Category Archives: Biden Administration

Biden Administration, Climate Action, Climate Change, Economic Development, Economy, Energy, Joe Biden, Manufacturing, News & Photo Features

FACT SHEET: Biden Takes Bold Executive Action to Spur Domestic Clean Energy Manufacturing

Historic Actions Include Authorizing Defense Production Act to Lower Energy Costs, Strengthen Power Grid, and Create Good-Paying Jobs

Solar array on a farm in upstate New York. Biden is accelerating and incentivizing clean energy manufacture in the US. The nation is on track to triple domestic solar manufacturing capacity by 2024 –  to reach 22.5 gigawatts by the end of Biden’s first term, enough to enable more than 3.3 million homes to switch to clean solar energy each year. © Karen Rubin/news-photos-features.com

I find it infuriating that the “news” is completely taken over by the latest travesties by Trump, Putin and Supreme Court, fueling anger and cynicism among Democrats and Progressives who may well take their anger out at the polls and simply not vote – that, I would remind you, is how we got Trump and this Christo Fascist Supreme Court. Biden Administration not doing anything on climate change? Inflation? Health care? Nonsense. This administration has been incredibly productive – finding real solutions, not bandaids, rhetoric and hype, that have at their foundation a sense of equity, sustainability and social justice. Want to solve inflation? Not by the Keystone Pipeline or overturning coal plant rules, but investing in EV infrastructure, as Biden wants to do. But you wouldn’t know it from the media, social or otherwise. It is our practice, then, to publish first-hand accounts from the White House, federal agencies and officials. –Karen Rubin/news-photos-features.com

Today’s clean energy technologies are a critical part of the arsenal we must harness to lower energy costs for families, reduce risks to our power grid, and tackle the urgent crisis of a changing climate. From day one, President Biden has mobilized investment in these critical technologies. Thanks to his clean energy and climate agenda, last year marked the largest deployment of solar, wind, and batteries in United States history, and our nation is now a magnet for investment in clean energy manufacturing.
 
Since President Biden took office, the private sector has committed over $100 billion in new private capital to make electric vehicles and batteries in the United States. We have made historic investments in clean hydrogen, nuclear, and other cutting-edge technologies. And companies are investing billions more to grow a new domestic offshore wind industry.
 
We are also now on track to triple domestic solar manufacturing capacity by 2024. The expansions to domestic solar manufacturing capacity announced since President Biden took office will grow the current base capacity of 7.5 gigawatts by an additional 15 gigawatts. This would total 22.5 gigawatts by the end of his first term – enough to enable more than 3.3 million homes to switch to clean solar energy each year.
 
While President Biden continues pushing Congress to pass clean energy investments and tax cuts, he is taking bold action to rapidly build on this progress and create a bridge to this American-made clean energy future. Today, President Biden is taking action to:  

  • Authorize use of the Defense Production Act (DPA) to accelerate domestic production of clean energy technologies, including solar panel parts;
  • Put the full power of federal procurement to work spurring additional domestic solar manufacturing capacity by directing the development of master supply agreements, including “super preference” status; and
  • Create a 24-month bridge as domestic manufacturing rapidly scales up to ensure the reliable supply of components that U.S. solar deployers need to construct clean energy projects and an electric grid for the 21st century, while reinforcing the integrity of our trade laws and processes. 

 Together, these actions will spur domestic manufacturing, construction projects, and good-paying jobs – all while cutting energy costs for families, strengthening our grid, and tackling climate change and environmental injustice. With a stronger clean energy arsenal, the United States can be an even stronger partner to our allies, especially in the face of Putin’s war in Ukraine.
 
The stakes could not be higher. That is why President Biden also continues to urge Congress to quickly pass tax cuts and additional investments that advance U.S. clean energy manufacturing and deployment. Failing to take these actions would deny consumers access to cost-cutting clean energy options, add risks to our power grid, and stall domestic clean energy construction projects that are critical to tackling the climate crisis. At the same time, President Biden will keep using his executive authority to take bold action to build an American-made clean energy future.

INVOKING THE DEFENSE PRODUCTION ACT FOR CLEAN ENERGY

Today, President Biden is authorizing the use of the Defense Production Act (DPA) to accelerate domestic production of clean energy technologies – unlocking new powers to meet this moment. Specifically, the President is authorizing the Department of Energy to use the DPA to rapidly expand American manufacturing of five critical clean energy technologies:

  • Solar panel parts like photovoltaic modules and module components;
  • Building insulation;
  • Heat pumps, which heat and cool buildings super efficiently;
  • Equipment for making and using clean electricity-generated fuels, including electrolyzers, fuel cells, and related platinum group metals; and
  • Critical power grid infrastructure like transformers.

In deploying the DPA, the Biden-Harris Administration will strongly encourage the use of strong labor standards, including project labor agreements and community benefits agreements that offer wages at or above the prevailing rate and include local hire provisions. The Administration also will strongly encourage projects with environmental justice outcomes that empower the clean energy transition in low-income communities historically overburdened by legacy pollution.
 
Following this announcement, the White House and the Department of Energy will convene relevant industry, labor, environmental justice, and other key stakeholders as we maximize the impact of the DPA tools made available by President Biden’s actions and strengthen domestic clean energy manufacturing.
 
BOOSTING MADE-IN-AMERICA CLEAN ENERGY WITH FEDERAL PROCUREMENT
 
President Biden is also putting the full power of federal procurement to work spurring additional domestic solar manufacturing capacity. Today, the President directed the development of two innovative tools to accelerate Made-in-America clean energy:

  • Master Supply Agreements for domestically manufactured solar systems to increase the speed and efficiency with which domestic clean electricity providers can sell their products to the U.S. Government; and
  • So-called “Super Preferences” to apply domestic content standards for federal procurement of solar systems, including domestically manufactured solar photovoltaic components, consistent with the Buy American Act.

These federal procurement measures can stimulate demand for up to a gigawatt of domestically produced solar modules in the near term, and up to 10 gigawatts over the next decade from U.S. government demand alone. To further increase the impact of these actions, the Administration will also partner with state and local governments and municipal utilities in these innovative arrangements – increasing the potential market impact over the next decade to as much as over 100 gigawatts. These procurement actions will provide a significant demand anchor for a revitalized domestic solar manufacturing industry.
 
SUPPORT FOR U.S. GRID-STRENGTHENING, CLEAN ENERGY CONSTRUCTION PROJECTS
 
Because of private investor confidence in President Biden’s leadership and our national commitment to a clean energy future, the United States is now on track to triple its solar manufacturing capacity by 2024. The expansions to domestic solar manufacturing capacity announced since the President took office will grow the current 7.5 gigawatts of capacity by an additional 15 gigawatts of capacity, for a total of 22.5 gigawatts by the end of his first term – enough to enable more than 3.3 million homes to switch to clean solar energy every year. To rapidly build on this progress and create a bridge to this American-made clean energy future, we need to boost short-term solar panel supply to support construction projects in the United States right now. This is because grid operators around the country are relying on planned solar projects to come online to ensure there is sufficient power to meet demand, and to ensure we can continue to deploy solar at the rates needed to keep us on track to meet the President’s climate goals. 
 
Today, President Biden is using his powers to create a 24-month bridge for certain solar imports while reinforcing the integrity of our trade laws and processes. Specifically, the President is:

  • Temporarily facilitating U.S. solar deployers’ ability to source solar modules and cells from Cambodia, Malaysia, Thailand, and Vietnam by providing that those components can be imported free of certain duties for 24 months in order to ensure the U.S. has access to a sufficient supply of solar modules to meet electricity generation needs while domestic manufacturing scales up; and
  • Reinforcing his commitment to safeguarding the integrity and independence of all ongoing trade investigations by career officials at the Department of Commerce and recognizing the vital role these processes play in strengthening our economy.

ADDITIONAL STEPS TO CUT COSTS, SUPPORT GOOD-PAYING JOBS, AND ADVANCE ENVIRONMENTAL JUSTICE
 
Today’s actions build on this Administration’s existing initiatives to grow domestic clean energy innovation and manufacturing and to lower energy costs for Americans, including: 

  • Permitting More Clean Energy on Public Lands. As part of the Biden-Harris Permitting Action Plan, a new five-agency collaboration is expediting reviews of clean energy projects on public lands through the Department of the Interior, helping us race ahead toward permitting at least 25 gigawatts by 2025 – enough to power around five million homes. These actions have already increased clean energy permitting activities by 35 percent, including major solar project approvals and leases. We have also launched five new Renewable Energy Coordination Offices and reduced rents and fees by more than 50 percent for solar and wind projects on public lands.
     
