Website will Feature a New Test-to-Treat Locator Tool to Help People Access the Over 2,000 Locations that Offer COVID-19 Tests and Antiviral Pills at One Convenient Location
Administration Continues to Urge Congress to Provide Funding Immediately to Help Keep These Life-Saving Protections Readily Available to All
Today, the Biden Administration is launching COVID.gov, a new 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 14 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 announced the Test-to-Treat initiative in his State of the Union address earlier this month. Since that time, the Administration has already launched over 2,000 of these sites, plus more than 240 sites across Veteran’s Health Administration and Department of Defense facilities to serve veterans, military personnel, and their families. As has been the case throughout the pandemic, the Administration is ensuring locations are established in our most hard-hit and high-risk communities.
Because of the lifesaving tools we now have, America is in a new moment in the pandemic. The country is moving forward safely and people are getting back to their more normal routines. To ensure we’re sustaining and building on this progress and protecting and preparing for new variants, earlier this month, the President released his National COVID-19 Preparedness Plan. The President was clear that in order to execute on this plan and to stay ahead of the virus, the Administration needs additional funding from Congress—including $22.5 billion in immediate emergency funds. To date, Congress has failed to provide those funds and the country is already suffering the consequences. In the last two weeks, the Administration has had to stop reimbursing health care providers for treating the uninsured, cancel monoclonal antibody orders and cut states’ supply, reduce orders of treatments for the immunocompromised, and pull the U.S. out of line for future vaccine and next-generation treatment purchases. These issues disproportionately impact our hardest-hit and highest-risk populations, including communities of color and individuals with disabilities. The Administration continues to urge Congress to act quickly, as the consequences will continue to get worse in the coming weeks.
Protecting the American people from COVID-19 now and into the future relies on affordable and accessible tools like vaccines, treatments, tests and high-quality masks. Through efforts like COVID.gov and Test-to-Treat, the Administration continues to take steps to make these tools even more readily available. Now, we need Congress to do its part and continue to fund the COVID-19 response.
Today’s announcements include:
Launch of COVID.gov, A New One-Stop-Shop Website Where Individuals Can Find Where to Access Vaccines, Tests, Treatments, and High-Quality Masks. Today, the Administration launched COVID.gov, a new website to help people access vaccines, tests, treatments, and high-quality masks. COVID.gov also provides people an easy way to find the level of COVID-19 in their community. Early last year, the Administration launched Vaccines.gov and an associated call line to help people locate and make appointments at vaccine sites near them. In January of this year, the Administration launched COVIDTests.gov where people could order tests and have them shipped to their homes for free. COVID.gov will allow individuals to access both of these services at one convenient, easy-to-use website. It will also offer information about where to find free high-quality masks and, for the first time, where to access COVID-19 treatments.
COVID.gov will be available in English, Spanish, and Simplified Chinese and is accessible for those using assistive technologies. The Administration is also making all of these COVID-19 tools available over the phone through the National Hotline at 1-800-232-0233 (TTY 1-888-720-7489), which supports over 150 languages. For individuals with disabilities who may need additional support, the Disability Information and Access Line (DIAL) is also available to help at 1-888-677-1199 or via email at [email protected].
New Locator Tool to Help Individuals Access the Over 2,000 Test-to-Treat Sites Across the Country. Today, as part of COVID.gov, the Administration launched a new Test-to-Treat locator tool to help the public access lifesaving drugs if they are sick with COVID-19. President Biden announced in his State of the Union address the creation of the Test-to-Treat initiative. This program creates one-stop-shop locations where people can get a COVID-19 test and receive an oral antiviral treatment, if appropriate for them because they test positive and face high risks from COVID. Since the launch earlier this month, there are now over 2,000 Test-to-Treat locations nationwide, including in pharmacy-based clinics, federally-qualified community health centers (FQHCs), and long-term care facilities. As has been the case since December, people can still be tested and treated by their own health care providers who can appropriately prescribe these oral antivirals at locations where they are being distributed, now more easily identified than ever by the Test to Treat locator.
Test-to-Treat Available for All Patients in Veteran’s Health Administration and Military Personnel and Their Families. Test-to-Treat is now available for all Veterans Affairs (VA) patients in VA clinics across the country. Linking patients who test positive with treatments that are appropriate for them is the standard of care in VA clinics. Each test done in the VA is linked to a care team, and accompanied by review, patient counseling, and consideration for treatment indication and eligibility. The VA also allows individuals with a positive home test result to have a virtual visit to connect with counseling and to receive oral medication if appropriate. VA sites have access to oral antiviral treatments for COVID-19, and treatment generally is provided on site or delivered via expedited mail. In addition, the Department of Defense (DoD) has made one-stop Test-to-Treat available at more than 60 DoD Medical Treatment Facilities (MTFs) across the country, with hundreds more primed to start operating soon. MTF patients across the country—including active duty service members and TRICARE beneficiaries—can access Test-to-Treat at facilities in their communities.
Hundreds of Test-to-Treat Locations in FQHCs and Indian Health Service Facilities Across the Country to Protect Hard-Hit and High-Risk Communities from COVID-19. Test-to-Treat locations also are available in more than 240 FQHCs and Indian Health Service (IHS) Facilities across the country, ensuring access to lifesaving treatments in some of our hardest-hit and highest-risk communities. The number of these locations will continue to grow in the coming weeks, as more and more FQHCs, Rural Health Clinics, and IHS locations come online with Test-to-Treat programs. These community providers will continue to serve as trusted messengers in raising awareness about the availability of lifesaving treatments, and also partner with community-based organizations to reach specific high-risk populations, including individuals with disabilities.
ARP powered historic jobs recovery – with the largest calendar increase in jobs on record, unemployment down to 3.8%, and record drops in Hispanic Unemployment and Youth Unemployment – and ensured less scarring than any recovery in memory.
With the focus on Ukraine’s desperate fight against Russia’s criminal war and President Joe Biden’s role in marshaling the free world in its defense, little attention is being paid to the Biden Administration’s domestic actions that are having real achievements. On the one-year anniversary of the American Rescue Plan, the White House highlighted the difference the ARP is making in ordinary people’s lives; – Karen Rubin/news-photos-features.com
Lowering Health Care Costs and Increasing Health Coverage
14.5 million Americans – the most ever – signed up for ACA marketplace plans due to, on average, 50% lower costs in premiumsfor returning consumers.
Nationwide, existing consumers with a new or updated plan selection after ARP saved an average of $67 (or 50%) per consumer per month on premiums, totaling $537 million per month in savings. In twenty states and the District of Columbia, existing consumers saved over $75 per month, on average, due to the ARP.
5.8 million more Americans have health insurance today than a year ago. Between 2016 and 2019, 3.6 million Americans lost coverage.
A family of four is saving an average of $2,400 on their annual premiums. Four out of five consumers could find quality coverage for under $10 a month.
Investing in Mental Health:
$3 billion invested in expanding access to mental health and substance use services at the state level –largest one-time investment in history for mental health and substance use programs.
Billions more in American Rescue Plan funding are being used to address mental health challenges affecting our children, including through hiring school social workers and counselors. With the help of American Rescue Plan K-12 funding, schools have already seen a 65% increase in social workers, and a 17% increase in counselors.
Fighting COVID
Distributed 200 million vaccines, and millions of therapeutics using ARP dollars.
375 million at-home tests per month now available; before ARP, no at-home tests.
$14.5 billion to address COVID for America’s veterans, including support for 37,000 homeless veterans.
Getting Kids Back in School
Today,99% of schools are open. Before ARP, only 46% of schools were open in-person.
Major Investments in Keeping Schools Open, Combatting Learning Loss & Addressing Mental Health Challenges: Independent experts estimate based on school district plans that 59% of school districts are using ARP funds to hire/retain teachers and counselors, 35% are using ARP funds to hire/retain psychologists and mental health staff, and 52% are using ARP funds for HVAC and ventilation.
A survey from the School Superintendents Association indicated 82% of superintendents plan to use funds to expand social, emotional, mental and physical health and development.
Supporting Working Families
Expanded Child Tax Credit for Working Families – Helping Deliver Record Lows in Child Poverty.
The 2021 CTC will reach a record nearly 40 million families with 65 million children.
Expanded $3,000 credit for kids age 6-17 and $3,600 for kids under 6
Experts estimate that the Child Tax Credit was the main driver in the American Rescue Plan bringing child poverty to record lows in 2021– including record low Black and Hispanic child poverty.
Economic Impact Payments for Vast Majority of Americans
Over 170 million Economic Impact Payments to 85% of all Americans – including an additional 19+ million payments to Social Security beneficiaries, 3 million payments to SSI beneficiaries, and 320,000 payments to Veterans who would not have received these benefits under normal tax filing requirements.
Ensured Kids didn’t go hungry in the summer
Estimated 30 million kids fed with first nationwide Summer supplemental nutrition program – more than 10x higher than 2019 summer meals for kids.
Unprecedented Emergency Rental Relief and Eviction Prevention
Over 4 million Emergency Rental Assistance payments to tenants in a single year – by orders of magnitude the largest eviction prevention effort in history.
Eviction filings at just 60% of historic averages in 5 months after CDC moratorium – even though some had projected an eviction tsunami.
More than doubled the amount of LIHEAP – the most ever going to help with Heating and Cooling Costs of well over 5 million households
Helping People Get Back to Work
Most One-Time Support for Childcare Providers Ever to Keep Them Open and Operating
150,000+ providers supported by childcare stabilization payments so far, the most support for childcare providers ever.
More than 5 million children served by these providers.
Expanded Earned Income Tax Credit for Workers
Tripled EITC for 17 million workers without dependent children from $540 to $1500 – first increase since 1993 – and extended the credit to younger & older workers.
Helping millions of front-line workers: This expansion will help nearly 1.8 million cashiers and retail salespeople; almost 1 million cooks and food prep workers; and more than 850,000 nurses and health aides, 500,000 janitors, 400,000 truck and delivery drivers, and 300,000 childcare workers.
Getting Americans Back to Work with State and Local Investments
Over half of states and scores of cities across the country have invested in workforcedevelopment, apprenticeships, training, and premium pay for essential workers – with premium pay to nearly 750,000 essential workers.
State and local governments added 467,000 jobs in 2021– best year since 2001.
Staying True to Our Veterans:
ARP provided resources for veterans currently receiving housing support, including an estimated37,000 homeless veterans.
ARP cancelled health care copayment charges for 2.5 million veteransduring the pandemic – worth $1 billion.
ARP Child Tax Credit expansion meant that roughly 5 million children in veteran and Active Duty families are receiving the credit for 2021, per CBPP estimates.
ARP invested in 16,000 veterans’ health care with ARP funds for 158 State Veterans Homes operations and for State Veterans Home renovations and capital projects.
ARP funding is enabling the Veterans Benefits Administration toreduce the claims backlog from 212,000 in March 2021 to 100,000 by September 2022.
Rescuing and Transforming Our Communities:
Dozens of cities and 21 states have already committed ARP Fiscal Recovery Funds to public safety, including critical investments in gun crime prevention – hiring and retaining police officers for community policing and investing in critical technology to take on increases in gun and other violent crimes, and supporting evidence-based community violence interventions and summer youth employment.
State and local, Education and HUD investments in affordable housing and fighting homelessness:
ARP Department of Education program to provide services and enable full attendance for students experiencing homelessness will reach1.5 million children.
ARP added about 70,000 emergency vouchers to the rental market through HUD.
ARP funded new housing counseling program which is expected to provide 80,000 housing counseling sessions.
Roughly half of cities and states are investing some portion of their State and Local Funds in housing assistance and investments – from New Jersey’s $750 million eviction prevention and utilities program to Austin and Travis County’s $200 million ARP investment in a comprehensive plan to take on its homelessness crisis.
Broadband Investments underway across the country:20 states have already invested Fiscal Recovery Funds to expand broadband access – in addition to $10 billion Capital Projects Fund which they can use to help ensure that all communities have access to high quality modern infrastructure needed to access critical services, including broadband.
Even with more on the way, states and territories have already announced about $9 billion in ARP investments to expand high speed internet access.
Long-needed investments in clean water: with21 states already committing Fiscal Recovery Funds to improve water and sewer infrastructure, including removing lead pipes.
Even with more on the way, states and territories have already announced investing $7.5 billion in ARP funds for water and sewer improvements.
Providing Permanent Tax Relief for Puerto Rico Families
Made hundreds of thousands of families in Puerto Rico eligible for CTC for first time – previously ~90% of families excluded from CTC.
First-ever Federal Support for Puerto Rico’s EITC, more than tripling workers’ benefits.
Most support ever for Tribal Communities
$32 billion to Tribal communities and Native people, the largest in assistance to tribal governments in history.
FACT SHEET: How The American Rescue Plan Is Keeping America’s Schools Open Safely, Combating Learning Loss, And Addressing Student Mental Health
On March 11, 2021 – one year ago – President Biden signed the American Rescue Plan (ARP) Act into law, an unprecedented $1.9 trillion package of emergency assistance measures. The ARP provides a historic investment in America’s preschool through twelfth grade (P-12) schools in response to the COVID-19 pandemic to keep schools safely open, tackle learning loss and mental health. These funds include $122 billion for P-12 schools in Elementary and Secondary School Emergency Relief (ARP ESSER) funds. ARP also dedicated an additional $8 billion to states and school districts to meet the needs of certain student populations, including over $3 billion for students with disabilities and $800 million for children and youth experiencing homelessness.
ARP has already had a significant impact on schools across the country: over the last year, states, school districts, and schools have used these funds to safely reopen and sustain in-person instruction, combat learning loss, and address students’ mental health needs.
In his State of the Union address last week, President Biden called on schools to hire more teachers, urged the American people to sign up to be tutors and mentors, and – as part of his unity agenda – encouraged the country to come together to address child mental health. ARP ESSER funds are supporting this agenda in several ways:
Schools have gone from 46% open before ARP to 99% safe and open today: Before ARP was signed into law, just 46 percent of America’s P-12 schools were open for full-time, in-person learning. Today, over 99 percent of P-12 schools are open for full-time, in-person instruction.
ARP led to record growth in local education jobs that are critical to meeting students’ academic and mental health needs: Although there is more work to do to address longstanding educator shortages and return to pre-pandemic levels, ARP has led to record jobs growth in the education sector. With the help of ARP ESSER funding, local governments added more than 279,000 education jobs in 2021 – the best calendar year of jobs growth since records began in 1956 – and added an additional nearly 46,000 jobs in the first two months of 2022. Schools have already seen a 65% increase in social workers and a 17% increase in counselors relative to before the pandemic.
