Healthcare – The White House

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President Trump’s health care vision put American patients, families, and seniors first by providing more choices, better care, and lower costs. he worked from day one to put health care back where it belongs: in the hands of the American people.

The trump administration took historic steps to lower prescription drug prices, expand access to affordable coverage, provide price transparency for hospitals and insurers, and allow Americans access to trusted doctors. President Trump guaranteed to always protect people with pre-existing conditions, signing legislation to end surprise medical billing after repeatedly asking Congress to take action.

administration achievements

excellent health care for Americans

empowered American patients by greatly expanding healthcare options, transparency, and affordability

• eliminated obamacare’s individual mandate, a financial relief for low- and middle-income households who made up nearly 80 percent of families who paid the penalty for not wanting to buy health insurance
• increased choice for consumers by promoting competition in the individual health insurance market, leading to lower premiums for three years in a row
• under the trump administration, more than 90 percent of the u.s. counties have multiple options in the individual insurance market to choose from
• offered association health plans, which allow employers to come together and offer more affordable quality health coverage to their employees at up to 30% lower cost
• Increased availability of short-term, limited-duration health plans, which can cost up to 60% less than traditional plans, giving Americans more flexibility to choose plans that fit their needs
• expanded health reimbursement arrangements, allowing millions of Americans to purchase a plan of their choice in the individual market and then have their employer cover the cost
• added 2,100 new medicare advantage plan options since 2017, a 76% increase
• lowered medicare advantage premiums by 34 percent nationwide to the lowest level in 14 years. Medicare health plan premium savings for beneficiaries have totaled nearly $1.5 billion since 2017
• Improved access to tax-free health savings accounts for people with chronic conditions
• eliminated costly obamacare taxes, including the health insurance tax, the medical device tax, and the “cadillac tax”
• worked with states to create more flexibility and relief from oppressive obamacare regulations, including reinsurance exemptions to help lower premiums
• launched legislative principles to end surprise medical billing
• Requirements ended for unprecedented price transparency by hospitals and insurance companies so patients know what the cost is before they receive care
• took action to require hospitals to make the prices they negotiate with insurers publicly available and easily accessible online
• improved patients’ access to their health data by penalizing hospitals and causing doctors to lose their incentive payments if they don’t comply
• expanded access to telehealth, especially in rural and underserved communities
• increasing medicare payments to rural hospitals to stop a decade of escalating closures and provide better access to care in rural areas

Enacted unprecedented reforms that slashed the price of prescription drugs

• lowered drug prices for the first time in 51 years
• launched an initiative to stop the global exploitation of the drug market
• finalized a rule to allow import of prescription drugs from canada
• ended the most favored nation rule to ensure drug companies offer the same discounts to the united states as they do to other nations, resulting in an estimated $85 billion in savings over seven years: $30 billion in spending pocket only
• proposed a rule requiring federally funded health centers to pass drug company discounts on insulin and epi-pens directly to patients
• ended the gag clauses that prevented pharmacists from informing patients about the best prices for the medicines they need
• ended costly bribes to middlemen and ensured patients benefited directly from discounts available at the pharmacy counter, saving Americans up to 30 percent on brand-name pharmaceuticals
• enhanced part d plans to give many seniors medicare access to a broad array of insulins with a $35 copay maximum for a month’s supply of each type of insulin
• reduced medicare part d prescription drug premiums, saving beneficiaries nearly $2 billion in premium costs since 2017
• ended the unapproved drug initiative, which gave market exclusivity to generic drugs

promoted research and innovation in health care to ensure that American patients have access to the best treatment in the world

• signed the first executive order to affirm that it is the official policy of the United States government to protect patients with pre-existing conditions
• approved the right to try to get terminally ill patients access to life-saving cures
• signed an executive order to combat kidney disease with more transplants and better treatments
• signed into law a $1 billion increase in funding for critical Alzheimer’s research
• Accelerated Medical Advances in Genetic Treatments for Sickle Cell Disease
• finalized interoperability rules that will give US patients access to their electronic health records on their phones
• launched effort to provide $500 million over the next decade to improve pediatric cancer research
• launched a campaign to end the hiv/aids epidemic in the united states within the next decade
• started a program to provide HIV prevention medication preparation to uninsured patients for free
• signed an executive order and awarded new development contracts to modernize the influenza vaccine

protected our nation’s seniors by safeguarding and strengthening medicare

• updated the way medicare pays for innovative medical products to ensure beneficiaries have access to the latest innovations and treatments
• reduced improper Medicare payments by an estimated $15 billion since 2016, protecting taxpayer dollars and reducing fraud, waste and abuse
• took swift action to combat antimicrobial resistance and ensured access to life-saving new antibiotics for older Americans by removing various financial disincentives and establishing policies to reduce inappropriate use
• launched new online tools, including emedicare, blue button 2.0, and care compare, to help seniors see what’s covered, compare costs, streamline data, and compare tools available on medicare.gov
• provided new medicare advantage supplemental benefits, including modifications to help keep seniors safe in their homes, respite care for caregivers, non-opioid pain management alternatives such as therapeutic massage, transportation, more services support and assistance at home
• protected medicare beneficiaries by removing social security numbers from all medicare cards, a project completed ahead of schedule
• unleashed unprecedented transparency in medicare and medicaid data to spur research and innovation

combating the opioid crisis

drew unprecedented attention and support to combat the opioid crisis

• declared the opioid crisis a national public health emergency
• raised a record $6 billion in new funding to fight the opioid epidemic
• signed the Patient and Community Support Act, the largest legislative effort ever to address a drug crisis in our nation’s history
• launched the initiative to stop opioid abuse and reduce drug supply and demand to address the multiple causes fueling the drug crisis
• the department of health and human services (hhs) awarded a record $9 billion in grants to expand access to prevention, treatment and recovery services for states and local communities
• passed the crib law, allowing medicaid to help mothers and their babies who are born physically dependent on opioids by covering their care in residential pediatric recovery centers
• distributed $1 billion in grants for addiction prevention and treatment
• announced a safer prescription plan that seeks to cut the number of opioid prescriptions filled in the United States by a third within three years
• reduced the total number of opioid prescriptions filled in the united states
• expanded access to life-saving medication-assisted treatment and naloxone
• launched findtreatment.gov, a tool to find help for substance abuse
• Drug overdose deaths fell nationwide in 2018 for the first time in nearly three decades
• launched the drugged driving initiative to work with local police and the general driving public to raise awareness
• launched a national public advertising campaign on youth opioid abuse that reached 58% of young adults in the united states
• since 2016, there has been a nearly 40% increase in the number of Americans receiving medication-assisted treatment
• approved 29 state medicaid demonstrations to improve access to opioid use disorder treatment, including new flexibility to cover inpatient and residential treatment
• approved nearly $200 million in grants to address the opioid crisis in severely impacted communities and to reintegrate recovering workers into the workforce
• secured President XI’s commitment to schedule fentanyl and its analogs to keep the deadly substance off our streets and out of our communities
• prescription opioid overdose deaths in 2019 continued to fall compared to the period from 2016 to 2018
• heroin overdose deaths in 2019 continued to fall compared to 2016-2018
• 2019 brought a 27 percent decline in heroin production in Mexico, the largest single-year decline in history