The Trump administration’s second-term policy focuses on deregulation and structural reforms aimed at cost reduction. The stated platform emphasizes protecting core Medicare benefits, with a commitment to maintaining current eligibility ages and premium structures. Throughout his first year in office, Trump has announced several initiatives and changes that impact Medicare and Medicare beneficiaries.
Medicare is the primary health insurance for adults age 65 and older. It also covers those with certain disabilities or illnesses, such as end-stage renal disease or Lou Gehrig’s disease. Over 67 million people were enrolled in Medicare (including both original Medicare and Medicare Advantage plans) in 2025, according to the most recent data from the Centers for Medicare & Medicaid Services (CMS) and the Kaiser Family Foundation (KFF). That number is expected to grow to 68 to 69 million over the next few years, according to current projections.