Analysis of school district plans shows overwhelming majority of funds are being used for priorities like teachers, counselors, academic recovery, mental health, and health and safety measures like ventilation improvements: FutureEd – an education think tank at Georgetown University’s McCourt School of Public Policy – analyzed data on a representative sample of over 3,000 school districts’ plans covering 55% of ARP ESSER funds. This analysis showed:
Nearly 60% of funds are being used to:
invest in staffing – both retaining current staff and expanding professional development opportunities, as well as recruiting, hiring and training of new teachers, school staff and mental health professionals to increase school capacity and meet the academic and mental health needs of students;
combat learning loss through student support programs such as evidence-based tutoring, expanded after-school and summer learning and enrichment programs, and the purchase of millions of new textbooks and learning materials; and
supporting the physical and mental health of students and educators.
Another 24% is being invested in keeping schools operating safely, including providing PPE and updating school facilities to support health and safety. This includes investments in lead abatement and an estimated nearly $10 billion for improvements to HVAC and ventilation.
ARP has fueled investments in education spending and accelerated the rate of spending of education relief funds by five to six times: Before the passage of ARP, states and school districts were spending a total of a little more than $500 million per month of federal emergency relief funds for education. Since the passage of the ARP and the assurance to states and school districts that critical funds were on their way, the monthly rate of spending of ESSER funds from ARP and earlier relief legislation has accelerated to more than $3 billion per month – an increase of five to six times.
All 50 states submitted clear spending plans that have been approved by the U.S. Department of Education: On March 24, less than two weeks after ARP was signed, two-thirds of funds – $81 billion – were released. To ensure funds would be used effectively, states had to submit and receive approval on their spending plan to receive their final third of funds. As of December 2021, every state, plus DC and Puerto Rico, submitted a plan, the U.S. Department of Education has approved all plans, and all $122 billion in ARP ESSER funds have been made available to states.
Survey of 600 school superintendents shows school leaders are meeting the challenge of the President’s unity agenda by using funds for students’ mental health and other developmental needs: The COVID-19 pandemic has subjected many young Americans to social isolation, loss of routines, and traumatic grief – increasing the need for mental health supports. A recent survey by AASA, The School Superintendents Association, found that 82% of districts plan to use funds to address this need by expanding supports for social, emotional, mental, and physical health and development.
States and school districts have deployed funds strategically while engaging meaningfully with their communities – including parents: In developing their spending plans, states and school districts were required to engage members of the community, including parents, educators, students, representatives of students with disabilities and others. The U.S. Department of Education continues to encourage states and school districts to consult with these critical partners on how to ensure these funds have the most impact in classrooms.
ARP ESSER-Funded State and District Activities From the U.S. Department of Education
Safely Reopening Schools and Sustaining Safe Operations Safely reopening schools and keeping them open safely are essential for student learning and well-being.
Houston Independent School District (HISD) in Texas has allocated ARP ESSER funds to campuses for COVID-19 mitigation efforts. HISD has provided COVID-19 testing at 90 percent of its campuses and has hosted nearly 100 vaccine clinics.
The DeKalb County School District in Georgia upgraded air filters from MERV 8 to MERV 13 in every school facility that could accommodate that size filter and took steps to improve ventilation in all other schools using ARP ESSER funding.
White Plains City School District in New York will use a combination of local and federal funds to replace the HVAC units across their district to provide a safer learning environment for students and staff. Upon completion, the total project will cost $26.3 million, with nearly one-third of the funding coming from relief funds, including ARP ESSER.
Combating Learning Loss States and school districts have the resources they need, and are required to address the impacts of the pandemic on students’ learning. States and districts nationwide are using funds to hire teachers and other instructional staff, launch tutoring, summer and afterschool programs (which states are required to fund), and make long-overdue investments in instructional materials. States are specifically required to address the needs of students disproportionately impacted by the pandemic, including students with disabilities, English learners, and students experiencing homelessness.
Recruiting, Retaining, and Expanding Professional Development of Staff:
Maine School Administrative District 11 is addressing gaps in learning opportunities by using ARP ESSER funds to hire nine new teachers and implement a new math, language arts, and social studies program. The additional teachers permitted the district to reduce class sizes from 22-24 students to an average of 14-16 students. The district has provided external and internal coaching, ongoing professional learning, and additional support to educators and staff.
Gaston County Schools in North Carolina is adding an additional teacher and a temporary employee per school to decrease class sizes, help manage workloads and provide classroom coverage in each of its 54 schools using ARP ESSER funding. This supports and helps retain current teachers, who are less likely to have to give up planning time to cover another classroom, or combine classrooms, and also benefits students whose learning is less likely to be disrupted by the absence of another teacher.
The Asheville City Schools Board of Education in North Carolina is using ARP ESSER funds for a bonus of $3,000 to $3,500 over the course of the year for full-time teachers and faculty in order to increase staff retention.
Providence Public School District in Rhode Island is launching new incentives to recruit and retain highly-qualified educators, including early signing bonuses for newly-hired educators and support staff in hard-to-fill positions using ARP ESSER funding.
Summer Learning and Enrichment:
In New Mexico, the College and Career Readiness Bureau of the New Mexico Public Education Department launched the Summer Enrichment Internship Program in 2021 using ARP ESSER funding. The program covers the cost of summer internships for New Mexico high school students and provides high school students, particularly those most impacted by the pandemic, with the opportunity to participate in high-quality internships in government agencies, including county, tribal, and municipal placements. Over 300 community partners and 1,200 student interns participated across 26 counties. Summer jobs programs like these that engage students are also important community violence intervention strategies. This program will continue in the summer of 2022 as well.
Cleveland Metropolitan School District in Ohio used ARP ESSER funds to increase summer learning participation seven-fold. In 2021, 8,400 students participated in summer school, compared to 1,000-1,200 students in previous years. Focused on “Finish, Enrich, and Engage,” the expanded summer school offered 12 weeks of programming that allowed for credit accumulation and unfinished learning. Students engaged in problem-based learning units in the morning with engagement activities like clubs and sports in the afternoon. This inclusive programming, which included students with disabilities and multilingual learners, will continue in summer 2022.
The Oklahoma State Department of Education is using ARP ESSER funds to implement evidence-based summer learning and enrichment programs and to expand afterschool programming through partnerships with community organizations. They provide for social, emotional, and academic support and access to technology. This initial investment of $6 million provided services through 28 organizations, at 140 sites, serving an average 11,000 students a month through the summer of 2021.
Tutoring:
The Arkansas Division of Elementary and Secondary Education has established the Arkansas Tutoring Corps using ARP ESSER funding. The Arkansas Tutoring Corps program includes recruitment, preparation, and support for candidates to become qualified tutors to provide instruction or intervention to meet the academic needs of students most impacted by lost instructional time. A system connects prepared candidates with organizations seeking to support students’ academic needs. The program is already enhancing learning experiences of students due to loss of instructional time and addressing gaps in foundational skills in mathematics and literacy.
Meeting Students’ Social, Emotional, and Mental Health Needs Districts and states must use a portion of ARP ESSER funds for evidence-based interventions that respond to students’ social, and emotional needs – such as the ability to collaborate with others or persist through difficult challenges – and to support students’ mental health. Districts must specifically address the impact of the pandemic on groups of students that were disproportionately impacted.
Hiring Counselors and Increasing Supports:
The Kansas Department of Education has developed a Grow Your Own Counselor model with ARP ESSER funding that encourages districts to identify candidates and employ them as student services coordinators while they develop their skills in an approved school counseling graduate program.
The Nevada Department of Education has allocated $7.5 million to support districts in hiring 100 additional school based mental health professionals. Using ARP ESSER funding, the state is spending $1.7 million to hire a Multi-Tiered Systems of Support coach for every district.
Plymouth-Canton Community Schools in Michigan hired three full-time high school counseling staff to decrease counselor caseloads with ARP ESSER funding. Counselors are now able to dedicate more time to individual student meetings, attend meetings with assistant principals and deans to review academic progress and other needs of students, and develop a wellness center at each campus.
Community Schools:
The New York City Department of Education announced an investment of $10 million to expand the district’s research-based community schools initiative from 266 to 406 sites citywide using ARP ESSER funding. These schools provide integrated student support services to students and the surrounding community, such as mental health care, adult education courses, community violence intervention programs, and nutrition support.
Strengthening the Educator Workforce The pandemic has taken a toll on the nation’s educators as well as its students. States and districts should support and stabilize the educator workforce and make staffing decisions that will help address students’ social, emotional, mental health, and academic needs.
The Tennessee Department of Education has created a “Grow Your Own” grant with federal funding, including ARP ESSER, that is designed to foster partnerships between educator preparation programs (EPPs) and districts to provide promising and innovative, no-cost pathways to the teaching profession by increasing EPP enrollment and growing the supply of qualified teachers. The program is currently comprised of 65 partnerships between 14 EPPs and 63 districts across the state – enabling over 650 future educators to become a Tennessee teacher for free. $6.5 million has been allocated to this program thus far. Tennessee also pioneered a pathway with the U.S. Department of Labor by establishing the nation’s first registered apprenticeship program for teachers, which will help sustain the state’s Grow Your Own programs and partnerships leveraging federal apprenticeship funding.
Our country needed an emergency response that was worthy of the crisis we faced. A response that would leave no stone unturned, that would leverage the full force of the federal government, the innovation of the private sector, and the determination of the American people. On President Biden’s first full day in office, he released the first-ever comprehensive National Strategy for the COVID-19 Response. This strategy focused on building a response to this virus that would give people the tools they needed to protect themselves, reopen our schools, and get our economy moving again.
The U.S. government has spent the last year executing on that strategy. To get this country moving in the right direction, we worked hand-in-hand with doctors, nurses, businesses, unions, community organizations, governors, mayors, and citizens across every state, Tribe, and territory.
As a result, today, 215 million people are fully vaccinated and two-thirds of eligible adults have gotten their booster shot. We have multiple treatment options, including life-saving pills, and continue to fill the nation’s medicine cabinet. Testing capacity has dramatically increased and we have plenty of free, high-quality masks available to the American people. Schools are open and the economy is experiencing the fastest economic growth in four decades.
America must maintain the tools – vaccines, boosters, treatments, tests, and masks – to protect against COVID-19 and dramatically decrease the risk of the most severe outcomes. We must be prepared to respond to a new variant quickly and keep our schools and businesses open.
Today, the U.S. government is releasing an update to our National Strategy – the National COVID-19 Preparedness Plan – which will help move America forward safely. This plan lays out the roadmap to help us fight COVID-19 in the future as we move America from crisis to a time when COVID-19 does not disrupt our daily lives and is something we prevent, protect against, and treat. We look to a future when Americans no longer fear lockdowns, shutdowns, and our kids not going to school. It’s a future when the country relies on the powerful layers of protection we have built and invests in the next generation of tools to stay ahead of this virus.
The National COVID-19 Preparedness Plan is clear-eyed that new variants might arise. And with the support of Congress, it outlines a plan to ensure that vaccines, tests, and treatments can be updated and deployed quickly to protect against a new variant.
Make no mistake, President Biden will not accept just “living with COVID” any more than we accept “living with” cancer, Alzheimer’s, or AIDS. We will continue our work to stop the spread of the virus, blunt its impact on those who get infected, and deploy new treatments to dramatically reduce the occurrence of severe COVID-19 disease and deaths.
We are not going to just “live with COVID.” Because of our work, we are no longer going to let COVID-19 dictate how we live.
To fully execute on this plan requires Congress doing its part to invest in tools that work. Additional funding will be necessary to provide critical treatments like pills and monoclonal antibodies; to make further investments to shore up America’s testing supply; to provide resources that guard against and prepare for new variants; and to continue to fight this virus abroad. Without these investments, many of the activities described below cannot be initiated or sustained.
America has made strong progress in our fight against the COVID-19 pandemic. Congress providing the resources needed to execute this plan will be critical to getting America back to our normal routines while protecting people from COVID-19, preparing for new variants, and preventing economic and educational shutdowns. Because of our work over the last two years, we can begin to move forward safely.
The President’s National COVID-19 Preparedness Plan focuses on four key goals:
Protect against and treat COVID-19
Prepare for new variants
Prevent economic and educational shutdowns
Continue to lead the effort to vaccinate the world and save lives
1: Protect against and treat COVID-19
The United States has experienced five waves of the pandemic since 2020, including three in the past year that were driven by new variants. America experienced a wave of COVID-19 cases driven by the Alpha variant in early Spring 2021 – a time when the U.S. vaccination program was administering a record number of vaccines every day. The Delta variant, which was more than twice as contagious as the original coronavirus strain, then swept across the country starting in Summer 2021, beginning in the South and spreading to the Midwest and Rocky Mountain regions.
Omicron represented another step in the virus’s evolution, and has been one of the most contagious viruses in history, causing record numbers of infections around the world over the past three months. However, because of both lower severity of the Omicron variant and a stronger level of population immunity from vaccinations, Omicron has caused relatively fewer cases of severe COVID-19. Compared to prior waves of COVID-19 in the United States, the Omicron wave has had a lower proportion of cases resulting in hospitalization or death.
America has weathered the current Omicron wave with minimal disruption – schools and businesses largely remained open. As the country emerges from the Omicron wave,our path forward relies on maintaining and continually enhancing the numerous tools we now have to protect ourselves and our loved ones – from vaccines, to tests, to treatments, to masks, and more.
In January 2021, Americans had very few tools to protect against COVID-19, and the tools we did have were in limited supply. Over the last year, together, with states, localities, and public and private partners, the Administration has mobilized an unprecedented, whole-of-society effort to give Americans the tools they need to protect themselves.
The Administration has put vaccines at the center of our COVID-19 response because vaccines are the best tool we have to prevent hospitalization and death. We stood up the largest free vaccination program in our country’s history – mobilizing 90,000 vaccination locations, standing up dozens of federally-run mass vaccination sites with the ability to administer more than a combined 125,000 shots a day, and deploying over 9,000 federal personnel to support vaccinations nationwide – including over 5,000 active duty troops.
