Consumers First 2025 Administrative Agenda: Regulatory Policy Solutions to Drive Value  Into the U.S. Health Care System

America’s families, workers, employers and clinicians are caught in a severe health care affordability and quality crisis. While policymakers have taken steps in recent years to begin to lower health care costs and to improve health outcomes, much work is left to be done. Our current system is riddled with broken incentives that reward health care monopolies and facilitate price gouging instead of promoting the health, well-being and financial security of families and communities.

Consumers First brings together diverse organizations representing families, working people, employers, and primary care clinicians to redesign the economic incentives of health care payment and delivery models that drive unaffordable, low-quality health care. Our coalition is united in our work to serve as a counterweight to the entrenched business interests of the health care industry, with the goal of ensuring the policies and programs that govern our health care system meet the needs of the people it purports to serve.

Some critical policy changes require congressional action, as laid out in Consumers First’s legislative agenda for the 119th Congress. But many solutions fall within the authority of the executive branch, and this paper offers specific proposals consistent with stated Trump administration goals and past actions that would address the critical issue of health care affordability and value.