Impacts of Healthcare Frameworks on US Health Policy Under Current Presidential Administration in 2026

In this assessment, you will explore how a healthcare model/framework impacts health policy. Focusing on President Trump’s second term offers fresh perspectives on evolving healthcare dynamics. You will explain the current US presidential administration’s proposed changes to healthcare. This will help you understand the factors that affect healthcare finance.

Healthcare changes rapidly. This assessment is designed to help you understand how healthcare is organized and financed. Recent enactments like the One Big Beautiful Bill Act of 2025 highlight ongoing shifts in funding and access. It is important that, as a nurse, you possess a solid understanding of healthcare finance and subsequent impacts on policy.

You are working on a report that will be shared with everyone, including leaders of your department at work. Your report should include the following:

• Explain how the current presidential administration has organized the healthcare plan of this nation.
• Are social determinants evident in our existing healthcare policy? Initiatives such as the Rural Health Transformation Program aim to address disparities in underserved areas.
• Based upon your research of the current healthcare framework, provide a summary of the proposed changes found under the current United States administration.

Cite at least 3 peer-reviewed sources published within the last 5 years that support your assignment. Include an APA-formatted reference page. Expansions in health savings accounts compatibility with more marketplace plans reflect efforts to enhance consumer choices in 2026.

Under President Trump’s administration, key organizational elements include expanded drug pricing negotiations and voluntary simplifications in prior authorization processes. Social determinants remain integral, though recent Medicaid cuts may intensify challenges for low-income populations. A summary of changes features the expiration of enhanced ACA premium tax credits, resulting in projected premium increases for over 20 million enrollees.

References

1. Basu, S., Patel, S.Y. and Berkowitz, S.A. (2025) ‘Projected health system and economic impacts of 2025 Medicaid policy proposals’, JAMA Health Forum, 6(7), p. e253187. Available at: https://doi.org/10.1001/jamahealthforum.2025.3187.
2. Hamad, R. (2025) ‘Social policies as determinants of health: new evidence, ongoing challenges, and future pathways’, Health Affairs Scholar, 3(10), p. qxaf193. Available at: https://doi.org/10.1093/haschl/qxaf193.
3. Kickbusch, I. (2025) ‘The Trump presidency: cascading global shocks on global health’, PLOS Global Public Health, 5(11), p. e0005385. Available at: https://doi.org/10.1371/journal.pgph.0005385.
4. Daniel, H., Bornstein, S.S. and Kane, G.C. (2018) ‘Addressing social determinants to improve patient care and promote health equity: an American College of Physicians position paper’, Annals of Internal Medicine, 168(8), pp. 577-578. Available at: https://doi.org/10.7326/M17-2441.
5. Bradley, E.H. and Taylor, L.A. (2025) ‘Health policy in 2026’, KFF Policy Watch. Available at: https://www.kff.org/from-drew-altman/health-policy-in-2026/ (Accessed: 12 January 2026).