Cuts Taxes for Families with Children and American Workers. The President is calling for the restoration of the full Child Tax Credit enacted in the American Rescue Plan, which cut child poverty in half in 2021, to the lowest level in history. The Budget would expand the credit from $2,000 per child to $3,000 per child for children six years old and above, and to $3,600 per child for children under six. The Budget would also permanently reform the credit to make it fully refundable. The President also calls on the Congress to make the Earned Income Tax Credit expansion for childless workers permanent, which would help pull low-paid workers out of poverty.
Lowers Health Care Costs. The President believes that health care should be a right, not a privilege. With enrollment in affordable health coverage at an all-time high, the Budget builds on the remarkable success of the Affordable Care Act (ACA), by making permanent the average $800 per year premium cuts through expanded premium tax credits that the Inflation Reduction Act extended. It also provides Medicaid-like coverage to individuals in States that have not adopted Medicaid expansion under the ACA, paired with financial incentives to ensure States maintain their existing expansions.
Reduces Prescription Drug Costs for All Americans. The Budget builds upon the Inflation Reduction Act to continue lowering the cost of prescription drugs. For Medicare, this includes further strengthening the newly established negotiation power by extending it to more drugs and bringing drugs into negotiation sooner after they launch. The Budget also proposes to limit Medicare Part D cost-sharing for high-value generic drugs used for certain chronic conditions like hypertension and high cholesterol to no more than $2. For Medicaid, the Budget includes proposals to ensure Medicaid and CHIP programs are prudent purchasers of prescription drugs, authorizing HHS to negotiate supplemental drug rebates on behalf of interested States in order to pool purchasing power. For the commercial market, the Budget includes proposals to curb inflation in prescription drug prices and cap the prices of insulin products at $35 for a monthly prescription.
Expands Access to Quality, Affordable Health Care. The Budget invests $150 billion over 10 years to improve and expand Medicaid home and community-based services, such as personal care services, which would allow seniors and individuals with disabilities to remain in their homes and stay active in their communities as well as improve the quality of jobs for home care workers. And because community health centers—which provide comprehensive services regardless of ability to pay—serve one in three people living in poverty and one in five rural residents, the Budget puts the Health Center Program on a path to double its size and expand its reach. To bolster the health care workforce, the Budget provides a total of $966 million in 2024 to expand the National Health Service Corps, which provides loan repayment and scholarships to health care professionals in exchange for practicing in underserved areas, and a total of $350 million to expand programs that train and support the nursing workforce.
Expands Access to Affordable, High-Quality Early Child Care and Learning. Too many families across America cannot access high-quality, affordable child care—preventing parents from working and holding back our entire economy. The President’s Budget enables states to increase child care options for more than 16 million young children and lowers costs so that parents can afford to send their children to high-quality child care. The Budget also funds a Federal-State partnership that provides high-quality, universal, free preschool to support healthy child development and ensure children enter kindergarten ready to succeed.
Lowers Housing Costs by Increasing Affordable Housing Supply and Expanding Access to Homeownership and Affordable Rent. The President believes that everyone deserves a safe and affordable place to live. To address the critical shortage of affordable housing in communities throughout the country that has exacerbated inflation, the Budget includes $59 billion in mandatory funding and tax incentives aimed at increasing the affordable housing supply, including for extremely low-income households. The Budget also includes $10 billion in mandatory funding to incentivize State, local, and regional jurisdictions to make progress in removing barriers to affordable housing developments, such as restrictive zoning. By expanding the supply of housing, the Budget would help prevent the kind of rapid increases in rental and homeownership costs we have seen in recent years. The Budget also includes $10 billion in mandatory funding for a new First-Generation Down Payment Assistance program to help address racial and ethnic homeownership and wealth gaps—making homeownership more attainable for Americans who have been locked out of the generational wealth building that can come with owning a home. And the Budget expands access to affordable rent through the Housing Choice Voucher (HCV) program to well over 200,000 additional households. In addition to assisting all current voucher recipients and providing new vouchers for tens of thousands of additional families, the Budget includes mandatory funding to support two populations that are particularly vulnerable to homelessness—guaranteed assistance for all 20,000 youth who age out of foster care annually and an incremental expansion to cover the 450,000 extremely low-income (ELI) veteran families nationwide.