Read the letter Trump is sending along with $500 checks to nearly 1 million Americans for ACA 'refunds'

Business Insider | 01-10-2026 02:38am |

Donald Trump is sending $500 checks to nearly a million Americans who are enrolled in health insurance plans under the Affordable Care Act (ACA). This is happening because he claims the Biden administration overcharged these enrollees and that the extra money should be returned to them. The checks are being mailed out along with a letter from Trump, where he explains that the funds come from a surplus accumulated from the ACA's "Premium Tax." He emphasizes that this money belongs to the people, not the government. The checks are being sent out shortly before the midterm elections, which is significant timing. In the letter, Trump also highlights his efforts to lower healthcare costs and improve access to affordable healthcare since returning to office. He mentions initiatives like discounts on prescription drugs and investments in rural healthcare. Some families may receive more than one check if multiple members are affected. The checks are going to people in 30 states that use the federal health insurance exchange.

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