  • Boosting Community-Based Clean Energy in Cities and Rural Areas. The Biden-Harris Administration is helping 17 local communities remove red tape with the SolarAPP+ online tool to enable same-day approvals for residential solar installation permits, and an additional 400 interested communities are in the pipeline. The National Climate Task Force launched new initiatives on increasing deployment of Distributed Energy Resources, including rooftop solar, with a focus on bringing the benefits of these projects to underserved communities. The United States Department of Agriculture provided the largest-ever investment in rural renewable energy last year. In addition, the Department of Energy and the Department of Health and Human Services are partnering to develop and pilot a digital platform that will connect customers who are eligible for the Low Income Home Energy Assistance Program with community solar subscriptions, to further reduce customer energy costs. Likewise, the U.S. Department of Housing and Urban Development is working with municipalities to enable residents of affordable housing to directly benefit from low-cost community solar power without seeing a rent increase or adjustment to their utility allowance.
     
  • Supporting a Diverse Solar Workforce with Good-Paying Jobs, including pathways to stable careers with the free and fair choice to join a union. Solar industry jobs consistently rank among the top fastest-growing in the nation, and many require only a high school education or GED. The Economic Development Administration recently awarded funding to support solar employment training in tribal and coal-impacted communities. In addition, the Department of Energy has issued a Request for Information and hosted six workshops to determine common goals and needs from stakeholders, including industry, unions, and training organizations. DOE will continue to explore these issues, including by providing funding, new collaborations with industry, other federal agencies, and state-based job boards to develop equitable worker-centric training and education programs, work-based learning opportunities, and support services such as career counseling, mentorship, and job readiness programs.
     
  • Developing Clean Energy Domestic Manufacturing for Export and Building Capacity in Allied Nations. The Export-Import Bank of the United States (EXIM) Make More in America Initiative, approved by the EXIM board in April, will prioritize investments to expand clean energy manufacturing. The U.S. International Development Finance Corporation supports building resilient clean energy manufacturing supply chains in allied nations around the world, reducing global dependence on China.
     
  • Investing in Clean Energy for Resilience in Puerto Rico: The Biden-Harris Administration joined forces with the Commonwealth of Puerto Rico to advance dozens of solar energy projects that will enable Puerto Rico to meet its target of 100% renewable electricity, while improving power sector resilience and increasing access to more affordable energy and cleaner air. 
Biden Administration, Climate Action, Economic Development, Economic Policies, Economy, Energy

White House Memo: President Biden’s Plan to Tackle Inflation

People are really really upset about paying more for gas and groceries, kind of forgetting how it was a year ago to feel you might die from COVID-19. COVID, coupled with Russia’s invasion of Ukraine, are the two biggest drivers of inflation, which has been even more severe in other countries, but Biden has taken steps to mitigate or reverse – getting blocked at every turn by Republicans. Meanwhile, people can adjust their own behavior to reduce costs – drive less, bike more, for example – and moving the economy to electric vehicles, with billions being spent by the Biden Administration to develop the infrastructure, will also create jobs and increase wages © Karen Rubin/news-photos-features.com

The White House has published a memo outlining President Biden’s plan to tackle inflation:

As our economy begins to transition to more stable growth, President Biden has made combatting inflation and lowering costs for families his top economic priority. President Biden’s plan to tackle inflation has three key pillars: 

1. Reducing costs on everyday items

2. Lowering the deficit

3. Giving the Federal Reserve the independence it needs to act

The biggest single driver of inflation now is Putin’s war against Ukraine –increases in food and energy prices account for around 50% of this month’s CPI. Putin’s Price Hike hit hard in May: gas pump prices are up by $2 a gallon in many places since Russian troops began to threaten Ukraine. President Biden has taken action to blunt the impact of Putin’s Price Hike for families:

• The President announced the release of a record 1 million barrels per day from our Strategic Petroleum Reserve.

• He rallied our Allies and partners to join us, releasing a combined 240 million additional barrels of oil on the market. 

• He expanded access to biofuels like E15, which will lower prices at thousands of gas stations in the across the country.

• While oil production is increasing and projected to reach a historic level next year, oil companies are sitting on 9,000 unused permits to drill more and pocketing the largest profits in years.

80% of a typical family’s monthly budget is spent on items other than food and energy. That means that even as we work to address energy and food prices in the near-term, making other necessities more affordable for working families can give families more breathing room at the end of the month.

• President Biden announced that tens of millions of households – or nearly 40% of all households in America – will be able to save $50 per month or more on high-speed internet, which is now an economic necessity for American families. 

• President Biden took action to save hundreds of thousands of families hundreds of dollars a month by fixing the Affordable Care Act’s “family glitch.” Nearly 1 million Americans would see their coverage become more affordable.

• President Biden has cut the deficit by $1.7 trillion – more this year than any President in history, reducing inflationary pressures. 

The President calls on Congress to act urgently as well.

• The President has called on Congress to pass a bill to crack down on ocean shippers to lower the price of goods. In the last year, shipping prices have gone up by as much as 1,000% driving higher prices for families on items from appliances to apparel. 

• The President calls on Congress to pass legislation to cut costs for families like energy bills and prescription drugs. According to an independent analysis, the clean energy tax credits and investments the President has proposed would save families $500 per year on their energy costs by 2030, and transition our economy away from relying on energy produced by autocrats like Putin. And the President believes that Congress should give Medicare the power to negotiate with pharmaceutical companies, and that Congress should cap the cost of insulin at $35 per month. These reforms wouldn’t just lower costs for consumers; they would also reduce federal spending. 

• Congress could lower the deficit even more by asking the super wealthy and profitable corporations to pay their fair share. According to an outside analysis, 55 companies paid no money in taxes last year. It’s wrong for the super wealthy and profitable corporations to pay a lower tax rate than a teacher or firefighter. 

Congressional Republicans’ only plan to tackle inflation increases taxes for working families. And, their attacks on gas prices are incoherent and dishonest. 

• Senator Rick Scott, a member of Senate Republican Leadership changed his words on his agenda to raise taxes on millions of working and middle class Americans by $1,500, but still said “We need them pulling the wagon and paying taxes” and that he “apologizes to absolutely nobody.” He also stood by his Congressional Republican plan to put Social Security and Medicare on the chopping block every 5 years.

• Congressional Republicans blame President Biden for gas prices, but the truth is that gas pump prices are up by $2 a gallon in many places since Russian troops began to threaten Ukraine. This is Putin’s price hike. A majority of Republicans in Congress support Ukraine in their fight for their democracy and our alliance to strengthen theirposition, and now cynically blame the President for Putin’s actions that have raised prices around the world. That’s not economics, that’s politics.

• Congressional Republicans blame the administration for decreased oil production. The truth is oil production is projected to reach a historic level next year. When oil companies produce less, the cost goes up. In 2020, Americans stayed home more and drove less, so oil companies cut back on oil production and refining. Now, demand has returned, but oil production is still 10% below where it was pre-pandemic. Oil companies are sitting on 9,000 unused permits to drill more and pocketing the largest profits in years. The President has called for — and Congressional Democrats have voted for — a “use it or lose it” policy for permits on federal lands, and Congressional Republicans opposed it. 

• The five biggest oil companies made $35 billion in the first quarter of this year—that’s four times what they made in the same quarter last year. Congressional Republicans oppose making these companies pay their fair share in taxes.

Biden Administration

Biden Announces Actions In Light of SCOTUS Decision to Overturn Roe v Wade

Protester at a rally at the Nassau County Courthouse, Long Island, New York, hours after the Supreme Court announced its ruling overturning Roe v. Wade and with it, women’s reproductive freedom – one of hundreds across the country. © Karen Rubin/news-photos-features.com

June 24, 2022


 FACT SHEET:
President Biden Announces Actions In Light of Today’s Supreme Court Decision on Dobbs v. Jackson Women’s Health Organization
 

Today, President Biden announced actions that his Administration is taking to protect women who will face the grave consequences of today’s Supreme Court decision. This decision expressly took away a Constitutional right from the American people that it had recognized for nearly 50 years – a woman’s right to choose, free from government interference.

This decision will have devastating consequences in the lives of women around the country.

The President made clear that the only way to secure a woman’s right to choose is for Congress to restore the protections of Roe as federal law. Until then, he has announced two actions the Administration is taking to protect women.

Protecting the Right to Seek Medical Care

As the Attorney General made clear, women must remain free to travel safely to another state to seek the care they need.

A person has the right to travel between states for whatever reason they want – it is no one else’s business – especially the government’s. If a woman lives in a state that restricts abortion, the Supreme Court’s decision does not prevent her from traveling from her home to a state that allows it.

If any state or local official tries to interfere with women exercising this basic right, the Biden Administration will fight that deeply un-American attack.

Protecting Access to Medication

The President directed the Secretary of Health and Human Services to protect women’s access to critical medications for reproductive health care that are approved by the Food and Drug Administration—including essential preventive health care like contraception and medication abortion.

More than 20 years ago, the FDA approved mifepristone to safely end an early pregnancy; this drug is also commonly used to treat miscarriages. The American Medical Association and the American College of Obstetricians and Gynecologists wrote to President Biden and Vice President Harris, asking the federal government to protect access to this care. In the face of threats from state officials saying they will try to ban or severely restrict access to medication for reproductive health care, the President directed the Secretary of Health and Human Services to identify all ways to ensure that mifepristone is as widely accessible as possible in light of the FDA’s determination that the drug is safe and effective—including when prescribed through telehealth and sent by mail.

