- On October 12, the Trump administration announced it would stop making cost-sharing reduction payments to insurers, because it lacked a constitutionally valid appropriation to do so—an action that restores Congress’ “power of the purse.”
- While some have proposed that Congress should appropriate funds for the payments, such action would effectively reward insurers’ prior risky behavior—assuming cost-sharing reductions would continue to be paid, even after a federal judge struck them down as unconstitutional—thereby perpetuating moral hazard.
- A better course of action is repealing the undermining regulations surrounding Obamacare, which necessitated the unconstitutional cost-sharing reduction payments to insurers in the first place.
Health Care
A Bold Step Toward Lower Costs: TPPF Applauds President Trump’s Great Healthcare Plan
Today, President Donald J. Trump called on Congress to enact his Great Healthcare Plan—a bold, pro-patient framework that will expand price transparency and empower individuals with greater control of their health care dollars. This plan represents a significant moment in the effort to make health care more affordable, understandable, and accountable to everyday Americans. For...
January 15, 2026