According to BlockBeats, on September 11, the Trump administration announced on September 10 that it would issue a one-time "refund" of $500 to nearly 1 million Affordable Care Act (Obamacare) participants, expected to be distributed in October, just weeks before the US midterm elections.

Eligible consumers primarily include those who purchased Obamacare insurance through HealthCare.gov, have incomes approximately four times the federal poverty line, and did not receive federal subsidies; this covers 30 states. The White House stated that this money is a refund of previously collected but unused healthcare market operation fees from the federal government, arguing that these costs should ultimately be borne by consumers.

However, this policy has also sparked controversy. Health policy experts point out that the Biden administration had actually lowered rates for ACA (Australian Health Insurance) market users, and these costs were not the main reason for this year's surge in premiums. Meanwhile, with the expiration of additional health insurance subsidies, many consumers faced premium increases of thousands of dollars this year, and the $500 refund only covers a small portion of that.

It's worth noting that Trump's announcement of the refund comes just before the midterm elections. Previously, Trump had also proposed distributing a $5,000 "bonus" to American families if the Republicans retain control of Congress in the November midterm elections. With healthcare and the cost of living continuing to be key concerns for voters, the Trump administration is increasing its efforts to provide direct economic benefits to the public.