The Administration has also expedited the development, manufacturing, and procurement of COVID-19 treatments, building a diverse medicine cabinet filled with more treatments now than at any point in the pandemic. Today about 4 million treatment courses are available to Americans, with 1 million additional courses of the Pfizer antiviral available in March, and another 2.5 million additional courses of the Pfizer antiviral available in April. In total, we have secured 20 million courses of Pfizer’s life-saving antiviral pills, which have been shown to reduce the risk of hospitalization or death by 89%.
The nation’s testing supply has increased dramatically. We now have free testing sites at 21,500 locations around the country. In January 2021, there were no rapid, at-home tests on the market available to Americans; during January 2022, there were more than 480 million at-home tests available to Americans on top of all other testing options. And we stood up COVIDtests.gov so Americans could order tests that shipped directly to their homes — for free. Private insurance and Medicaid now cover rapid at-home tests for free, and Medicare will fully cover these at-home tests starting this spring.
The path forward in the fight against COVID-19 is clear: we must maintain and continually enhance the tools we have to protect against and treat COVID-19. The Administration looks forward to working with Congress to ensure that we have the resources to do just that.
Because we have these tools, we can begin to get back to our more normal routines safely and the use of public health mitigation measures like masking can be less frequent. The Centers for Disease Control and Prevention (CDC) has updated its framework for recommendations on preventive measures like masking, so masks are recommended when and where they matter the most and Americans will be wearing masks less often.
Make no mistake, as America moves forward we will leave no one behind. Equity will remain at the very center of our path forward in the fight against COVID-19. And we will be there to support Americans with the long-term impacts of COVID-19, including people experiencing Long COVID or mental and behavioral health challenges; as well as families suffering from the tragedy of losing someone they loved.
Launch an effort to vaccinate America’s youngest children as soon as the U.S. Food and Drug Administration (FDA) authorizes and the CDC recommends a vaccine for that age group. If the FDA authorizes and the CDC recommends a vaccine for children under five years of age, the United States is prepared to immediately distribute vaccines through a network of thousands of pediatricians’ offices, children’s hospitals, health centers, and local sites, so that vaccines are made available conveniently to families across the country.
Ensure that Americans – of all ages – can get the protection of an effective vaccine. The Administration will continue to ensure that all Americans have ready access to free and safe vaccines, because vaccines are the most effective defense against COVID-19. The U.S. Department of Health and Human Services (HHS) will also continue to monitor the efficacy and durability of currently authorized vaccines against current and future variants and make recommendations to optimize protection.
Increase American manufacturing capacity to reliably produce an additional 1 billion vaccine doses per year – three times the U.S. population – and accelerate research and development of a single COVID vaccine that protects against SARS-CoV-2 and all its variants, as well as previous SARS-origin viruses. To ensure that people stay protected, the U.S. government will continue to use advance purchasing agreements when appropriate and work closely with vaccine manufacturers to produce shots quickly and safely. Fully supporting this effort to scale up domestic vaccine manufacturing will require additional resources from Congress. Additionally, we will maintain a network of tens of thousands of sites to deliver shots to the American people at any time this effort is needed.
Continue vaccination outreach and education efforts and combat misinformation and disinformation. HHS will continue its work to equip Americans with the tools to identify misinformation and to invest in longer-term efforts to build resilience against health misinformation.
Update the framework for recommendations on preventive measures like masking to reflect the current state of the disease. Masks have been a critical tool to protect ourselves, but they have a time and a place. With a broad range of other protective tools in place, the CDC has announced an updated framework for guidance on preventive measures like masking – moving away from simply basing broad recommendations on case counts and test positivity, and instead encouraging prevention measures like masking when they are most needed to minimize severe disease and to keep our hospitals from becoming overwhelmed in times when COVID-19 is surging. By monitoring community risk, masks can be worn when the risk of severe disease in the community is high and taken off when the risk is low. Overall, it means Americans will be wearing masks less because so many people are protected from severe disease.
Launch a one-stop-shop website that allows Americans to easily find public health guidance based on the COVID-19 risk in their local area and access tools to protect themselves. The Administration will launch a website where Americans can find the level of COVID-19 risk in their community and specific guidance based on that risk. The site will also point people to the tools we now have to fight COVID-19, such as locating a vaccination site in their neighborhood or finding a free high-quality mask at a local grocery store or pharmacy.
Sustain and increase American manufacturing of COVID-19 tests, so we can continue to have a robust supply of tests. The Administration will continue to use the expedited authorization process to help test manufacturers get tests to market quickly; maintain America’s network of thousands of free testing sites; use the Defense Production Act (DPA) and other authorities, where warranted, to increase manufacturing capacity; and invest in innovation to make tests less expensive. These continued investments in testing will require additional funding from Congress.
Prioritize protections for immunocompromised people and take new actions to protect individuals with disabilities and older adults. The Administration will continue to provide strong support for the immunocompromised, including providing prioritized access to treatments and preventive interventions – pending additional funding from Congress – as well as ensuring access to boosters. The Administration will also increase equitable access to testing and COVID-19 mitigation resources for people with disabilities and older adults, and engage industry to accelerate research and development of accessible self-tests. Securing sufficient preventive treatments for people who are immunocompromised will require additional funding from Congress.
Help Americans with the long-term impacts of COVID-19. In recognition of the wide-reaching long-term impacts of COVID-19 on our society, the President will direct the U.S. government toaccelerate efforts to detect, prevent, and treat Long COVID; coordinate efforts to provide support to families who have experienced the COVID-related loss of a loved one; and attend to the mental health and well-being of our communities. The Administration will also propose to make new investments in health care workers to support their mental health and well-being.
Ensure equitable access to COVID-19 health care and public health resources. The Administration will continue to prioritize providing equitable access to COVID-19 health care and public health resources – including personal protective equipment (PPE), tests, treatments, masks, and vaccines; and address COVID-related health inequities among communities defined by race, ethnicity, geography, disability, sexual orientation, gender identity, and other factors. The U.S. government will support dedicated resources for local community-based organizations, community health centers, and rural health clinics.
2. Prepare for new variants
As we work to keep ourselves protected against COVID-19, America must remain prepared for any new variant that may come our way. To do so, the Administration has developed a comprehensive plan for how we monitor this virus to stay ahead of it, adapt our tools swiftly to combat a new variant, and deploy emergency resources to help communities.
Before January 2021, the federal government had insufficient data and sequencing capabilities and was ill-equipped to respond to new variants. Electronic case reporting was in place for only a handful of states in 2020 and the country could sequence only 3,000 viral isolates per week. America had no plan for responding to a new variant or standing up comprehensive efforts to respond to a surge in COVID-19 cases.
Moving forward, the Administration will maintain our proven data, sequencing, variant response, and surge response capabilities. The CDC will continue to improve COVID-19 data collection, reporting, and analysis so America is better informed and ready to respond to new variants. And if new variants emerge, the federal government will leverage established playbooks to assess a new variant’s impact on our vaccines, treatments, and tests, and rapidly deploy the tools, personnel, and resources Americans need. America will also retain a significant stockpile of tools to combat COVID-19 that remain ready for deployment.
The Administration will work with Congress to secure the necessary funding to:
Improve our data collection, sequencing, and wastewater surveillance capabilities to immediately identify and detect new and emerging variants; and strengthen pandemic preparedness. The U.S. government willcontinue improvements to COVID-19 disease and vaccination data collection, wastewater surveillance, and virus sequencing capacity so we are better prepared to respond rapidly to emerging threats. This includes strengthening data infrastructure and interoperability so that more jurisdictions can link case surveillance and hospital data to vaccine data. The Administration is also leveraging COVID-19 response capabilities into stronger pandemic preparedness.
Leverage a COVID-19 Variant Playbook to determine the impact of a new variant on our vaccines, treatments, and tests, and shore up and update our tools, if needed. The Administration has developed a variant playbook to assess the disease severity and transmissibility of a new variant immediately, and to expedite the rapid laboratory evaluation of the effectiveness of vaccines, tests, and treatments against any variant. The U.S. governmenthas also developed a series of plans in coordination with manufacturers for the accelerated development, approval, manufacturing, and delivery of updated vaccines, tests, and treatments. These expedited plans and processes suggest that updated vaccines can be deployed in 100 days instead of many months or years.
Support new FDA processes to expedite regulatory review of variant-specific versions of vaccines and treatments, so Americans can get them quickly if needed. FDA has developed new approaches to accelerate the authorization of a vaccine or treatment that targets any new variant while maintaining strict and longstanding practices to ensure the safety and efficacy of the products.
Leverage a proven COVID-19 Surge Response Playbook. The Administration has developed acomprehensive emergency response COVID-19 surge playbook to stand up mass vaccination and testing sites, expedite deployments of surge medical and emergency personnel, expand hospitals and emergency facilities, and provide emergency supplies.
Add at-home tests, antiviral pills, and masks for the general population to America’s stockpile for the first time. America will stockpile new categories of supplies including at-home tests, antiviral pills, and masks for the general population for the first time. The Administration will also maintain a fully stocked Strategic National Stockpile (SNS) with an inventory of masks, ventilators, gloves, gowns, and hospital equipment. The U.S. government will be ready to deploy supplies to the American people to ensure adequate supply in times of surges, COVID-19 outbreaks, or new variants.
The U.S. government has established a permanent logistics and operational hub at HHS to ensure accelerated development, production, and delivery of COVID-19 vaccines and treatments. The Administration has transitionedan emergency logistics and operational organization into a permanent agency structure at HHS, which has allowed the Administration to build on its progress, retain expertise and skills, and continue providing the necessary tools to the American people during this pandemic and for any future disease outbreaks.
3. Prevent economic and educational shutdowns
Our path forward relies on giving schools and businesses the tools they need to prevent economic and educational shutdowns, so that our students can remain safe in school, our workers can be safe at work, and our economy can continue to grow.
At the beginning of last year, America was experiencing widespread school and business shutdowns: only 46% of K-12 schools were open for in-person learning, and millions of businesses had closed and tens of millions of Americans had lost their jobs in 2020. Throughout the last year, the Administration worked to provide schools, child care providers, and businesses with the necessary tools and resources to safely open, while keeping our children, students, and workers safe.
The Administration provided a historic investment of $130 billion from the American Rescue Plan to reopen schools by improving school ventilation, accessing tests, and hiring more teachers, nurses, and staff. To protect workers and keep our businesses open, the Administration launched the largest vaccination campaign in history – working hand-in-hand with the business community; and requiring vaccinations where we could, including for federal workers.
Today, about 99% of K-12 schools are open for in-person learning. And since President Biden took office, there has been historic job growth. The U.S. economy created 6.6 million jobs in 2021 – the strongest job growth of any year on record – and grew 5.7% in 2021, the fastest pace of economic growth in nearly four decades. The U.S. was also the first major economy to exceed its pre-pandemic economic output.
The path forward in the fight against COVID-19 is clear: schools, workers, and workplaces have resources and guidance to prevent shutdowns.
The Administration will work with Congress to secure the necessary funding to:
Give schools and businesses guidance, tests, and supplies to stay open, including tools to improve ventilation and air filtration. The U.S. government will also provide a Clean Air in Buildings Checklist that all buildings can use to improve indoor ventilation and air filtration and will encourage uptake of ventilation improvements. The Administration will also provide technical assistance that encourages schools, public buildings, and state, local, and Tribal governments to make ventilation improvements and upgrades using American Rescue Plan funds.
Update guidance for employers to ensure safer workplaces. The Department of Labor’s Occupational Safety and Health Administration (OSHA) will update workplace guidance to better equip employers with the tools they need to ensure safe workplaces, including guidance on how employers can continue to support increased vaccination and boosting of their employees; support workers such as people who are immunocompromised who choose to wear high-quality masks; limit workplace-based infections; and enhance ventilation.
Engage early care and education providers to help them remain safely open and help parents return to work with peace of mind. Early care and education providers, including child care centers, family child care providers, pre-K and more, have been essential in our fight against COVID-19. The Administration invested $40 billion in American Rescue Plan funds to states, territories, and Tribes to help child care providers and Head Start grantees keep their doors open and provide safe care that is crucial for parents getting back to work. Building on this funding, the Administration will continue to engage the community of early care and education providers to ensure they have tools and support to stay safely open and to continue supporting our families.
With the vast majority of federal workers at their workplaces, substantially expand levels of services at public-facing federal offices (like local Social Security offices). COVID-19 no longer needs to dictate how we work.Federal agencies will lead by example, increasing the hours public-facing federal offices are open for in-person appointments and in-person interactions in the month of April.
4. Continue to lead the effort to vaccinate the world and save lives
Fighting this virus abroad is key to America’s effort to protect people and stay ahead of new variants. To do so, we will continue to lead in providing vaccines to the world, helping to get those vaccines into arms, and deploying emergency supplies to countries experiencing surges in COVID-19. We will also continue to advance sustainable capacity and financing for health security to fight COVID-19 variants.
In addition, the U.S. government has delivered life-saving resources like oxygen, treatments, PPE, and other essential supplies worth more than $1 billion to countries experiencing outbreaks. U.S. government public health experts from the CDC, U.S. Agency for International Development (USAID), the U.S. Department of State (State), HHS and the President’s Emergency Plan for AIDS Relief (PEPFAR) and other entities are working side-by-side with on-the-ground providers, providing technical assistance in vaccine program implementation, care provision, and outbreak investigation. We have increased the world’s capacity to manufacture vaccines and have fostered an enabling environment for innovation, including by spurring African manufacturing.
Over the last year, the Biden Administration pioneered the model to donate and deliver surplus vaccines to the rest of the world. America was the first country to announce a purchase of doses solely for donation to other countries; the first country to give up our place in line for vaccines – allowing the African Union to immediately start receiving up to 110 million doses of Moderna at a reduced rate negotiated by the United States; and the first country to negotiate a deal to send vaccines directly to humanitarian settings and conflict zones to vaccinate displaced persons.
The path forward in the pandemic will require doubling down on our commitment to help vaccinate the globe and to save lives by making tests, treatments, and PPE widely available.
The Administration will work with Congress to secure the necessary funding to:
Leverage the vaccine donation model America pioneered to deliver the 1.2 billion doses we committed to donate to the rest of the world. America will continue todeliver the 1.2 billion doses we committed to donate to countries in need, continuing to leverage the partnerships the U.S. government built to donate and deliver vaccines to the rest of the world.
