The MAGA Republicans’ extreme bill would cut veterans’ health care, jeopardize public safety, and raise costs for families—even as House Republicans separately push for trillions in tax cuts skewed to the wealthy and big corporations. Essentially the Republicans are holding the economy, and millions of families hostage. It comes down to:“Pretty nice economy you got here. Terrible if something bad would happen to it.” This fact sheet is supplied by the White House:
Congressional Republicans are holding the nation’s full faith and credit hostage in an effort to impose devastating cuts that would hurt veterans, raise costs for hardworking families, and hinder economic growth. The Default on America Act would cut veterans’ health care, education, Meals on Wheels, and public safety, take away health care from millions of Americans, and send manufacturing jobs overseas. Outside economists say that if enacted, the Default on America Act would “increase the likelihood” of a recession and result in 780,000 fewer jobs by the end of 2024. And House Republicans are demanding these cuts while separately advancing proposals to add over $3 trillion to deficits through tax cuts and giveaways skewed to the wealthy and big corporations.
Today, the White House released 51 fact sheets highlighting the devastating impacts of the Default on America Act on states and the District of Columbia. Nationally, the Default on America Act would have devastating impacts on the American people. It would:
Jeopardize Transportation Safety and Infrastructure
Cut Nearly 7,500 Rail Safety Inspections. At a time when train derailments are wreaking havoc on community safety, The Default on America Act would lead to nearly 7,500 fewer rail safety inspection days and over 30,000 fewer miles of track inspected annually—enough track to cross the United States nearly 10 times. Since the Norfolk Southern train derailment, bipartisan Senators have called for more rail inspections, not fewer.
Jeopardize Air Safety by Shutting Down at Least 375 Air Traffic Control Towers. The Default on America Act would shut down services at 375 federally-staffed and contract Air Traffic Control Towers across the country—undermining safety at two thirds of all U.S. airports—and increase wait times at TSA security check points by over 2 hours at large airports across the country.
Withhold Vital Transportation Infrastructure Funding. Under the Default on America Act, the United States would stand to lose nearly $5.2 billion in funding for transit and highway infrastructure projects all across the country.
Raise Costs for Families
Eliminate Preschool and Child Care Slots. The Default on America Act would mean 200,000 children lose access to Head Start slots and 180,000 children lose access to child care—undermining our children’s education and making it more difficult for parents to join the workforce and contribute to our economy.
Strip Nutrition Assistance from Women and Children. The Default on America Act would also mean 1.7 million women, infants, and children would lose vital nutrition assistance through the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), increasing child poverty and hunger.
Raise Housing Costs for Americans. Under the Default on America Act, more than 600,000 families would lose access to rental assistance, including older adults, persons with disabilities, and families with children, who without rental assistance would be at risk of homelessness.
Harm Seniors, Older People, and Veterans
Threaten Medical Care for Veterans. The House Republicans’ Default on America Act would mean 30 million fewer veteran outpatient visits, and 81,000 jobs lost across the Veterans Health Administration, leaving veterans unable to get appointments for care including wellness visits, cancer screenings, mental health services, and substance use disorder treatment.
Worsen Social Security and Medicare Assistance Wait Times for Seniors. Under the House Republicans’ Default on America Act, people applying for disability benefits would have to wait at least two months longer for a decision. With fewer staff available, seniors would also be forced to endure longer wait times when they call for assistance for both Social Security and Medicare, and as many as 240 Social Security field offices could be forced to close or shorten the hours they are open to the public.
Jeopardize Food Assistance for Older Adults. House Republicans are threatening food assistance for up to 900,000 older adults with the Default on America Act’s harsh new eligibility restrictions in the Supplemental Nutrition Assistance Program (SNAP).
Jeopardize Health Coverage and Access to Care
Jeopardize Health Coverage and Access to Care for Americans. The Default on America Act would put health insurance coverage—and health—at risk for 21 million Americans. Only one state has ever fully implemented similar policies, and nearly 1 in 4 adults subject to the policy lost their health coverage—including working people and people with serious health conditions—with no evidence of increased employment.
Deny Americans Access to Treatment for Opioid Use Disorder. The Default on America Act would deny access to opioid use disorder treatment for more than 28,000 people through the State Opioid Response grant program—denying them a potentially life-saving path to recovery.
Hurt Children and Students and Undermine Education and Job Training
Gut Funding for Low-Income Students. The Default on America Act would cut approximately $4 billion in funding for schools serving low-income children—equivalent to removing more than 60,000 teachers and specialized instructional support personnel from classrooms, impacting an estimated 26 million students.
Reduce Support for Students with Disabilities. Under the Default on America Act, as many as 7.5 million children with disabilities would face reduced supports—a cut equivalent to removing more than 48,000 teachers and related services providers from the classroom.
Slash Mental Health Support for Students. The Default on America Act would limit educators’ abilities to address student mental health issues and prevent suicide and drug use by cutting funding dedicated to creating healthy learning environments in schools by about $300 million.
Eliminate Student Debt Relief. The Default on America Act would eliminate the President’s one-time student debt relief plan, denying much needed emergency student loan relief of up to $20,000 for more than 40 million Americans recovering from the effects of the pandemic. It would also block the creation of new, more affordable student loan repayment plans such as the President’s proposal to cut undergraduate loans payments in half.
Make College More Expensive. The Default on America Act would reduce the maximum award for Pell Grants by nearly $1,000, likely eliminating it altogether for 80,000 students while making it harder for the remaining 6.6 million recipients to attend and afford college.
Cut Off Access to Workforce Development Services. The Default on America Act would result in nearly 700,000 fewer workers receiving job training and employment services provided through the Department of Labor’s workforce development funding. These harmful cuts would deprive businesses of the skilled workforce they need to thrive, and would cut off worker pathways to good jobs.
This analysis assumes an across-the-board reduction of roughly 22% compared to currently enacted FY 2023 levels for non-defense discretionary accounts. That aligns with Congressional Republicans’ Default on America Act, which would return discretionary spending to FY 2022 levels on an ongoing basis while exempting defense spending.
President Biden announced the most comprehensive set of executive actions any President has ever taken to improve care for hard-working families while supporting care workers and family caregivers. Joined by people with disabilities, family caregivers, long-term care workers, early educators, veterans, and aging advocates, the President signed an Executive Order that includes more than 50 directives to nearly every cabinet-level agency to expand access to affordable, high-quality care, and provide support for care workers and family caregivers. This fact sheet is provided by the White House:
Too many families and individuals struggle to access the affordable, high-quality care they need. The cost of child care is up 26% in the last decade and more than 200 percent over the past 30 years. For the elderly or people with disabilities long-term care costs are up 40% in the past decade. The result is many Americans – particularly women – stay out of the workforce to care for their families, making it hard for businesses to attract and retain a skilled workforce and for the economy to grow. A BCG brief forecasts losses of $290 billion each year in gross domestic product in 2030 and beyond if the U.S. fails to address the lack of affordable child care.
At the same time, many workers providing this critical care find themselves in low-paying jobs with few benefits. Care workers, who are disproportionately women of color, struggle to make ends meet, and turnover rates are high. In addition, at least 53 million Americans serve as family caregivers—including over 5 million caring for service members or veterans—and many face challenges due to lack of support, training, and opportunities for rest.
President Biden believes that we must secure significant new federal investments to transform care in this country. That’s why he and Vice President Harris called for investments to support high-quality, affordable child care, preschool, and long-term care in their fiscal year 2024 budget. While Congress considers those proposals, the President is taking immediate action to make care more affordable for American families, support family caregivers, boost compensation and improve job quality for care workers, and expand care options. Specifically, his Executive Order will:
Make child care and long-term care more accessible and affordable for families, including military families. The acute challenges families face in accessing affordable, high-quality care are well documented. In 2019, 76% of families with young children who searched for care reported difficulty finding adequate child care, and military families consistently cite access to high-quality child care as an impediment to military spouse employment and family economic security. More than three-quarters of home and community-based care service providers are not accepting new clients, leaving hundreds of thousands of older Americans and Americans with disabilities on waiting lists for home and community-based services or struggling to afford the care they need. The President is taking action to make child care and long-term care more affordable by directing federal agencies to:
Identify which of their grant programs can support child care and long-term care for individuals working on federal projects, and consider requiring applicants seeking federal job-creating funds to expand access to care for their workers. This builds off of the historic child care requirement for semiconductor employers seeking significant federal funding under the CHIPS and Science Act of 2022 to submit a plan for how they will help employees access affordable child care. These actions help employers delivering major federal projects recruit and retain a robust, skilled, and diverse workforce.
Lower costs for families benefitting from the Child Care & Development Block Grant (CCDBG) program, including by directing the Department of Health and Human Services (HHS) to consider actions to reduce or eliminate families’ co-payments for child care.
Ensure the federal government is a model employer by supporting its own workforce. The Executive Order directs the Office of Personnel Management to conduct a review of child care subsidy policy and consider setting standards for when and how federal agencies should provide child care subsidies to federal employees. Additionally, all federal agencies will review opportunities to expand employee access to child care services through federal child care centers, child care subsidies, or contracted care for providers.
Provide support for our service members and their families by directing the Department of Defense to take steps to improve the affordability of child care on military installations.
Improve access to home-based care for veterans. To meet our sacred obligation to our veterans and their families, the Executive Order directs the Department of Veterans Affairs (VA) to improve access to home-based care for veterans who require support with activities of daily living, like bathing and getting dressed, by giving them more decision-making power over who delivers that care and when. VA is directed to consider expanding its Veteran Directed Care program to all 172 VA Medical Centers by the end of Fiscal Year 2024. This program provides veterans with a budget to hire personal care assistance including from family members. VA will also consider piloting a new self-directed care program in no fewer than 5 new sites that provides veterans with a budget for personal care assistance while reducing administration burdens related to managing care. Further, VA will consider adding 75 new interdisciplinary teams to its Home-Based Primary Care program to serve an additional 5,600 veterans in their homes.
Boost job quality for early educators. Early care and education professionals are among the lowest-paid workers in the country. Child care workers earn a median wage of less than $18 an hour, while the typical nonsupervisory worker in the U.S. earns over $28 an hour. While the average salary of a public preschool teacher and kindergarten teacher is about $49,000 and $60,000, respectively, the average annual salary for Head Start and preschool teachers is about $35,000. To address this, HHS will take steps to increase the pay and benefits for Head Start teachers and staff. HHS will implement policies so that more child care providers benefiting from CCDBG receive higher reimbursements for the children they serve. Additionally, the Department of Education (ED) will encourage grantees of the Child Care Access Means Parents in School (CCAMPIS) program—which supports thousands of student-parents across the country pay for care while going to school—to improve the quality of the services they provide, including higher wages for child care workers.
