Patient and consumer advocates are turning to Vice President Kamala Harris as they hope she will intensify federal efforts to alleviate medical debt should she win the upcoming presidential election. Harris, the Democratic nominee, is viewed as a critical figure in safeguarding access to health insurance for Americans, which experts agree is the best protection against debt caused by medical expenses.
Under the Biden administration, strides have been made to strengthen financial protections for patients. This includes a notable proposal by the Consumer Financial Protection Bureau (CFPB) to eliminate medical debt from consumer credit reports. President Biden’s 2022 signing of the Inflation Reduction Act, which includes a $35-a-month cap on insulin for Medicare enrollees, has also helped ease some financial burdens. Additionally, bipartisan efforts across state legislatures have led to laws aimed at curbing aggressive debt collection practices.
Despite these advancements, advocates argue that there is much more the federal government could do to address the problem affecting 100 million Americans. The weight of medical debt often leads individuals to work extra jobs, lose their homes, or reduce spending on essentials like food.
“Biden and Harris have done more to tackle the medical debt crisis in this country than any other administration,” said Mona Shah, senior director of policy and strategy at Community Catalyst, a nonprofit organization leading efforts to strengthen protections against medical debt. “But there is more that needs to be done and should be a top priority for the next Congress and administration.”
However, these advocates fear that a second term for former President Donald Trump could reverse progress. During his first term, Trump and congressional Republicans attempted to repeal the Affordable Care Act (ACA), a move that analysts predicted would strip health coverage from millions of Americans and raise costs for those with pre-existing conditions like diabetes and cancer. Trump also promoted cheaper “skinny plans” that offered minimal coverage but left people vulnerable to significant out-of-pocket expenses if they became ill. Though Trump signed the bipartisan No Surprises Act, which shields consumers from certain surprise medical bills, his stance against the ACA and his intent to roll back the Inflation Reduction Act continue to raise concerns.
“People will face a wave of medical debt from paying premiums and prescription drug prices,” warned Anthony Wright, executive director of Families USA, a consumer group advocating for federal health protections. “Patients and the public should be concerned.”
The Trump campaign has not offered detailed plans regarding health care or medical debt in the run-up to the election. Trump has hinted at improving the ACA but has yet to provide specifics.
Harris, on the other hand, has pledged to protect the ACA and extend expanded subsidies for insurance premiums under the Inflation Reduction Act. These subsidies are set to expire next year, and Harris has voiced strong support for renewing them. Additionally, she has endorsed more government spending to purchase and cancel old medical debts. While these efforts have brought relief to hundreds of thousands, many advocates believe retiring old debts only offers a temporary solution without more systemic reforms.
“It’s a boat with a hole in it,” said Katie Berge, a lobbyist for the Leukemia & Lymphoma Society. Her group was one of over 50 organizations that last year urged the Biden administration to take more aggressive steps in addressing medical debt.
“Medical debt is no longer a niche issue,” said Kirsten Sloan, a federal policy expert at the American Cancer Society’s Cancer Action Network. “It is key to the economic well-being of millions of Americans.”
One significant proposal currently in development is a set of CFPB regulations that would bar medical bills from appearing on consumer credit reports. This move could boost credit scores, making it easier for Americans to rent apartments, secure jobs, or obtain loans. Harris has expressed strong support for this initiative, stating in June that medical debt “is critical to the financial health and well-being of millions of Americans.” She added, “No one should be denied access to economic opportunity simply because they experienced a medical emergency.”
Minnesota Governor Tim Walz, Harris’ running mate, has also taken steps to address medical debt. Walz, who has shared that his family struggled with medical debt during his youth, signed a law in June cracking down on aggressive debt collection practices in his state.
CFPB officials expect the new regulations to be finalized early next year. However, it remains unclear whether Trump would continue supporting these protections. His administration took little action on medical debt, and congressional Republicans have long been critical of the CFPB.
If Harris prevails in the election, consumer groups hope she will push the CFPB to take even more significant measures, including stricter oversight of medical credit cards and similar financial products offered by hospitals. These products often lock patients into interest payments on top of their existing debt.
“We are seeing a variety of new medical financial products,” noted April Kuehnhoff, senior attorney at the National Consumer Law Center. “These can raise new concerns about consumer protections, and it is critical for the CFPB and other regulators to monitor these companies.”
Beyond the CFPB, advocates are calling on other federal agencies, particularly the Health and Human Services (HHS) department, to become more involved. HHS oversees billions of dollars through the Medicare and Medicaid programs, giving the federal government substantial influence over hospitals and medical providers. Yet, to date, the Biden administration has not fully leveraged this power to address medical debt.
There are signs of what could come, however. North Carolina state leaders recently won federal approval for a program requiring hospitals to help alleviate patient debt in exchange for government aid. Harris has praised this initiative, and some see it as a potential model for future federal action.
Ultimately, for patients and consumer advocates, the stakes of the 2024 election are high. Harris’ focus on expanding health protections offers hope for more comprehensive solutions to the growing medical debt crisis. On the other hand, fears loom that a Trump victory could undo many of the hard-won gains and leave millions more vulnerable to the crushing burden of medical debt.