Increase efforts to get shots in arms around the world. The U.S. government will increase investment in the Initiative for Global Vaccine Access (Global VAX), an ambitious global vaccination initiative to get doses into arms by working with partner countries to more quickly implement their plans. This includes supporting efforts such as jumpstarting communications campaigns, providing and supporting vaccinators on the front lines, purchasing cold chain supplies and syringes, paying for shipping and logistics to expedite vaccine delivery to hard-to-reach areas, ensuring people at high risk of hospitalization and deaths like the elderly and immunocompromised are vaccinated, and building vaccine confidence on the ground. Expanded global shots-in-arms efforts will require additional funding from Congress.
Save lives by solving the oxygen crisis and making emergency supplies widely available. The U.S. government will make oxygen and PPE available; enhance testing; provide treatments; strengthen global health systems to fight COVID-19; protect health workers from COVID-19 and essential health services from COVID-19 disruptions; improve detection, monitoring and mitigation of new COVID-19 variants; and increase regional and local manufacturing of countermeasures. These continued investments will require additional funding from Congress.
Continue global leadership on the COVID-19 responseand build better health security for the future. The U.S. government will continue to work to build better capacity to fight COVID-19, manage future variants, and advance health security and preparedness for future pandemics. America is committed to establishing a new health security financial intermediary fund at the World Bank in 2022, and we call on all countries and public and private organizations to commit to urgent action to assist in the global COVID-19 response.
The White House detailed the consequences of Congress failing to fund efforts to combat COVID-19. Republicans have continually politicized what is a public health crisis, prolonging the epidemic and exacerbating the worst consequences – on health, life, hospitals and medical workers as well as the economy. Now Republicans are even promising to revoke the Affordable Care Act (Obamacare) if they take control of Congress, as they had tried over 60 times before. It is as if they are prolonging the misery in order to have something to attack President Joe Biden and Democrats, when Biden’s historic efforts to test, vaccinate and treat the country (free), have saved a million lives. Now the country is first beginning to address the effects of long-COVID that will affect untold millions.
In a press call, a senior administration official stated, “Our scientific and medical experts have been clear that in the next couple of months we could see COVID cases increase here in the U.S., just as we’re seeing cases rising abroad right now. That’s why we remain laser-focused on fighting COVID and preparing for the future.
The President has laid out a comprehensive National COVID-19 Preparedness Plan to continue the progress we’ve made and to ensure we keep the country moving forward safely.
We asked for immediate funding needed to start to implement that plan.
In fact, for months, we’ve made clear to Congress, on a bipartisan basis, that the funding for tests, treatments, and vaccines was drying up and that additional funds would be needed.
In January, we notified the Hill that funding would be needed after the Omicron surge. In February, we briefed appropriators and authorizers about the status of funds and the consequences if there were no additional funds.
We sent a formal request of $22.5 billion to the Hill, again being clear of what we could not do without more funding.
The President called for additional funding in his State of the Union address; outlined in a 96-page plan, made clear that more funding is needed.
And our team has held more than two dozen calls and meetings with members of Congress about this emergency funding request.
We have been clear: We hoped Congress would provide these resources, as lawmakers have done multiple times on a bipartisan basis under the prior administration.
Further inaction will set us back; leave us unprepared — less prepared; and cost us more lives.
We need Congress to provide the $22.5 billion in emergency immediate funding.
Now, let me walk through some of the immediate consequences of a lack of funding.
First, on vaccines: Without additional funding, we do not have the adequate resources to purchase enough booster shots for all Americans if an additional shot is needed.
Keep in mind, when Congress passed the supplemental bill in December of 2020 and the American Rescue Plan, the mRNA vaccines were envisioned as a two-shot vaccine. We’ve now administered nearly 100 million booster shots, and four shots are now recommended and available for immunocompromised people.
To ensure enough fourth doses for all Americans or a variant-specific vaccine should we ever need them, we must have funding in hand.
Vaccines are our most effective tool. We cannot be caught without the ability to move quickly to get more of the most effective vaccines available as soon as we are able.
Next, on treatments: To date, we have shipped over 7 million courses of treatments to the American people. And in many cases, we have sent federal medical personnel to states to help administer those treatments. When Omicron hit, the federal government stepped in to ramp up delivery of the last remaining treatment that worked.
These efforts have saved lives in every state in the country.
We have planned — we had planned to purchase additional monoclonals as soon as next week. Without additional funding, we are cancelling those plans. And as we will make clear to governors later this morning, we also need to cut the number of monoclonal antibody treatments we send to states by 30 percent starting next week.
Even with these cuts, we anticipate that our supply of monoclonal antibody treatments will run out as soon as late May.
Next, on the preventative treatments for immunocompromised Americans: We have purchased 1.7 million doses of AstraZeneca’s Evusheld — all that they could produce to date.
AstraZeneca recently told us that they will be — they will have additional supply that will be available for delivery starting in September. These are doses we had planned to purchase as soon as the end of March.
Without more funding, the federal government will now be forced to scale back on that purchase. So, we’ll likely run out of treatments for our most vulnerable Americans by the end of the year, if not sooner.
The bottom line on treatments is this: Without additional funding soon, thousands of patients could lose access to treatments, and these companies will have little incentive to continue investing in the development and manufacturing of these treatments.
Next, on the uninsured fund: [The Administration] notified Congress in February that this fund that reimburses doctors and other medical providers for caring for uninsured individuals was running out of money and would have to stop taking new claims in March.
Unfortunately, we’re now having to take that action.
HHS will begin to scale back this program starting next week and end it completely in early April.
This means doctors, nurses, pharmacists, labs, and other healthcare providers will no longer be reimbursed for tests, treatments, and vaccinations for people without health insurance.
And finally, in addition to all of these impacts to our domestic response, the lack of funding greatly impacts our global response.
Without more funding, USAID and our interagency partners will have to cut short efforts to turn vaccines into vaccinations around the world.
In fact, the administration won’t be able to extend surge support to over 20 additional under-vaccinated countries that will need intensive support this year to get shots in arms.
This will devastate our ability to ensure these countries can effectively deploy safe and effective vaccines. And leaving large unvaccinated populations worldwide will increase the risk of new deadly emerging — of variants emerging that could evade our current vaccines and treatments.
Without additional funding, USAID will also be unable to provide lifesaving supplies, tests, therapeutics, oxygen, and other humanitarian aid to countries still struggling to manage a continued COVID disease burden.
Here is the White House fact sheet:
The U.S. has made tremendous progress in our fight against COVID-19. Over the past 14 months, the Biden Administration has made vital investments – using resources Congress provided on a bipartisan basis – to make sure the American people have free and widely available access to lifesaving tools: vaccines, booster shots, treatments, tests, and high-quality masks. As we enter a new moment in the pandemic, Congress has not provided us with the funding we need to continue the COVID-19 response and minimize the pandemic’s impact to the Nation and our economy. With cases rising abroad, scientific and medical experts have been clear that in the next couple of months there could be increasing cases of COVID-19 here in the U.S as well. As the Administration has warned, failure to fund these efforts now will have severe consequences as we will not be equipped to deal with a future surge. Waiting to provide funding once we’re in a surge will be too late.
Without funding, the United States will not have enough additional boosters or variant specific vaccines, if needed, for all Americans. The federal government is unable to purchase additional life-saving monoclonal antibody treatments and will run out of supply to send to states as soon as late May. The federal government cannot purchase sufficient quantities of treatments for immunocompromised individuals. And, the federal government will be unable to sustain the testing capacity we built over the last 14 months, as we head into the second half of the year.
Earlier this month, President Biden laid out a comprehensive plan to ensure that the country can continue to move forward safely and remain prepared to fight new variants and future surges of the virus. And the Administration has been clear that we need Congress to provide additional resources, including $22.5 billion in immediate emergency funding. Inaction will set us back in this fight, leave us less prepared, and cost us more lives.
Consequences of lack of critical funding include:
Inability to Secure Sufficient Booster Doses and Variant Specific Vaccines, If Needed: The federal government does not have adequate resources to purchase enough booster vaccine doses for all Americans, if additional doses are needed. The shortages will be even more acute if we need a variant-specific booster vaccine, since we will not have any existing supply.
Providers No Longer Able to Submit Claims for Testing, Treating, and Vaccinating the Uninsured: The fund that reimburses doctors and other medical providers for caring for uninsured individuals will start to be scaled back this month and end completely in early April. Specifically, one week from today – March 22 — the Uninsured Program will stop accepting new claims for testing and treatment due to lack of sufficient funds. Providers will no longer be able to submit claims for providing these services to uninsured individuals, forcing providers to either absorb the cost or turn away people who are uninsured, increasing the disparity in access to critically needed health care and putting additional burdens on safety net providers. Three weeks from today—April 5—the Uninsured Program will also stop accepting vaccination claims due to a lack of sufficient funds.
Ending the Purchase of Monoclonal Antibody Treatments, Scaling Back State/Territory Allocations: The federal government has no more funding f0r additional monoclonals, including a planned order for March 25. To date, the federal government has been able to provide these life-saving treatments free of charge to Americans and work with states to make sure they get to as many people as possible who need them. In order to keep these treatments free and available to the American people for as long as possible, the Administration will now have to stretch our current supply and, starting next week, will be forced to cut state allocations of our limited existing supply of life-saving monoclonal antibody treatments by more than 30%.
Halting Critical Testing, Vaccine, Treatment Efforts: The President’s National Preparedness Plan was clear that the federal government must invest in next-generation vaccines and treatments and maintain our testing capacity in order to fight COVID-19 in the future. Now, without additional funding, we do not have the ability to:
Purchase additional oral antiviral pills beyond the 20 million already secured.
Pre-purchase promising new antivirals. The reason why the Administration has been able to secure more oral antiviral pills than any other country is because we committed to purchasing them early, even prior to an Emergency Use Authorization (EUA). As even more effective pills potentially become available, the federal government is no longer able to make advance purchase commitments to ensure America is one of the first countries in line.
Accelerate the creation of a next-generation, pan-COVID vaccine that would provide broad protection against a range of variants. Vaccines are the most effective tool to prevent COVID-19, and the Administration does not have the funding for necessary investments in research and to support the development of promising new vaccine candidates. Such next-generation vaccines hold potential to broaden protection against known and future variants, reduce dosing through single-dose primary regimens with extended duration of protection (i.e., longer interval between boosters or possible elimination of boosters altogether), and reduce costs by increasing manufacturing yields and extending shelf life.
Maintain our domestic testing capacity beyond June. After spending the last year building up our testing capacity, that progress will be squandered, the Administration will be unable to help keep domestic manufacturers online starting in June. That means, heading into the second half of the year, there will be significantly diminished domestic testing capacity and we may be unprepared for surges.
Scaling Back Planned Purchases of Preventive Treatments for Immunocompromised: The federal government has been planning to move forward with a purchase of preventative treatments for the immunocompromised as soon as March 31 that would begin delivery in September, once the treatments are manufactured. However, absent additional funding the federal government will now be forced to scale back that purchase of treatments for our most vulnerable. Because these treatments take more than 6 months to manufacture, the United States will likely not have enough of these treatments by the end of the year. And being unable to make additional purchase commitments now likely means that fewer treatments will be available next year as well.
Reducing Ability to Rapidly Identify and Assess Emerging Variants. Robust surveillance and research are critical to identify, understand and monitor emerging variants. With reduced capability to perform adequate surveillance, the country will be prone to being “blindsided” by future variants. In the absence of funding to immediately assess lab-based efficacy and real-world effectiveness of existing vaccines and treatments as new variants emerge, health care professionals will be forced to make insufficiently informed treatment decisions. The Administration will need to wind down some COVID surveillance investments, leaving us less able to detect the next variant.
Damage to Global Vaccination and COVID-19 Treatment Efforts: Without additional funding to support getting shots into arms, USAID and interagency partners will have to cut short efforts to turn vaccines into vaccinations across the globe. Leaving large unvaccinated populations worldwide will increase the risk of new deadly variants emerging that could evade our current vaccines and treatments. Without additional funds, the Administration would be unable to extend Global VAX surge support to 20+ additional under-vaccinated countries that will need intensive support this year to get shots in arms. This will devastate our ability to ensure those countries can effectively deploy safe and effective vaccines. USAID will also be unable to provide life-saving supplies, tests, therapeutics, oxygen, and humanitarian aid to countries still struggling to manage a continuing COVID disease burden.
In addition to the immediate need for funding, in order to facilitate a smooth transition to insurance coverage of life-savings COVID treatments the Administration is requesting that Congress provides authority to ensure seamless access to Medicare and insurance coverage for treatments under an Emergency Use Authorization (EUA).
This is a fact sheet from the White House detailing the Biden Administration’s commitment to advancing global health:
The United States Government is proud to be the largest donor for global health. As we work to end the COVID-19 pandemic, we remain committed to strengthening health systems and institutions; advancing global health security; combatting HIV/AIDS, malaria, and tuberculosis; advancing sexual and reproductive health and rights, and maternal, neonatal, and child health; closing gaps in nutrition and non-communicable diseases; and accelerating efforts towards universal health coverage and the Sustainable Development Agenda. In Fiscal Year (FY) 2021, the United States appropriated over $9 billion in global health programs, in addition to almost $16 billion in emergency supplemental funding for COVID-19.
We continue to lead the global community toward a safer, more equitable future. Over the last year, the Biden-Harris Administration has renewed the U.S. leadership in global health, and taken decisive steps to advance global health priorities, including:
Supporting and strengthening the WHO. Among his first acts in office one year ago, President Biden declared the United States would reengage with the World Health Organization (WHO), highlighting our nation’s commitment to advancing multilateral cooperation in a time of international health crisis. Last week, the United States once again demonstrated that commitment, by leading a successful decision at the WHO Executive Board meeting to strengthen the International Health Regulations (2005). This strengthening will enhance the world’s ability to prevent, detect, and rapidly respond to infectious disease outbreaks in the future. Beyond COVID-19, the United States is collaborating with global partners through WHO on a wide range of global health challenges such as childhood immunization, nutrition, polio eradication, strengthening the global health workforce to achieve universal health coverage, and tackling the threat that climate change poses to health. These and other issues remain critical priorities, especially in the wake of COVID-19, and demonstrate the importance of strong, equitable health systems that serve those most at risk.
