President Donald Trump announced The Great Healthcare Plan on January 15, 2026, outlining a healthcare framework aimed at lowering prescription drug prices, reducing insurance premiums, holding insurance companies accountable, and increasing price transparency across the healthcare system.
According to the White House, the plan is designed to “deliver money directly to the American people, not insurance companies, big pharma and special interest groups,” and builds on healthcare initiatives from Trump’s first term.
“I am thrilled to announce my plan to lower healthcare prices for all Americans and truly make healthcare affordable again—we’re doing things that nobody’s ever been able to do, we’re calling it The Great Healthcare Plan,” Trump said.
Prescription Drug Pricing
The plan calls for codifying the Trump administration’s most-favored-nations drug pricing agreements, which tie U.S. prescription drug prices to the lowest prices paid by other countries.
“This proposal locks in the massive discount on prescription drugs that my administration is achieving through our most-favored-nations drug pricing agreement,” Trump said. “It’ll bring down drug prices 80, 90% in some cases, just numbers that nobody’s ever heard of before.”
Trump also said drug prices would fall sharply under the policy.
“Your prescription drugs will come way, way down and, under this policy, the prices of many drugs will be slashed by 300, 400 even 500% starting this month at the Trumprx.gov,” he said.
The plan also calls for making more verified safe pharmaceutical drugs available for over-the-counter purchase, with the stated goal of lowering costs and increasing consumer choice.
Insurance Premiums and Direct Payments
Under the proposal, government funds currently directed to insurance companies would instead be sent directly to eligible Americans to purchase health insurance of their choice.
“The government is going to pay the money directly to you. It goes to you, and then you take the money and buy your own healthcare… the big insurance companies lose and the people of our country win,” Trump said.
Trump criticized Obamacare, which he referred to as the “UNAFFORDABLE Care Act,” and said his plan would redirect healthcare dollars away from insurers.
“My plan would reduce your insurance premiums by stopping government payoffs to big insurance companies and sending that money directly to the people,” he said.
The plan also includes funding for a cost-sharing reduction program, which the White House says would reduce premiums on the most common Obamacare plans by over 10% and save taxpayers at least $36 billion.
Insurance Accountability and Transparency
The Great Healthcare Plan would create a “Plain English Insurance” standard, requiring insurers to publish clear explanations of rates and coverage on their websites.
“As the saying goes, sunlight is the best disinfectant,” Trump said. “That is why my plan orders all the insurance companies to publish rate and coverage comparisons in very plain English.”
The plan would also require insurance companies to publish:
- The percentage of revenues paid out in claims versus overhead and profits
- The percentage of claims denied
- Average wait times for routine care
Price Transparency Requirements
Under the proposal, any healthcare provider or insurer that accepts Medicare or Medicaid would be required to prominently post pricing and fees at their place of business.
“Most importantly, it will require any hospital or insurer who accepts Medicare or Medicaid to prominently post all prices of their place of business so that you are never surprised,” Trump said.
Trump called on Congress to pass the plan without delay.
“We have to do it right now so that we can get immediate relief to the American people,” he said.