President Donald Trump formally requested Congress on Thursday to enact the “Great Healthcare Plan,” a legislative package the White House describes as a comprehensive overhaul aimed at driving down prescription prices and forcing greater transparency from health insurance companies.
The proposal, released via a White House fact sheet Thursday, outlines a multi-pronged approach to lowering costs. Central to the plan is the codification of “Most-Favored-Nation” deals. If passed, this would legally mandate that American patients pay the same prices for prescription drugs as those paid in other developed nations. The administration indicated this builds upon voluntary negotiations secured following an Executive Order signed in May 2025.
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Beyond pricing caps, the plan seeks to expand consumer access by reclassifying more “verified safe” prescription drugs for over-the-counter purchase. The administration argues this will reduce unnecessary doctor visits and spur competition.
Overhauling Insurance Subsidies and Transparency
A significant portion of the legislative framework targets the insurance industry. The President is calling for an end to direct subsidy payments to large insurance carriers. Instead, the plan proposes routing those funds directly to eligible Americans, allowing them to purchase plans of their choice.
The proposal also seeks to eliminate “kickbacks” paid by pharmacy benefit managers (PBMs) to brokerage middlemen—a practice the White House identifies as a key driver of inflated premiums. Citing data from the Congressional Budget Office, the administration projects that a new cost-sharing reduction program included in the bill could lower premiums for common plans by over 10 percent and save taxpayers at least $36 billion.
The “Plain English” Standard
Under the new guidelines, insurers would face stricter accountability measures. The plan introduces a “Plain English” standard, requiring companies to publish rate and coverage comparisons on their websites without complex industry jargon.
Furthermore, the legislation would require insurers to publicly disclose specific internal metrics, including the percentage of revenue spent on claims versus overhead and profit, as well as the frequency with which they reject patient claims and average wait times for routine care.
Enforcement of Price Transparency
The White House emphasized that the plan will strictly enforce price transparency for any healthcare provider or insurer accepting Medicare or Medicaid. The administration stated that providers must post pricing and fees prominently at their places of business.
This push follows recent actions by the Centers for Medicare and Medicaid Services to penalize hospitals that fail to comply with existing transparency rules—measures the Trump administration claims were neglected during the previous presidency.
The legislative request follows the President’s “Working Families Tax Cuts” law, which previously expanded health savings accounts. Congress is expected to review the “Great Healthcare Plan” in the coming weeks.
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