See: Abort the Court: Supremes Have Lost all Credibility, Authority, Legitimacy

Biden Administration, Economic Policies, Economy, News & Photo Features

Fact Sheet: Biden Economic Plan Delivers Robust Progress in all 50 States- See How Your State is Doing

Sign of a robust economy: airline traffic © Karen Rubin/news-photos-features.com

The White House released new state-by-state fact sheets that highlight several economic indicators —including state employment, unemployment insurance claims, gross domestic product, supplemental poverty, and vaccination rates—which demonstrate the robust economic progress under President Biden’s leadership. This wasn’t by accident. This is the result of President Biden’s plan to build the economy from the bottom up and the middle out.
 
When President Biden took office, our economy was in crisis and COVID-19 was wreaking havoc on our country. Thanks to his American Rescue Plan, unemployment is near historic lows, the vast majority of Americans are vaccinated, the number of adults with a positive outlook on their overall financial well-being reached an all-time high last year, the number of Americans relying on government unemployment benefits has dropped by more than 90%, and new businesses are being created at record rates. 
 
The fact sheets highlight our historic economic recovery strong foundation to transition to stable and steady growth that works for working families. Fact sheets for all 50 states are linked below. 

Fact Sheets by State

Biden Administration, Economic Development, Economic Policies, Economy, News & Photo Features

White House Memo: Five Key Points on our Economic Transition and How We Got Here

Even before disruptions to global energy and food markets from Russia’s invasion of Ukraine drove inflation higher, many other factors boosted demand, shifted its composition, and constrained supply, which led to higher prices. Higher gas prices – which have become a political weapon – are also caused by price gouging as Big Oil reaps record profits. And consumers, spoiled by low gas prices from the last two years, are finding ways to reduce consumption, which would benefit the climate © Karen Rubin/news-photos-features.com

This memo, highlighting five key points of America’s transition to sustainable growth, the role the American Rescue Plan played in that growth, and how the Administration is turning its focus to address a range of global economic challenges with inflation chief among them, was provided by the White House:

Earlier this week, the President noted that our economy is in a moment of transition: from what has been an historic economic recovery to what can be a period of stable, steady growth that works for working families. The President understands that Americans are dealing with the challenge of elevated inflation. And addressing inflation is his top economic priority.

This is a moment when we can build on the unique strengths of our recovery to bring down inflation and ensure that we don’t give up the historic economic gains of the last year. It also means building on the recovery to deliver growth that actually works for working families – unlike the growth that we saw too often in the years before the pandemic, when we were promised that gains for those at the top would trickle down to working families. President Biden’s approach is to build the economy from the bottom up and the middle out.

As we look ahead and aim to achieve stable, steady growth, here are five key points about how we arrived at our current economic moment. In short, the Administration passed the American Rescue Plan in a moment of significant economic uncertainty and, because of the Administration’s decisive action, we now face a range of global economic challenges – with inflation chief among them – from a position of strength. 

  1. The American Rescue Plan helped deliver one of the strongest job markets in American history.

When President Biden took office, the unemployment rate was 6.4% and around 20 million Americans were on unemployment insurance. Since then, the unemployment rate has come down to 3.6 % — with only three times in the last 50 years when the rate has been lower – and fewer than 1.5 million Americans are receiving unemployment insurance. Before the Rescue Plan passed, the nonpartisan Congressional Budget Office (CBO) projected the unemployment rate would be 5% right now, and would not drop below 4% until 2026. In addition, the number of Americans between the ages of 25 and 54 who are working or looking for work is higher today than it was before the pandemic began. In the wake of the Great Recession, that recovery took 12 years. As the Washington Post noted this weekend, we are in the midst of a “great return to work.” While it “took more than six years to recover from the Great Recession … this jobs recovery is on track to take about 2.5 years. That’s worth celebrating.”

  1. The American Rescue Plan has meant the U.S. recovery has been the envy of the world.

According to the latest World Economic Outlook from the International Monetary Fund, the U.S. economy will be larger at the end of this year—relative to its pre-pandemic size—than any other Group of 7 economy. The U.S. economy may grow faster this year than China’s economy for the first time since 1976, according to a projection by Bloomberg Economics. CBO recently projected that U.S. economic growth would continue in 2022 and 2023, albeit at a slower rate than in 2021, with unemployment remaining low and inflation falling throughout this year and next. The CBO forecast was roughly in line with the consensus of private sector forecasters.

  1. The American Rescue Plan has meant economic security for millions of families.

Since President Biden took office, incomes are up 5.1% overall and by 11.9% for the bottom 50% of the income distribution – even after accounting for inflation – due to job creation and higher earnings. Self-reported financial well-being at the end of 2021 reached its highest level on record, with 78% of adults reporting that they are financially comfortable. In the same survey, 68% of Americans said they could cover a $400 emergency cash expenses – the highest level in the history of the survey and up 18 percentage points since 2013. Bankruptcy filings also remained below pre-pandemic levels, eviction filings have remained 30% below pre-pandemic levels across the eight months since the eviction moratorium ended, and foreclosures hit an all-time low in 2021.

  1. The Rescue Plan didn’t just improve our economic position; it improved our fiscal position too.

The CBO projected that the deficit will fall by $1.7 trillion this year. This is the largest nominal reduction in the federal deficit in history. According to their projections, the deficit as a share of the economy this year will be at a lower level than in 2019, before the pandemic. It is also a lower level than CBO projected for this year before the American Rescue Plan passed, showing that the strong economic recovery resulting from President Biden’s economic and vaccination plans were not just good for our economy but also for our fiscal position. Public debt as a percent of the economy is also projected to be lower this year than was projected before the Rescue Plan passed – further reflecting the degree to which our strong economic recovery has improved our fiscal position. This progress on deficits and debt was not pre-ordained. In addition to responsibly winding down emergency programs, around half of the reduction in the deficit this year is projected to be driven by an increase in revenues, as household and business earnings have increased given the strong economic recovery.

  1. Inflation is a global challenge, with many causes, but the Rescue Plan is not its predominant cause.

Inflation is elevated around the world, particularly in light of Putin’s invasion into Ukraine, which has driven global food and energy prices higher. Inflation is at its highest level on record in the Euro Area and in Germany, the highest level in 40 years in the U.K., and the highest level in more than 30 years in Canada. Consumer prices have risen by 8.2% in the United States in the last year, 8.1% in the Euro Area, and 9% in the United Kingdom.

Putin’s actions in Ukraine have driven inflation higher in recent months, with gas prices up $1.51 since Putin began amassing troops on the border of Ukraine. It is of course not plausible that disruptions in global energy and food markets are the result of the American Rescue Plan.

And even before disruptions to global energy and food markets have driven inflation higher, many other factors boosted demand, shifted its composition, and constrained supply, which led to higher prices. The pandemic meant that American consumers shifted their consumption from services to durable goods. Businesses were unprepared for demand returning quickly, and we saw an inward shift in supply capacity – from auto production to domestic energy production to rental cars. And supply chain pressures meant bottlenecks and thinner inventories that also drove up prices.

That’s why we know that even without the Rescue Plan – or with a smaller Rescue Plan – inflation would have still been elevated. In fact, according to one independent analysis, keeping inflation close to 2% would have required an unemployment rate in the double digits – instead of today’s 3.6% unemployment rate. Moreover, without the Rescue Plan, another independent analysis shows that we would have had less growth, less job creation, and more human suffering.

Biden Administration, Congress, Gun Violence Prevention, News & Photo Features

Biden Pleads for Congress to Act to End Scourge of Gun Violence: ‘Do something.  Just do something.  For God’s sake, do something’

After a spate of mass shootings that made the headlines – Buffalo, Uvalde, Tulsa – President Joe Biden addressed the nation to appeal, to demand Congress act to reduce America’s unique public health epidemic of gun violence. “My fellow Americans, enough.  Enough.  It’s time for each of us to do our part.  It’s time to act,” he said, offering an agenda, a to-do list of what has to be done to at least reduce the carnage. © Karen Rubin/news-photos-features.com via msnbc

After a spate of mass shootings that made the headlines – Buffalo, Uvalde, Tulsa – President Joe Biden addressed the nation to appeal, to demand Congress act to reduce America’s unique public health epidemic of gun violence. Even as he spoke, there were additional mass shootings – more than one each and every day. More than 100 Americans are killed each day from gun violence – just since 1968, almost twice the number, nearly 2 million, than have died in all of America’s wars going back to the Revolution, 1 million. “My fellow Americans, enough.  Enough.  It’s time for each of us to do our part.  It’s time to act,” he said, offering an agenda, a to-do list of what has to be done to at least reduce the carnage.

Here is a highlighted transcript of President Biden’s remarks:

On Memorial Day this past Monday, Jill and I visited Arlington National Cemetery.
 
As we entered those hallowed grounds, we saw rows and rows of crosses among the rows of headstones, with other emblems of belief, honoring those who paid the ultimate price on battlefields around the world.
 