Leading the global COVID-19 response. Under President Biden’s leadership, the United States has committed to donate 1.2 billion doses of safe and effective vaccine to the world, more than any other nation. To date, we have shipped over 400 million of those vaccines to 112 countries around the world, all for free, with no strings attached or promises extracted. We were the first nation to purchase doses solely for the purpose of donation, with the historic purchase of 1 billion doses of Pfizer vaccine. We were the first nation to step out of the queue for Moderna vaccines, allowing the African Union quicker access to tens of millions of doses. We were the first to broker access to doses for individuals in humanitarian crises. And now, we are leading the push to turn vaccines into vaccinations, with the creation of the Global Vaccine Initiative. To date, the United States is providing nearly $16 billion for life-saving health, economic, and humanitarian COVID-19 assistance to our partners to fight this virus and its impacts. These funds are delivering shots in arms, lifesaving supplies to hospitals, and support that reaches the most vulnerable communities.
Advancing sexual and reproductive health and rights. One of President Biden’s first actions was issuing a Presidential Memorandum on Protecting Women’s Health at Home and Abroad, which revoked the expanded Mexico City Policy and directed agencies to resume funding to the United Nations Population Fund (UNFPA) in support of its essential work to prevent maternal deaths, expand access to voluntary family planning, and prevent and respond to gender-based violence around the world. The Administration continues to advance sexual and reproductive health and rights (SRHR) for all in the face of continued threats. The White House Gender Policy Council released the first-ever National Strategy on Gender Equity and Equality, which emphasizes the core role of advancing SRHR to achieve gender equality. As the largest bilateral donor to family planning, the United States also leads globally by advancing SRHR in multilateral fora and with bilateral partners. As we address the indirect impacts of the COVID-19 pandemic on health systems and vulnerable populations, the United States has supported increased access to SRHR services, particularly in emergency contexts.
Continued global leadership on addressing HIV/AIDS, malaria, and tuberculosis. Last week, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) celebrated its nineteen-year anniversary. Since its inception and with bilateral support, the U.S. Government has invested $100 billion to transform the global AIDS response. PEPFAR has saved more than 21 million lives, prevented millions of HIV infections, and helped countries build a strong foundation to prevent, detect, and respond to other health threats, including COVID-19. Across 55 countries, PEPFAR invests over $1 billion annually in local health systems strengthening to respond to HIV. At the end of FY21, PEPFAR supported 63.4 million people with HIV testing services, and 18.96 million people with antiretroviral treatment. With $250 million in funding through the American Rescue Plan Act, PEPFAR has continued to advance HIV gains and supported the global COVID-19 response. The U.S. President’s Malaria Initiative invested $770 million in 2020 to forge forward in the fight against malaria, despite the COVID-19 pandemic, reaching almost 60 million people with malaria medicine and protecting more than 7.5 million pregnant women with preventive treatment for malaria. Through the most recent five-year U.S. Government Global TB Strategy, U.S. government investments led to the treatment of 15.7 million people with TB, starting 438,000 individuals with drug resistant TB on second-line drug therapy, and accomplished a treatment success rate of almost 90 percent.
Building health security capacities. The United States continues to work with partners across the globe, including 19 intensive support partner countries, to provide assistance to better prevent, detect, and respond to infectious disease threats and to meet the target of the multilateral Global Health Security Agenda. The need for these capacities has never been more clear, and robust interagency efforts helped address numerous outbreaks including Ebola, Anthrax, Influenza, Rabies, Polio, Cholera, and more. The U.S. Government’s global health security programs also pivoted to support critical COVID-19 response activities.
Sustaining commitments in maternal and child health. The United States’ sustained commitment, financial investment, and adaptability has ensured that critical health services continue reaching women, children, and families. In 2020, the United States helped more than 92 million women and children access essential—and often lifesaving—care. The U.S. Government’s investments towards polio eradication have also helped ensure over 400 million children are vaccinated against polio each year; last year was a significant milestone as Africa was declared wild polio free.
In the coming year, the Administration will take the following steps to continue to advance global health priorities:
Continue supporting and strengthening the World Health Organization. The United States looks forward to rejoining the WHO Executive Board in May 2022, and will launch a Strategic Dialogue with WHO to ensure our mutual priorities are fully aligned. The United States will continue to work closely with WHO and partners around the world, to ensure that the prevention of sexual exploitation and abuse, and support for victims and survivors, remain priority issues.
Accelerate global COVID-19 response efforts. The U.S. Government will continue to roll out the Initiative for Global Vaccine Access (Global VAX) to accelerate global efforts to get COVID-19 shots into arms and enhance international coordination. This whole of government effort will bolster cold chain supply and logistics, service delivery, vaccine confidence and demand, human resources, data and analytics, local planning, and vaccine safety and effectiveness. The United States has committed more than $1.6 billion in funding to help get shots into arms around the world.
Advance health security and pandemic preparedness. The United States will continue to advance health security and pandemic preparedness abroad, including through strengthening WHO, working with partners towards targeted IHR amendments and a new pandemic instrument, building country capacities towards the Global Health Security Agenda target, strengthening sustained financing including establishing a new financial intermediary fund at the World Bank, building back better biosafety and biosecurity norms and mitigating biotechnological risks, innovating our science and technological capabilities to shorten the cycle for development of safe, effect, and affordable vaccines, therapeutics, and diagnostics, and more.
Continue investments to strengthen health systems. The United States will continue to advance the newly launched Vision for Health System Strengthening and will work to align global partners toward shared commitments for the health workforce. The United States has committed to supporting and protecting health workers, and affirmed support for WHO’s Gender Equal Health and Care Workforce Initiative, which aim to address gender inequities and inequalities health workers face globally. The United States will continue to invest resources and provide assistance to strengthen countries’ disease surveillance and laboratory detection capacities, continue to lead efforts to eradicate polio, and also strengthen immunization systems and vaccine delivery to ensure a world where people live healthier, safer lives.
Continue championing and expanding sexual and reproductive health and rights. In addition to maintaining strong financial support, the United States will continue to collaborate with allies and partners through multilateral, bilateral and civil society partnerships to expand progress and leadership to advance sexual and reproductive health and rights. Federal agencies are developing SRHR implementation plans and the National Security Council will continue to elevate and expand SRHR as a core component of our global health policy.
Continue the fight against HIV/AIDS, malaria, and tuberculosis. This year, President Biden will host the Global Fund’s Seventh Replenishment Conference, advancing global efforts to address HIV/AIDS, malaria, and tuberculosis, alongside the U.S. government’s programs. PEPFAR is saving lives and curbing new HIV infections while supporting the health systems infrastructure in countries that continue to serve as a backbone of the COVID-19 response. PEPFAR’s assets can be further leveraged to support the COVID-19 response, while protecting and expanding HIV services and serving the most vulnerable populations around the world. PMI is reshaping its fight against malaria, focusing on reaching the unreached, further building community health systems, and increasing the impact of community health workers as part of its new “End Malaria Faster” Strategy. Current investments are building countries’ capacities to respond to both tuberculosis and COVID-19 with support for bi-directional testing approaches for both diseases, joint contact investigations and community screenings, stigma reduction and community empowerment, and expanding infection prevention and control measures—providing vital platforms to address both diseases and respond to future airborne pandemics.
Continue demonstrating strong global leadership on nutrition. At the 2021 Tokyo Nutrition for Growth Summit, the United States announced a financial commitment of up to $11 billion over three years to combat global malnutrition. The United States also launched the Global Nutrition Coordination Plan, which will guide the collaborative work of seven U.S. government agencies engaged in scaling up proven approaches to better nutrition.
Biden-Harris Administration Sets Goal of Reducing Cancer Death Rate by at least 50 Percent Over the Next 25 Years, and Improving the Experience of Living with and Surviving Cancer
As Vice President, in 2016, Joe Biden launched the Cancer Moonshot with the mission to accelerate the rate of progress against cancer. The cancer and patient community and medical researchers responded with tremendous energy and ingenuity.
President Biden is reigniting the Cancer Moonshot with renewed White House leadership of this effort. Because of recent progress in cancer therapeutics, diagnostics, and patient-driven care, as well as the scientific advances and public health lessons of the COVID-19 pandemic, it’s now possible to set ambitious goals: to reduce the death rate from cancer by at least 50 percent over the next 25 years, and improve the experience of people and their families living with and surviving cancer— and, by doing this and more, end cancer as we know it today.
The President and First Lady Jill Biden also announced a call to action on cancer screening to jumpstart progress on screenings that were missed as a result of the pandemic, and help ensure that everyone in the United States equitably benefits from the tools we have to prevent, detect, and diagnose cancer.
Building on a Quarter Century of Bipartisan Support, Public Health Progress, and Scientific Advances Over the first 20 years of this century, the age-adjusted death rate from cancer has fallen by about 25 percent, which means more people are surviving cancer and living longer after being diagnosed with cancer. That was enabled by progress on multiple fronts.
Science brought us treatments that target specific mutations in many types of cancer –for example, in certain types of lung cancer, leukemia, and skin cancers.
It has also provided therapies that use our immune system to detect and kill cancer cells and these immunotherapies are making a big difference in certain skin cancers, blood cancers, and others.
We also have cancer vaccines – like the HPV vaccine –which prevents the cause of up to seven kinds of cancer.
We developed tools, like low-dose CT scans and refined use of colonoscopies, which help us detect lung cancer and colorectal cancers early when there are better treatment options.
Starting in the early 1990s, we also made progress against tobacco use through targeted public health education campaigns as well as new, more effective approaches to smoking cessation. We have seen a 50 percent decrease in adult long-term cigarette smoking and a 68 percent drop in smoking rates among youth.
Five years ago, with the bipartisan passage and enactment of the 21st Century Cures Act, Congress invested $1.8 billion, providing seven years of new funding for cancer research in many areas including studies on cancer disparities, new clinical trial networks to drive drug discovery, and innovative projects examining childhood cancer. The law streamlined cancer-related decision-making at the FDA through the formation of an Oncology Center of Excellence, so that effective treatments can be approved faster and patients can have more direct access to information about the regulatory process.
First Lady Jill Biden’s advocacy for cancer education and prevention began in 1993, when four of her friends were diagnosed with breast cancer. Following that year, she launched the Biden Breast Health Initiative to educate Delaware high school girls about the importance of cancer prevention. As First Lady she continues her work emphasizing early detection efforts and the patient, family and caregiver experience with cancer. She will also stress the importance of cancer screenings, especially those delayed or put off due to the COVID-19 pandemic, and will urge government partners, the business community, and non-profit sectors to help make screenings more accessible and available to all.
At the White House, then-Vice President Biden brought together a task force and challenged the public and private sectors to join together in making progress. Companies, patient groups, universities, and foundations worked together to forge new partnerships and launch new programs.
The Biden-Harris Administration Has Maintained This Commitment In the President’s first budget, he sustained strong funding for biomedical and health research with increased funding for the NIH and NCI, and full funding for the 21st Century Cures Act and the Beau Biden Cancer Moonshot Initiative at the NCI.
President Biden proposed a bold new vision for biomedical and health research in the Advanced Research Projects Agency for Health (ARPA-H). The goal of this entity is to improve the U.S. government’s capabilities to speed research that can improve human health — to improve our ability to prevent, detect, and treat a range of diseases including cancer, infectious diseases, Alzheimer’s disease, and many others. ARPA-H funding has already been included in appropriation and authorization bills pending in Congress.
President Biden committed to a bilateral effort with the United Kingdom to take on the challenges of cancer together. This has already resulted in a November 2021 US-UK Cancer Scientific Meeting of leadership, patient advocates, and oncology research experts which produced recommendations for how the two nations can work in partnership to make even more urgent progress on cancer.
The Biden-Harris Administration has also prioritized strengthening health care for the American people by lowering health care costs and expanding coverage. The President’s health care agenda is the biggest expansion of affordable health care in a decade, and includes cutting prescription drug costs by letting Medicare negotiate prices; strengthening the Affordable Care Act and reducing premiums for 9 million Americans; improving Medicare benefits by capping out-of-pocket costs on drugs, including cancer drugs, purchased at a pharmacy; and covering millions of uninsured Americans in states that have failed to expand Medicaid.
New Goals for the Cancer Moonshot Based on the progress made and the possibility before us, President Biden today set new national goals for the Cancer Moonshot:
Working together over the next 25 years, we will cut today’s age-adjusted death rate from cancer by at least 50 percent.
We will improve the experience of people and their families living with and surviving cancer.
Taken together, these actions will drive us toward ending cancer as we know it today.
There’s so much that can be done.
To diagnose cancer sooner — Today, we know cancer as a disease we often diagnose too late. We must increase access to existing ways to screen for cancer, and support patients through the process of diagnosis. We can also greatly expand the cancers we can screen for. Five years ago, detecting many cancers at once through blood tests was a dream. Now new technologies and rigorous clinical trials could put this within our reach. Detecting and diagnosing cancers earlier means there may be more effective treatment options.
To prevent cancer — Today, we know cancer as a disease we have people and families too few good ways to prevent. But now, scientists are asking if mRNA technology, used in the safe and effective COVID-19 vaccines to teach your body to fight off the virus, could be used to stop cancer cells when they first appear. And we know we can address environmental exposures to cancer, including by cleaning up polluted sites and delivering clean water to American homes, for example, through the Bipartisan Infrastructure Law.
To address inequities — Today, we know cancer as a disease for which there are stark inequities in access to cancer screening, diagnostics and treatment across race, region, and resources. We can ensure that every community in America – rural, urban, Tribal, and everywhere else – has access to cutting-edge cancer diagnostics, therapeutics, and clinical trials.
To target the right treatments to the right patients — Today, we know cancer as a disease for which we understand too little about why treatments work for some patients, but not for others. We are learning more about how to use information about genetics, immune responses, and other factors to tell which combinations of treatments are likely to work best in an individual patient.
To speed progress against the most deadly and rare cancers, including childhood cancers — Today, we know cancer as a disease for which we lack good strategies for developing treatments against many of the more than 200 distinct types. We can invest in a robust pipeline for new treatments, and the COVID-19 pandemic response has demonstrated we can accelerate clinical trials without compromising safety and effectiveness.
To support patients, caregivers, and survivors — Today, we know cancer as a disease in which we do not do enough to help people and families navigate cancer and its aftermath. We can help people overcome the medical, financial, and emotional burdens that cancer brings by providing support to navigate cancer diagnosis, treatment, and survivorship.
To learn from all patients — Today, we know cancer as a disease in which we don’t learn from the experiences of most patients. We can turn our cancer care system into a learning system. When asked, most people with cancer are glad to make their data available for research to help future patients, if it can be done easily while respecting their privacy. Additionally, the diverse personal experiences of patients and their families make their input essential in developing approaches to end cancer as we know it.