Enhance job quality for long-term care workers. The President is committed to improving the quality of long-term care jobs in this country so that Americans can get the reliable, high-quality care they deserve—whether it is in their homes and communities or in nursing homes. To advance the President’s long-term care priorities, the Executive Order directs HHS to consider issuing several regulations and guidance documents to improve the quality of home care jobs, including by leveraging Medicaid funding to ensure there are enough home care workers to provide care to seniors and people with disabilities enrolled in Medicaid, as well as build on the minimum staffing standards for nursing homes and condition a portion of Medicare payments on how well a nursing home retains workers.
Support family caregivers. Without adequate resources, family caregiving can affect caregivers’ physical and emotional health and well-being and contribute to financial strain. These negative consequences are felt most acutely by women, who make up nearly two-thirds of family caregivers and who drop out of the workforce at higher rates than men. To provide greater support to family caregivers, the Executive Order directs HHS to consider testing a new dementia care model that will include support for respite care (short-term help to give a primary family caregiver a break) and make it easier for family caregivers to access Medicare beneficiary information and provide more support to family caregivers during the hospital discharge planning process. Additionally, VA will consider expanding access to the Program of Comprehensive Assistance for Family Caregivers and provide more mental health support for caregivers enrolled in that program. These actions build on the 2022 National Strategy to Support Caregivers.
Advance domestic workers’ rights. Care workers should be supported, valued, and fairly compensated, and care workers should have the free and fair choice to join a union. In particular, domestic workers providing care for our loved ones are often underpaid and subject to discrimination and abuse. To provide greater protection for these workers, the Department of Labor will publish a sample employment agreement so domestic child care and long-term care workers and their employers can ensure both parties better understand their rights and responsibilities.
Ease construction of early childhood facilities for Tribes. There are approximately half a million American Indian and Alaska Native children under the age of 13 who potentially need child care so their parents can work. Nearly half are below the age of five. To help the families of these children access high-quality child care, HHS will streamline the process for tribal grantees of federal child care assistance and Head Start to apply for and construct or improve early childhood facilities.
Engage affected communities. To make the delivery and design of federal care assistance and programs work better for families, the care workforce, and people seeking care, the Treasury and the Departments of Defense, Agriculture, Labor, Health and Human Services, Education, and Veterans Affairs, will engage with parents, guardians, and other relatives with care responsibilities; individuals receiving long-term care; State and local care experts; care providers and workers; employers; and labor unions. The Executive Order also encourages the Administrator of the Small Business Administration to consider conducting similar engagement.
The Biden-Harris Administration’s Record on Care
The Administration invested over $60 billion from the American Rescue Plan (ARP) Act in the care economy, including $39 billion to help child care providers keep their doors open and to provide child care workers with higher pay, bonuses, and other benefits—reducing turnover and attracting new staff. To date, these efforts have helped 220,000 child care programs, which employ more than one million child care workers with the capacity to serve 9.6 million children. In addition, the Administration invested $25 billion in ARP funds to help states strengthen their Medicaid home care programs, including over $9 billion in spending to boost wages for home care workers as well as improve overall job quality.
The stabilization funding provided through the ARP saved child care in this country. One in three child care programs who received stabilization support report that they would have been forced to close permanently without these funds.
These grants likely have had effects beyond the child care workforce and providers as access to child care is critical for parental employment, particularly for women. The President’s Council of Economic Advisers analyzed this relationship in their most recent Economic Report of the President, and found that mothers’ employment has recovered more quickly in areas with greater child care capacity supported by ARP stabilization grants. In those areas, employment among mothers with young children outpaced that of mothers in lower ARP-supported areas throughout 2022 and rebounded to pre-pandemic levels by mid-2022.
The FY 2024 President’s Budget builds on these investments and proposes investing $600 billion over 10 years to expand access to high-quality, affordable child care and free, high-quality preschool. This funding will enable States to increase child care options for more than 16 million young children. The proposal lowers costs so that parents can afford to send their children to high-quality child care while also paying child care providers wages that reflect the value they provide families and communities.
The President’s Budget also includes $150 billion over the next decade to improve and expand Medicaid home care services—making it easier for seniors and people with disabilities to live, work, and participate in their communities. This funding would improve the quality of jobs for home care workers and support family caregivers. The Administration is also promoting the use of apprenticeship programs and partnering with employers, unions, and others to recruit, train, and keep long-term care workers on the job while also helping them advance their careers as registered and licensed nurses. Just this month, the President also signed the first-ever proclamation designating April as National Care Worker Recognition Month, to honor the efforts and sacrifices of our child care and long-term care workers.
The Administration is committed to getting caregivers the resources and respect they deserve. The National Strategy to Support Family Caregivers outlines nearly 350 actions the federal Government can take to support family caregivers’ health, well-being, and financial security. And the ARP provided $145 million to help the National Family Caregiver Support Program deliver counseling, training, and short-term relief to family and other informal care providers. The Administration has also expanded the VA Program of Comprehensive Assistance for Family Caregivers to veterans of all service eras so more veteran caregivers have the financial and mental health support they deserve. Through the First Lady’s Joining Forces initiative, the Administration has partnered with more than 50 public and private sector organizations to launch the “Hidden Helpers” Coalition to serve the 2.3 million military and veteran children in caregiving homes.
The White House provided this fact sheet of actions the Biden-Harris Administration is taking to protect patient privacy in the wake of the assault on women’s access to reproductive health care:
Today, the Biden-Harris Administration will announce new actions to safeguard patient privacy at the third meeting of the Task Force on Reproductive Healthcare Access with Vice President Harris. These announcements build on actions that the Administration has taken to protect privacy and access to accurate information in the wake of the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, as the President directed in his first Executive Order to protect access to reproductive health care, including abortion. Efforts to protect sensitive health information, including related to reproductive health care, have taken on renewed importance, as states seek to penalize and criminalize health care providers and interfere in deeply personal medical decisions.
At the meeting, the Cabinet will discuss their ongoing efforts to defend reproductive rights and support access to reproductive health care more broadly. The Task Force will also discuss updates on the Administration’s response to Alliance for Hippocratic Medicine v. FDA, as well as efforts to implement the Presidential Memorandum on ensuring safe access to medication abortion, which has been approved by the Food and Drug Administration as safe and effective for over two decades.
Today, the Administration announced actions to:
Strengthen Reproductive Health Privacy under HIPAA. The Department of Health and Human Services (HHS) is issuing a Notice of Proposed Rulemaking to strengthen privacy protections under the Health Insurance Portability and Accountability Act (HIPAA). This rule would prohibit doctors, other health care providers, and health plans from disclosing individuals’ protected health information, including information related to reproductive health care, under certain circumstances. Specifically, the rule would prevent an individual’s information from being disclosed to investigate, sue, or prosecute an individual, a health care provider, or a loved one simply because that person sought, obtained, provided, or facilitated legal reproductive health care, including abortion. By safeguarding sensitive information related to reproductive health care, the rule will strengthen patient-provider confidentiality and help health care providers give complete and accurate information to patients.
Protect Students’ Health Information. The Department of Education (ED) is issuing guidance to over 20,000 school officials to remind them of their obligations to protect student privacy under the Family Educational Rights and Privacy Act (FERPA). The guidance helps ensure that school officials—including those at federally funded school districts, colleges, and universities—know that, with certain exceptions, they must obtain written consent from eligible students or parents before disclosing personally identifiable information from students’ educational records, which may include student health information. The guidance encourages school officials to consider the importance of student privacy, including health privacy, with respect to disclosing student records. ED is also issuing a know-your-rights resource to help students understand their privacy rights for health records at school.
Support Consumer Privacy. The Federal Communications Commission (FCC) is launching a new guide for consumers on best practices for protecting their personal data on mobile phones. The guide also explains how existing FCC requirements protect against the disclosure of consumers’ sensitive information, including geolocation data, which can be especially important in the context of accessing reproductive health care. The guide follows a recent Notice of Proposed Rulemaking issued by FCC that is aimed at updating and strengthening data breach rules to provide greater protections to personal data.
Safeguard Patients’ Electronic Health Information. HHS is issuing guidance affirming that doctors and other medical providers can take steps to protect patients’ electronic health information, including their information related to reproductive health care. HHS will make clear that patients have the right to ask that their electronic health information generally not be disclosed by their physician, hospital, or other health care provider—including to other health care providers. The guidance also reminds health care providers that HIPAA’s privacy protections continue to apply to patients’ electronic health information.
The Administration also announced related efforts to provide access to accurate information and bolster data related to women’s health more broadly:
Leverage Maternal Health Data to Address Disparities. FCC is committing to the swift implementation of the Data Mapping to Save Moms’ Lives Act, which directs FCC, in coordination with the Centers for Disease Control and Prevention, to incorporate publicly available data on maternal mortality and morbidity into its Mapping Broadband Health in America platform. This innovation will support women’s health by informing efforts to expand broadband access—including access to telehealth—in areas with poor maternal health outcomes. This builds on the Administration’s work to improve maternal health and address long-standing disparities, including those spotlighted this Black Maternal Health Week. FCC will continue to explore opportunities to improve research, data collection, data analysis, and interpretation in the context of reproductive health care and maternal health outcomes.
Promote Accurate Information About Reproductive Care. HHS is announcing that it will issue a new Notice of Funding Opportunity to establish a safe and secure national hotline to provide referral services to women in need of accurate information about their legal reproductive health care options. The nondirective hotline would provide information to patients served by the Title X family planning program who request information related to prenatal care and delivery; infant care, foster care, or adoption; or pregnancy termination.
Today’s announcements build on previous actions to protect patient privacy and access to accurate information. The Administration has taken action to:
Prevent Illegal Use and Sharing of Sensitive Health Information. The Federal Trade Commission (FTC) has committed to enforcing the law against illegal use and sharing of highly sensitive data, including information related to reproductive health care. Consistent with this commitment, the FTC recently took first-of-its-kind enforcement action against companies for disclosing consumers’ personal health information without permission to Facebook, Google, and others. The FTC has also urged companies to consider that sensitive data is protected by numerous state and federal laws and that claims that data is “anonymous” are often deceptive.
Reinforce Existing Protections under the HIPAA Privacy Rule. Immediately after Dobbs, HHS issued guidance to help ensure doctors and other health care providers and health plans know that, with limited exceptions, they are not required—and in many cases, are not permitted—to disclose individuals’ health information, including to law enforcement. This guidance, which helps protect individuals seeking or receiving reproductive health care, remains in effect while today’s rulemaking is underway. The Notice of Proposed Rulemaking noted above would further strengthen privacy protections under the HIPAA Privacy Rule.
Protect Individuals’ Health Information Online. HHS issued a bulletin to affirm that HIPAA’s privacy protections extend to the use of online tools offered by or on behalf of covered entities that collect protected health information through websites and mobile apps. These tools, such as “cookies” on a website, can be used to track online activity and information about website and app users, sometimes in ways that collect or reveal protected health information. This can include information about reproductive health care, such as the location of where an individual sought medical treatment. The bulletin makes clear that health care providers and health plans—as well as many of the entities that these organizations do business with—cannot use online tracking tools or share patient information with third parties in a way that violates HIPAA.