The day before, we visited Uvalde — Uvalde, Texas.  In front of Robb Elementary School, we stood before 21 crosses for 19 third and fourth graders and two teachers.  On each cross, a name.  And nearby, a photo of each victim that Jill and I reached out to touch.  Innocent victims, murdered in a classroom that had been turned into a killing field.
 
Standing there in that small town, like so many other communities across America, I couldn’t help but think there are too many other schools, too many other everyday places that have become killing fields, battlefields here in America.

We stood at such a place just 12 days before, across from a grocery store in Buffalo, New York, memorializing 10 fellow Americans — a spouse, a parent, a grandparent, a sibling — gone forever.
 
At both places, we spent hours with hundreds of family members who were broken and whose lives will never be the same.  And they had one message for all of us:

Do something.  Just do something.  For God’s sake, do something.
 
After Columbine, after Sandy Hook, after Charleston, after Orlando, after Las Vegas, after Parkland, nothing has been done.
 
This time, that can’t be true.  This time, we must actually do something.
 
The issue we face is one of conscience and common sense.
 
For so many of you at home, I want to be very clear: This is not about taking away anyone’s guns.  It’s not about vilifying gun owners.  In fact, we believe we should be treating responsible gun owners as an example of how every gun owner should behave.  I respect the culture and the tradition and the concerns of lawful gun owners. 
 
At the same time, the Second Amendment, like all other rights, is not absolute.  It was Justice Scalia who wrote, and I quote, “Like most rights, the right…” — Second Amendment — the rights granted by the Second Amendment are “not unlimited.”  Not unlimited.  It never has been. 
 
There have always been limitations on what weapons you can own in America.  For example, machine guns have been federally regulated for nearly 90 years.  And this is still a free country.
 
This isn’t about taking away anyone’s rights.  It’s about protecting children.  It’s about protecting families.  It’s about protecting whole communities.  It’s about protecting our freedoms to go to school, to a grocery store, and to a church without being shot and killed.
 
According to new data just released by the Centers for Disease Control and Prevention, guns are the number one killer of children in the United States of America.  The number one killer.  More than car accidents.  More than cancer.
 
Over the last two decades, more school-aged children have died from guns than on-duty police officers and active-duty military combined.  Think about that: more kids than on-duty cops killed by guns, more kids than soldiers killed by guns.
 
For God’s sake, how much more carnage are we willing to accept?  How many more innocent American lives must be taken before we say “enough”?  Enough.
 
I know that we can’t prevent every tragedy.  But here’s what I believe we have to do.  Here’s what the overwhelming majority of the American people believe we must do.  Here’s what the families in Buffalo and Uvalde, in Texas, told us we must do.
 
We need to ban assault weapons and high-capacity magazines.  And if we can’t ban assault weapons, then we should raise the age to purchase them from 18 to 21. 

Strengthen background checks. 

Enact safe storage laws and red-flag laws. 

Repeal the immunity that protects gun manufacturers from liability. 

Address the mental health crisis deepening the trauma of gun violence and as a consequence of that violence.
 
These are rational, commonsense measures.  And here’s what it all means.  It all means this:

We should reinstate the assault weapons ban and high-capacity magazines that we passed in 1994 with bipartisan support in Congress and the support of law enforcement.  Nine categories of semi-automatic weapons were included in that ban, like AK-47s and AR-15s.
 
And in the 10 years it was law, mass shootings went down.  But after Republicans let the law expire in 2004 and those weapons were allowed to be sold again, mass shootings tripled.  Those are the facts.
 
A few years ago, the family of the inventor of the AR-15 said he would have been horrified to know that its design was being used to slaughter children and other innocent lives instead of being used as a military weapon on the battlefields, as it was designed — that’s what it was designed for.
 
Enough.  Enough. 
 
We should limit how many rounds a weapon can hold.  Why in God’s name should an ordinary citizen be able to purchase an assault weapon that holds 30-round magazines that let mass shooters fire hundreds of bullets in a matter of minutes?
 
The damage was so devastating in Uvalde, parents had to do DNA swabs to identify the remains of their children — 9- and 10-year-old children. 
 
Enough.
 
We should expand background checks to keep guns out of the hands of felons, fugitives, and those under restraining orders. 
 
Stronger background checks are something that the vast majority of Americans, including the majority of gun owners, agree on.
 
I also believe we should have safe storage laws and personal liability for not locking up your gun.
 
The shooter in Sandy Hook came from a home full of guns that were too easy to access.  That’s how he got the weapons — the weapon he used to kill his mother and then murder 26 people, including 20 first graders.
 
If you own a weapon, you have a responsibility to secure it — every responsible gun owner agrees — to make sure no one else can have access to it, to lock it up, to have trigger locks.  And if you don’t and something bad happens, you should be held responsible.
 
We should also have national red-flag laws so that a parent, a teacher, a counselor can flag for a court that a child, a student, a patient is exhibiting violent tendencies, threatening classmates, or experiencing suicidal thoughts that makes them a danger to themselves or to others.
 
Nineteen states and the District of Columbia have red-flag laws.  The Delaware law is named after my son, Attorney General Beau Biden.
 
Fort Hood, Texas, 2009 — 13 dead and more than 30 injured.
 
Marjorie Stoneman Douglas High School in Parkland, Florida, 2018 — 17 dead, 17 injured.
 
In both places, countless others suffering with invisible wounds. 
 
Red-flag laws could have stopped both these shooters.
 
In Uvalde, the shooter was 17 when he asked his sister to buy him an assault weapon, knowing he’d be denied because he was too young to purchase one himself.  She refused. 
 
But as soon as he turned 18, he purchased two assault weapons for himself.  Because in Texas, you can be 18 years old and buy an assault weapon even though you can’t buy a pistol in Texas until you’re 21.

If we can’t ban assault weapons, as we should, we must at least raise the age to be able to purchase one to 21.
 
Look, I know some folks will say, “18-year-olds can serve in the military and fire those weapons.”  But that’s with training and supervision by the best-trained experts in the world.  Don’t tell me raising the age won’t make a difference. 
 
Enough.
 
We should repeal the liability shield that often protects gun manufacturers from being sued for the death and destruction caused by their weapons.  They’re the only industry in this country that has that kind of immunity.
 
Imagine — imagine if the tobacco industry had been immune from being sued — where we’d be today.  The gun industry’s special protections are outrageous.  It must end.
 
And let there be no mistake about the psychological trauma that gun violence leaves behind.
 
Imagine being that little girl — that brave little girl in Uvalde who smeared the blood off her murdered friend’s body onto her own face to lie still among the corpses in her classroom and pretend she was dead in order to stay alive.  Imagine — imagine what it would it be like for her to walk down the hallway of any school again.
 
Imagine what it’s like for children who experience this kind of trauma every day in school, in the streets, in communities all across America. 
 
Imagine what it is like for so many parents to hug their children goodbye in the morning, not sure whether they’ll come back home.
 
Unfortunately, too many people don’t have to imagine that at all.
 
Even before the pandemic, young people were already hurting.  There’s a serious youth mental health crisis in this country, and we have to do something about it. 
 
That’s why mental health is at the heart of my Unity Agenda that I laid out in the State of the Union Address this year. 
 
We must provide more school counselors, more school nurses, more mental health services for students and for teachers, more people volunteering as mentors to help young people succeed, more privacy protection and resources to keep kids safe from the harms of social media.
 
This Unity Agenda won’t fully heal the wounded souls, but it will help.  It matters.

I just told you what I’d do.  The question now is: What will the Congress do?
 
The House of Representatives has already passed key measures we need.  Expanding background checks to cover nearly all gun sales, including at gun shows and online sales.  Getting rid of the loophole that allows a gun sale to go through after three business days even if the background check has not been completed.
 
And the House is planning even more action next week.  Safe storage requirements.  The banning of high-capacity magazines.  Raising the age to buy an assault weapon to 21.  Federal red-flag law.  Codifying my ban on ghost guns that don’t have serial numbers and can’t be traced.  And tougher laws to prevent gun trafficking and straw purchases.
 
This time, we have to take the time to do something.  And this time, it’s time for the Senate to do something.

But, as we know, in order to get anything done in the Senate, we need a minimum of 10 Republican senators.
 
I support the bipartisan efforts that include a small group of Democrats and Republican senators trying to find a way.  But my God, the fact that the majority of the Senate Republicans don’t want any of these proposals even to be debated or come up for a vote, I find unconscionable.
 
We can’t fail the American people again.

Since Uvalde, just over a week ago, there have been 20 other mass shootings in America, each with four or more people killed or injured, including yesterday at a hospital in Tulsa, Oklahoma.
 
A shooter deliberately targeted a surgeon using an assault weapon he bought just a few hours before his rampage that left the surgeon, another doctor, a receptionist, and a patient dead, and many more injured.
 
That doesn’t count the carnage we see every single day that doesn’t make the headlines.
 
I’ve been in this fight for a long time.  I know how hard it is, but I’ll never give up.  And if Congress fails, I believe this time a majority of the American people won’t give up either.  I believe the majority of you will act to turn your outrage into making this issue central to your vote.
 
