Trump to negotiate with Congress over pro-life protections in health plan

President Donald Trump speaks to reporters in the South Court Auditorium in the Eisenhower Executive Office Building on Aug. 5, 2025, in Washington, D.C. | Credit: Win McNamee/Getty Images

Jan 16, 2026 / 18:29 pm (CNA).

U.S. bishops and Catholic pro-life organizations will be watching to see if President Donald Trump’s health care plan includes pro-life language.

Trump has faced criticism over the past week from pro-life activists after he urged Republican lawmakers to be “flexible” on the Hyde Amendment when negotiating extensions for health care subsidies related to the Affordable Care Act.

Trump’s health plan, outlined in a four-point memo, will be negotiated with Congress over whether to include the strongest possible pro-life protections and prevent federal funds from being used to pay for abortions. The Hyde Amendment, long included in federal spending bills, prevents tax dollars from being used on elective abortions.

The United States Conference of Catholic Bishops (USCCB) has urged Congress to uphold the Hyde Amendment amid the negotiations, saying: “Authentic health care upholds the dignity of all human life, and health care policy must not violate this dignity.”

Health initiatives

The White House published a one-page memo that details some of the president’s priorities for the health care plan, although details have yet to be released. There was no mention of the Hyde Amendment in the 827-word memo.

According to the White House, the plan focuses on four issues: lowering drug prices, lowering insurance premiums, holding big insurance companies accountable, and maximizing price transparency.

“You’re going to get a better deal and better care,” Trump said in a video message. He urged the Republican-controlled Congress to take swift action to draft and pass legislation to achieve these goals.

To lower drug prices, the memo states Congress should allow more medicine to be sold over the counter and codify the administration’s recent deals with drug companies that require them to sell medicine in the United States at rates that are comparable to other developed countries.

According to the memo, the plan would lower health care premiums by providing health care subsidies directly to Americans rather than to insurance companies and support a cost-sharing reduction program to lower the most common Affordable Care Act premiums by more than 10%.

The plan would seek to hold insurance companies accountable by forcing insurance companies to publish rate and coverage comparisons in “plain English” that is easier to comprehend and by requiring them to publish the percentage of their revenues that are paid out in claims compared with overhead costs and advertise the percentage of insurance claims they reject.

According to the White House, the plan would improve transparency by requiring that insurance companies prominently display their pricing and fees to prevent surprise medical bills.

“Instead of putting the needs of big corporations and special interests first, our plan finally puts you first and puts more money in your pocket,” Trump said. “The government is going to pay the money directly to you. It goes to you, and then you take the money and buy your own health care.”

Catholic Health Association reacts

At least one Catholic health group has welcomed some of the priorities included in the plan. The Catholic Health Association of the United States generally aligns with Church teaching but has faced criticism for its stances on issues such as abortion.

Sister Mary Haddad, RSM, president and CEO of the Catholic Health Association of the United States, which represents numerous Catholic hospitals, said in a statement that the organization welcomes the initiative.

“We welcome the administration’s engagement in the vital work of expanding access to quality, affordable health care,” she said. “Ensuring that individuals and families can obtain the care they need is central to the mission of Catholic health care.”

Haddad asked Congress and the administration to advance a bipartisan deal on the Affordable Care Act subsidies, which narrowly passed in the House with broad support from Democrats and only a little support from Republicans. A key point of contention was the Hyde Amendment, which was not included in the House-passed version and could complicate the Senate negotiations.

“Renewing them would immediately ease financial pressures on households while helping ensure people maintain their health coverage,” Haddad said. “We will continue to work with the administration and with Congress to strengthen health care access for communities across the country.”