More Affordable Care Act

This bill establishes a "Health Freedom Waiver Program" that would allow states to opt out of certain Affordable Care Act requirements for health insurance starting in 2026. States choosing this option would need to maintain a high-risk insurance pool, and the federal government would instead fund "Trump Health Freedom Accounts" for eligible residents, replacing premium tax credits and cost-sharing reductions. These accounts would provide funds for health insurance but restrict coverage for gender transition procedures and abortion services. The bill also includes modified tax credits for small businesses in waiver states and requires better price transparency in health care through updated reporting requirements.