Enough.  Enough.  Enough.
 
Over the next 17 days, the families in Uvalde will continue burying their dead.
 
It will take that long in part because it’s a town where everyone knows everyone, and day by day they will honor each one they lost.
 
Jill and I met with the owner and staff of the funeral home that is being strong — strong, strong, strong — to take care of their own.
 
And the people of Uvalde mourn.  As they do over the next 17 days, what will we be doing as a nation?
 
Jill and I met with the sister of the teacher who was murdered and whose husband died of a heart attack two days later, leaving behind four beautiful, orphaned children — and all now orphaned.
The sister asked us: What could she say?  What could she tell her nieces and nephews?
 
It was one of the most heartbreaking moments that I can remember.  All I could think to say was — I told her to hold them tight.  Hold them tight.
 
After visiting the school, we attended mass at Sacred Heart Catholic Church with Father Eddie.
 
In the pews, families and friends held each other tightly.  As Archbishop Gustavo spoke, he asked the children in attendance to come up on the altar and sit on the altar with him as he spoke.
 
There wasn’t enough room, so a mom and her young son sat next to Jill and me in the first pew.  And as we left the church, a grandmother who had just lost her granddaughter passed me a handwritten letter.
 
It read, quote, “Erase the invisible line that is dividing our nation.  Come up with a solution and fix what’s broken and make the changes that are necessary to prevent this from happening again.”  End of quote.
 
My fellow Americans, enough.  Enough.  It’s time for each of us to do our part.  It’s time to act.

For the children we’ve lost, for the children we can save, for the nation we love, let’s hear the call and the cry.  Let’s meet the moment.  Let us finally do something.
 
God bless the families who are hurting.  God bless you all.
 
From a hymn based on the 91st Psalm sung in my church:

May He raise you up on eagle’s wings
and bear you on the breath of dawn
make you to shine like the sun
and hold you in the palm of His hand.
 
That’s my prayer for all of you.  God bless you.

Biden Administration, Congress, Coronavirus Pandemic, Health Care

Biden Administration Warns Congress of Severe Consequences of Failing to Authorize Additional COVID-19 Response Funding

Among the consequences if Congress does not provide additional COVID response funding is fewer vaccinations for Americans should there be a fall surge. Biden’s war-level mobilization to combat COVID has saved 2.2 million lives (more than 900,000 have already died), prevented 17 million hospitalizations and 66 million COVID-19 cases, and avoided $900 billion in health care costs. © Karen Rubin/news-photos-features.com

The Biden Administration is sounding the alarm for the urgent need for Congress to provide funding for the nation’s COVID-19 response and is underscoring the severe consequences of their inaction: Fewer vaccines, treatments, and tests for the American people, and fewer shots in arms around the world.

The White House laid out the consequences in a fact sheet:
 
Over the past 15 months, the Biden Administration has used the resources Congress provided to mobilize a comprehensive COVID-19 response. As a result, the United States has made tremendous progress in our fight against the virus—saving over 2 million American lives, safely reopening our schools, creating jobs at a record pace, returning to more normal routines, and averting $900 billion in health care costs.

The Biden Administration launched COVID.gov, a one-stop shop website to help all people in the United States gain even better access to lifesaving tools like vaccines, tests, treatments, and masks, as well as get the latest updates on COVID-19 in their area. The Administration has worked over the past 15 months to set up over 90,000 vaccination sites, make more than 400 million high-quality masks available for free, send free tests to peoples’ homes, and stand up new test-to-treat sites where people can get tested and receive life-saving antivirals all in one place. Now, with a click of a button, people will be able to find where to access all of these tools, as well as receive the latest CDC data on the level of COVID-19 in their community.

As part of COVID.gov, a new Test-to-Treat locator will help people access pharmacies and community health centers across the nation where people can get tested for COVID-19 and receive appropriate treatments if they need them.

President Biden also implemented a new effort across the federal government to develop and issue the first-ever interagency national research action plan on Long COVID. The effort will advance progress in prevention, diagnosis, treatment, and provision of services, supports, and interventions for individuals experiencing Long COVID and associated conditions.
 
In March, the President laid out a comprehensive National COVID-19 Preparedness Plan to keep America moving forward safely, by ensuring that lifesaving tools like vaccines and treatments remain free and widely available to Americans, by preparing for potential surges and new variants, and by getting more shots in arms around the world. Executing this plan remains essential to sustaining the progress we have made and saving more lives. There has been an uptick in cases in parts of the country and, while cases will continue to fluctuate, this virus has proven itself to be unpredictable. Without funding, the United States will be unprepared for whatever comes next.
 
COVID-19 isn’t waiting on Congress to negotiate. Other countries will not wait. Time is of the essence. Congress must act urgently to help save more American lives and ensure we remain prepared.

Congressional inaction on additional COVID-19 response funding means:
 
Fewer Vaccines for Americans:

  • The Administration cannot secure enough booster shots for every American, if they are needed in the fall. At this moment, the United States has enough supply to support one booster shot for Americans age 16 and over, and additional boosters for immunocompromised individuals and those age 50 and older. However, if additional booster shots are authorized and recommended for the general population, we will not have the supply necessary to provide free and easy access to them for all Americans. At this time last year, the Administration was contracting for future boosters that could ultimately be needed starting in September; this allowed us to make those booster shots free and widely available as soon as they were authorized. The Department of Health and Human Services (HHS) needs to begin contracting for boosters imminently so that the agency can conclude contractual negotiations as soon as May to ensure delivery of sufficient supply by September. Other countries are already placing orders for future needs and as a result, will get supply before it is available for Americans. Just yesterday, Pfizer submitted an application to the U.S. Food and Drug Administration (FDA) for Emergency Use Authorization for its booster for kids ages 5 to 11. If these boosters are authorized and recommended, we would not have enough supply for every child in that age group. Not having enough supply to support booster shots for everyone, if needed, puts American lives at risk, and is a completely avoidable outcome.
     
  • The Administration cannot secure new COVID-19 vaccines to protect against multiple variants for the American people. Vaccine manufacturers are working on developing vaccines that could offer broader and longer-lasting protection than our existing vaccines—and there is ongoing discussion among scientific and medical experts, including FDA’s panel of outside experts, about the potential need for vaccines with new formulations in the future to better protect us from variants. Just this month, Moderna released data on a new vaccine that could potentially offer better protection against multiple variants. The company also announced that it expects to release data on an Omicron-specific vaccine soon. This means that there could be more effective vaccines available as soon as this fall that can enhance the protection Americans receive from getting vaccinated. The United States should be securing these vaccines today, but without funding, the Administration cannot purchase doses for the American people or even ensure that America is in line for them. This could mean people in other countries have access to the best lifesaving vaccines before Americans. Vaccines have proven to be our single-most important tool in protecting people, and the best ones should be available for the American people.

Fewer Treatments for Americans:

  • The Administration cannot restock the nation’s supply of lifesaving treatments. To date, the Administration has distributed over 9.6 million courses of treatment across the country, working with states and territories, Tribes, pharmacies, federal health centers, and other partners to provide them to Americans for free. Due to a lack of funding, we have already missed the opportunity to purchase additional supply of these lifesaving treatments. To stretch our supply as much as possible, last month, the Administration was forced to cut the number of monoclonal antibody treatments distributed to states by over 30 percent. Ensuring these treatments remain free, widely available, and easy to access for people who need them is crucial to our nation moving forward safely.
     
  • The Administration cannot invest in promising treatments or secure newer, even better treatments for the American people. The federal government will not be able to invest in next-generation treatments that have the potential to provide broader protection against future variants or to treat people who may not be able to take full advantage of current treatments. Several candidates may be promising, and the United States will lose an opportunity to secure its spot in line and to support ramped-up manufacturing capacity of these treatments if we do not have funding to secure supply prior to a potential authorization or approval. Given COVID-19’s potential to mutate, it is also prudent to support and secure a range of effective treatments that attack the virus in different ways to guard against future variants.
     
  • The Administration will have to scale back purchases of treatments that protect immunocompromised Americans. The Administration has secured more than 1 million courses of Evusheld, a preventive therapy for immunocompromised people. Due to lack of funding, we have had to substantially scale back our plans to purchase additional supply. This therapy takes months to produce, and at this point, we are at risk of missing out on supply that will be delivered in the last few months of 2022. Congressional inaction will put immunocompromised individuals at greater risk as we enter this fall.

Fewer Tests for Americans:

  • The Administration cannot sustain domestic testing manufacturing capacity and will be unprepared for another surge in testing demand. Omicron drove unprecedented demand for COVID-19 testing around the world. As cases have fallen dramatically, so has demand for testing. Demand will continue to decrease over time, and as a result, domestic manufacturers will start ramping down production across the next several weeks and months. Federal investments are a crucial way to preserve the domestic testing manufacturing capacity we have built over the last 15 months. Without these investments, it will take manufacturers months to ramp back up to rebuild capacity, so failure to invest now will leave us with insufficient testing capacity and supply if we see another surge in cases and demand for testing increases once again. This would mean empty store shelves, long lines at testing sites, and slower results which will have life-or-death consequences for people who need to take lifesaving treatments within days of becoming symptomatic. That should not be allowed to happen.

