Category Archives: Health Care

Biden Administration, Coronavirus Pandemic, Health Care

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Biden Administration Launches COVID.gov, a New One-Stop Shop Website for Vaccines, Tests, Treatments, Masks and Latest COVID-19 Information

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

President Joe Biden sits for his second booster shot, just approved by the CDC for people 50+ or immune-compromised, moments after announcing the new COVID.gov site, where anyone can find Test-to-Treat sites, get lifesaving tools including vaccines, tests, treatments, and updates on COVID-19 in their area © Karen Rubin/news-photos-features.com via msnbc

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.

Biden Administration, Coronavirus Pandemic, Economy, Education, Health Care, News & Photo Features, President Joe Biden

On 1-Year Anniversary of American Rescue Plan, Highlighting the Difference in People’s Lives

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.

Among the ways the American Rescue Plan, signed a year ago, had a positive impact on people’s lives is funding the distribution of 200 million vaccines and millions of therapeutics, saving lives and spurring the biggest, fastest rebound in the economy in the world © Karen Rubin/news-photos-features.com

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 premiums for 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 workforce development, 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 estimated 37,000 homeless veterans.
     
  • ARP cancelled health care copayment charges for 2.5 million veterans during 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 to reduce 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 reach 1.5 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: with 21 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.  
Biden Administration, Coronavirus Pandemic, Health Care

Biden Administration Releases National COVID-19 Preparedness Plan

The Biden Administration released an update to its National Strategy – the National COVID-19 Preparedness Plan – which will help move America forward safely. This plan lays out the roadmap to help fight COVID-19 in the future as America moves from crisis to a time when COVID-19 does not disrupt our daily lives and is something we prevent, protect against, and treat. © Karen Rubin/news-photos-features.com

The White House released an Executive Summary of the Biden Administration’s National COVID-19 Preparedness Plan:

President Biden came into office facing the worst public health crisis in more than a century. COVID-19 was wreaking havoc on our country – closing our businesses, keeping our kids out of school, and forcing us into isolation and lockdown as our first line of defense. Americans lacked the tools we needed to protect ourselves and our families. 

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:

  1. Protect against and treat COVID-19
  1. Prepare for new variants
  1. Prevent economic and educational shutdowns 
  1. 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.

As a result, today, the vast majority of Americans have the protection of a vaccine – with 215 million Americans fully vaccinated, and an estimated two-thirds of eligible adults having received their booster shot. Vaccinated and boosted people are 41 times less like to die of COVID-19 than unvaccinated individuals. And America’s unprecedented vaccination campaign has saved lives: a December 2021 estimate suggested that vaccines saved over 1 million American lives and successfully prevented over 10 million hospitalizations.

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.

And the U.S. government has successfully put equity at the heart of a nationwide public health response. Hispanic, Black, and Asian adults are now vaccinated at the same rates as White adults. This is the result of an all-of-society effort that got America to where it is today: employers who offered paid time off for their employees; child care providers who offered drop-in services for caregivers to get vaccinated; public transit authorities and ride-sharing companies that provided free rides to vaccination sites; churches, civic organizations, barbershops, and beauty salons, who opened their doors to be trusted spaces for vaccinations; and the families who made vaccination a family affair. 

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.

The Administration will work with Congress to secure the necessary funding to:

  • 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.  

The Administration has enhanced our collection, production, and analysis of data, and expanded electronic case reporting to all 50 states, Washington D.C., Puerto Rico, and thousands of health care facilities. The CDC now tracks a range of key COVID-19 response metrics including cases, tests, vaccinations, and hospital admissions in real-time. Additionally, the CDC launched – and is continually enhancing – the National Wastewater Surveillance System (NWSS) to track the presence of SARS-COV-2 in wastewater samples collected across the country. And America has established a world-class sequencing operation, sequencing up to 90,000 isolates a week. The CDC’s sequencing efforts can now reliably detect variants that account for as little as 0.1% of all COVID-19 cases circulating in the United States. And when new variants are identified, the federal government has a network of researchers – federal, academic, and commercial – who are able to study the sequence and assess mutations rapidly, allowing the government to respond quickly to concerning variants. 

