2026年9月10日 14:49 UTC / 路透社
[1/2] 2023年1月28日，美国南卡罗来纳州哥伦比亚市，前奥巴马医改医疗保险计划的标识牌立在围栏旁。路透社/香农·斯特普尔顿 授权转载
华盛顿，9月10日（路透社）——白宫周四表示，近百万参加奥巴马医改计划的美国人将收到500美元付款，特朗普政府将退还通过联邦医保市场收取的超额费用。
退款支票将于10月起寄送给符合资格的美国人。唐纳德·特朗普总统还提议，如果其所在政党在11月的国会选举中获胜，将向每位美国成年人发放5000美元的“特朗普红利”，而当前民调显示他的支持率处于历史低点，绝大多数民众对伊朗战争和美国经济感到不满。
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奥巴马医改计划由前总统巴拉克·奥巴马签署的标志性《平价医疗法案》设立，补贴标准以收入为依据。
白宫表示，拜登政府通过奥巴马医改计划交易所的“用户费用”向美国人多收了费用，这些费用最终以更高保费的形式转嫁给了消费者。
“在许多情况下，这些退款将覆盖民主党人导致的您的保险费用全部上涨，民主党人只为保护大型保险公司而工作，”特朗普在白宫通过社交媒体平台X发布的一段视频中说道。
“本届政府正在做正确的事，将钱款退还给被不当榨取钱财的民众。”
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此次退款将发放给30个州的消费者，这些人未领取保费补贴，且通过名为Healthcare.gov的联邦医保市场购买了保险，民众可在此注册参保计划。
这些州多由共和党掌控，包括阿拉巴马州、阿拉斯加州、亚利桑那州、阿肯色州、特拉华州、佛罗里达州、夏威夷州、印第安纳州、爱荷华州、堪萨斯州、密歇根州、密西西比州、密苏里州、蒙大拿州、内布拉斯加州、新罕布什尔州、北卡罗来纳州、北达科他州、俄亥俄州、俄克拉荷马州、俄勒冈州、南卡罗来纳州、南达科他州、田纳西州、德克萨斯州、犹他州、西弗吉尼亚州、威斯康星州和怀俄明州。
新冠疫情时期的税收抵免到期后，享受补贴的医保计划的医疗成本有所上涨。
特朗普曾多次批评《平价医疗法案》。
本届政府此前曾提议2027年实施新的奥巴马医改规则，允许保险公司推出新型长期巨灾保险保单，这类保单保费较低，但自付费用高得多，可用于支付重大医疗开支。
苏珊·希夫、达芙妮·普萨莱达基斯和斯里帕娜·罗伊 报道；多伊纳·恰库、迪蒂·普贾拉和德文卡·沙姆纳特 编辑
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US to issue $500 Obamacare refunds to nearly a million Americans
2026-09-10 14:49 UTC / Reuters
[1/2]Signs for former Obamacare health insurance plans lay next to a fence in Columbia, South Carolina, U.S., January 28, 2023. REUTERS/Shannon Stapleton Purchase Licensing Rights
WASHINGTON, Sept 10 (Reuters) – The White House said on Thursday nearly 1 million Americans enrolled under Obamacare plans will receive $500 payments as the Trump administration moves to refund excess fees charged through the federal marketplace.
Checks will be sent to eligible Americans starting October. President Donald Trump has also proposed to pay every U.S. adult a $5,000 “Trump dividend” if his party wins the November congressional elections, at a time when opinion polls show his popularity at an all-time low with broad majorities dissatisfied with the Iran war and the U.S. economy.
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Obamacare plans, created by former President Barack Obama’s signature Affordable Care Act, are subsidized based on income.
The White House said the Biden Administration overcharged Americans through Obamacare plan exchange “user fees” that were passed on to consumers in the form of higher premiums.
“In many cases, these refunds will cover the entire spike in your insurance caused by Democrats, who solely work to protect big insurance companies,” Trump said in a video posted by the White House on social media platform X.
“Our administration is doing the right thing and giving the money back to the people who were wrongly ripped off.”
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The refunds would go to consumers in 30 states who do not receive premium subsidies and purchased coverage through the federal marketplace, called Healthcare.gov, where people sign up for the plans.
The states, many of which are Republican-led, are Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Hawaii, Indiana, Iowa, Kansas, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, West Virginia, Wisconsin and Wyoming.
Healthcare costs have increased for the subsidized plans after Congress allowed COVID-19-era tax credits to expire.
Trump has repeatedly criticized the Affordable Care Act.
The administration has previously proposed new Obamacare rules for 2027, allowing insurers to offer new kinds of long-term catastrophic policies, plans with low premiums but significantly higher out-of-pocket costs that would be used to cover major medical expenses.
Reporting by Susan Heavey, Daphne Psaledakis and Sriparna Roy; Editing by Doina Chiacu, Diti Pujara and Devika Syamnath
Our Standards: The Thomson Reuters Trust Principles.
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