posted December 16, 2025 09:29 AM            

Expand association health plans, which let employers join together to buy health insurance;

Fund “cost-sharing reduction” payments to insurers, canceled under the first Trump administration, starting in 2027;

Require increased transparency on drug prices and spending from pharmacy benefit managers;

Shore up 2019 rules allowing employers to give money to workers to buy their own coverage and pay premiums with pre-tax funds;

Allow small and mid-sized businesses to get “stop-loss” insurance to self-fund their insurance plans and protect themselves from catastrophic losses.

“While Democrats demand that taxpayers write bigger checks to insurance companies to hide the cost of their failed law, House Republicans are tackling the real drivers of health care costs to provide affordable care, increase access and choice, and restore integrity to our nation’s health care system for all Americans,” Speaker Mike Johnson said in a statement.

In addition to letting the Affordable Care Act subsidies expire as scheduled, leaving millions facing a surge in costs, the GOP package notably also does not redirect the subsidy funding into health savings accounts, as a Senate Republican plan rejected last week would have done.