Help Consumers Protect Their Personal Data. HHS issued a how-to guide for consumers on steps they can take to make sure they are protecting their personal data on personal cell phones or tablets. HHS also provided tips for protecting individuals’ privacy when using mobile health apps, like period trackers. This resource helps ensure that consumers have the information they need to better protect their health information when it is accessed or stored on their personal cell phones or tablets, which are generally not protected under HIPAA.
Promote the Privacy of Service Members. The Department of Defense issued an updated policy to provide Service members with time and flexibility to make private health care decisions while accounting for the responsibility placed on commanders to meet operational requirements and protect the health and safety of those in their care. This policy standardized the timeframe for Service members to inform their commanders about a pregnancy, generally allowing Service members until up to 20 weeks of pregnancy to notify their commanders of their pregnancy status, with limited exceptions to account for specific military duties, occupational health hazards, and medical conditions.
Provide Access to Accurate Information and Legal Resources. On the day of the Supreme Court’s Dobbs decision, HHS launched ReproductiveRights.gov, which provides timely and accurate information about reproductive rights and access to reproductive health care. This includes know-your-rights information for patients and providers and promotes awareness of and access to family planning services, as well as guidance for how to file a patient privacy or nondiscrimination complaint with its Office for Civil Rights. DOJ also launched justice.gov/reproductive-rights, a webpage that provides a centralized online resource of the Department’s work to protect reproductive freedom under federal law.
Efforts are underway at the federal and state level to protect women’s reproductive rights. This is a fact sheet from the White House on Biden-Harris Administration’s efforts to protect access to medication abortion:
Addressing the Interagency Task Force on Reproductive Healthcare Access, Vice President Kamala Harris said, “We are having an experience where the women of America in particular have been in a state of fear about what this means for them, what this means for the people they love.
“We are looking at a situation in our country where healthcare providers — most of whom have had a calling to do the good and important work of taking care of other people — are in fear of losing their licenses and, worse, even being prosecuted and criminalized for the work that they do that is about providing healthcare for people in our country.
“I have met, for example, with a woman by the name of Amanda, who talked with me — I met with she and her husband — about how when she was pregnant, she then had suffered a miscarriage and three times went to seek medical care and was denied because of the healthcare provider’s fear that they would be prosecuted or in some way penalized for helping her through her miscarriage, and only helped her when she got to the point where she had sepsis — a life-threatening situation.
“I have met with and talked with doctors who are in fear of losing their license, of being prosecuted, and of this situation actually having an impact on the relationships of trust that they have with their patients.
“This indeed is a healthcare crisis in America. And we have to acknowledge and understand it to be just that.
“And then, five days ago, a district court in the state of Texas ruled to block access to abortion medication in every state in the country — in effect, if this ruling stands, creating what could very righteously be considered a nationwide ban, at least as it relates to what we believe to be half of the women who when seeking abortion care, receive it through abortion medication.
“So we have, in effect, a situation where politicians and politics have driven lawyers to go to a court of law where a judge who is not a medical professional is making a decision to undo the ruling 20 — over 20 years ago of the FDA that declared a specific medication safe and effective for the American people.
“So, one must appreciate that when we think about the integrity of our healthcare delivery systems and attacking the very credibility of the FDA on this one matter for the sake of politics and a political agenda, the wide-sweeping ramifications this can have.
“And I’d ask every person who is aware of this to understand the implications of this ruling by just opening your medicine cabinet, because it is very likely that you rely on some type of medication prescribed by a doctor, approved by the FDA, to alleviate your health concerns and to improve your condition in life.
“So, the ramifications of this decision five days ago are wide-sweeping and, for that reason, require, we do believe, a very serious response.
“And again, I will state that our administration and our President, Joe Biden, has been very clear that we will stand to protect the integrity of the healthcare system in America and we will stand to protect those who have a right to be able to make decisions about their own body and their own life.”
Fact Sheet: Protecting Access to Medication Abortion
Protecting access to reproductive health care has been a priority since the beginning of the Biden-Harris Administration, made even more urgent by the Supreme Court’s decision to overturn Roe v. Wade. The President and Vice President are focused on ensuring access to mifepristone, which the FDA first approved as safe and effective to end early pregnancy more than twenty years ago and which accounts for more than half of abortions in the United States.
Despite this decades-long safety record, a single court in Texas has taken the dangerous step of attempting to override FDA’s approval of medication abortion—which is used not only for abortion but also for helping women manage miscarriages. If this decision stands, it will put women’s health at risk and undermine FDA’s ability to ensure patients have access to safe and effective medications when they need them.
This lawsuit is part of broader efforts to ban abortion nationwide and to prevent women from making their own decisions about their own bodies without government interference.
The Administration is fighting this ruling in the courts, and stands by FDA’s scientific and evidence-based judgment that mifepristone is safe and effective. Shortly after the ruling last Friday, the Justice Department filed a notice of appeal to the Fifth Circuit and sought a stay of the injunction pending appeal. A wide range of stakeholders, including FDA scholars, leading medical organizations, and pharmaceutical companies, have expressed their support for maintaining access to this FDA-approved medication.
In addition to defending in court FDA’s ability to approve safe and effective medications, the Biden-Harris Administration has taken the following steps to protect access to medication abortion:
Elevating Medication Abortion in the Administration’s Response to the Dobbs Decision. On the day of the Supreme Court’s decision to overturn Roe v. Wade in June 2022, the President identified preserving access to medication abortion as one of two key priorities to guide the Administration’s immediate response to the ruling. President Biden directed the Secretary of the Department of Health and Human Services (HHS) to ensure that mifepristone is as widely accessible as possible in light of the FDA’s determination that the drug is safe and effective. He also emphasized the need to protect access to medication abortion in the face of attacks and to stand with medical experts who have stressed that restrictions on medication abortion are not based in science. On the same day, the Attorney General made clear that states may not ban mifepristone, a drug used in medication abortion, based on disagreement with the FDA’s expert judgment about its safety and efficacy.
Issuing an Executive Order to Protect Access to Abortion, including Medication Abortion. In an Executive Order on Protecting Access to Reproductive Healthcare Services issued in July 2022, President Biden reiterated the importance of medication abortion and directed the Secretary of HHS to identify potential actions to protect and expand access to abortion care, including medication abortion. In response, HHS developed an action plan to protect and strengthen access to reproductive care and has made significant progress in executing this plan and protecting access to care nationwide.
Addressing Barriers to Accessing Care. In his second Executive Order on Securing Access to Reproductive and Other Healthcare Services issued in August 2022, President Biden addressed the challenges that women have faced in accessing prescription medication at pharmacies in the wake of Dobbs, including medication abortion, which is also used to manage miscarriages. These included reports of women of reproductive age being denied prescription medication at pharmacies—including medication that is used to treat stomach ulcers, lupus, arthritis, and cancer—due to concerns that these medications, some of which can be used in medication abortion, could be used to terminate a pregnancy. To help ensure access to medication, HHS issued guidance to roughly 60,000 U.S. retail pharmacies to emphasize their obligations under federal civil rights laws to ensure access to comprehensive reproductive health care services.
Directing Further Efforts to Ensure Safe Access to Medication Abortion. On what would have been the 50th anniversary of Roe v. Wade in January 2023, President Biden issued a Presidential Memorandum on Further Efforts to Protect Access to Reproductive Healthcare Services to further protect access to medication abortion. The Presidential Memorandum directed the Attorney General, the Secretary of the Department of Homeland Security, and the Secretary of HHS to consider new actions to protect the safety and security of patients, providers, and pharmacies who wish to legally access or provide mifepristone.
This Presidential Memorandum was issued in the face of attacks by state officials to prevent women from accessing mifepristone and discourage pharmacies from becoming certified to dispense the medication. These attacks, and the Presidential Memorandum, followed independent, evidence-based action taken by FDA to allow mifepristone to continue to be prescribed by telehealth and sent by mail as well as to enable interested pharmacies to become certified.
Engaging Medical Experts and Reproductive Rights Leaders to Underscore the Need for Medication Abortion. In February 2023, Vice President Harris convened a roundtable of leading medical experts and reproductive rights advocates to discuss how a court decision to invalidate the approval of mifepristone would affect patients and providers. Participants represented Physicians for Reproductive Health, American Medical Women’s Association, the Society of Family Planning, the American Academy of Family Physicians, Planned Parenthood of Metropolitan DC, the National Women’s Law Center, NARAL Pro-Choice America, the Center for Reproductive Rights, the American College of Obstetricians and Gynecologists, the ACLU, and Sister Song.
Meanwhile, several states including New York and Massachusetts are stockpiling abortion medication.
Governor Kathy Hochul delivered remarks at the Planned Parenthood of Greater New York’s virtual press conference on medication abortion rulings where she announced that the State will stockpile the abortion medication Misoprostol as part of ongoing efforts to protect access to abortion. At the Governor’s direction, the New York State Department of Health will immediately begin purchasing Misoprostol in order to stockpile 150,000 doses, a five-year supply, in order to meet anticipated needs.
“When it comes to reproductive freedom in this country, we are right now facing historic, horrific setbacks,” Hochul said. “Just one year ago, women in this country had a constitutionally protected right to an abortion. And then in June with the Dobbs decision, we are forced to confront a painful reality that the fundamental rights that my grandmother’s generation had to fight for were stripped away with one decision. Now, the MAGA anti-abortion extremists, legislators, and judges alike are hell-bent on continuing down this path. They’re coming after all forms of reproductive health care. And they took their latest step just on Friday, with the ruling that’ll further limit access to Mifepristone and for millions of women across this country.
“One judge in Amarillo, Texas thinks he knows better than thousands of doctors and scientists and experts. And not to mention the countless women who’ve used this medication safely for decades. This isn’t just an attack on abortion, it’s an attack on democracy. Courts have never before revoked a science backed decision made by the FDA.
“And if this decision stands, it could have unprecedented consequences that reach far beyond abortion, threatening the FDA’s critical role in our country’s public health system. So, this moment calls for bold leadership at every level of government, and I’m glad the Biden Administration came out so strong against this ruling and we’ve been standing shoulder to shoulder with them. And at the State level here in New York, we’re not going to let one extremist judge turn back the clock on more than 20 years of safe, reproductive care.
“New York has always been at the forefront of this fight. In the wake of the Dobbs Decision, we allocated $35 million to reproductive health care providers. We mandated all insurance companies doing business in New York cover abortion, and I signed a package of legislation protecting providers and our patients. And last year, the attacks were on abortion procedures. This year, medication abortion. What’s next? Contraception? Birth control? Well, I’m here to say, ‘Not New York. Not now, not ever’.”
