ACT = ACCOUNTABILITY + COMPETITION + TRANSPARENCY

A bold plan to restore affordability, innovation, and integrity to the American healthcare system. 

NEW POLL:  

Voters in congressional battleground districts overwhelmingly support reforms to make healthcare and prescription drugs more affordable for Americans, providing President Trump an opportunity to usher in his vision of impactful transparency, efficiency, fraud protections, and cost savings legislation.

President Trump’s Vision:
Lower Costs, Greater Access & Better Care. American Innovation & Manufacturing First.

President Donald Trump is fighting for American patients and families, delivering a healthcare system that’s affordable, innovative, and puts patients first. The Most Favored Patient Reform Initiative is a free-market blueprint to help achieve his bold goals: reducing healthcare costs, boosting U.S. innovation and manufacturing, eliminating waste fraud, and abuse, and ensuring no American is left behind.

Our Mission: Healthcare That Works FOR, Not AGAINST, American Patients

  • Significantly Reducing Patient Cost

    Delivering meaningful savings for patients and families without limiting access to quality care and life-saving treatments.

  • Making Foreign Nations Pay Their Fair Share

    Ensuring other countries respect American innovation and pay fair market value for U.S. drug products, ending their free ride at the expense of American consumers.

  • Supercharging American Innovation and Manufacturing

    Incentivizing U.S. R&D and manufacturing investments to ensure the America remains the global leader in medical innovation, manufacturing, and high skilled labor.

  • Cutting Waste, Fraud, and Abuse from America’s Healthcare System

    Eliminating corporate middlemen, red tape and poor public policy designs that drive up costs and hurt taxpayers

  • Making Healthcare More Price Transparent & Easier to Navigate

    Ensure patients, families, and their providers can more easily understand the costs, benefits, and processes related to their own healthcare plans.  

  • Preserving Our Economic and National Security

    Protecting U.S. intellectual property and supply chains ensuring America – not China and other global competitors – leads in the production and delivery of critical medicines.

The ACT Plan: Accountability, Competition, Transparency

President Trump has put forth several innovative policy proposals and has asked the private sector to come to the table with their own. American innovators and manufacturers responded, committing over $300 billion in domestic medical R&D, manufacturing, and workforce investments since January 2025. This policy blueprint serves as a means to achieve President Trump’s vision, and policies, and do so without the need for harmful government price controls that would lead to adverse impacts for patients and the U.S. economy.

Our roadmap to deliver President Trump’s healthcare vision:

  • DIRECT TO CONSUMER PURCHASING OF MEDICINES: Allow patients and families to bypass costly middlemen fees and mark-ups to buy medicines directly through drugmakers directly or via pharmacy of their choice.

  • END FOREIGN FREE RIDING: Require foreign countries to pay their fair share for brand drugs through a NATO-style agreement with contribution minimums as a percent of GDP.

  • ADDRESS ECONOMIC AND NATIONAL SECURITY THREATS POSED BY CHINA AND OTHERS: Increase protections for U.S. intellectual property and patents and ensure fair access to markets for American products and services.

  • ACCELERATE INVESTMENT IN AMERICAN R&D, MANUFACTURING, AND WORKERS: Incentivize expanded investments and reduce domestic barriers to further increase U.S. medical innovation, drug development, manufacturing, and jobs.

  • REFORM SECRETIVE INSURER-PBM & HOSPITAL RX PRICING PRACTICES: Require insurer-PBMs and hospitals to pass all drug rebates and discounts directly to patients, families, and those most in need.  No more exemptions from federal anti-kickback laws.

  • ESTABLISH GREATER HEALTHCARE PRICE TRANSPARENCY: Apply accountability and transparency measures to health plans, medical treatments and services so that patients, doctors, and employers can respond to visible price signals.

  • ELIMINATE WASTE, FRAUD, AND ABUSE THAT HARMS PATIENTS AND TAXPAYERS: Reform healthcare entitlement programs in ways that improve patient benefits while eliminating waste fraud, and abuse and fix the regulatory approval process to be faster and less expensive.

  • LEVERAGE AI TO ADVANCE AMERICA’S GLOBAL LEADERSHIP IN MEDICAL INNOVATION: Develop public private AI incubators at NIH, FDA, and HHS to drive R&D and economic growth, commercialize new treatments, and save costs.

Led by Conservative Leaders and Policy Innovators:

Stephen Moore

tomas Philipson

Steve forbes

phil kerpen

Join the Fight

to Make AmericaN patients our First Priority

All Americans want a healthcare system that’s affordable, innovative, and secure. That starts with restoring accountability, competition, and transparency. Explore our full policy blueprint and stand with us and President Trump to deliver results for every American patient.