24 Facts about What’s in Trump’s Health Care Plan

A list without commentary


Note: This is not a comprehensive list of everything in the plan, but when the Congressional Budget Office and the Joint Committee on Taxation analyzed what it would cost to implement the legislation, these are some of the factors they considered.


  • Insurance companies no longer required to offer plans covering certain percentages of the actual costs associated with covered benefits
  • Insurance companies can charge older enrollees 5 times more than younger ones
  • Eliminates the employer mandate to offer insurance to employees
  • Caps per-person payments for Medicaid recipients
  • Requires insurance companies to apply a 30% surcharge on the premiums for people who have been uninsured for 63 days out of the year
  • Repeals a tax on the extra investment income of wealthy people (like estates, trusts, or rental income for those with “regular” incomes over $200,000)
  • Repeals a payroll tax, paid only by high-income earners (over $200,000), that contributes to Medicare
  • Repeals an annual fee paid by insurance companies
  • Delays the implementation of a tax on Cadillac insurance plans
  • Raises costs for small businesses by eliminating a tax credit that helps them offer insurance to their employees
  • Provides small, fixed grants to states
  • Increases the share of Medicaid costs that states are responsible for
  • Raises the income threshold to $75,000 for receiving a tax credit to purchase insurance
  • Lowers the percentage of income younger people are required to pay toward insurance
  • Raises the percentage of income older people are required to pay toward insurance
  • Encourages higher deductible plans
  • Makes comparing and shopping for plans more difficult by decentralizing the information
  • Reduces the responsiveness of adjustments to subsidy amounts by no longer basing them on changes in premium costs
  • Increases spending to help hospitals treat the uninsured
  • Eliminates the Prevention & Public Health Fund
  • Eliminates funding to Planned Parenthood altogether, which is expected to increase each state’s spending on Medicaid and children’s health programs
  • Rewards states with grant money if they never expanded Medicaid under Obamacare
  • Imposes stricter eligibility requirements for Medicaid
  • Leaves 52 million people uninsured by 2026, beginning with 14 million people who won’t have coverage in 2018 under Trump’s plan who would’ve had coverage under Obamacare

Source: Congressional Budget Office Cost Estimate: American Health Care Act, March 13, 2017