“So, last year we called an extraordinary legislative session. We took one step closer to passing New York’s Equal Rights Amendment. The ERA, as written, will enshrine abortion and contraception rights and protect all forms of reproductive healthcare in our state constitution. The ERA and these fundamental rights will be on the ballot next year. Once again, states have become the battleground on these fights and the latest steps to tear down these rights have only strengthened our resolve, so I’m proud to announce that New York State will create a stockpile of Misoprostol, another form of medication abortion.
“Extremist judges have made it clear that they won’t stop at any one particular drug or service, so we are going to ensure that New Yorkers will continue to have access to medication abortion no matter what.
“We’re also announcing that if this decision stands by this judge, we’ll dedicate up to $20 million more for reproductive health care providers beyond our current $35 million to support methods of access to other forms of care, including procedures. And we’re in conversations with the legislature right now about requiring private insurance to cover medication abortion as well when it’s prescribed off-label.
“All this is in addition to actions we laid out in my proposed 2024 budget, which increases the Medicaid reimbursement rights for reproductive health services, provides more funding for providers, and allows pharmacists to prescribe birth control, as well as implementing data privacy protections and expanding abortion access on SUNY and CUNY campuses.
“We’ll always protect access to reproductive health care and all individual rights here in New York – it’s part of our legacy. And in fact, abortion was legal here in New York three years before Roe v. Wade was even decided. So, as long as I’m governor, New Yorkers will have access to the care they need when they need it. And we’ll continue to open our arms to all people seeking freedoms and autonomy. And it’s important that we’re still fighting this fight yet again. But here we are with all of you, our partners, suiting up for battle, in partnership. Let’s continue and let’s win this fight.”
Partisan camps faced off in dueling protests the morning of Donald Trump’s arraignment in Manhattan Criminal Court he was charged with 34 felony counts of falsifying business records, compounded by tax issues, for the purpose of concealing information that might have swayed the 2016 election. The twice impeached Trump was the first president or ex-president to be indicted for felony crimes.
Congresswoman Marjorie Taylor Greene, promoted prominently by the New York Young Republicans Club, made a 10-minute appearance, but was drowned out by whistles and jeers. Another disgraced Congressman, George Santos, who apparently has modeled his campaign frauds on Trump’s ability to lie and cheat with impunity, also made an appearance.
For most of the day, the two camps were separated by a “neutral zone” set up by the New York Police Department.
The Biden-Harris Administration highlighted progress made to ensure that every American who buys a home has the same opportunities to build generational wealth through homeownership.
One year ago, the Biden-Harris Administration’s Interagency Task Force on Property Appraisal and Valuation Equity (PAVE) – led by U.S. Department of Housing and Urban Development (HUD) Secretary Marcia L. Fudge and White House Domestic Policy Advisor Ambassador Susan Rice – released the PAVE Action Plan, the most wide-ranging set of actions ever announced to advance equity in the home appraisal process. Bias in home valuations limits the ability of Black and brown families to enjoy the financial returns associated with homeownership, thereby contributing to the already sprawling racial wealth gap.
In just 12 months, the PAVE Task Force has made critical progress towards fully implementing the Action Plan, including by empowering consumers with new tools and greater awareness of appraisal bias; leveraging data to identify trends and crack down on offenders of appraisal bias; and supporting a well-trained and dynamic appraiser profession.
The Action Plan addresses a real harm. For example: at the White House’s release of the Action Plan last year, homeowner Tenisha Tate-Austin spoke about her experience with misvaluation. Her family’s home was appraised at roughly $500,000 more than its initial appraised value after having a white friend stand in for them. Earlier this month, the Tate-Austins settled a housing discrimination lawsuit. The U.S. Department of Justice had filed a statement of interest in their case early last year.
Over the last year, the Biden-Harris Administration has executed on the PAVE Action Plan by:
Empowering consumers to take action against appraisal bias. Consumers who seek to finance or re-finance a home are often unaware of their options when they receive a lower-than-expected valuation. In January 2023, HUD published draft guidance to make it easier and quicker for prospective borrowers applying for Federal Housing Administration (FHA)-insured loans to request a Reconsideration of Value (ROV) on a property if the initial valuation is lower because of suspected illegal bias. This week, HUD awarded $54 million to 182 fair housing organizations across the country. Eligible activities for the funding included testing for appraisal bias, enforcement activities and educating local communities on the issue. Further, earlier this year the federal Appraisal Subcommittee held its first-ever hearing, dedicated to the topic of appraisal bias. The hearing brought together federal agencies and industry experts to define the problem and discuss potential solutions.
Increasing transparency and leveraging federal data to inform policy and improve enforcement against appraisal bias. In October 2022, the Federal Housing Finance Agency (FHFA) published the first-ever publicly available datasets of aggregate statistics on appraisal records, providing the public with access to the data and trends found in appraisal reports. Using these new data, academic researchers have already published new analyses illustrating stark differences in home valuations across racial and ethnic groups. FHFA, along with HUD, USDA and VA, are working to build a Federal database to share appraisal data across the Federal government; the database could allow agencies to share enhanced oversight and enforcement actions, and could facilitate new research related to property valuation.
Cultivating an appraiser profession that is well-trained and looks like the communities it serves. As outlined in the PAVE Action Plan, the Biden-Harris Administration is taking steps to remove unnecessary educational and experience requirements that make it difficult for underrepresented groups to access the profession and to strengthen anti-bias, fair housing, and fair lending training of existing appraisers. In January 2023, the Department of Veterans Affairs (VA) released new guidance to its appraiser workforce. Among other steps, the guidance enhances oversight procedures to detect potential discriminatory bias in appraisal reports filed by VA fee panel appraisers, and calls upon all VA fee panel appraisers and lender-approved staff to participate in appraisal bias, fair housing, and fair lending training. In addition, last year, the federal Appraisal Subcommittee awarded a grant to the state of Mississippi to create an innovative pathway to appraiser licensure, including for appraisers from underrepresented groups, and with a particular focus on underserved communities within the State where there is a shortage of appraisers. Mississippi’s success has inspired several other states to express interest in replicating the program.
In conjunction with the release of the PAVE Action Plan, last year the Biden-Harris Administration launched pave.hud.gov/gethelp. Consumers who suspect misvaluations due to racial bias may use this portal to learn about their rights and steps they can take to file a discrimination complaint.
Today, in Monterey Park, California, President Biden announced an Executive Order with the goal of increasing the number of background checks conducted before firearm sales, moving the U.S. as close to universal background checks as possible without additional legislation. The Executive Order will also keep more guns out of dangerous hands by increasing the effective use of “red flag” laws, strengthen efforts to hold the gun industry accountable, and accelerate law enforcement efforts to identify and apprehend the shooters menacing our communities. President Biden is also encouraging the Federal Trade Commission to issue a public report analyzing how gun manufacturers market firearms to minors.
President Biden traveled to Monterey Park to grieve with the families and community impacted by the mass shooting that claimed 11 lives and injured nine others in January. Monterey Park is part of a growing list of communities all across the country that are forever changed due to gun violence—not only mass shootings, but also daily acts of gun violence that may not make national headlines.
Last year, President Biden signed into the law the Bipartisan Safer Communities Act, the most significant gun violence reduction legislation enacted in nearly 30 years. When celebrating the Act’s passage, he called on Congress to seize the bipartisan momentum and advance additional commonsense steps to reduce gun violence. Again and again, he has called for Congress to act, including by banning assault weapons and high-capacity magazines, requiring background checks for all gun sales, requiring safe storage of firearms, closing the dating violence restraining order loophole, and repealing gun manufacturers’ immunity from liability.
As he continues to call on Congress to act, President Biden will do everything he can to reduce gun violence and save lives. That is why, over the past two years, President Biden has taken more executive action to reduce gun violence than any other president at this point in their presidency.
The President’s new Executive Order to reduce gun violence includes the following additional actions, all of which fall within existing executive authority and outside of the right protected by the Second Amendment:
Keeping guns out of dangerous hands
The Executive Order directs the President’s Cabinet to:
Increase the number of background checks by ensuring that all background checks required by law are conducted before firearm purchases, moving the U.S. as close to universal background checks as possible without additional legislation. A large majority of Americans support background checks and agree it’s common sense to check whether someone is a felon or domestic abuser before allowing them to buy a gun. The President will continue to call on Congress to pass universal background check legislation. In the meantime, he is directing the Attorney General to do everything he can to ensure that firearms sellers who do not realize they are required to run background checks under existing law, or who are willfully violating existing law, become compliant with background check requirements. Specifically, the President is directing the Attorney General to move the U.S. as close to universal background checks as possible without additional legislation by clarifying, as appropriate, the statutory definition of who is “engaged in the business” of dealing in firearms, as updated by the Bipartisan Safer Communities Act. This move would mean fewer guns will be sold without background checks, and therefore fewer guns will end up in the hands of felons and domestic abusers. The President is also directing the Attorney General to develop and implement a plan to prevent former federally licensed firearms dealers, whose licenses have been revoked or surrendered, from continuing to engage in the business of dealing in firearms.
Improve public awareness and increase appropriate use of extreme risk protection (“red flag”) orders and safe storage of firearms. 19 states and the District of Columbia have enacted red flag laws, allowing trusted community members to petition a court to determine whether an individual is dangerous, and then to temporarily remove an individual’s access to firearms. However, these laws are only effective if the public knows when and how to use red flag orders. President Biden is directing members of his Cabinet to encourage effective use of extreme risk protection orders, including by partnering with law enforcement, health care providers, educators, and other community leaders. In addition, President Biden is directing members of his Cabinet to expand existing federal campaigns and other efforts to promote safe storage of firearms.
Address the loss or theft of firearms during shipping. Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) data indicates an over 250% increase in the number of firearms reported as lost or stolen during shipment between federally licensed firearms dealers, from roughly 1,700 in 2018 to more than 6,100 in 2022. President Biden is directing the Secretary of Transportation, in consultation with the Department of Justice, to work to reduce the loss or theft of firearms during shipment and to improve reporting of such losses or thefts, including by engaging with carriers and shippers.
Holding the gun industry accountable
The Executive Order directs the President’s Cabinet to:
Provide the public and policymakers with more information regarding federally licensed firearms dealers who are violating the law. Gun dealers violating federal law put us all at risk by increasing the likelihood that firearms will fall into dangerous hands. The President is directing the Attorney General to publicly release, to the fullest extent permissible by law, ATF records from the inspection of firearms dealers cited for violation of federal firearm laws. This information will empower the public and policymakers to better understand the problem, and then improve our laws to hold rogue gun dealers accountable.
Use the Department of Defense’s acquisition of firearms to further firearm and public safety practices. The Department of Defense buys a large number of firearms and other weapons to protect and serve our country. The President is directing the Secretary of Defense to develop and implement principles to further firearm and public safety practices through Department of Defense acquisition of firearms, consistent with applicable law.