The Administration has also successfully built a robust emergency response infrastructure. Our surge response – led by the Federal Emergency Management Agency (FEMA) and HHS – developed capabilities to stand up over 100 federal mass vaccination sites and federal surge testing sites; distribute millions of critical supplies; and deploy thousands of federal clinical and non-clinical personnel to support states, Tribes, and territories. Since July 2021, the federal government has deployed over 4,000 military and non-military personnel including doctors, nurses, and paramedics; sent over 3,400 ventilators, ambulances, and other critical supplies; and shipped over 115 million pieces of PPE. And over the last year, FEMA has invested $300 million in state hospital preparedness to expand hospital capacity in 38 states.

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.
  • 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.

The President committed that the United States would be the world’s arsenal for vaccines – both because it’s the right thing to do and in our collective interest. And America is delivering on that commitment. The United States stands alone in procuring 1 billion vaccines for the sole purpose of donating them. And overall, the Administration has committed to donating 1.2 billion doses to other countries – for free, with zero strings attached, which represents the largest commitment of any single country or group of countries in the world. As of today, the U.S. government has delivered over 475 million free doses to 112 countries around the world – four times the number of free doses shared with the world than any other country.

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 response and 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.
Biden Administration, Coronavirus Pandemic, Health Care

White House Details Consequences if Congress Fails to Act on Funding for Efforts to Combat COVID-19

President Biden’s public health actions to stem the coronavirus pandemic and protect people from the worst impacts – through mass testing, vaccinations and treatment programs – which have saved a million lives is now in jeopardy if Congress does not provide new funding © Karen Rubin/news-photos-features.com

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).

Biden Administration, Global Affairs, Health Care

Biden Administration Commits to Advancing Global Health Security

The United States Government is 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.” © Karen Rubin/news-photos-features.com  

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 Administration, Health Care, President Joe Biden

Biden Reignites Cancer Moonshot to ‘End Cancer as We Know It’

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

President Joe Biden, reigniting the Cancer Moonshot begun when he was Vice President, has set a goal of reducing the cancer death rate by at least 50 percent over the next 25 years and improving the experience of living with and surviving cancer © Karen Rubin/news-photos-features.com


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.
Biden Administration, Health Care, Women's Rights

On 49th Anniversary of Roe v. Wade, Biden-Harris Commit to Protecting Women’s Reproductive Rights; HHS Acts

New York City Women’s Rally to protect Roe v. Wade © Karen Rubin/news-photos-features.com

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.

Watch the Vice President’s Exclusive with Elle Magazine Marking the 49th Anniversary of Roe v. Wade

The Vice President recorded a video message reiterating our administration’s commitment to protecting constitutional rights. “Roe v. Wade advanced women’s equality and that case saved women’s lives,” Harris says in the video. Read the Full Exclusive Here

HHS Secretary Becerra Takes Action to Protect Reproductive Health Care

New Task Force Launched on Eve of Roe v. Wade Anniversary

Today, on the eve of the 49th anniversary of Roe v. Wade, Health and Human Services Secretary Xavier Becerra announced the first-ever HHS Intra-agency Task Force on Reproductive Healthcare Access.

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.
Biden Administration, Build Back Better, Climate Change, Coronavirus Pandemic, Economic Development, Health Care, Housing, Immigration-Migration-Refugees, Infrastructure, Jobs, Joe Biden, News & Photo Features, President Joe Biden

Biden Administration Details Ways Partnership with Nation’s Mayors Improved Lives, What Build Back Better Could Further Achieve

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, and set up mass vaccination sites. As a result, in less than one year, over 200 million Americans have been vaccinated © Karen Rubin/news-photos-features.com

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.