States Rally Behind Trump-Era Health Credits to Boost ACA Sign-Ups

Across red and blue states, lawmakers are embracing the Trump-era rule that lets employers offer tax-exempt credits to workers to buy ACA plans through Individual Coverage Health Reimbursement Arrangements (ICHRA), a strategy aimed at tamping down uninsured rates after enhanced ACA subsidies expired. With six states weighing bills and insurers like Oscar Health supporting the approach, ICHRAs have bipartisan appeal, but they’re not a universal cure and may not always outperform traditional subsidies or employer plans depending on income and coverage choices.