Mobilizing the Entire Government Under the Biden-Harris Administration, the Cancer Moonshot will specifically:
Re-establish White House Leadership, with a White House Cancer Moonshot coordinator in the Executive Office of the President, to demonstrate the President and First Lady’s personal commitment to making progress and to leverage the whole-of-government approach and national response that the challenge of cancer demands.
Form a Cancer Cabinet, which will be convened by the White House, bringing together departments and agencies across government to address cancer on multiple fronts. These include the Department of Health and Human Services (HHS), Department of Veterans Affairs (VA), Department of Defense (DOD), Department of Energy (DOE), Department of Agriculture (USDA), Environmental Protection Agency (EPA), National Institutes of Health (NIH), National Cancer Institute (NCI), Food and Drug Administration (FDA), Centers for Medicare & Medicaid Services (CMS), Centers for Disease Control and Prevention (CDC), Office of Science and Technology Policy (OSTP), Domestic Policy Council (DPC), Office of the First Lady (OFL), Office of the Vice President (OVP), Office of Management and Budget (OMB), Office of Legislative Affairs (OLA), Office of Public Engagement (OPE), along with additional members, as needed, to help establish and make progress on Cancer Moonshot goals.
Issue a Call to Action on Cancer Screening and Early Detection:
To deliver the message of urgency and increased access to get back on track after more than 9.5 million missed cancer screenings in the United States as a result of the COVID-19 pandemic. With regular recommended screenings, we can often catch cancer when there may be more effective treatment options or even prevent it from developing by removing pre-cancerous tissue.
To help ensure equitable access to screening and prevention through at-home screening (especially for colon cancer and HPV, the virus that causes cervical, head, neck and other cancers), mobile screening in communities without easy access to a clinic, through the community health networks we have built and strengthened during the COVID-19 pandemic, and other ways to reduce barriers to cancer screening.
NCI will organize the collective efforts of the NCI cancer centers, and other networks such as the NCI Community Oncology Research Network (NCORP), to offer new access points to compensate for millions of delayed cancer screenings due to the pandemic, with a focus on reaching those individuals most at risk.
Federal agencies, led by the NCI, will develop a focused program to expeditiously study and evaluate multicancer detection tests, like we did for COVID-19 diagnostics, which could help detect cancers when there may be more effective treatment options.
The Department of Health and Human Services (HHS) commits to accelerating efforts to nearly eliminate cervical cancer through screening and HPV vaccination, with a particular focus on reaching people who are most at risk.
The President’s Cancer panel this week released a report “Closing Gaps in Cancer Screening” laying out recommendations focused on connecting people, communities, and systems to increase equity and access.
Host a White House Cancer Moonshot Summit, bringing together agency leadership, patient organizations, biopharmaceutical companies, the research, public health, and healthcare communities and more to highlight innovation, progress, and new commitments toward ending cancer as we know it.
Build on a White House Cancer Roundtable Conversation Series hosted over the last six months, with experts, including people living with cancer, caregivers, and survivors. These discussions focused on cancer prevention, early detection, clinical trial design and access, patient support and navigation, childhood cancer, learning from all patients and issues relating to equity in access and outcomes. Going forward, this will include discussions on additional topics and the knowledge gained will continue to inform this whole-of-government approach on cancer.
Require an All-Hands-On-Deck Approach. President Biden calls on the private sector, foundations, academic institutions, healthcare providers, and all Americans to take on the mission of reducing the deadly impact of cancer and improving patient experiences in the diagnosis, treatment, and survival of cancer. Progress will be informed by people living with cancer, caregivers, and families and contributed by all parts of the oncology community and beyond. We invite all Americans to share perspectives and ideas, and organizations, companies, and institutions to share actions they plan to take as part of this mission at whitehouse.gov/cancermoonshot.
On the 49th anniversary of Roe v. Wade, President Joe Biden and Vice President Kamala Harris issued a statement asserting their commitment to protecting women’s reproductive freedom:
The constitutional right established in Roe v. Wade nearly 50 years ago today is under assault as never before. It is a right we believe should be codified into law, and we pledge to defend it with every tool we possess. We are deeply committed to protecting access to health care, including reproductive health care—and to ensuring that this country is not pushed backwards on women’s equality.
In recent years, we have seen efforts to restrict access to reproductive health care increase at an alarming rate. In Texas, Mississippi, and many other states around the country, access to reproductive health care is under attack. These state restrictions constrain the freedom of all women. And they are particularly devastating for those who have fewer options and fewer resources, such as those in underserved communities, including communities of color and many in rural areas.
The Biden-Harris Administration strongly supports efforts to codify Roe, and we will continue to work with Congress on the Women’s Health Protection Act. All people deserve access to reproductive health care regardless of their gender, income, race, zip code, health insurance status, immigration status, disability, or sexual orientation. And the continued defense of this constitutional right is essential to our health, safety, and progress as a nation.
We must ensure that our daughters and granddaughters have the same fundamental rights that their mothers and grandmothers fought for and won on this day, 49 years ago—including leaders like the late Sarah Weddington, whose successful arguments before the Supreme Court led to the landmark Roe v. Wade decision in 1973.
At this pivotal moment, we recommit to strengthening access to critical reproductive health care, defending the constitutional right established by Roe, and protecting the freedom of all people to build their own future.
The task force includes subject matter experts from across the department. The HHS Assistant Secretary for Health and the HHS Assistant Secretary for Global Affairs will serve as the co-chairs of this coordinating body. The task force’s primary goal is to facilitate collaborative, innovative, transparent, equitable, and action-oriented approaches to protect and bolster sexual and reproductive health.
“As we commemorate the 49th anniversary of Roe v. Wade, we recommit to protecting and strengthening access to reproductive health care, including the right to safe and legal abortion care that the Supreme Court has recognized for decades,” said Secretary Becerra. “Patients have the right to make decisions about their own bodies. In light of restrictive laws across the nation, HHS will evaluate the impact on patients and our communities. That’s why today, I have launched the first Intra-agency Task Force on Reproductive Healthcare Access. Once again, we are telling health care providers and patients, we have your back.”
“Across America, we must protect access to sexual and reproductive health,” said HHS Assistant Secretary for Health Admiral Rachel Levine, MD. “Establishing a new task force dedicated to this critical public health topic will advance policies that improve reproductive health care access within Federal programs and services, eliminate health disparities, and expand access to culturally competent health care services for underserved communities, including people of color, people with disabilities, young people, LGBTQI+ people, and others.”
“Advancing sexual and reproductive health and rights is central to our core global health goals, including our focus on addressing health inequities and expanding access to universal health coverage,” said HHS Assistant Secretary for Global Affairs Loyce Pace. “In order to build back better in the U.S. and around the world, we must ensure that all people can access high quality health care, including sexual and reproductive health care services.”
HHS has taken several meaningful actions under the Biden-Harris Administration to protect and bolster reproductive health, rights, and justice, including:
The Department issued a new final rule for Title X, the nation’s family planning program, to ensure access to equitable, affordable, client-centered, quality family planning services.
The Department announced $6.6 million through the Title X family planning program to address the demand for family planning services where restrictive laws and policies have impacted reproductive health access, or in states where there is a lack of or limited Title X access.
The Department has advanced maternal health priorities, including expanding access to postpartum Medicaid coverage, rural health care services, and implicit bias training.
The Department has issued guidance on both nondiscrimination requirements of the Church Amendments protecting health care providers through its Office for Civil Rights and providers’ legal obligations and protections under the Emergency Medical Treatment and Labor Act (EMTALA) through the Centers for Medicare & Medicaid Services to provide medical treatment to a pregnant patient who presents to the emergency department regardless of conflicting state laws or mandates that might seek to prevent such treatment.
On the occasion of President Joe Biden’s address to the U.S. Conference of Mayors, January 21, the White House issued a fact sheet detailing some of the ways the Biden-Harris Administration is working with Mayors to deliver for communities across the country, and what passing the Build Back Better agenda could mean:
Getting Shots in Arms and Saving Lives Since the start of his Administration, President Biden has prioritized local partnerships and has worked closely with mayors across the country who have been instrumental as trusted sources of information about the COVID-19 pandemic and vaccines.
Working with local governments, the Administration has shipped over 160 million pieces of personal protective equipment – gloves, gowns, masks – to protect frontline health care workers in cities across the United States. Since first launching surge response teams on July 1st, the Administration has deployed over 3,000 personnel to 39 states and 4 U.S. territories. The Administration also recently worked with several mayors and local jurisdictions to surge federal testing support and federal test sites to several cities.
Over 115 mayors across the country joined the White House, HHS, and We Can Do This campaign to launch a Mayors Challenge to Increase COVID-19 Vaccinations. This campaign was instrumental in increasing the adult vaccination rate through mayors sharing best practices and launching innovative efforts to boost vaccinations, including grassroots outreach, mobile and neighborhood vaccine clinics, incentives, prizes, and other efforts.
Richmond, VA Mayor Levar Stoney as co-lead of the Mayors Challenge, launched the #HotVaccinatedSummer campaign with the Richmond Health Department focused on taking the vaccine to residents through mobile vaccination units, pop-up vaccine sites at grocery stores, food pantries, apartment complexes, and churches, and neighborhood block parties.
Baton Rouge Mayor Sharon Weston Broome and New Orleans Mayor LaToya Cantrell, mayors of Louisiana’s two largest cities, launched a month-long, inter-city “New Orleans vs Baton Rouge COVID challenge” to motivate citizens to get vaccinated.
Detroit, MI Mayor Mike Duggan launched an innovative “Good Neighbor Program” where residents received gift cards for driving their neighbors to get vaccinated, as well as a door-to-door vaccination education canvassing effort.
San Antonio, TX Mayor Ron Nirenberg along with making pop-up vaccine clinics accessible, collaborated with local artists to create murals reminding residents of the importance of getting vaccinated.
Getting People Back to Work President Biden has grown the economy faster than any first-year administration ever with 6.4 million jobs added, the most in one year on record. The unemployment rate is 3.9% – four years faster than projected because of the American Rescue Plan. The Biden-Harris agenda has provided substantial resources to state and local governments to expand and improve America’s workforce development system so that workers of all kinds from diverse communities will be prepared and successful in good-paying union jobs.
The American Rescue Plan (ARP) included $350 billion in state and local fiscal recovery funds that governments can use to assist workers who want and are available to work – including job training, public jobs programs, job fairs, childcare, transportation, hiring bonuses, and subsidized employment efforts). The ARP also invested $3 billion in the Commerce Department’s Economic Development Administration (EDA) to assist communities in their efforts to build back better from the pandemic, including $1 billion for the Build Back Better Regional Challenge and $500 million for a Good Jobs Challenge that will support sector partnerships that bring employers, unions, non-profits, community colleges, training providers, and local governments together to enhance local training and hiring efforts.
Building Bridges to Infrastructure Jobs:
Washington, DC is using ARP resources to expand the city’s Infrastructure Academy to ensure a diverse workforce is ready to fill the infrastructure jobs that will be created by the historic bipartisan infrastructure law.
Milwaukee, WI has dedicated ARP funds to launch a lead abatement workforce development program and an Earn and Learn program which assists young people entering manufacturing and other high-skill jobs.
Phoenix, AZ is using Rescue Plan funds to partner with local community colleges and the private sector on job training programs that not only will re-skill and re-employ individuals for new careers in high demand workforce areas, such as manufacturing, construction, and the region’s emerging semiconductor industry.
Supporting our Essential Education Workers:
Seattle, WA used ARP fiscal recovery funds to provide premium pay for local child care workers, up to $835 per worker who have been there for at least 6 months.
Bolstering our Health Care Workforce:
Chicago, IL is leveraging ARP funds to build a 2,200 public health workforce working as vaccine ambassadors and addressing vaccine resistance.
New York City is dedicating ARP funds to bolster their public health workforce through the New York City Public Health Corps program, which will focus on a range of public health needs – from vaccine access, to primary care, to mental health counseling.
Building a Better America Since President Biden signed the Bipartisan Infrastructure Law, the Biden-Harris Administration has hit the ground running with a focus on fostering strong partnerships and working with mayors to implement the largest long-term investment in America’s infrastructure and competitiveness in nearly a century. The historic Bipartisan Infrastructure Law will rebuild crumbling road and bridges, replace lead pipes, help provide high-speed internet to every family in America, and produce concrete results that change people’s lives for the better. These results will create good-paying, union jobs, support domestic manufacturing and supply chains, and position the United States to win the 21st century. As the Administration implements the law, it is following through on President Biden’s commitment to ensure investments advance equity and racial justice, reach communities all across the country – including rural communities, communities of color, and disability communities – and strengthen the nation’s resilience to climate change. Since the enactment of the Bipartisan Infrastructure Law, the Biden Administration has it the ground running. Some of the key actions since the law’s passage include:
Understanding the importance of strong partnership with local governments to deliver results on the Bipartisan Infrastructure Law, the White House appointed Mitch Landrieu, former Mayor of New Orleans and former President of the US Conference of Mayors, as Infrastructure Implementation Coordinator.
The U.S. Department of Transportation (USDOT) and Federal Highway Administration (FHWA) announced $27 billion in funding to replace, repair, and rehabilitate bridges across the country over the next five years, including many locally-owned “off system” bridges.
The U.S. Army Corps of Engineers announced that it will invest more than $14 billion of funding for over 500 projects across 52 states and territories. These key projects will strengthen the nation’s supply chain, provide significant new economic opportunities nationwide, and bolster our defenses against climate change.
USDOT awarded $1 billion in Rebuilding American Infrastructure with Sustainability and Equity (RAISE) grants to invest in 90 major projects across 47 states funding that will be boosted by an additional $7.5 billion in the Bipartisan Infrastructure Law.
The Federal Aviation Administration (FAA) at USDOT announced $3 billion for 3,075 airports across the country that can use investments to upgrade critical infrastructure.
The Vice President announced the Administration’s Lead Pipe and Paint Action Plan, which includes action items focused on collaboration with local partners to accelerate the replacement of lead pipes over the next decade. As part of this plan, EPA announced $7.4 billion in funding allocations for states to upgrade America’s aging water infrastructure, sewerage systems, pipes and service lines, and more.
The Federal Communications Commission launched the Affordable Connectivity Program providing broadband subsidies of up to $30/month for low-income households (up to $75/month for households on Tribal Lands) and up to $100 towards the purchase of a desktop, laptop or tablet computer.