Fewer Shots in Arms Around the World:

  • The United States cannot supercharge our effort to get more shots in arms, putting us at greater risk for more variants that may prove to be even more dangerous than the ones we have faced to date. The U.S. has now delivered over half a billion adult vaccines to 114 countries. Countries need funding and assistance to turn vaccines into vaccinations. Without additional funding for our global response, we will not have resources to help get more shots in arms in countries in need—which is one of the best ways we can prevent future variants. We will also lack funding to provide oxygen and other lifesaving supplies, and our global genomic sequencing capabilities will fall off—undermining our ability to detect any emerging variants around the world.

“The reason we’ve been so successful in the past is because I was able to work with drug manufacturers, but without funding, we cannot pre-order,” President Biden stated. “We’re running out of supplies for therapeutics – antiviral pills – we desperately need. … We’ve donated more vaccinations to the world than all nations combined…. Without additional funding, we won’t be able to continue to supply. … No delays, no excuses, just action now.”

Biden Administration, Congress, Coronavirus Pandemic, Health Care, President Joe Biden

Report: Biden COVID-19 Vaccination Program Saved 2.2 Million Lives, 17 Million Hospitalizations, $900 Billion in Health Care Costs

President Biden gets his second booster. A report from Commonwealth Fund finds that Biden’s “relentless efforts to get Americans vaccinated saved millions of American lives. Our vaccination campaign saved 2.2 million American lives, prevented 17 million hospitalizations, prevented 66 million COVID-19 cases, and avoided $900 billion in health care costs,” stated White House COVID-19 Response Coordinator Jeff Zients © Karen Rubin/news-photos-features.com via msnbc

A new study out today from the Commonwealth Fund shows that President Biden’s relentless efforts to get Americans vaccinated saved millions of American lives. Our vaccination campaign saved 2.2 million American lives, prevented 17 million hospitalizations, prevented 66 million COVID-19 cases, and avoided $900 billion in health care costs. 
 
This is the result of the Biden Administration’s efforts to use every tool to make vaccinations easy and convenient for every American, Congress providing us the vital resources we needed, and the American people stepping up and doing their part. 
 
We mounted a historic vaccination effort and invested in tests and treatments – empowering Americans with more tools than ever before to protect themselves. Together, we’ve spared millions of families the immeasurable loss that too many others have suffered, and turned unthinkable pain into extraordinary purpose and progress. 
 
Unfortunately, Republicans in Congress are now holding up critical funding we need to make even more progress – to save even more lives. Make no mistake: Inaction will leave our nation less prepared for any future surges and variants. It will mean fewer vaccines, treatments, and tests for the American people. This is deeply disappointing – and it should be unacceptable to every American. We’ve worked too hard and come too far to leave ourselves and our economy vulnerable to an unpredictable virus. The virus is not waiting on Congress to negotiate. Congress must act with urgency. 

Biden Administration, Coronavirus Pandemic, Health Care

Biden Administration Accelerates Whole-of-Government Effort to Prevent, Detect, and Treat Long COVID

Vaccination is still the best way to avoid death, hospitalization or the debilitating effects of COVID, still, the Biden Administration is accelerating a whole-of-government effort to prevent, detect, and treat Long COVID. © Karen Rubin/news-photos-features.com

As President Biden just took action to expand access to the Affordable Care Act – amid calls by Republicans once again to repeal it if they regain control of Congress – it is important to keep in mind that 75 million Americans have contracted COVID-19, and millions of them are experiencing the effects of Long- OVID, and thus have pre-existing conditions. Obamacare, as the Affordable Care Act is known, protects people with pre-existing conditions as well as ends lifetime caps on coverage and keeps children on their parents’ insurance until the age of 26. There were 100 million Americans with pre-existing conditions before the coronavirus.

Biden has said that health care is a right, not a privilege, and has taken several actions – besides expanding access (some 30 million now take advantage of affordable Obamacare) – to improve health care. That includes mounting the massive vaccination program that has saved millions of lives, testing and new treatments; he is trying to reduce the cost of prescription drugs, particularly insulin (from $4000 month to $35/month), and launched a $5 billion research program to address some of the worst killers including cancer and Alzheimer’s. Now the Biden Administration is accelerating the whole-of-government effort to prevent, detect and treat Long COVID. Here’s a fact sheet from the White House–Karen Rubin/news-photos-features.com

The U.S. has made tremendous progress in our fight against COVID-19. Today, Americans have the tools they need to protect against and treat the virus. At the same time, millions of individuals continue to experience prolonged illness from COVID-19, known as “Long COVID.” Many report debilitating, lasting symptoms that can persist long after the acute COVID-19 infection has resolved, and can manifest in anyone who has had COVID-19. These symptoms often look like those associated with other chronic medical conditions.
 
The Administration has mobilized to advance our nation’s understanding of Long COVID and its associated conditions, promote high-quality care for patients, and help individuals access supportive services—especially for those from communities disproportionately affected by the pandemic. The President’s National COVID-19 Preparedness Plan makes clear that we are committed to accelerating these efforts, with additional support and resources from Congress.
 
President Biden issued a Presidential Memorandum directing the Secretary of Health and Human Services (HHS) to coordinate a new effort across the federal government to develop and issue the first-ever interagency national research action plan on Long COVID. The effort will advance progress in prevention, diagnosis, treatment, and provision of services, supports, and interventions for individuals experiencing Long COVID and associated conditions. The Presidential Memorandum also directs HHS to issue a report outlining services and supports across federal agencies to assist people experiencing Long COVID, individuals who are dealing with a COVID-related loss, and people who are experiencing mental health and substance use issues related to the pandemic. This report will specifically address the long-term effects of COVID-19 on high-risk communities and efforts to address disparities in access to services and supports.
 
Today’s announcement builds on the Administration’s ongoing work to implement the recommendations of the Presidential COVID-19 Health Equity Task Force. It also builds on a number of additional actions the Administration is taking to support the millions of Americans experiencing Long COVID and their families by delivering high-quality care and expanding access to services and supports, as well as actions to advance efforts to detect, prevent, and treat Long COVID.
 
These actions include:
 
Delivering high-quality care for individuals experiencing Long COVID: As a complex condition that can affect multiple organ systems, Long COVID may require care and coordination across multiple medical specialties. The Administration recognizes that the COVID-19 pandemic has resulted in new members of the disability community and has had a tremendous impact on people with disabilities. The Administration will continue to center the voices of patients in this work and is advancing efforts to deliver high-quality, high-value care to people experiencing Long COVID—especially communities hardest-hit by COVID-19. In collaboration with patients, payers, and providers across the care continuum, the Administration will accelerate and disseminate clinical support and best practices to promote coordinated, integrated care models and expand access to high-quality care in communities across the country.

  • Launching Centers of Excellence and promoting evidence-based care models: Through the Agency for Healthcare Research and Quality (AHRQ), the President’s Fiscal Year 2023 (FY23) budget will invest in a multi-year initiative, beginning with $20 million in FY23, to investigate how health care systems can best organize and deliver care for people with Long COVID, provide telementoring and expert consultation for primary care practices, and advance the development of multispecialty clinics to provide complex care. This work would fund institutions across the country that bring together leading researchers and care providers across the full care continuum – including hospitals, health centers, long-term care services and supports, and other providers – and promote the implementation of new evidence into care, especially for disproportionately affected populations. As information emerges on effective Long COVID treatments and care, AHRQ in partnership with the Centers for Disease Control and Prevention (CDC), Food and Drug Administration (FDA), Substance Abuse and Mental Health Services Administration (SAMHSA), and National Institutes of Health (NIH)—in collaboration with clinical leaders, professional societies, and the national academies—will build on existing interim clinical guidance to get providers and patients the care information they need.
     
