Side-By-Side: Donald Trump and Vice President Harris on Health Care

The Biden-Harris Administration

The Affordable Care Act

• Enrolled a record-breaking 21.4 million Americans in ACA Marketplace plans
• Allowed four out of five enrollees to find a plan costing $10 or less per month
• Saved families an average of $2,400 on their premium costs
• Safeguarded the ACA and expanded protections against junk plans
• Made historic investments in enrollment outreach through Navigators
• Harris fought in court to protect the ACA as California Attorney General and a Senator
• Harris champions the ACA and its requirement that people with pre-existing conditions can’t be denied care or charged more 

• Tried to repeal the ACA repeatedly
• Wants to end premium tax credits that make health insurance affordable for 80 percent of people who purchase coverage on their own
• Tried to sabotage ACA enrollment, making it harder for people to access affordable coverage
• Would throw 40+ million people off their coverage
• Wants to end protections for the more than 100 million Americans with pre-existing conditions
• Would end coverage for adult children who want to stay on their family’s plan until age 26
• Wants to raise costs for hospitalizations, prescription drugs, maternity care, and more
• Wants to take away free preventive care 
• Slashed funding for enrollment outreach and Navigators

Drug Pricing

• Harris cast the tie-breaking vote to cap insulin costs at $35/month
• Harris voted to protect seniors from outrageous prescription drug price increases
• Harris voted to cap seniors’ drug costs at $2,000/year beginning in 2025, saving 19 million people an average of $400
• Harris voted to give Medicare the power to negotiate lower drug prices for 80 drugs by 2030
• Harris took on big drug companies as California Attorney General, recovering nearly $7.2 billion for inflating drug prices and illegal marketing practices 

• Claimed insulin was as “cheap as water” when it still retailed for $300 a vial
• Drug prices rose faster than inflation every year of his presidency
• Would increase prescription drug costs for all Medicare beneficiaries
• Wants to rip away Medicare’s power to negotiate lower drug prices
• Signed a $1.5 trillion tax bill benefiting big drug companies by reducing the corporate tax rate from 35 percent to 21 percent

Medicare

• Harris cast the tie-breaking vote for the Inflation Reduction Act, enacting policies that help 67.3 million people on Medicare have lower costs and better medical care.
• Harris voted to provide free vaccines for seniors
• Harris voted to expand eligibility for cost assistance for lower-income seniors enrolled in the Medicare Part D Extra Help program

• Tried to cut hundreds of billions in Medicare funding during his presidency
• Wants to roll back cost assistance for 400,000 lower-income seniors enrolled in the Medicare Part D Extra Help program 

Medicaid

• Incentivized states to offer a full 12 months of Medicaid postpartum coverage
• Incentivized Medicaid expansion to improve health outcomes, support state economies and boost funding for rural hospitals
• Harris voted to require free vaccines for nearly 81 million Americans on Medicaid

• Wants to slash funding by nearly $2 trillion
• Wants to impose burdensome paperwork requirements on working families designed to throw them off their coverage
• Wants to eliminate Medicaid expansion, which covers about 24 million people.
• Wants to throw people with disabilities and children off coverage

Other Priorities

• Strengthened health care for LGBTQI+ individuals, women, children, people of color, rural Americans, and people with disabilities
• Pressured big drug companies to cap insulin costs at $35 per month, lowering costs for around 90 percent of insulin on the market
• As Senator and Vice President, Harris has fought to protect reproductive freedom and expand access to contraception, IVF, and abortion care

• Wants to strip abortion access and end reproductive freedom
• Wants to expand junk plans providing inadequate health coverage