President Biden is also encouraging the independent Federal Trade Commission (FTC) to issue a public report analyzing how gun manufacturers market firearms to minors and how such manufacturers market firearms to all civilians, including through the use of military imagery.
Additional steps to make our communities safer and support communities impacted by gun violence
The Executive Order will direct the President’s Cabinet to:
Help catch shooters by accelerating federal law enforcement’s reporting of ballistics data. The National Integrated Ballistics Information Network (NIBIN) allows federal, state, and local law enforcement to match fired cartridge casings to the guns from which they were fired, making it easier for law enforcement to connect multiple crime scenes and catch shooters. In order to maximize NIBIN’s effectiveness, federal, state, and local law enforcement all have an important role to play in ensuring timely submission of ballistics data to NIBIN. Today, the President is directing all federal law enforcement agencies to issue rigorous requirements regarding NIBIN data submission and use of this tool.
Accelerate and intensify implementation of the Bipartisan Safer Communities Act (BSCA). BSCA is the most significant gun safety legislative accomplishment in nearly 30 years, and the Biden-Harris Administration is treating it as such by making the most of every opportunity it provides to reduce gun violence. President Biden is directing each agency responsible for the law’s implementation to send a report to him, within 60 days, on progress toward full implementation of BSCA and additional steps they will take to maximize the benefits of the law, including by increasing public awareness and use of the resources made available by BSCA.
Improve federal support for gun violence survivors, victims and survivors’ families, first responders to gun violence, and communities affected by gun violence. When a hurricane overwhelms a community, the Federal Emergency Management Agency (FEMA) coordinates federal, state, local, and non-profit organizations in order to assess and meet community needs. However, when a mass shooting overwhelms a community, no coordinated U.S. government mechanism exists to meet short- and long-term needs, such as mental health care for grief and trauma, financial assistance (for example, when a family loses the sole breadwinner or when a small business is shut down due to a lengthy shooting investigation), and food (for example, when the Buffalo shooting closed down the only grocery store in the neighborhood). The President is directing members of his Cabinet to develop a proposal for how the federal government can better support communities after a mass shooting, and identify what additional resources or authorities the executive branch would need from Congress to implement this proposal.
Advance congressional efforts to prevent the proliferation of firearms undetectable by metal detectors. In recent years, we’ve seen the rise of technology that allows guns to be made with polymers and other materials that are increasingly capable of avoiding detection by metal detectors. President Biden is directing the Attorney General to help Congress modernize and make permanent the Undetectable Firearms Act of 1988, which is currently set to expire in December 2023.
New York State Governor Kathy Hochul, who had to rejigger 100-year old gun regulation law after the radical rightwing majority on the Supreme Court overturned the law, commented, “Too many families in this country have experienced loss due to gun violence. Too many communities, including my hometown of Buffalo, have been devastated by weapons of war. We have a moral obligation to act — and that’s why New York strengthened our nation-leading gun safety laws, expanding the use of red flag laws to prevent domestic abusers and other dangerous individuals from causing harm to themselves or others.
“President Biden’s new Executive Order brings New York’s approach to a national scale. The Executive Order strengthens rules around individuals with a “red flag” by requiring federally licensed gun dealers to check if an individual is a domestic abuser or convicted felon. It increases federal resources for proven crime-fighting tools, like the National Integrated Ballistics Information Network we are utilizing in Crime Analysis Centers across New York. This EO builds on the major success last year, when President Biden worked closely with Leader Schumer and bipartisan members of Congress to pass the first new gun safety legislation in a generation. This Executive Order is the significant next step our country needed.”
This fact sheet from the White House outlines the top 15 highlights from two years of recovery under the American Rescue Plan:
Led to the Strongest Jobs Recovery on Record: When President Biden came into office, there was tremendous economic uncertainty. Unemployment was at 6.1% when the American Rescue Plan (ARP) passed. It was expected to average 5% in 2022. With the passage of ARP, unemployment averaged 3.6% in 2022 and fell to 3.4% at the beginning of 2023.
ARP Drove the Strongest 2-year job growth ever: Over 12 million jobs have been added since President Biden took office – the largest 2-year total in US history and more jobs in two years than in any previous administration’s full year term.
Powered the Fastest Recovery in the World: After the American Rescue Plan passed, the US recovered significantly faster than our G7 Peers – with 5.9% growth in 2021 – while our inflation is in the middle of the pack and slower than other countries that did significantly less to help their economies recover.
Powered the Most Equitable Recovery in Memory: In past recessions, persistent high long-term and youth unemployment as well as high foreclosures of evictions led to long term harms – “scarring” for millions of Americans and hard, long roads back for Black and Hispanic Americans.
President Biden’s Rescue Plan ensured that didn’t happen this time:
Historic drops in Black and Hispanic Unemployment: With the strong recovery powered by ARP, Black unemployment saw its largest 1-year drop since 1984 and is near record lows; Hispanic unemployment saw its fastest 1-year drop and reached its lowest annual rate ever in 2022. Asian American unemployment fell significantly as well – falling by more than half from its January 2021 rate.
Least scarring in any recovery in memory: The American Rescue Plan led to the fastest drop in long-term and youth unemployment ever, which both now stand at pre-pandemic levels. It kept foreclosures historically low and evictions 20% below historic averages even after the end of the CDC Eviction Moratorium.
Lowered Health Care Premiums by $800 for over 13 Million Americans: ARP lowered health care premiums – which were extended by the Inflation Reduction Act, increased eligibility to middle- income families and provided strong incentives for states to expand Medicaid through the Affordable Care Act. Result:
Saved over 13 million Americans an average of $800 a year on their health premiums.
Led to most Americans in history having health insurance
Provided health coverage to 3 million Americans who would have otherwise had no health insurance.
Provided an extra $1.5 billion in Medicaid funding to Missouri, Oklahoma, and South Dakota for Medicaid expansion coverage to over half a million people.
Gave states an easier pathway to extend Medicaid postpartum coverage for a full 12 months – ensuring access to critical care for over 438,000 women nationwide.
Largest Small Business Formation Boom in History Due ARP-Driven Strong Recovery and Small Business Investments: The Biden Administration:
Increased COVID Emergency Injury Disaster Loans to $2 million, while increasing anti-fraud controls
Reformed PPP to more equitably distribute funds to the smallest businesses.
Restaurant Revitalization Fund helped over 100,000 Restaurants, Bars, and Food Trucks stay open.
Shuttered Venues Program provided relief to 13,000 venues.
Invested a historic $10 Billion in the State Small Business Credit Initiative
This, and the strong recovery that ARP powered, led to:
A record 10.5 million new small business applications over the past 2 years
Hispanic entrepreneurs started small businesses at the highest rate in more than a decade in 2021 and 23 percent faster than pre-pandemic levels.
Black-owned small businesses were created at the fastest rate in 26 years, as the Washington Post found.
Asian American entrepreneurs started small businesses at the fastest rate in over a decade in 2021.
Led to Lowest Child Poverty Rate in American History: The American Rescue Plan and its expanded monthly Child Tax Credit led to:
Child Poverty nearly cut in half to lowest rate – 5.2% – ever.
Black child poverty cut by 52%, Hispanic child poverty cut by 43%, Native American child poverty cut by 51%, and dramatic drops in white and Asian child poverty — all to record lows.
~9 million children in rural areas benefited from the expanded credit.
5 million children in Veteran and Active-Duty families benefited from the expanded credit
Child Tax Credit payments were delivered reliably with the first ever monthly payment – on the 15th of each month with 90% using direct deposit.
Over 65 million children in 40 million working families received largest Child Tax Credit in history.
Historic Child Tax Credit Expansion already reached over 230,000 Puerto Rico families: Recent data shows that over 230,000 Puerto Rico households will get the expanded Child Tax Credit. 8X the number from the previous year.
Funded a Historic Vaccination Campaign: ARP provided $160 billion to support vaccination, therapeutics, testing and mitigation, PPE, and the broader COVID Response effort.
This led to:
Over 230 million Americans are fully vaccinated, up from 3.5 million when President Biden took office.
Helped Over 8 Million People Stay in Their Homes:
Emergency Rental Assistance – the first national eviction prevention policy in history – was main American Rescue Plan source of multi-month assistance to help over 8 million hard-pressed renters stay in their homes without sacrificing other basic needs.
Emergency Rental Assistance and Other ARP Housing Policies led Eviction Filings to remarkably stay 20% below historic averages in 1.5 years after end of the eviction moratorium.
Called the “the most important eviction prevention policy in American history” by Matthew Desmond, Pulitzer Prize Winner author of “Evicted” – and the “deepest investment the federal government has made in low-income renters since the nation launched its public housing system.”
HUD Emergency Housing Vouchers have already helped 47,500 households at risk of homelessness lease their own rental housing – these American Rescue Plan funded vouchers support those at risk of or experiencing homelessness or housing instability, and those fleeing domestic violence.
Helped Keep 200,000 Child Care Centers Open
American Rescue Plan Stabilization Assistance has reached 200,000 Child Care Providers – that employ 1 million child care workers – and have the capacity to serve more than 9 million children.
90% of programs reported that American Rescue Plan funds helped them stay open.
More than 8 in 10 licensed child care centers nationwide have received ARP assistance.
Benefited 30,000 rural child care programs – in most states, 97+% of rural counties received aid.
For First Time in History, Direct Relief to Every Town, City, County and State – No Matter How Big or Small, Urban or Rural So they Could Design their Own Recovery:
Before ARP, 70% of cities anticipated layoffs or major cuts in services and half of states were freezing or cutting jobs. Today, cities and states have funds to invest in major challenges – like public safety, housing, workforce, and rehiring, instead of making dramatic cuts.
ARP provided direct fiscal relief to every state & territory and 30,000 cities and towns – while previous plans reached only 154 local governments, or fewer, with direct flexible relief.
This has led to:
American Rescue Plan Led to Surge in State Revenue Growth – Powering Economic Resilience: Before ARP, state revenues were expected to grow just 3.7% in 2021, after falling in 2020. After ARP, state revenues grew by 16.6% in 2021 (record high growth) – and over 14% growth in 2022. As a result, state surpluses are powering resilience economy-wide.
Major investments in critical areas:
Over $25 billion to Jumpstart Universal Broadband Access – including Broadband Connections for 16 million students through the Emergency Connectivity Fund for schools and libraries to close the homework gap.
Over $10 billion from ARP’s State & Local Fund invested in over 3,000 workforce projects
Over $20 billion in State & Local funds invested in water infrastructure
Over $14 billion in State & Local Funds invested in housing – expanding supply, investing in homeless services, and providing 3.7 million additional households rent, mortgage, and utility relief.
One of the Largest Federal Investments in Preventing Crime, Reducing Violence, and Investing in Public Safety in History.