  • Expanding and strengthening Long COVID clinics: Across the country, 18 Department of Veterans Affairs (VA) facilities have already established Long COVID care programs, consolidating multidisciplinary clinical expertise in locations veterans know and trust. The VA will expand on the success of these programs by establishing additional Long COVID programs and robust referral and follow-up systems across its facilities. These programs, and others established by hospitals and health systems across the country, are serving as a source of rapid learning and long-term research on best practices and new therapies, along with the broader provider, patient, and scientific community. The Office of the Assistant Secretary for Health (OASH) will launch the Health+ project to gain insights into the experiences and patient journeys of people living with Long COVID and associated conditions, to help inform high-quality care and contribute to standardized best practices at Long COVID clinics.
  • Promoting provider education and clinical support: The Administration will continue to work with providers to advance our recognition and understanding of Long COVID and associated conditions, including by sharing culturally competent information and resources through platforms like the Centers for Medicare & Medicaid Services (CMS) Medicare Learning Network and Indian Health Service (IHS) provider education and partnerships with academic institutions. The Administration will also launch targeted clinician and medical coder education on the ICD-10-CM code (U09.9) effective last year to support diagnosis, billing, and tracking of Long COVID. To further support equitable access to high-quality care in communities hard-hit by the pandemic, the Administration, through the Health Resources and Services Administration (HRSA), will continue to build sustainable telementoring programs and networks in rural and medically underserved communities. HHS will additionally convene experts across the country to provide recommendations to our nation’s providers on best practices in the identification and management of the mental and behavioral health disorders associated with Long COVID.  
  • Bolstering health insurance coverage for Long COVID care: The Administration is working to make Long COVID care as accessible as possible. CMS has clarified that, under the American Rescue Plan (ARP) requirement that state Medicaid and Children’s Health Insurance Program (CHIP) programs cover treatments for COVID-19, states must also cover treatments and therapies for Long COVID. Additionally, the essential health benefits (EHB) provided by the Affordable Care Act (ACA) generally provide coverage for the diagnosis and treatment of COVID-19, including Long COVID, though coverage and cost-sharing details vary by plan. CMS has also expanded Medicare coverage for pulmonary rehabilitation services for Long COVID care beginning in the 2022 Physician Fee Schedule. Moving forward, the Administration will continue to assess opportunities to enhance access to care for Long COVID and its associated symptoms through Medicare, Medicaid, insurance marketplace coverage, and other options. The Office of Personnel Management (OPM) will also increase awareness of Long COVID among Federal Employee Health Benefit (FEHB) Program carriers—serving over 8.2 million federal employees, retirees, and their families—and call on them to closely monitor care for individuals with Long COVID. OPM will additionally enhance enrollee education on plans’ coverage of the assessment and treatment of Long COVID and associated symptoms such as respiratory illness and chronic fatigue.

 
Making services and supports available for individuals experiencing Long COVID: The Administration continues to work to understand Long COVID and its impact across populations, including how it interacts with other medical and physical conditions. Individuals with Long COVID may need help doing things they did by themselves in the past, or may need accommodations in their daily activities based on changes in their abilities. In addition to the Long COVID guidance package released during the 31st anniversary of the Americans with Disabilities Act (ADA), the Administration is raising awareness of Long COVID as a potential cause of disability, and strengthening services and supports available for individuals experiencing Long COVID.

  • Raising awareness of Long COVID as a potential cause of disability: To protect individuals with Long COVID from discrimination, HHS and the Department of Justice (DOJ) have released guidance explaining that some individuals with Long COVID may have a disability under civil rights laws, including the ADA, Section 504 of the Rehabilitation Act, and Section 1557 of the Affordable Care Act. The Department of Education (ED) also released a resource to support children, students, educators, schools, service providers, and families—providing information about Long COVID as a disability and about schools’ and public agencies’ responsibilities for the provision of services and reasonable modifications to children and students for whom Long COVID is a cause of a disability. The Administration for Community Living (ACL) and the HHS Office for Civil Rights (OCR) are continuing to disseminate resources to help people with Long COVID understand if they have a disability, educate people on their rights, and to inform organizations of their obligations.
     
  • Translating research into inclusive disability policy: Through the Social Security Administration’s close collaboration with research agencies and other entities, the Administration will continue to clarify and update policy guidance as the science develops to support inclusive disability policy and claims adjudication processes through the Social Security Disability Insurance (SSDI) and Supplemental Security Insurance (SSI) programs for individuals experiencing Long COVID. This includes building on its Emergency Message on Evaluating Cases with COVID-19 and continuing to be responsive to findings from the medical and scientific communities about the types of evidence that can help establish impairments and identify functional limitations linked to Long COVID, when appropriate. Additionally, ACL and the Department of Labor (DOL) continue to elevate experiences of individuals with disability due to Long COVID, including on return-to-work.
     
  • Connecting people with the resources they need: The Administration will help connect people with Long COVID to information, resources, and service and support options. This includes incorporating multilingual information and support into the CDC-INFO call center, Disability Information and Access Line (DIAL), and call centers run by CMS—which together receive over 3 million calls each month—and providing Long COVID-specific trainings for customer service representatives. Through ACL’s DIAL and Eldercare Locator, the Administration will also continue to connect older adults and individuals with disabilities to critical local services, such as transportation to receive care. IHS will additionally train business office and benefit administrator staff to assist Tribal communities in navigating Long COVID. SAMHSA will additionally collaborate with stakeholders to advance our understanding of the mental health effects of COVID-19 and promote high-quality mental and behavioral health care services for those who need it.
     
  • Strengthening support for workers experiencing Long COVID: The Equal Employment Opportunity Commission (EEOC) and DOL recently released guidance on access to equitable employment opportunities for people experiencing the impact of COVID-19 and the symptoms of Long COVID. To protect workers experiencing Long COVID, DOL, in coordination with the EEOC, will continue supporting enforcement of the ADA, and other federal disability related nondiscrimination requirements for all workers. DOL’s Job Accommodation Network (JAN) also helps individuals with Long COVID remain in or return to their jobs. This includes both resources to empower workers to request and negotiate accommodations, as well as resources for employers on effective accommodation strategies. Additionally, through the legal networks funded by ACL, the Administration will continue to support legal assistance related to Long COVID to older adults and people with disabilities.

 
Advancing the nation’s understanding of Long COVID: Robust data and information are essential to our fight against the COVID-19 pandemic and its long-term effects. The Administration will support and accelerate research to understand, prevent, diagnose, treat, advance non-discrimination for, and otherwise support individuals with Long COVID. This includes efforts to better identify and characterize Long COVID – including with respect to its frequency, severity, duration, and risk factors; account for its impact on hard-hit and high-risk populations; and better understand its symptoms—including anxiety and depression, fatigue, shortness of breath, difficulty concentrating, heart palpitations, disordered sleep, chest and joint pain, and headache. These symptoms may look like those associated with other chronic medical conditions—including dysautonomia, myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), and mast cell activation syndrome (MCAS). In collaboration with patients, academia, providers, and other stakeholders, the Administration will continue to take critical steps to advance our scientific understanding in order to prevent, detect, and treat Long COVID.

  • Launching the first-ever National Research Action Plan on Long COVID: Today, President Biden issued a Presidential Memorandum directing the Secretary of Health and Human Services to coordinate a new effort across the federal government to develop and issue the first-ever interagency national research action plan on Long COVID. The effort will advance progress in prevention, diagnosis, treatment, and provision of services, supports, and interventions for individuals experiencing Long COVID. This effort, building on the landmark Researching COVID to Enhance Recovery (RECOVER) Initiative and other initiatives across the federal government, will advance our understanding of Long COVID, foster the development of new treatments and care models, and inform services, support, and interventions for individuals experiencing Long COVID.
     
  • Accelerating enrollment into the RECOVER Initiative: Last year, the NIH launched its $1.15 billion RECOVER Initiative to advance our understanding of and ability to predict, treat, and prevent Long COVID. To help catalyze progress, the Administration will accelerate the enrollment of approximately 40,000 individuals with and without Long COVID into RECOVER’s longitudinal observational arm—in addition to advancing RECOVER’s pathobiology studies, EHR studies, and clinical trials. Equity remains at the center of the Administration’s COVID-19 response efforts, and RECOVER will focus on enrolling individuals across all ages, races, ethnicities, and socioeconomic statuses—including pregnant people, individuals with disabilities, and those from the communities hardest hit by the pandemic. RECOVER will also continue to bolster its patient-centered approach, leveraging its National Community Engagement Group—comprised of patient representatives across its pathobiology task forces and executive, steering, and oversight committees—to enable patients to shape research design and execution, listen for community feedback, and learn from patients’ first-hand experience.
     
  • Making further investments to advance Long COVID research and surveillance: Building on the $50 million CDC has already invested, the President’s FY23 budget has requested $25 million to answer key questions on the characteristics, risk factors, underlying mechanisms, and health impacts of Long COVID—through clinician engagement, electronic health data analyses, and grant funding. This includes through the Innovative Support for Patients with SARS-CoV-2 Infections Registry (INSPIRE) study by CDC, which will follow nearly 6,000 individuals nationwide for up to 18 months, and other dedicated research in Tribal and other hard-hit, high-risk communities.
     
  • Leveraging the power of federal data: With its robust, national health care databases, the U.S. Department of Veterans Affairs (VA) offers a wealth of information on the risks and burdens of COVID-19. Using data from over 600,000 individuals with COVID-19, the VA will continue advancing its work to assess the different health impacts of COVID-19 over time. This includes building on its already published analyses relying on EHR data on kidney, cardiovascular, and mental health outcomes in people who have gotten COVID-19, through a national study surveying infected Veterans and uninfected controls about persistent symptoms. Additionally, the Department of Defense (DOD) has launched the Epidemiology, Immunology, and Clinical Characteristics of Emerging Infectious Diseases with Pandemic Potential (EPICC) study of Military Health System beneficiaries to help determine effects of COVID-19 and define clinical strategies to address them. This foundational study will not only support our military medical readiness but also our broader understanding of the disease.
     
