WASHINGTON — President Donald J. Trump on Thursday, Jan. 15, 2026, asked Congress to pass the “Great Healthcare Plan,” a legislative package intended to lower medical costs and hold healthcare companies accountable.

The proposal focuses on reducing prescription drug prices and monthly insurance costs (premiums) while requiring companies to be more open about their pricing and services.

Drug Pricing and Individual Choice

A central part of the plan is a new rule requiring American prescription drug prices to match the lowest prices paid in other wealthy countries. Since May 2025, the administration has already signed 16 contracts with drug makers to match these international prices.

The proposal also seeks to change how the government provides financial help for coverage. Instead of paying insurance companies directly, the government would send those payments to individuals. This change would allow people to choose their own insurance instead of relying on plans offered by their employers.

Financial Projections

The Congressional Budget Office (CBO), a nonpartisan group that tracks federal spending, projects the plan will save taxpayers at least $36 billion. Additionally, the CBO estimates the program will lower monthly premiums for the most common Obamacare plans by more than 10%.

Transparency and Consumer Access

The proposal includes new rules requiring insurance companies, doctors, and clinics that accept Medicare or Medicaid to clearly post their prices and fees. These rules are meant to help patients see prices at offices and clinics before they receive care.

The plan also requires health insurance companies to publish specific information on their websites, including:

  • How much of the money they collect goes toward medical care instead of business costs and profit
  • The percentage of insurance claims they reject
  • Average wait times for routine care from doctors and hospitals covered by the plan

The plan introduces a “Plain English” requirement, which would force insurance companies to explain coverage and rates on their websites without using confusing jargon.

The administration also wants to make some safe prescription drugs available over-the-counter. Officials say this will reduce the need for routine doctor visits by letting patients buy these medications without a prescription.

The announcement follows the passage of the Working Families Tax Cuts law. That law gave about 10 million people on Obamacare access to health savings accounts (HSAs), which are tax-free accounts used for medical expenses.