpcare.”

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