Over $10 billion committed to preventing crime and reducing violence, with investments by hundreds of state and local governments to avoid cuts to police budgets, hire more police officers for safe, effective, and accountable community policing, ensure first responders have the equipment they need to do their jobs, and expand evidence-based community violence intervention and prevention programs.
Toledo, Ohio used this funding to train a second cohort of new police recruits for the first time and plans for 100 new officers in the next few years; Mercer County invested in a county-wide radio system and improved its 911 system; Baltimore invested $50 million for its comprehensive violence prevention strategy, including community violence intervention programs.
That includes $1.2 billion Medicaid Mobile Crisis Intervention Services – the American Rescue Plan included $1.2 billion to fund mobile crisis intervention units staffed with mental health professionals & trained peers.
It also includes $1 billion Family Violence Prevention and Services Program to reduce domestic violence with immediate crisis intervention, health supports, and safety.
Funding School Districts Across the Nation to Reopen K-12 Schools, Support Academic Recovery, and Invest in Student Mental Health:
ARP provided critical relief to 16,000 school districts and other local education agencies to reopen safely, support academic recovery, and invest in student mental health.
Data from School District Plans show that schools are using these funds well:
Nearly 60% of funds are committed to investments like staffing, tutoring, after-school and summer learning, new textbooks and learning materials, and mental and physical health supports.
Another 23% is going to keep schools operating safely, including providing PPE and updating school facilities. This includes investments in lead abatement and nearly $10 billion for HVAC.
This has led to:
Going from 46% of schools that had safely opened to full-time in-person teaching to 100%: In January 2021, CDC data showed that just 46% of schools were open full-time in-person. Today, all schools are open.
A major increase in staffing and investments to address student mental health: Schools now employ 36% more school social workers, 11% more school counselors, and 28% more school nurses than pre-pandemic.
Major Investment in Workforce Training and Connecting Americans to Good Jobs:
Over $40 billion from the American Rescue Plan has gone to workforce training efforts, including over $10 billion from ARP’s State and Local Fund invested in over 3,000 workforce projects across the country, including pre-apprenticeships and other programs to prepare for new infrastructure, health care and care jobs.
$500 million Competitive Good Jobs Challenge Awards for 32 Workforce Training Partnerships across the country
$1 billion Competitive Build Back Better Regional Challenge – 21 Winners won between $25 million and $65 million to execute transformational projects and revitalize local industries. Projects include developing workforce training programs and connecting workers to jobs – and other transformational investments.
Historic Investment in Expanding and Supporting our Health Care Workforce, including:
$1.1 Billion investment in the Community Health Workforce, including increasing the mental health workforce
Well over $10 Billion of American Rescue Plan Home and Community Based Services (HCBS) funds being used for workforce efforts.
Rapid deployment of over 14,000 community outreach workers (through over 150 national and local organizations).
Establishment of the first-of-its-kind Public Health AmeriCorps to build and train the next generation of public health leaders, already serving 82 organizations across the country and supporting more than 3,000 AmeriCorps members.
Supporting the largest field strength in history (over 22,700 providers) for the National Health Service Corps, Nurse Corps, and Substance Use Disorder Treatment and Recovery programs, treating more than 23.6 million patients in underserved communities
Eighteen Million College Students Have Received Direct Financial Assistance from the Higher Education Emergency Relief Fundthat was expanded by ARP:
Colleges have reached an estimated 18 million students with direct financial aid from Higher Education Emergency Relief (HEERF) since the beginning of 2021 to help them stay in school and help cover basic needs during the pandemic, like food, housing, and child care.
Direct financial assistance for an estimated 6 million community college students.
80% of Pell Grant recipients received direct financial relief in 2021.
An estimated 450,000 students at Historically Black Colleges and Universities (HBCUs) received direct financial aid. Further, in 2021, 77 percent of HBCUs used HEERF funds to discharge unpaid student balances.
Nine in 10 institutions reported that HEERF funds enabled them to keep students enrolled who were at risk of dropping out due to pandemic-related factors.
Historic Investment in the Pension Security for up to 3 million Union workers & retirees: ARP’s Special Financial Assistance is the most significant investment in pension security for union workers and retirees in the past 50 years.
Over 200 multiemployer plans that were on pace to become insolvent in the nearterm will now have solvency ensured until at least 2051 solvent & paying full benefits thanks to ARP.
Preventing a wave of multi-employer insolvencies for 2-3 million workers who would have seen major cuts to their earned retirement benefits.
Pension Cuts Reversed for over 80,000 Workers and Retirees in 18 “MPRA” Multiemployer Plans that had taken cuts to avoid insolvency.
Most significant effort to protect the solvency of the multiemployer pension system in almost 50 years.
First-Ever Summer Nutrition Benefit for Students with Nationwide Reach– Extended Permanently:
ARP created the first-ever summer nutrition benefit with nationwide reach.
30 million young people: Reached the families of 30 million students.
Permanent: Congress extended this innovative program permanently in last year’s Omnibus bill, the first major new permanent food assistance program in nearly five decades.
President Joe Biden’s FY 2024 Budget lays out his plan to invest in America, lower costs for families, protect and strengthen Social Security and Medicare, and reduce the deficit.
Hardly an “entitlement” – as if some sort of charity – millions of Americans have been working their whole lives, paying into Medicare with every working day –more like an annuity – and want to know that they can count on Medicare to be there for them when they turn 65. The President’s Budget extends the life of the Medicare Trust Fund by at least 25 years. It achieves these gains with no benefit cuts—indeed, while lowering costs for Medicare beneficiaries. This fact sheet is from the Whit eHouse:
Extending Medicare Solvency
The proposals in the President’s Budget would extend the solvency of Medicare’s Hospital Insurance (HI) Trust Fund by at least 25 years, the Medicare Office of the Chief Actuary estimates. While the most recent Medicare Trustees Report projected that the HI Trust Fund would be insolvent in 2028, the President’s Budget would extend solvency at least into the 2050s.
The Budget extends the life of Medicare by:
Modestly increasing the Medicare tax rate on income above $400,000. The Budget proposes to increase the Medicare tax rate on earned and unearned income above $400,000 from 3.8 percent to 5 percent. Since Medicare was passed, income and wealth inequality in the United States have increased dramatically. By asking those with the highest incomes to contribute modestly more, we can keep the Medicare program strong for decades to come.
Closing loopholes in existing Medicare taxes and dedicating the Medicare net investment income tax to the HI Trust Fund. High-income people are supposed to pay a 3.8 percent Medicare tax on all of their income, but some high-paid professionals and other wealthy business owners have managed to shield some of their income from tax by claiming it is neither earned income nor investment income. The Budget would ensure that Medicare taxes apply to incomes over $400,000 per year, without loopholes. It would also dedicate the revenue from the Medicare net investment income tax to the HI Trust Fund, as originally intended.
Crediting savings from prescription drug reforms to the HI Trust Fund. Building on the Inflation Reduction Act (IRA), which gave Medicare the authority to negotiate prices for high-cost drugs, the Budget strengthens this newly-established negotiation power by allowing Medicare to negotiate prices for more drugs and bringing drugs into negotiation sooner after they launch. It also strengthens the IRA requirement that drug companies pay rebates to Medicare when they increase prices faster than inflation by extending this rule to commercial health insurance. The Budget credits the savings from these additional prescription drug reforms, amounting to $200 billion over 10 years, to the HI Trust Fund.
Lowering Costs for Beneficiaries
Not only does the President’s Budget extend the life of the Medicare Trust Fund without benefit cuts, it does so while lowering costs for beneficiaries in key areas.
Lower out-of-pocket costs for drugs subject to negotiation. By reducing prices for high-cost drugs, the Budget’s expansion of Medicare drug negotiations will not only save money for the federal government, it will also cut beneficiary’s out-of-pocket costs by billions of dollars.
$2 cost-sharing for generic drugs for chronic conditions. The Budget proposes capping Part D cost-sharing on certain generic drugs, such as those used to treat chronic conditions like hypertension and high cholesterol, to $2 per prescription per month.
Lowering behavioral health care costs in Medicare. The Budget eliminates cost-sharing for three mental health or other behavioral health visits per year and requires parity between physical health and mental health coverage in Medicare. It also requires coverage and payment for new types of Medicare providers, such as peer support workers and certified addiction counselors, and evidence-based digital applications and platforms that facilitate delivery of mental health services, while removing unnecessary limitations on beneficiary access to psychiatric hospitals.
The White House released a fact sheet detailing President Biden’s proposed budget, aimed at investing in America, lowering costs for working class and middle class families, cutting taxes for working families, and protecting and strengthening Medicare and Social Security. It demonstrates the president’s long-held values that seeks to achieve stable, sustainable economy that grows from the bottom up and the middle out.
President Biden has long believed that we need to grow the economy from the bottom up and middle out, not the top down. Over the past two years, in the face of significant challenges, that economic strategy has produced historic progress for the American people.
Under the President’s leadership, the economy has added more than 12 million jobs—more jobs in two years than any president has created in a four-year term—including 800,000 manufacturing jobs. The unemployment rate has fallen to 3.4 percent, the lowest in 54 years. The Black and Hispanic unemployment rates are near record lows. The past two years were the best two years for new small business applications on record. The President has taken action to lower costs and give families more breathing room, including cutting prescription drug costs, health insurance premiums, and energy bills, while driving the uninsured rate to historic lows. And the President’s plan is rebuilding America’s infrastructure, making the economy more competitive, investing in American innovation and industries that will define the future, and fueling a manufacturing boom that is strengthening parts of the country that have long been left behind while creating good jobs for workers, including those without college degrees.
The President has done all of this while delivering on his commitment to fiscal responsibility. While the previous Administration passed a nearly $2 trillion unpaid-for tax cut with benefits skewed to the wealthy and big corporations while dramatically increasing the deficit, President Biden cut the deficit by more than $1.7 trillion during his first two years in office—the largest decline in American history. And the reforms he signed into law to take on Big Pharma, lower prescription drug costs, and make the wealthy and large corporations pay their fair share will reduce the deficit by hundreds of billions of dollars more over the coming decade.
The President’s Budget details a blueprint to build on this progress, deliver on the agenda he laid out in his State of the Union, and finish the job: continuing to grow the economy from the bottom up and middle out by investing in America, lowering costs for families, protecting and strengthening Medicare and Social Security, and reducing the deficit by nearly $3 trillion over the next decade by making the wealthy and big corporations pay their fair share and cutting wasteful spending on Big Pharma, Big Oil, and other special interests. No one earning less than $400,000 per year will pay a penny in new taxes.
Congressional Republicans have taken a very different approach. While they have consistently said that reducing the deficit is a top priority, Congressional Republicans have already proposed policies that would add an additional $3 trillion to the debt over the next decade—all while raising costs for working families and handing out tax giveaways to the wealthy and big corporations. As the President has made clear, they owe the American people a detailed accounting of exactly what they plan to cut in order to cover the costs of their proposals, while also achieving the kinds of fiscal targets that they claim to support. Until they produce a plan, we’re left to rely on a wide array of Republican budgets, statements, and proposals—past and present—which provide clear and consistent evidence that many critical programs the American people count on will be on the chopping block.
