US President Donald Trump is expected to unveil a new policy framework aimed at tackling rising health care costs with a focus on expanding subsidies under the Affordable Care Act (ACA), media reports said. An announcement could come as early as today (November 24).
“Until President Trump makes an announcement himself, any news about the administration’s health positions is pure speculation,” White House spokesman Kush Desai said, according to USA Today.
ACA subsidies in jeopardy
The policy proposal reportedly includes a two-year extension of ACA subsidies that expire at the end of December, combined with new enrollment eligibility limits, Politico reported.
Without the extension, about 22 million Americans who rely on Obamacare tax credits could see their monthly premiums more than double in 2026, according to the Kaiser Family Foundation (KFF).
The ending subsidies have put Congress, especially Republicans, in a political dilemma as they try to avoid a major backlash before the 2026 elections.
As part of a recently approved deal to end the 43-day government shutdown, Senate Republicans also agreed to vote on the subsidies in December.
Trump’s ACA strategy
Trump has long advocated overhauling the ACA, former President Barack Obama’s signature healthcare law. He began sending federal dollars directly to consumers rather than health insurance companies.
DOGE dissolved
The health care announcement comes shortly after the Trump administration’s Department of Government Efficiency (DOGE) disbanded with eight months left in its mandate. OPM Director Scott Kupor told Reuters that DOGE “does not exist.”
The DOGE previously claimed to have cut government spending by tens of billions of dollars, although the agency did not provide detailed public accounting. Some DOGE staff have been reassigned to other agencies or initiatives, including the National Design Studio and legislative reform efforts.