  • Identifying workplace interventions that help keep individuals connected: To inform the development of inclusive disability policies and benefits, the DOL is scaling its work to identify early intervention strategies for workers who experience injuries or illnesses, including Long COVID, when working. DOL is expanding beyond its initial pilot study—to Kansas, Kentucky, Minnesota, Ohio, and Vermont—to help workers find alternatives as they decide whether to stay at or return to work following an illness like Long COVID.
Biden Administration, Health Care, News & Photo Features, Obamacare

Biden Acts to Expand Affordable Care Act, Fix ‘Family Glitch’, Lower Health Care Costs

With former President Barack Obama making his first visit to the White House since leaving office, President Joe Biden took action to expand access to the Affordable Care Act, fix the “family glitch” and lower health care costs for one million Americans. “The ACA is stronger now than it has ever been and today we are strengthening it further,” Biden declared. © Karen Rubin/news-photos-features.com via msnbc.

President Joe Biden, with former President Barack Obama at his side, signed an Executive Order to expand access to the Affordable Care Act, which he said was fittingly dubbed “Obamacare”, fix the “family glitch” and lower health care costs for one million Americans. Recalling the difficulty of passing Obamacare, Biden remarked on Obama’s unwavering commitment toward the goal of universal health care, where a medical emergency wouldn’t bankrupt a family and people did not live with the insecurity of being denied coverage. Obama reflecting on the strong opposition from Republicans – who have attempted to repeal the ACA more than 70 times, and only last week, vowed to repeal it when they regain control of Congress – said that compromises had to be made in order to achieve what presidents had failed to do for 100 years in providing access to health care. As Biden said, it was the most consequential legislation since Medicare of 1965. Obama said it was always recognized that the law would need to be improved. That’s what Biden did today.

From day one of his presidency, Biden has worked to expand access to health care, and now, some 30 million have health insurance coverage because of Obamacare, while 100 million Americans with pre-existing conditions are assured of having health insurance (a number that will be vastly expanded with over 75 million having contracted COVID-19 and millions suffering effects of Long-COVID), children can stay on their parents’ plan until age 26, and there are no longer lifetime caps on coverage. Here’s a Fact Sheet from the White House on how Biden-Harris Administration proposes to fix the “family glitch” and lower health care costs – the most significant administrative action to improve implementation of Obamacare since its enactment 12 years ago. “The ACA is stronger now than it has ever been and today we are strengthening it further,” Biden declared.

President Biden and Vice President Harris believe that health care is a right, not a privilege. They promised to protect and build on the Affordable Care Act (ACA), lowering costs and expanding coverage so that every American has the peace of mind that health insurance brings.
 
The Biden-Harris Administration continues to deliver on that promise. Thanks to the landmark American Rescue Plan, ACA premiums are at an all-time low, while enrollment is at an all-time high. Four out of five Americans can find quality coverage for under $10 a month, and families are saving an average of $2,400 on their annual premiums—$200 in savings every month back to families. The Administration has lowered costs and increased enrollment to a record high of 14.5 million Americans—including nearly 6 million who newly gained coverage. With the addition of Missouri and Oklahoma, two states that expanded Medicaid last year, nearly 19 million low-income Americans are enrolled in the ACA’s Medicaid expansion coverage, adding up to a record nearly 80 million children, pregnant women, seniors, people with disabilities, and other low-income Americans covered by Medicaid.
 
PROPOSING TO FIX THE “FAMILY GLITCH”
 
Today, the Biden-Harris Administration is proposing a rule to strengthen the ACA by fixing the “family glitch,” which would save hundreds of thousands of families hundreds of dollars a month.
 
Under the ACA, people who do not have access to “affordable” health insurance through their jobs may qualify for a premium tax credit to purchase affordable, high-quality coverage on the ACA’s health insurance marketplaces. Current regulations define employer-based health insurance as “affordable” if the coverage solely for the employee, and not for family members, is affordable, making family members ineligible for a premium tax credit even though they need it to afford high-quality coverage through the Marketplace.  For family members of an employee offered health coverage through an employer, the cost of that family coverage can sometimes be very expensive and make health insurance out of reach. The “family glitch” affects about 5 million people and has made it impossible for many families to use the premium tax credit to purchase an affordable, high-quality Marketplace plan.
 
The Treasury Department and the Internal Revenue Service are proposing to eliminate the “family glitch.” Should today’s proposed rule be finalized, family members of workers who are offered affordable self-only coverage but unaffordable family coverage may qualify for premium tax credits to buy ACA coverage. Should the proposed change be made, it’s estimated that 200,000 uninsured people would gain coverage, and nearly 1 million Americans would see their coverage become more affordable. Many families would be able to save hundreds of dollars a month thanks to lower premiums. This proposed rule would amount to the most significant administrative action to improve implementation of the ACA since its enactment.
 
EXECUTIVE ORDER CONTINUING TO STRENGTHEN AMERICANS’ ACCESS TO AFFORDABLE, QUALITY HEALTH COVERAGE
 
Last January, President Biden signed an Executive Order directing federal agencies to take action to strengthen Medicaid and the Affordable Care Act. Today, President Biden is building on that directive with a new Executive Order directing federal agencies to continue doing everything in their power to expand affordable, quality health coverage. This includes:

  • Making it easier for people to enroll in and keep their coverage.
     
  • Helping people better understand their coverage options so they can pick the best one for them.
     
  • Strengthening and improving the generosity of benefits and improving access to health care providers.
     
  • Improving the comprehensiveness of coverage and protecting Americans from low-quality coverage.
     
  • Continuing to make health coverage more accessible and affordable by expanding eligibility and lowering costs for Americans with ACA, Medicare, or Medicaid coverage.
     
  • Connecting people to health care services by improving access to health care providers and linkages between the health care system and communities to help Americans with health-related needs.
     
  • Taking steps to help reduce the burden of medical debt that far too many Americans experience.

 
ADDITIONAL EFFORTS TO STRENGTHEN THE ACA AND MEDICAID
 
These latest actions build on months of work to strengthen the ACA and Medicaid by lowering costs and expanding coverage.

  • Lowered premiums and out of pocket costs for millions of Americans. As the biggest expansion of affordable health care since the ACA, the American Rescue Plan (ARP) included enhanced subsidies that lowered premiums for 9 million Americans by an average of $50 per month per person. The enhanced subsidies helped expand the availability of free and low-cost health plans to millions of consumers with nearly half of existing consumers able to enroll in a silver level plan with no premium and 70 percent of existing able to enroll in a low-premium silver plan. In addition, the Administration lowered the cap on total out-of-pocket costs by $400 in 2022.
     
  • Made it easier to sign up for affordable coverage, including opening a Special Enrollment Period in 2021. In addition to opening a Special Enrollment Period last year, which enabled nearly 3 million Americans to newly sign up for coverage under the ACA, the Administration extended HealthCare.gov’s Open Enrollment period by one month, giving people more time to sign up for coverage The Administration operated the most successful Open Enrollment Period in history last year, with a historic 14.5 million Americans signing up for ACA coverage and another million people signing up for the Basic Health Program, an alternative coverage program created by the ACA.  The Administration also eliminated unnecessary paperwork and increased outreach, quadrupling the number of trained Navigators to help Americans sign up for coverage on HealthCare.gov. These efforts helped reach communities that have historically been left behind, with the HealthCare.gov enrollment rate increasing by 26 percent for Hispanic Americans and 35 percent for Black Americans.
     
  • Facilitated the expansion of Medicaid in Missouri and Oklahoma. The Centers for Medicare & Medicaid Services (CMS) helped Missouri and Oklahoma become the 38th and 39th states to expand Medicaid, which will cover nearly half a million more low-income Americans in those two states. Missouri and Oklahoma are also taking advantage of the ARP’s financial incentive to expand Medicaid, which is expected to provide an extra $968 million and $500 million in federal dollars to these states, respectively. 
     
  • Expanded and strengthened access to home care for millions of older Americans and people with disabilities. The ARP provided states with increased Medicaid funding to help expand access to home care services, furthering the Administration’s commitment to ensuring people can get the care they need in their homes and communities.  The additional Medicaid funding will also help states strengthen their home- and community-based services programs by investing in the home care workforce and other innovations to improve the delivery of care.
     
  • Provided new options to help people experiencing a behavioral health crisis. Thanks to the ARP, states can now receive enhanced Medicaid funding to establish mobile crisis intervention services teams to help provide services to Medicaid beneficiaries experiencing a behavioral health crisis.  This new option is a key component in the Administration’s strategy to address the Nation’s mental health crisis by ensuring that Medicaid beneficiaries experiencing a behavioral health crisis can get connected to the care they need.
     
  • Tackled the maternal health crisis. Medicaid covers more than 40 percent of births in the United States. Thanks to the ARP and the Vice President’s leadership, the Biden-Harris Administration partnered with Illinois, New Jersey, Virginia, and Louisiana to make sure new moms can keep their Medicaid coverage for a year after they deliver. Another 9 states are in the process of seeking CMS approval to expand postpartum coverage to their states as well. Based on HHS estimates, more than 83,000 beneficiaries across five states will benefit from this extended post-partum coverage during the critical first year after delivery.