Lowering Costs and Giving Families More Breathing Room
As our economy transitions from a historically strong recovery to stable and steady growth, the President has remained laser-focused on continuing to lower costs for families and giving them more breathing room, without giving up the historic economic gains we’ve made. While more work remains, there are clear signs that the President’s strategy is working. Annual inflation is lower than it was seven months ago, gas prices are down $1.60 per gallon since their peak last summer, and unemployment remains at its lowest level in 54 years, while take home pay has gone up. And the Biden-Harris Administration has taken historic action to lower the costs of health care, clean energy, and prescription drugs, eliminate junk fees that make it harder for families to make ends meet, promote greater competition to lower costs, and address pandemic-driven supply chain bottlenecks. While some Congressional Republicans have proposed repealing the Inflation Reduction Act and taken other actions that would raise costs for working families, the President’s Budget takes a very different approach—proposing a package of policies to continue lowering everyday costs for the American people.
Cuts Taxes for Families with Children and American Workers. The President is calling for the restoration of the full Child Tax Credit enacted in the American Rescue Plan, which cut child poverty in half in 2021, to the lowest level in history. The Budget would expand the credit from $2,000 per child to $3,000 per child for children six years old and above, and to $3,600 per child for children under six. The Budget would also permanently reform the credit to make it fully refundable. The President also calls on the Congress to make the Earned Income Tax Credit expansion for childless workers permanent, which would help pull low-paid workers out of poverty.
Lowers Health Care Costs. The President believes that health care should be a right, not a privilege. With enrollment in affordable health coverage at an all-time high, the Budget builds on the remarkable success of the Affordable Care Act (ACA), by making permanent the average $800 per year premium cuts through expanded premium tax credits that the Inflation Reduction Act extended. It also provides Medicaid-like coverage to individuals in States that have not adopted Medicaid expansion under the ACA, paired with financial incentives to ensure States maintain their existing expansions.
Reduces Prescription Drug Costs for All Americans. The Budget builds upon the Inflation Reduction Act to continue lowering the cost of prescription drugs. For Medicare, this includes further strengthening the newly established negotiation power by extending it to more drugs and bringing drugs into negotiation sooner after they launch. The Budget also proposes to limit Medicare Part D cost-sharing for high-value generic drugs used for certain chronic conditions like hypertension and high cholesterol to no more than $2. For Medicaid, the Budget includes proposals to ensure Medicaid and CHIP programs are prudent purchasers of prescription drugs, authorizing HHS to negotiate supplemental drug rebates on behalf of interested States in order to pool purchasing power. For the commercial market, the Budget includes proposals to curb inflation in prescription drug prices and cap the prices of insulin products at $35 for a monthly prescription.
Expands Access to Quality, Affordable Health Care. The Budget invests $150 billion over 10 years to improve and expand Medicaid home and community-based services, such as personal care services, which would allow seniors and individuals with disabilities to remain in their homes and stay active in their communities as well as improve the quality of jobs for home care workers. And because community health centers—which provide comprehensive services regardless of ability to pay—serve one in three people living in poverty and one in five rural residents, the Budget puts the Health Center Program on a path to double its size and expand its reach. To bolster the health care workforce, the Budget provides a total of $966 million in 2024 to expand the National Health Service Corps, which provides loan repayment and scholarships to health care professionals in exchange for practicing in underserved areas, and a total of $350 million to expand programs that train and support the nursing workforce.
Expands Access to Affordable, High-Quality Early Child Care and Learning. Too many families across America cannot access high-quality, affordable child care—preventing parents from working and holding back our entire economy. The President’s Budget enables states to increase child care options for more than 16 million young children and lowers costs so that parents can afford to send their children to high-quality child care. The Budget also funds a Federal-State partnership that provides high-quality, universal, free preschool to support healthy child development and ensure children enter kindergarten ready to succeed.
Lowers Housing Costs by Increasing Affordable Housing Supply and Expanding Access to Homeownership and Affordable Rent. The President believes that everyone deserves a safe and affordable place to live. To address the critical shortage of affordable housing in communities throughout the country that has exacerbated inflation, the Budget includes $59 billion in mandatory funding and tax incentives aimed at increasing the affordable housing supply, including for extremely low-income households. The Budget also includes $10 billion in mandatory funding to incentivize State, local, and regional jurisdictions to make progress in removing barriers to affordable housing developments, such as restrictive zoning. By expanding the supply of housing, the Budget would help prevent the kind of rapid increases in rental and homeownership costs we have seen in recent years. The Budget also includes $10 billion in mandatory funding for a new First-Generation Down Payment Assistance program to help address racial and ethnic homeownership and wealth gaps—making homeownership more attainable for Americans who have been locked out of the generational wealth building that can come with owning a home. And the Budget expands access to affordable rent through the Housing Choice Voucher (HCV) program to well over 200,000 additional households. In addition to assisting all current voucher recipients and providing new vouchers for tens of thousands of additional families, the Budget includes mandatory funding to support two populations that are particularly vulnerable to homelessness—guaranteed assistance for all 20,000 youth who age out of foster care annually and an incremental expansion to cover the 450,000 extremely low-income (ELI) veteran families nationwide.
Improves College Affordability and Expands Free Community College. The Budget proposes to increase the discretionary maximum Pell Grant by $500—helping more than 6.8 million students pay for college, building on successful bipartisan efforts to increase the maximum Pell Grant award by $900 over the past two years, and laying out a path to double the award by 2029. The Budget also invests mandatory and discretionary funding to expand free community college, and provides mandatory funding for two years of subsidized tuition for students from families earning less than $125,000 enrolled in a participating four-year Historically Black College or University (HBCU), Tribally-Controlled College or University (TCCU), or Minority-Serving Institution (MSI).
Lowers Home Energy and Water Costs. The Budget provides $4.1 billion for the Low Income Home Energy Assistance Program (LIHEAP), building on the $13 billion provided in the Inflation Reduction Act to reduce energy bills for families, expand clean energy, transform rural power production, and create thousands of good-paying jobs for people across rural America. Since the Low Income Household Water Assistance Program (LIHWAP) expires at the end of 2023, the Budget proposes to expand LIHEAP funding and allow States the option to use a portion of their LIHEAP funds to provide water bill assistance to low-income households.
Increases Food Security. As called for in the National Strategy on Hunger, Nutrition and Health, the Budget provides over $15 billion to allow more States and schools to leverage participation in the Community Eligibility Program and provide healthy and free school meals to an additional 9 million children. The Budget also includes $6.3 billion to support the 6.5 million individuals expected to participate in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
Protecting and Strengthening Medicare and Social Security
The President has always believed that Medicare and Social Security are a promise—a rock-solid guarantee generations of Americans have counted on to be able to retire with dignity and security. The President will reject any efforts to cut the Medicare or Social Security benefits that seniors and people with disabilities have earned and paid into their entire working lives. The Budget honors that ironclad commitment—not only by rejecting benefit cuts, but by embracing reforms and investments that will protect and strengthen both programs. The President is committed to working with Congress to ensure Medicare and Social Security remain strong for their beneficiaries, now and in the future.
Protects and Strengthens Medicare. The Budget strengthens Medicare by extending the solvency of the Medicare Trust Fund by at least 25 years, without cutting any benefits or raising costs for beneficiaries. The Budget includes key reforms to the tax code to ensure high-income individuals pay their fair share into the Medicare HI trust fund. It also directs the revenue from the Net Investment Income Tax into the HI trust fund as was originally intended. Finally, the Budget directs the savings from the Budget’s proposed Medicare drug reforms into the HI trust fund.
Protects the Social Security Benefits that Americans Have Earned. The Administration is committed to protecting and strengthening Social Security and opposes any attempt to cut Social Security benefits for current or future recipients. The Administration looks forward to working with the Congress to responsibly strengthen Social Security by ensuring that high-income individuals pay their fair share. The Budget also invests in staff, information technology, and other improvements at the Social Security Administration, providing an increase of $1.4 billion, a 10 percent increase, over the 2023 enacted level. These funds would improve customer service at Social Security Administration field offices, State disability determination services, and teleservice centers for retirees, individuals with disabilities, and their families.
Growing the Economy from the Bottom up and Middle Out by Investing in America and Its People
The Budget proposes smart, targeted investments to grow the economy from the bottom up and middle out, not the top down, by investing in America and its people—investing in the foundations of our country’s economic strength; confronting the climate crisis while creating clean energy jobs; and advancing equity, dignity, and opportunity and strengthening our democracy.
Investing in the Foundations of Our Economic Strength
Invests in American Manufacturing. The Budget provides $375 million for the National Institutes of Standards and Technology’s (NIST) Industrial Technology Services to support the progress of NIST’s existing manufacturing institute, fund a new institute to be launched in 2023, and promote domestic production of institute-developed technologies. The Budget also includes $277 million for the Manufacturing Extension Partnership, a public-private partnership that offers advisory services to small and medium enterprises.
Makes Historic Investments in Innovation and Cutting-Edge Research. The Budget provides almost $21 billion in discretionary spending for CHIPS and Science Act-authorized activities. This funding includes $1.2 billion for the CHIPS and Science Act-authorized Directorate for Technology, Innovation, and Partnerships to help accelerate and translate scientific research into innovations, industries, and jobs, as well as $300 million for NSF’s Regional Innovation Engines program to galvanize use-inspired research, technology translation, and workforce development. Within DOE’s Office of Science, the Budget also supports cutting-edge research in artificial intelligence, quantum information sciences, microelectronics, and isotope production at the national laboratories and universities. In addition, the Budget requests $4 billion in new mandatory funding for the Regional Technology and Innovation Hub Program at the Economic Development Administration. And the Budget provides $210 billion for Federal research and development, an historic level of investment in American science, technology and innovation.
Provides National, Comprehensive Paid Family and Medical Leave and Calls for Paid Sick Leave for All Workers. Workers power our economy—and when they thrive, our economy thrives. The Budget proposes to establish a national, comprehensive paid family and medical leave program, providing up to 12 weeks of leave to allow eligible workers to take time off to care and bond with a new child; care for a seriously ill loved one; heal from their own serious illness; address circumstances arising from a loved one’s military deployment; or find safety from domestic violence, sexual assault, or stalking. The President also calls on Congress to require employers to provide seven job-protected paid sick days each year to all workers.
