Trump announced in a video message on Thursday that beginning next month, rebate checks will be issued to enrollees in 30 states that use the federal Healthcare.gov exchange to operate their Affordable Care Act (ACA) health insurance marketplaces.
“Our Administration is doing the right thing and giving the money back to the people who were wrongly ripped off,” Trump said.
The announcement comes as ACA premiums have surged after tax credits passed under Biden that helped reduce costs for most enrollees expired at the end of 2025, driving a sharp decline in enrollment.
The President has also floated issuing other refunds directly to Americans that have failed to materialize, including sending out $2,000 dividends funded by his sweeping tariffs and returning 20% of the savings achieved through the now-shuttered Department of Government Efficiency’s cuts to the federal government.
In an address at the Republican Party’s midterm convention on Wednesday night, Trump separately promised that a $5,000 dividend would be paid to every American adult if the GOP keeps control of both chambers of Congress in the upcoming elections in November.
It is not clear whether the promised Obamacare refunds will need to be approved by Congress.
Checks will be sent starting in October to the home addresses of the Americans the Trump Administration has deemed were overcharged, Trump said. He asserted that in many cases the $500 would cover “the entire spike in your insurance caused by Democrats,” but did not clarify how that figure was reached.
Which states are included?
ACA enrollees will be issued refunds in the 30 states that use Healthcare.gov to handle insurance enrollment under the landmark health care law, rather than setting up their own state-run exchanges.
Rising health care costs are a widespread concern—and could be a political problem for Trump
Trump’s pledge to issue refunds to hundreds of thousands of Obamacare enrollees comes amid a spike in health care costs that is a source of major concern for many Americans, and that threatens to only worsen moving forward as the uninsured population balloons.
The surge in the number of uninsured Americans in turn threatens to raise insurance costs for those who do have insurance and to increase the financial burden on hospitals absorbing the costs of treating people without it, raising the risk that they might be forced to cut services or close entirely.
Nearly three-quarters of American adults surveyed in a Pew Research survey conducted in April said that the affordability of health care is a very big problem for the U.S., an increase of 6% from last February. Even before the ACA premium subsidies expired, Gallup found that fewer than half of Americans reported that they could consistently afford healthcare in the final months of 2025—a five-year high. And polling from health care research organization KFF this May showed that more than a third of adults said they had skipped or postponed getting care because of the cost over the past 12 months.
The issue also appears to be a vulnerable one for the President, who has faced low approval ratings for months. In April, KFF found that roughly two-thirds of Americans disapproved of the Trump Administration’s handling of the cost of health care.
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