Amends subsection (g) of section 45R of the Internal Revenue Code to provide special rules for eligible small employers located in a State with a section 1335 waiver under the Patient Protection and Affordable Care Act, including: increasing the credit percentage to 50% (35% for tax-exempt eligible small employers); treating health plans authorized under section 1335(d) as qualified health plans offered through an Exchange; providing that subsection (c) (phaseout) does not apply; modifying the application of subsection (d) (eligible small employer) and subsection (e)(1)(A) (employee); changing the credit period rules by not applying subsection (e)(2); and not applying subsection (f) (tax-exempt rules).

Adds a new subsection (i) to 26 U.S.C. §223 establishing 'Trump Health Freedom Accounts' with definitions, eligibility tied to states with waivers under section 1335 of the Affordable Care Act, rules on treatment of amounts transferred under section 1335(a)(5), limitations on rollovers and account status, prohibitions on using account funds for specified gender transition procedures and abortion services, and related definitions.

Adds a new section (section 1335, "Health freedom waiver program") to Part 4 of subtitle D of title I of the Patient Protection and Affordable Care Act authorizing State-specific waivers of specified ACA requirements, establishing notification and coordination processes, directing payments into Trump Health Freedom Accounts for amounts equivalent to premium tax credits and cost-sharing reductions, and setting related rules and definitions.