2026-09-10T17:46:47.167Z / 美国有线电视新闻网（CNN）
作者：塔米·勒比
2小时前
发布于 2026年9月10日 美国东部时间下午1:46
唐纳德·特朗普 医疗保健政策
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9月2日，唐纳德·特朗普总统在白宫椭圆形办公室发表讲话。
伊夫林·霍克斯坦/路透社/资料图
在承诺向所有美国人发放5000美元股息支票的一天后，唐纳德·特朗普总统周四宣布，将向30个州的近100万《平价医疗法案》参保者发放500美元退税支票。
特朗普在白宫X账号发布的视频中表示，这些奥巴马医改参保者在拜登政府期间“被多收了不合理的费用”——这一说法遭到了一些专家的质疑。
“我们政府做了正确的事，将钱退还给那些被不合理榨取钱财的人们，”他说道。
符合资格的参保者是那些居住在使用联邦医保交易所healthcare.gov的30个州、且未获得保费补贴的人群。（《平价医疗法案》的绝大多数参保者都能获得补贴。）退税支票将于10月开始发放。
此次公告发布之际，许多奥巴马医改参保者正难以维持医保覆盖——或已放弃参保——此前国会共和党人已于去年年底终止了强化版《平价医疗法案》保费补贴。这导致2026年许多参保者的保费大幅上涨，尤其是中等收入群体。
2027年保费预计将再次上涨。参保者将在11月1日开始的公开 enrollment 期间得知具体涨幅，而此时距中期选举仅剩不到一个月。医疗负担能力问题——包括强化补贴到期终止，以及特朗普国内政策方案中共和党削减医疗补助资金——预计将成为选民最关心的议题之一。
未使用的费用
根据白宫情况说明书，此次退税资金将来自参与奥巴马医改的保险公司为支持联邦《平价医疗法案》交易所运营而缴纳的费用。这些费用由保险公司以提高保费的形式转嫁给参保者，同时也用于营销、宣传和参保协助，而特朗普在任期间已削减了这部分开支。
无党派健康政策研究机构KFF的一项分析显示，截至2021年初前总统乔·拜登就职时，累计已有约12亿美元未使用的费用。这笔资金不断累积，主要原因是首届特朗普政府大幅削减了参保协助、营销、healthcare.gov网站及联邦医保咨询热线的开支。
拜登政府随后宣布将向这些《平价医疗法案》相关运营投入约5000亿美元。得益于拜登于2021年初签署生效的强化版补贴政策，其任期内参保人数几乎翻倍，达到近2200万人。
现任特朗普政府正在削减相关费用，辩称此举将有助于降低保费。
在特朗普的视频中，他同时敦促国会通过其医疗保健计划，总统表示500美元退税将“在多数情况下”覆盖保费上涨部分。
至少有一位专家对此表示反对。
“他们每月可能得多花整整500美元，”KFF《平价医疗法案》项目主任辛西娅·考克斯告诉CNN。
https://x.com/WhiteHouse/status/2098046589948281076?s=20
Trump to send $500 rebate checks to nearly one million Obamacare enrollees
2026-09-10T17:46:47.167Z / CNN
By Tami Luhby
2 hr ago
PUBLISHED Sep 10, 2026, 1:46 PM ET
Donald Trump Health care policy
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President Donald Trump speaks in the Oval Office of the White House on September 2.
Evelyn Hockstein/Reuters/FILE
A day after promising to send $5,000 dividend payments to all Americans, President Donald Trump announced Thursday that he would distribute $500 rebate checks to nearly one million Affordable Care Act enrollees in 30 states.
In a video posted on the White House X account, Trump said that these Obamacare policyholders were “wrongly overcharged” during the Biden administration – a claim that some experts dispute.
“Our administration is doing the right thing and giving the money back to the people who were wrongly ripped off,” he said.
Eligible enrollees are those living in the 30 states that used the federal exchange, healthcare.gov, and did not qualify for premium subsidies. (The vast majority of the ACA’s enrollees are subsidized.) The checks will start being sent in October.
The announcement comes at a time when many Obamacare enrollees are struggling to maintain their coverage – or have dropped their policies – after congressional Republicans allowed the enhanced ACA premium subsidies to expire at the end of last year. That sent premium payments skyrocketing for many enrollees, particularly middle-income folks, for 2026.
Premiums are set to jump again for 2027. Policyholders will learn how much more they’ll have to pay when open enrollment starts on November 1, just before the midterm elections. Healthcare affordability – including the lapsing of the enhanced subsidies and the GOP’s slashing of Medicaid funding in Trump’s domestic policy package – is expected to be among voters’ top concerns.
Unspent fees
The rebates will be funded from fees that participating Obamacare insurers pay to support the federal ACA exchanges’ operations, according to a White House factsheet. The fees, which insurers pass along to enrollees in the form of higher premiums, also pay for marketing, outreach and enrollment assistance, which Trump has slashed in office.
About $1.2 billion in unspent fees had accumulated when former President Joe Biden took office in early 2021, according to an analysis by KFF, a nonpartisan health policy research group. The money had been adding up largely because the first Trump administration greatly reduced spending on enrollment assistance, marketing, the healthcare.gov website and the federal ACA call center.
The Biden administration subsequently announced it would pour about $500 billion into these ACA operations. Enrollment roughly doubled during his term to nearly 22 million people, thanks in large part to the enhanced subsidies, which Biden signed into in early 2021.
The current Trump administration is reducing the fees, which it argues will help lower premiums.
In his video, where Trump also urged Congress to pass his healthcare plan, the president said that the $500 rebate will cover the spike in premiums “in many cases.”
At least one expert disagreed.
“It could easily be $500 a month more that they’re having to spend,” Cynthia Cox, director of KFF’s Program on the ACA, told CNN.
https://x.com/WhiteHouse/status/2098046589948281076?s=20
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