Trump Proposals Could Increase Health Costs for Consumers January 21, 2019 The New York Times Share Tweet SUMMARY: In depth reporting from The New York Times shows that a prescription drug proposal by the Trump administration might drive up prices for patients trying to access the drugs prescribed by their doctors. Health insurance plans have annual limits for how much a customer will have to pay out-of-pocket in a single year. In some instances, physicians prescribe brand name prescription drugs for their patients rather than the cheapest generic alternative. Policies proposed by the Trump administration would allow insurance companies to not count the full cost of the copay for the prescribed drug in these cases, but rather only count the co-payment for the less expensive generic alternative. The impact would be to effectively raise the total amount these patients would have to pay out-of-pocket each year in addition to the costs of their health insurance premiums.