EPA announced $1 billion in funding to clean up 49 Superfund sites across 24 states to accelerate cleanup at dozens of other sites across the country, stop toxic waste from harming communities, and create good-paying jobs.
The Department of the Interior released initial guidance for the states interested in applying for funding to cap and plug orphaned oil and gas wells that reduce methane emissions and create jobs, with 26 states expressing interest in a portion of the $4.7 billion in funding for well plugging, remediation and restoration available in infrastructure programs.
The Department of Energy launched a new Building a Better Grid initiative to accelerate the deployment of new transition lines, and it released a notice of intent to inform the design and implementation of this historic investment.
The Bipartisan Infrastructure Law includes billions of dollars in competitive funding available to cities, towns, and municipalities across dozens of new and existing programs. As local governments begin to rebuild and reinvest in their communities, the Biden-Harris Administration stands ready to support local leaders as they combine funding streams, organize around their priorities, and build local support for long overdue infrastructure projects. The White House released a fact sheet highlights 25 already available or soon-to-be-available sources of funding that local governments – particularly cities – can compete or apply for directly. The White House will also be releasing a comprehensive guidebook of all available funding from the Bipartisan Infrastructure Law in the coming weeks.
Addressing Supply Chain Blockages As our economy has turned back on from the unprecedented shutdown resulting from the pandemic, our supply chains have been strained. The Administration is working closely with mayors and local governments across the country to mitigate supply chain blockages and ensure shelves are stocked.
The Administration’s port envoy has held weekly meetings with city-owned ports, including the Ports of Los Angeles and Long Beach, to identify ways to reduce congestion and move toward 24/7 operations, which reduces the emissions and traffic in communities.
The Department of Transportation awarded more than $241 million in discretionary grants to improve ports facilities and address supply chain disruptions in 19 cities, including Houston, TX; Brunswick, GA; Bay St Louis, MS; Tell City, IN; Alpena, MI; Delcambre, LA; Oakland, CA; Portsmouth, VA; Tacoma, WA; and Long Beach, CA.
The Administration is working to help schools experiencing challenges purchasing and reliably obtaining food for their meal plans. USDA has committed $1.5 billion for schools and states to purchase foods including funding to purchase local foods from historically underserved producers and announced an adjustment in school meal reimbursements that put an estimated $750 million more into school meal programs across the nation this year.
Advancing Local Climate Action On Day One, President Biden rejoined the Paris Agreement, reestablished U.S. leadership, and renewed the federal government’s partnership with the states, cities, Tribes, and localities that carried forward America’s progress on climate. Since then, President Biden has deployed clean wind and solar energy across the country, jumpstarted an electric vehicle future that will be built in America, advanced environmental justice in underserved communities, and taken aggressive action to make our country more resilient to climate change and extreme weather.
Today, President Biden will announce how the Biden-Harris Administration is teaming up with states, cities, labor, and industry to launch the Building Performance Standards Coalition, a first-of-its-kind partnership between 33 state and local governments dedicated to delivering cleaner, healthier, and more affordable buildings. States and cities part of the coalition will design and implement building performance standards that create good paying union jobs, lower the cost of energy bills for consumers, keep residents and workers safe from harmful pollution, and cut emissions from the building sector.
The Administration is also empowering local leaders to advance climate solutions across other sectors—for example:
The Department of Energy set a new National Community Solar Partnership target of powering 5 million homes by 2025, with on-demand technical assistance available to local governments, and launched the SolarAPP+ tool to help them speed up permitting of rooftop solar installations.
The Department of Transportation announced $182 million in grants for transit agencies to deploy zero-emission and low-emission transit buses, including awards to the Chicago Transit Authority; Anaheim, CA; Fort Collins, CO; Lawrence, KS; Jackson, MS; Fayetteville, NC; Lincoln, NE; Norman, OK; and more.
The EPA announced $50 million for environmental justice initiatives using ARP funds, including water infrastructure job training in Baltimore, MD; indoor air quality improvements in Fort Collins, CO; and outreach on asthma and environmental hazards in Hartford, CT.
FEMA announced $1 billion for the FY2021 Building Resilient Infrastructure and Communities program, available for cities and other levels of government to proactively invest in community resilience to hurricanes, wildfires, and other disasters.
In November 2021, President Biden and 15 bipartisan mayors representing communities across the country participated in COP26, where the President announced bold plans to reduce methane emissions, create clean energy jobs, and build back better with infrastructure initiatives that advance prosperity and combat the climate crisis.
Addressing Gun Violence and Crime During the President’s first year in office, the Biden-Harris Administration has partnered with mayors across the country on actions to reduce gun violence and has provided historic levels of funding for community-oriented policing and expanding community violence interventions (CVI) – neighborhood-based programs proven to combat gun violence. The Administration has made historic levels of funding from the American Rescue Plan – including $350 billion in state and local funding – available to state and local governments for law enforcement purposes to advance community policing strategies and community violence interventions.
Working with 16-jurisdictions, the White House launched the Community Violence Intervention Collaborative, a cohort of mayors, law enforcement, CVI experts and philanthropic organizations committed to using ARP funding to increase investment in their community violence intervention infrastructure and share best practices.
Cities including Milwaukee, WI; Albuquerque, NM; Syracuse, NY; and Mobile, AL responded to the President’s call by committing and deploying ARP funds for advancing community-oriented policing.
Mayors from cities across the country including Seattle, WA; Buffalo, NY; and Atlanta, GA have committed to deploy ARP fund for community violence interventions following a memo from Senior White House advisors on how state and local officials can implement ARP funding into CVI work.
Cities across the country including St. Louis, MO and Tucson, AZ committed to investing ARP funding in public safety strategies such as summer jobs for young adults and substance abuse and mental health services.
Prevent Housing Instability and Homelessness During the President’s first year in office, the Biden-Harris Administration partnered with mayors across the country to keep Americans housed. The American Rescue Plan (ARP) included over $21 billion for the Emergency Rental Assistance (ERA) program. These funds, together with $25 billion signed into law under the previous Administration but implemented under this Administration, enabled households to catch up on rent and avoid evictions. State and local grantees obligated over $25 billion in ERA in 2021, and these funds contributed to a historically low eviction filing rate. Also included within ARP were $5 billion in supplemental funding for HOME, which enables state and local governments to create and preserve affordable housing, and $5 billion in emergency housing vouchers to help people experiencing and at risk of homelessness secure housing.
In June, 46 cities joined the White House to create eviction prevention action plans as part of a first-of-its-kind summit. More than 100 eviction diversion programs were created or expanded as part of this partnership with the White House and local leaders.
Mayors from Louisville, Milwaukee, San Antonio, and Boston shared best practices in subsequent White House events including strategies to prevent evictions and distribute rental assistance to renters and landlords in need.
Dozens of mayors have signed onto House America, a federal initiative aimed at maximizing the ARP resources to address homelessness. The goal of this initiative is to cumulatively re-house 100,000 households experiencing homelessness and add 20,000 new units of affordable housing into the development pipeline by the end of 2022.
Building an Orderly, Fair, and Humane Immigration System The Biden-Harris Administration is working to build a humane, orderly, and fair 21st century immigration system at the border and beyond. One that invests in smart technology and infrastructure at the border, that prioritizes our resources and values immigrants living in our country and contributing to our communities for generations, and that once again welcomes refugees and is a beacon of light for those seeking safe haven.
Since day one, the Biden-Harris Administration took steps to undo the wrongdoings of the previous Administration, including getting rid of the Muslim ban, taking steps to protect DACA recipients, and restoring our asylum system. On day one, President Biden also sent his immigration bill to Congress – The U.S. Citizenship Act – which laid out the components needed to build an updated immigration system that reflects our values and responds to our hemisphere’s current needs.
Working with the Department of Homeland Security, the Department of State and non-profit organizations in Mexico and the United States, the Administration assisted 13,000 people in the wind down of the Migrant Protection Protocol to fight their cases in the United States. The Administration also designated Temporary Protected Status (TPS) to Haiti, Venezuela, Yemen, Syria, Somalia, and Burma, and expanded to El Salvador and Honduras.
The President tasked Vice President Harris with leading efforts to address the root causes of migration from Mexico, Guatemala, El Salvador, and Honduras. The Vice President announced $310 million in urgent humanitarian relief in April 2021, in addition to the President’s FY22 budget request for $861 million for Central America. The Vice President also secured $1.2 billion from the private sector to create job programs and invest in the economic stability and prosperity for our partner countries. In addition to the work the Vice President is leading, the Administration is working with countries in South America and leaders in the hemisphere to address migration as a regional issue that necessitates regional leadership and a regional response.
The Administration remains committed to immigration reform, to restoring asylum, and to working with partners to ensure the safety, security, and dignity of immigrants in the region:
Engaged mayors and cities to amplify the broad sweeping impact President Biden’s U.S. Citizenship Act would have on all 11 million undocumented immigrants, including farm workers and individuals with Temporary Protected Status.
Partnered with cities including San Diego, Long Beach, Pomona, Dallas, Houston, and San Antonio to stand up Emergency Influx Sites to provide temporary shelter and care for thousands of unaccompanied children.
Awarded $110 million in supplemental humanitarian funding to the National Board for Emergency Food and Shelter Program eligible to cities and services providers providing humanitarian assistance to migrants at the southern border.
Regularly engaged bipartisan border mayors to discuss and coordinate rebuilding America’s border management and asylum systems that were previously gutted by the prior administration. Additionally, engaged local elected leaders in the Rio Grande Valley, San Diego, and El Centro border sectors to protect border communities from the physical dangers resulting from the previous administration’s approach to border wall construction.
Welcoming Refugees and Resettlement Efforts The Biden-Harris Administration has taken a whole-of-America approach to safely, securely, and effectively welcome more than 76,000 Afghan allies to the United States through the Operation Allies Welcome.
In close coordination with Departments and Agencies across the Federal government, the Administration has worked with state and local officials; refugee resettlement organizations; veterans; faith, private sector, and non-profit leaders to ensure Afghans are set up for success in their new communities. The White House Operation Allies Welcome team provided briefings to USCM and visited resettlement sites in six states to engage with local officials and stakeholders on the frontlines of welcoming our Afghan allies. In his capacity as OAW Coordinator, Jack Markell attended the 2021 USCM Summer Meeting in Dayton, Ohio to brief mayors on their important role in the resettlement effort.
USCM Past President Dayton Mayor Nan Whaley and Hartford Mayor Luke Bronin led the effort for USCM’s resolution in support of Afghan resettlement and welcomed briefings from senior Administration officials to keep mayors updated on resettlement efforts
Houston Mayor Sylvester Turner worked with local resettlement agencies to raise more than $8.5 million dollars for the Houston Afghan Resettlement Fund (HARF) to help the local resettlement agencies provide additional services for Afghan evacuees
Oklahoma City Mayor David Holt collaborated with the local resettlement agency to identify additional funding stream to for affordable housing for Afghan evacuees
Lansing Mayor Andy Schor worked with the local school district to ensure a warm welcome to arriving Afghans students and families.
Sacramento Mayor Darryl Steinberg coordinated with state, county, and local leaders to create a new coalition called the American Network of Services for Afghanistan Refugees (ANSAR) to assist in meeting the needs of Afghan families.
In addition to President Biden, ten members of the President’s Cabinet spoke at the USCM Winter Meeting, including Secretary of the Treasury Janet Yellen, Secretary of Health and Human Services Xavier Becerra, Secretary of the Department of Homeland Security Alejandro Mayorkas, Secretary of Labor Marty Walsh, Secretary of Education Miguel Cardona, Secretary of Transportation Pete Buttigieg, Secretary of Commerce Gina Raimondo, Secretary of Housing and Urban Development Marcia Fudge, Attorney General Merrick Garland, and EPA Administrator Regan. Senior Administration officials including ARP Coordinator Gene Sperling, Infrastructure Implementation Coordinator Mitch Landrieu, and Director of Intergovernmental Affairs Julie Rodriguez will also speak at the event.
On January 21, President Biden addressed over 200 bipartisan mayors during their annual U.S. Conference of Mayors (USCM) Winter Meeting. This was the President’s first time addressing the entire USCM since taking office. At this year’s convening, the President highlighted the strong partnership between his Administration and mayors during the past year to tackle unprecedented crises, rebuild the economy, and deliver results for working families. The President also discussed ways to further partner with cities on implementing the American Rescue Plan (ARP) and Bipartisan Infrastructure Law, and the importance of passing the Build Back Better Act.
Here is an edited transcript of President Biden’s remarks:
Mayors carry the quality of the people’s lives on your shoulders.
Everything you do every day affects their lives more than almost anything anybody else does. And you can make or break a person’s day. “Will the bus get me home on time?” It sounds silly but, “Will the garbage get be picked up?” “Will I be safe walking in the park?”
These are the bigger questions: “Can I afford to give my family a good life?” “Will my kids have a chance to get a good job someday?” “How will I rebuild from the fire or the storm?”
You know, all of these questions, they’re not partisan, but they’re practical. People they look to are you…
That’s why, when I put together my Cabinet, I called on former mayors –Tom Vilsack was a governor; he was also a mayor. Marcia Fudge, a mayor. Marty Walsh a mayor in Boston. Pete Buttigieg was a mayor. And I picked Mitch Landrieu to oversee the implementation of the infrastructure law, which is over a $1.2 trillion, because he knows how mayors get things done. (Applause.) .. Because mayors know the measure of success isn’t scoring partisan points, it’s did you fix the problem…
The infrastructure law is a perfect example of what we can achieve when we tackle problems the way mayors do. Everybody in America knows we’ve fallen behind on infrastructure. So we came together — Democrats and Republicans — and did something about it…
And, by the way, I want to thank you all. More than 360 of you signed a letter that was sent to me when we were trying to get this legislation passed. Three hundred and sixty of you. You lobbied Congress to get it done, and it’s the reason it got done…
And now, after years of dead-ends and broken promises, not only has “Infrastructure Week” finally arrived — (applause) — but we can literally, because of you, look forward to an “Infrastructure Decade.”…
We’ve announced billions of dollars for highways, ports, airports, water and sewage systems, high-speed Internet; funding to clean up the rivers in Ohio, chemical plants and sites in Florida, polluted lakes in Michigan and dozens of other sites; a new program to cap and plug orphaned oil and gas wells spewing methane into the air, cleaning up the communities that, in fact, they’re affecting, while [creating] good-paying jobs…
A new initiative to bolster our energy grid with stronger transmission lines and towers to keep the power flowing more reliably and, consequentially, more secure energy supply…
You know, more forest, homes, buildings, and businesses have been burned to the ground than make up — if you’re taking the square miles — than the entire state of New Jersey, from New York all the way down to Cape Henlopen. That’s how much has burned to the ground. A lot of it because of the lack of resilience in those towers that get blown over and the wires snap…
Last week, we rolled out a historic investments in our nation’s bridges, like the one I visited in New Hampshire, where restrictions forced school buses and fire trucks to go 10 miles out of their way just to get across a small river…
We’re going to upgrade thousands of bridges, creating good-paying jobs, cutting commute times, ensuring that as we build back, no community gets left behind.
