The Trump administration is sending $500 refunds to more than 950,000 Affordable Care Act marketplace enrollees in 30 states that use the federal insurance exchange. The US Treasury is releasing the payments this week, while letters from President Donald Trump are scheduled to be mailed Thursday. Some households can receive more than one payment when multiple family members qualify. The administration says federal exchange user fees collected under the Biden administration exceeded HealthCare.gov operating needs and contributed to higher premiums, a characterization questioned by health policy experts. The refunds arrive about a month before the midterm elections and are separate from Trump's proposed $5,000 dividend for every American adult if Republicans retain control of Congress.