Refund checks worth $500 are reportedly being sent to nearly one million Affordable Care Act enrollees nationwide, just weeks before the midterm elections.
President Donald Trump ordered the payments for policyholders he says were charged too much through the federal health insurance marketplace created under Obamacare.
The administration estimates that more than 950,000 people across 30 states will receive the refunds, with the total cost expected to reach hundreds of millions of dollars.
According to the White House, the Biden administration collected excessive user fees from Healthcare.gov, contributing to higher premiums for people who bought coverage through the exchange.
Trump’s administration argues that the charges created ‘a significant surplus of funds that were not used to benefit the Americans who paid these higher premiums.’
The Treasury Department is expected to start distributing the money on Wednesday, a government official told USA Today.
Recipients will also receive letters bearing Trump’s signature, according to the report.
‘For years, the Biden administration overcharged you to fund the operation of HealthCare.gov,’ Trump writes. ‘That money belongs to hard-working Americans, not the Government, and now I’m returning it to you!’

President Donald Trump has ordered $500 refunds for ACA enrollees he says were overcharged through the federal health insurance exchange

The administration says more than 950,000 Americans are set to receive the payments

The White House says excessive exchange user fees under the Biden administration contributed to higher Healthcare.gov premiums; the marketplace was established under President Barack Obama
The payments are arriving shortly before the midterm elections and could offer financial relief to households dealing with rising grocery and gasoline expenses as voters prepare to cast their ballots.
A CNN/SSRS poll released last week found that only 27 percent of Americans approved of Trump’s handling of the economy, although stock markets have risen during his second term.
Healthcare costs remain another major concern for voters, with prices continuing to climb from year to year.
US healthcare spending totaled $5.3 trillion in 2024, or approximately $15,500 per person, according to the Centers for Medicare & Medicaid Services.
That compares with $1.3 trillion in total spending in 2000.
Republicans could gain politically if recipients welcome the checks and Trump’s accompanying letter, which are arriving less than a month before early voting begins and Americans choose which party will control Congress.
Senate Democratic Leader Chuck Schumer, however, condemned the policy as a ‘slap in the face to hardworking Americans’ and called it ‘truly insulting.’
To be eligible, recipients must live in one of the 30 participating states, have purchased 2026 coverage through Healthcare.gov and received no financial subsidy. In other words, they must have paid the full premium.
The government has already identified those who qualify, so eligible individuals do not need to submit an application for the $500 refund.

Trump pushed to abolish Obamacare during his first term in 2017. Legislation to do so passed the House but ultimately failed in the Senate
Eligible states include Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Hawaii, Indiana, Iowa, Kansas, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, West Virginia, Wisconsin and Wyoming.
The $500 Obamacare refund checks are separate from the President’s pledge to pay every American $5,000 if Republicans manage to maintain control of the House of Representatives and Senate – thereby preventing Trump from becoming a lame duck.
The controversial proposal came as the president was speaking at the Republican Party’s midterm convention earlier this month.
During that same week, Trump announced the Obamacare refunds.
The $5,000 check proposal stunned conservatives, as the proposal is estimated to cost between $1 and $3 trillion.
Republican allies and enemies of the president immediately lashed out, calling the move fiscally irresponsible and a ‘bribe.’
Trump has sought to pay out Americans with large sums before.
He promised Americans would receive a $5,000 ‘DOGE dividend’ and a $2,000 ‘tariff dividend.’
Neither has been paid out, and the administration has largely remained mum on the expensive awards.
However, Trump did make good on his ‘warrior dividend’ promise, which paid out $1,776 to 1.4 million military officials in December.

Vice President JD Vance announced a federal crackdown on Affordable Care Act fraud, removing over 750,000 allegedly ineligible enrollments and banning hundreds of suspect brokers to save taxpayers an estimated $2.2 billion last week
Earlier this month, Vice President JD Vance announced a major crackdown on rampant ‘fraud’ found in the Obamacare healthcare system.
The Trump administration announced plans to remove about 760,000 people from ACA coverage and subject hundreds of thousands more to additional eligibility checks, adding that it has already begun doing so.
The move comes as Vance’s White House Task Force to Eliminate Fraud expands its campaign against what the administration describes as abuse of taxpayer-funded programs.
Vance said officials had uncovered what he described as a major fraud operation involving insurance brokers.
‘We found a fraud ring that had 40 brokerage agents who had funneled 50,000 people into the Obamacare system fraudulently,’ Vance said.
‘Many of those people quite literally didn’t even exist. We had a system in this country that rewarded brokers, that made people rich for enrolling fake people in programs that are meant to ensure that our fellow citizens have health care. This was a scandal,’ he continued.
The administration estimates the latest action will prevent approximately $2.2 billion in federal subsidy payments.