What We Know about Trump’s $500 ACA Checks and the User Fees Funding Them Authors: Justin Lo, Rayna Wallace, Emma Wager, Matt McGough, and Cynthia Cox Published: Oct 23, 2026

https://www.kff.org/affordable-care-act/what-we-know-about-trumps-500-aca-checks-and-the-user-fees-funding-them/?utm_campaign=55398279-KFF-Elections&utm_medium=email&_hsenc=p2ANqtz-_EO_iWy1yJc8PRdmtxho2bsPkBM-ymOJ-WWemzaaTFqw0ymPl-GIkreS1ESLFApBpOPQraPI5w_8FInylxXLatIwMf1Q&_hsmi=446596526&utm_content=446596526&utm_source=hs_email What We Know about Trump’s $500 ACA Checks and the User Fees Funding Them This analysis examines the $500 checks the Trump administration is sending to some Affordable Care Act Marketplace enrollees and the user fees that are paying for them. The checks are going to about 1 million enrollees in the 30 states that rely on the federal HealthCare.gov Marketplace who are not receiving any tax credits this year – a small share of the 19.2 million people who were enrolled nationally as of February.