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Trump Proposes Direct Payments, Faces Bipartisan Backlash

11/19/2025

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Story summary
  • U.S. President Donald Trump proposes direct payments to individuals instead of extending Affordable Care Act (ACA) subsidies, claiming this would empower consumers to negotiate insurance.
  • Senate Democratic Leader Chuck Schumer calls proposal "unhinged ramblings" and says it would not lower costs.
  • Senate Republicans, including Bill Cassidy, explore legislation to back Trump's plan.
  • Critics warn approach could raise ACA premiums, with a 114% jump projected for 2026 if subsidies expire.