Folks, that mayor’s view of problem-solving is exactly what we brought to the American Rescue Plan. It’s designed so that you’d be able to have the resources and the flexibility to take both the short-term and long-term challenges created by this pandemic. A major part of the Rescue Plan was the $350 billion we allocated to state and local budgets. And again, because of you, over $100 billion of that went directly to cities and counties, not through anybody. (Applause.) A hundred billion.
It was not easy to get done, but it was important to get done because you know it’s needed. You didn’t have to go through your state legislature — or your governor – to get the money.
Today, communities are still putting those funds to work — keeping people on the job, connecting people to better jobs…
Use your funds to cover childcare costs or temporary paid leave to help certain workers dealing with Omicron; to build pathways to better jobs through union-based apprenticeships and on-the-job training; to give people in every ZIP code a chance to deal for themselves and deal them into this booming economy.
That also means building more affordable housing so people can have safe places closer to their jobs.
Funding proven programs to help fight violent crime. We shouldn’t be cutting funding for police departments. I proposed increasing funding…
The truth is we have an incredible opportunity ahead of us this year. We still have a lot of work to do to defeat COVID, to bring down costs for families.
But just look at what we’ve accomplished together so far, even in the face of those headwinds.
In 2021, more jobs are created in America than ever in a single year in American history. More jobs — over 6 million. The unemployment rate dropped more than any year in American history. (Applause.)
Income — incomes for folks working frontline jobs in service industries rose more than any year in history — the folks at the bottom of the economic rung.
We lowered child poverty in this country by nearly 40 percent — more than any time in U.S. history. (Applause.)
You all know this: Business applications grew by nearly 30 percent last year — more than any year in history. If they’re saying everything is so bad, why are people fighting to open businesses?
More Americans gained health insurance than any year in history.
These are facts.
To confront the climate crisis, we deployed more solar wind, batteries, and electric vehicles than ever, ever before.
And we’re teaming up with mayors, labor, and industry to save families and businesses money by improving energy efficiency in our buildings.
And in the battle against the deadly virus, we’ve gone from putting 2 million shots — vaccinations – in people’s arms to 210 million Americans fully vaccinated. (Applause.)
And you mayors have been critical partners…
And we still face tremendous challenges, though. But together, we’ve proven that we can get big things done in this country.
Last year, with your help, we laid the groundwork. This year, we have to build it. The biggest weapon in our arsenal is the Build Back Better Act. Nothing is going to do more to ease pressure on families…
Every mayor knows if people can’t find and afford childcare, they can’t work. (Applause.) Some of your cities, it’s 14-, 15,000 bucks a year for childcare. That’s why we have nearly 1.2 million extremely qualified women who haven’t been able to return to the workforce.
We can cut the cost of childcare in half and fix that problem.
Health insurance: We can reduce the cost for families — and we’ve done for $600 per year.
On climate: Extreme weather disasters cost communities $145 billion last year. That’s how much we spent because of weather-related crises. $145 billion. By investing in resilience and clean energy technology, we can do something about that.
To give relief to families, in the American Rescue Plan we had the Childcare Tax Credit. That did reduce child poverty by 40 percent. There’s no reason it shouldn’t continue. (Applause.)
And on education — on education: Today, about half of the three- and four-year-olds are enrolled in early childhood education…
We can do this and more on healthcare, nutrition, and a host of other issues.
And, folks, here’s the point: We can do it without increasing inflation or the deficit.
Seventeen Nobel laureates in economics wrote a letter to me recently, affirming that this bill would reduce inflationary pressures on the economy, not increase — reduce it. (Applause.)
And by the way — by the way, it’s entirely paid for. (Applause.) Every single penny. (Applause.) And not a single person making less than $400,000 a year will pay a single additional penny in federal taxes. Not a single penny. (Applause.)
And, by the way, I’m a capitalist. I’m not a socialist. If you can make $1 billion or $10 million, good for you. Just begin to pay your fair share. Pay a little bit. (Applause.)
We can pay for all this by just making sure that the wealthy — making sure that the wealthy and the biggest corporations pay their fair share…
Look, we can tackle all these challenges just like we did with the Rescue Plan, the infrastructure law, and the fight against COVID, but we can’t do it without you…
You understand the cost if we fail to act. We need the voice of mayors telling the stories of what your communities need, and the impact we’re making on people’s lives or not making. If we can get this done — I believe this with every fiber of my being: If we can get this done, there’s no limit what Americans can achieve. So, let’s continue to give working families a fighting chance.
The Biden Administration is Buying One Billion Tests to Give to Americans for Free; Online Ordering of a Half-Billion Tests Begins on January 19th; Builds on Significant Actions to Expand Testing Capacity and Increase Access to Free Testing
Testing is an important tool to help mitigate the spread of COVID-19. Public health experts and the Centers for Disease Control and Prevention recommend that Americans use at-home tests if they begin to have symptoms, at least five days after coming in close contact with someone who has COVID-19, or are gathering indoors with a group of people who are at risk of severe disease or unvaccinated.
To help ensure Americans have tests on hand if a need arises, the Biden Administration is purchasing one billion at-home, rapid COVID-19 tests to give to Americans for free. A half-billion tests will be available for order on January 19th and will be mailed directly to American households.
There will be free tests available for every household, and to promote broad access, the initial program will allow four free tests to be requested per residential address. Starting January 19th, Americans will be able to order their tests online at COVIDTests.gov, and tests will typically ship within 7-12 days of ordering.
To ensure equity and access for all Americans, the Administration will also launch a call line to help those unable to access the website to place orders, and work with national and local community-based organizations to support the nation’s hardest-hit and highest-risk communities in requesting tests.
In addition to this new program, there are many other options for Americans to get tested. There are now over 20,000 free testing sites across the nation, including four times as many pharmacies participating in the federal pharmacy free testing program as there were in January 2021, as well as federal surge free testing sites, with more free testing sites opening each week. Millions of free, at-home COVID-19 tests have been delivered to thousands of community health centers and rural health clinics to distribute to their patients, with more delivered each week. In addition, the Administration provided schools $10 billion in American Rescue Plan (ARP) funding to get tests to K-12 school districts. And, the Administration invested nearly $6 billion in ARP funding to cover free testing for uninsured individuals, and support testing in correctional facilities, shelters for people experiencing homelessness, and mental health facilities.
Just this week, the Administration also announced that starting January 15th, private health insurance companies will be required to cover at-home COVID-19 tests for free—and made an additional 10 million COVID-19 tests available to schools nationwide, each month.
Since January 2021, the Administration has taken significant action to dramatically increase the nation’s overall COVID-19 testing supply, the number of tests authorized for use in the U.S., and the number of places where Americans can get a test, while lowering costs for consumers and increasing access to free tests.
This comprehensive approach has produced important results: Today, there are nine at-home, rapid tests on the market in the U.S.—up from zero when the President took office. In December, there were more than 300 million at-home, rapid tests available in the U.S. market, up from 24 million in August—a more than 10-fold rise. This month, the number of at-home, rapid tests available to the U.S. market will rise to 375 million—in addition to the free tests available through COVIDTests.gov.
Distributing At-Home, Rapid COVID-19 Tests to American Homes for Free: This program will ensure that Americans have at-home, rapid COVID-19 tests available in the weeks and months ahead—in addition to the number of other ways they can get tested. The Administration is quickly completing a contracting process for the unprecedented purchase of one billion at-home, rapid tests to distribute as part of this program. The Department of Defense, in coordination with the Department of Health and Human Services, has already awarded several of the contracts that will result from this process—with over 420 million tests already under contract. Given the incredible volume of tests being procured and the diversity of manufacturers, additional contracts will continue to be awarded over the coming weeks.
Ordering Process: Starting on January 19th, Americans will be able to order a test online at COVIDTests.gov. To ensure broad access, the program will limit the number of tests sent to each residential address to four tests. Tests will usually ship within 7-12 days of ordering.
Distribution and Delivery Process: The Administration will partner with the United States Postal Service to package and deliver tests to Americans that want them. All orders in the continental United States will be sent through First Class Package Service, with shipments to Alaska, Hawaii, and the U.S. Territories and APO/FPO/DPO addresses sent through Priority Mail.
Ensuring Equity and Reaching Hardest-Hit Communities: The Administration is taking a number of steps to ensure this program reaches our hardest-hit and highest-risk communities. This includes prioritizing processing orders to households experiencing the highest social vulnerability and in communities that have experienced a disproportionate share of COVID-19 cases and deaths, particularly during this Omicron surge; launching a free call line, so that Americans who have difficulty accessing the internet or need additional support can phone-in orders for their tests; and, working with national and local organizations with deep experience serving communities of color, people living with disabilities, and other high-risk communities to serve as navigators, raise awareness about the program, and help people submit requests.
The Biden Administration continues acting aggressively to further increase equitable access to free COVID-19 testing for all Americans, as testing needs arise. This includes:
Requiring Health Insurers to Cover the Cost of At-Home COVID-19 Tests Starting January 15th: On Monday, the Administration announced that, starting January 15th, private insurance companies will be required to cover at-home COVID-19 tests. This means consumers with private health insurance coverage will be able to get these tests for free. Insurance companies and health plans are required to cover eight free at-home tests per covered individual per month. That means a family of four, all on the same plan, would be able to get 32 of these tests covered by their health plan per month. As part of the requirement, the Administration is strongly incentivizing plans and insurers to allow people to get these tests directly through preferred pharmacies or retailers with no out-of-pocket costs, with the plan or insurer covering the cost upfront, eliminating the need for people to submit reimbursement claims.
Making 10 Million More Tests Available to Schools Nationwide: On Wednesday, the Administration took new actions to increase access to COVID-19 testing in schools. This includes increasing the number of COVID-19 tests available to schools by 10 million per month to help schools safely remain open and implement screening testing and test-to-stay programs—which will allow schools to double the volume of testing they were performing in November 2021—and supporting free testing access for students, school staff, and families through federal testing sites. These actions double down on the Administration’s commitment to keeping all schools safely open for full-time in-person learning, and build on the historic investments the Administration has already made to expand school testing, including providing states $10 billion in American Rescue Plan funding to support COVID-19 screening testing for teachers, staff, and students and $130 billion in American Rescue Plan funding that schools can use on COVID-19 testing. In addition to these resources, at the President’s direction, FEMA has been providing states, Tribes, and territories 100 percent federal reimbursement to support COVID-19 testing, including at schools. There was no federal support for testing in schools prior to the start of the Administration.
Standing Up New Federal Surge Free Testing Sites: To help states and communities that need additional testing capacity as they battle Omicron, the Administration has rapidly stood up many new, federal free testing sites across the nation over the past several weeks. Already, there are 18 accessible sites operating in New York, New Jersey, Pennsylvania, Nevada, and Washington D.C.—with approximately 20 additional sites opening soon. These new federal sites have been effective in ensuring our hardest-hit and high-risk communities have equitable access to testing, with initial data showing that over three in four tests at the New York and New Jersey sites—sites that have been open the longest—have been administered to people of color.
These actions build on the significant steps the Administration has taken since Day One on testing to:
Increase Overall Testing Supply in the U.S.: Starting last February, the Administration has used the Defense Production Act, industrial mobilization and advance purchase commitments to ramp up supply of testing, including at-home, rapid tests. This includes $3 billion in advance purchase commitments this Fall, which allowed domestic testing manufacturers to increase production, add factory lines, increase staffing, and move up manufacturing timelines. As a result, the U.S. went from 24 million at-home, rapid tests on the market in August, to 46 million in October, to 100 million in November, to over 300 million in December, to 375 million in January. This is on top of the work the Administration has done to increase capacity for lab-based COVID-19 testing; the U.S. is now conducting more lab-based tests per capita than many peer countries, including Germany, Canada, and Japan.
Increase the Number of Tests Authorized in the U.S.: In March, to bring more at-home, rapid tests to market, the Administration worked to create a new, streamlined pathway for manufacturers to more quickly receive authorization from the Food and Drug Administration (FDA) for their tests. This accelerated pathway has been successfully used by at least six manufacturers this year. In addition, using resources from the American Rescue Plan, the Administration launched a new, innovative partnership between NIH and FDA last October to help manufacturers further accelerate authorization. The first two tests to use this pathway were authorized in December—weeks, if not months, ahead of schedule. These actions have paid off: When the President took office, there were zero at-home, rapid tests on the market. Today, there are nine on the market. This gives consumers more options and increases competition to lower prices.
Increase the Number of Places to Get Tested in the U.S.: Since January 2021, the Administration has more than quadrupled the number of pharmacies participating in the federal program for in-store testing—from 2,500 to over 10,000. At the President’s direction, FEMA has provided states, Tribes, and territories with 100 percent reimbursement for a range of testing costs, including state-run testing sites, since January 2021. Overall, there are now over 20,000 federally-supported free testing sites nationwide, with more pharmacies joining the federal free testing program each week. In addition, the Administration has stood up new federal free surge testing sites in areas of need, with more opening each week.
Increase Access to Free Testing in the U.S.: From the start, the Administration has taken significant action to reduce the cost of testing and increase access to free testing. Last February, the Administration required insurers to cover provider-ordered testing for free, including for asymptomatic individuals. The Administration also acted to ensure Medicaid programs cover all COVID-19 testing, and invested nearly $5 billion to cover testing costs for uninsured individuals—resulting in over 47 million tests covered. In addition to expanding the number of free testing sites to over 20,000 nationwide, the Administration delivers 2.5 million tests to long-term care facilities each week, and also launched a program to distribute 50 million free at-home tests to thousands of locations, including community health centers and rural health clinics that serve our hardest-hit and highest-risk communities. The announcements made today and earlier this week build on this work and will further ensure all Americans have equitable access to free testing.
