President Donald Trump and congressional Republicans enacted healthcare program reductions in the One Big Beautiful Bill Act and allowed Affordable Care Act subsidies to expire in January 2026

Policy, personnel and internal politics of Donald Trump's White House, covering executive orders, cabinet appointments, the agencies carrying out its agenda and the litigation that follows. Spans both his first and second terms, and the advisers whose influence shapes each.

Bicameral federal legislature of the United States, made up of the Senate and the House of Representatives, which writes law, controls federal spending and oversees the executive branch. Its two chambers represent states and districts on different terms and hold different constitutional powers.

Evolving US policy battles over drug pricing and healthcare affordability, tracking legislation, court rulings, regulatory actions, and industry responses shaping costs, access, and market dynamics.