President Donald Trump prepares to announce a new proposal to address health care premiums as ACA subsidies near expiration for 22 million Americans.
President Donald Trump was expected to reveal a new proposal aimed at reducing health care costs as early as Monday November 24, 2025, sources familiar with the matter told CNN, but it appears the rollout has been delayed due to Republican pushback.
The plan comes amid growing concerns over the impending expiration of key Affordable Care Act (ACA) subsidies, which could trigger a sharp rise in premiums for millions of Americans. Nearly 22 million people currently rely on these enhanced subsidies to afford coverage. Analysts at the Kaiser Family Foundation (KFF) warn that without intervention, premiums for some plans could more than double next year.
Trump’s proposal seeks to offer a Republican alternative to the ACA subsidies, fulfilling a campaign promise to provide more affordable health care options. The announcement follows months of political gridlock, during which Democrats blocked measures to reopen the shuttered federal government, insisting on a clean extension of ACA payments.
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Officials say the new plan may include provisions to directly cap premiums, expand tax credits, or incentivize private-sector participation in insurance markets, though details have not yet been publicly disclosed. The administration is expected to highlight cost relief, choice expansion, and flexibility for states in implementing health coverage programs.
Health policy experts note that any proposal will face scrutiny from Congress, insurers, and advocacy groups, particularly given the potential impact on coverage stability and the ACA marketplace. Previous Republican efforts to replace or modify the ACA have sparked contentious debate, with critics warning that abrupt changes could leave millions without affordable health insurance.
The White House has framed the announcement as a critical step to protect American families from skyrocketing premiums, emphasizing that the plan is designed to prevent disruption in coverage while offering a market-based alternative to federal subsidies.
As millions of Americans prepare for open enrollment, the timing of the proposal underscores the administration’s urgency to address looming premium increases and demonstrate progress on a campaign promise to reform health care affordability.
Further details of Trump’s health care plan are expected to emerge later today as officials brief the media and stakeholders.
