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What is Trump’s proposal to pay Americans directly for health care costs?

President Donald Trump urged Senate Republicans to send Affordable Care Act premium subsidies directly to Americans, arguing they could buy 'much better' coverage. GOP Sen. Rick Scott said he’s drafting a bill, but Treasury Secretary Scott Bessent noted no formal proposal exists and insisted talks wait until the government reopens. Democrats push a one-year extension of enhanced subsidies amid the record-breaking shutdown; a Schumer plan to trade reopening for an extension drew GOP resistance. Republicans tout overhauling Obamacare, while Democratic leaders dismiss Trump’s idea as a bait and switch. Negotiators report no compromise yet.

Prepared by Lauren Mitchell and reviewed by editorial team.

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