Trump-backed $1,500 ACA payments explained: President Donald Trump has backed a Republican proposal that could deliver $1,000 to $1,500 payments to millions of Americans through health savings accounts. The plan targets Affordable Care Act enrollees aged 18 to 64 on bronze or catastrophic plans, with income limits up to 700% of poverty. Supporters say premiums could fall 11% by 2027. Lawmakers vote soon. Opposition is building. The outcome could reshape U.S. health coverage.