Expands Workforce Training that Provides Pathways to Good Jobs. The Budget invests in evidence-based training models to ensure all workers—including women, workers of color, and workers in rural areas—have the skills they need for the good jobs being created by the President’s historic legislative accomplishments. The Budget invests $335 million in Registered Apprenticeship, an earn-and-learn model, to provide debt-free pathways to careers in construction, clean energy, semiconductor manufacturing, and other in-demand industries. The Budget also provides $200 million for the new Sectoral Employment through Career Training for Occupational Readiness (SECTOR) program, which will support development and expansion of public-private partnerships to equitably deliver high-quality training in growing industries, and invests $100 million to help community colleges partner with employers and the public workforce system to design and deliver effective training models in communities across the Nation.
Invests in High-Poverty Schools. The Budget provides $20.5 billion for Title I, a $2.2 billion increase above the 2023 enacted level, delivering critical funding to 90 percent of school districts across the Nation and helping them provide students in low-income communities the academic opportunities and support they need to succeed. This increase in funding addresses chronic funding gaps between high-poverty schools—which disproportionately serve students of color—and their wealthier counterparts.
Taking Historic Action to Cut Energy Bills for Families and Confront the Climate Crisis While Creating Clean Energy Jobs Across America
Cuts Energy Bills for Families and Creates Jobs Building Clean Energy Infrastructure. The Budget invests $4.5 billion in clean energy across America, bringing jobs to rural communities and cities, leaving no one behind. The Budget supports clean energy workforce development and sustainable infrastructure projects across the country, including $1.8 billion to weatherize and retrofit low-income Americans’ homes, and $83 million to electrify Tribal homes and transition Tribal Colleges and universities to renewable energy.
Makes Historic Investments in Science & Research to Continue to Cut the Cost of Clean Energy. To boost American innovation and sustain American leadership in research and scientific discovery, the Budget also provides a historic investment of $16.5 billion in climate science and clean energy innovation. The Budget includes $3.5 billion of the $8.8 billion total for DOE’s Office of Science and $1.6 billion at NSF, and makes advancements toward the CHIPS and Science Act authorizations, including $1 billion for fusion, the largest ever investment in the promise of a clean energy power source.
Cuts Global Warming Pollution. The Budget invests in reducing global warming pollution and achieving the President’s target to cut greenhouse gas emissions 50-52 percent by 2030. These investments include an additional $64.4 million at EPA to implement the American Innovation and Manufacturing (AIM) Act and continue phasing out potent greenhouse gases known as hydrofluorocarbons (HFCs). The Budget supports $1.2 billion in DOE industrial decarbonization activities.
Helps Increase Climate Resilience and Bolsters Conservation. The Budget invests more than $24 billion to help build communities’ resilience to floods, wildfires, storms, extreme heat, and drought brought on by climate change, expand conservation and ecosystem management, strengthen America’s natural disaster response capabilities, increase the resilience of rural housing to the impacts of climate change while reducing rent burdens, and ensure the resilience of our nation’s defense to climate change.
Advances Equity and Environmental Justice. The Administration continues to prioritize efforts to deliver environmental justice in communities across the United States, including meeting the President’s Justice40 Initiative to ensure that 40 percent of the overall benefits of Federal investments in climate and clean energy reach disadvantaged communities, including rural and Tribal communities. The Budget bolsters these efforts by investing nearly $1.8 billion at EPA across numerous programs that will support securing environmental justice for communities that bear the brunt of toxic pollution and climate change. The Budget also provides EPA $219 million to help remediate lead contamination in water, an increase of $163 million over the 2023 enacted level.
Increases Global Energy Security, Infrastructure, and Resilience. The Budget supports the President’s pledges to more than quadruple international climate finance and to provide more than $3 billion for the President’s Emergency Plan for Adaptation and Resilience (PREPARE). This includes a $1.6 billion contribution to the Green Climate Fund and a $1.2 billion loan to the Clean Technology Fund. The Budget also advances new tools, such as loan guarantees, to re-assert U.S. leadership in the Indo-Pacific to finance energy security and infrastructure projects and reduce reliance on volatile energy supplies and prices.
Expanding Access to High-Quality Health Care and Improving Health Outcomes
Advances Maternal Health and Health Equity. The United States has the highest maternal mortality rate among developed nations, and rates are disproportionately high for Black and American Indian and Alaska Native women. The Budget includes $471 million to reduce maternal mortality and morbidity rates; expand maternal health initiatives in rural communities; implement implicit bias training for health care providers; create pregnancy medical home demonstration projects; and address the highest rates of perinatal health disparities, including by supporting the perinatal health workforce. In addition, the Budget requires all States to provide continuous Medicaid coverage for 12 months postpartum, eliminating gaps in health insurance at a critical time.
Advances Cancer Moonshot Goals. The Cancer Moonshot aims to reduce the cancer death rate by at least 50 percent over the next 25 years and improve the experience of people who are living with or have survived cancer, their families, and caregivers. The Budget includes $1.7 billion for dedicated Cancer Moonshot activities across the Department of Health and Human Services (HHS), in addition to targeted investments at the Departments of Veterans Affairs, Defense, Agriculture, and other Cancer Cabinet agencies, and a total investment of $7.8 billion at the National Cancer Institute (NCI) to drive progress on ways to prevent, detect, and treat cancer. The Budget also provides an increase of $1 billion for the Advanced Research Projects Agency for Health (ARPA-H), for a total of $2.5 billion, to drive innovative health research and speed the implementation of breakthroughs that would transform the treatment, prevention, and early detection of cancer and other diseases.
Transforms Behavioral Health Care. The United States is facing a mental health crisis. While recently enacted legislation takes significant steps to address this crisis, much more can be done. For people with private health insurance, the Budget expands coverage of mental health benefits and strengthens the network of behavioral health providers. For people with Medicare, the Budget lowers patients’ costs for mental health services, requires parity in coverage between behavioral health and medical benefits, and expands coverage for behavioral health providers. The Budget provides historic investments in the behavioral health workforce, youth mental health care, Certified Community Based Behavioral Health Clinics, Community Mental Health Centers, and mental health research.
Making Our Communities Safer, Advancing Equity and Opportunity, and Strengthening American Democracy
Invests in Federal Law Enforcement, Community Violence Interventions, and Prevention to Combat Gun Violence and Other Violent Crime. The Budget continues to fund the President’s comprehensive Safer America Plan, including funding to put 100,000 additional police officers on our streets for accountable, community-oriented policing; $19.4 billion over 10 years for crime prevention strategies; and $5 billion over 10 years for community violence interventions. The Budget also includes $17.8 billion for DOJ law enforcement, including a total of nearly $2 billion for the Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF) to expand multijurisdictional gun trafficking strike forces with additional personnel, increase regulation of the firearms industry, and implement the Bipartisan Safer Communities Act. The Budget also includes $1.9 billion for the U.S. Marshals Service to support personnel dedicated to fighting violent crime, as well as $51 million to the Federal Bureau of Investigation (FBI) to support the continued implementation of enhanced background checks required by the Bipartisan Safer Communities Act.
Prioritizes Efforts to End Gender-Based Violence. The Budget proposes $1 billion to support implementation of programs through the Violence Against Women Act of 1994 (VAWA), which was recently reauthorized and strengthened in 2022. The Budget supports substantial increases for longstanding VAWA programs, including key investments in legal assistance for victims, transitional housing, and sexual assault services. The Budget also includes $519 million for the Family Violence Prevention and Services (FVPSA) program and the National Domestic Violence Hotline to support domestic violence survivors—double the 2023 enacted level.
Advances Child and Family Well-Being in the Child Welfare System. The Budget proposes to expand and incentivize the use of evidence-based foster care prevention services to keep families safely together and reduce the number of children entering foster care. The Budget provides States with support to place more foster children with relatives or other adults who have an existing emotional bond with the children, while also providing additional funding to support youth who age out of care without a permanent caregiver. In addition, the Budget proposes to make the adoption tax credit refundable and to extend the credit to legal guardianships. This would reduce the financial burden on low- and moderate-income families wishing to pursue adoption, as well as for families who opt for legal guardianship.
Strengthens Our Democracy. To continue efforts to restore and strengthen American democracy, the Budget proposes $5 billion in new election assistance funding to be allocated over 10 years, $1.5 billion to support increasing the living allowance provided to AmeriCorps members so that national service is a more accessible pathway to success, and $73 million to support American history and civics education programs.
Keeping America Safe and Confronting Global Challenges
Even as he has taken decisive action to strengthen America at home, the President has worked with allies and partners to confront pressing global challenges. The Budget builds on that progress through proposals to continue addressing threats to global security and strengthening the U.S. military, addressing pressing global challenges, strengthening border security and the U.S. immigration system, and honoring America’s commitment to veterans, servicemembers, families, caregivers, and survivors.
Supports Ukraine, European Allies, and Partners. The Budget continues support for Ukraine, the United States’ strong alliance with the states of the North Atlantic Treaty Organization (NATO), and other European partner states by prioritizing funding to enhance the capabilities and readiness of U.S. forces, NATO allies, and regional partners in the face of continued Russian aggression.
Invests in New Ways to Out-Compete China and Deepens Alliances and Partnerships in the Indo-Pacific. China is the United States’ only competitor with both the intent to reshape the international order and, increasingly, the economic, diplomatic, military, and technological power to do it. During these unprecedented and extraordinary times, the Budget requests both discretionary and mandatory resources to out-compete China and advance American prosperity globally. The mandatory proposal will strengthen the U.S. role in the Indo-Pacific, and advance the U.S. economy by investing $2 billion to create a new International Infrastructure Fund to support “hard” critical infrastructure; $2 billion to create a new equity revolving fund at the U.S. International Development Finance Corporation to support equity investments; and $2 billion to make game-changing investments in the Indo-Pacific to strengthen partner economies and support their efforts in pushing back against predatory efforts. As part of this mandatory proposal, the Budget also requests a total of $7.1 billion over the next 20 years for the Compacts of Free Association with the Freely Associated States of the Marshall Islands, Micronesia, and Palau.
Promotes Integrated Deterrence in the Indo-Pacific and Globally. The Budget prioritizes China as America’s pacing challenge in line with the 2022 National Defense Strategy. The Department of Defense’s 2024 Pacific Deterrence Initiative highlights $9.1 billion of targeted investments the Department is making to U.S. force posture, infrastructure, presence, and readiness as well as efforts to bolster the capacity and capabilities of U.S. allies and partners in the Indo-Pacific region.
Strengthens Democracy and Promotes Human Rights Globally. The Budget provides more than $3.4 billion to advance democratic governance and foster democratic renewal globally. The Budget would strengthen free and independent media, fight corruption, bolster democratic institutions, advance technology for democracy, promote gender equality and women’s civic and political participation, and defend free and fair elections and political processes.
Enhances Border Security and Immigration Enforcement. Strengthening border security and providing safe, lawful pathways for migration remain top priorities for the Administration. The Budget includes nearly $25 billion for U.S. Customs and Border Protection (CBP) and Immigration and Customs Enforcement (ICE). The Budget includes funds for CBP to hire an additional 350 Border Patrol Agents, $535 million for border technology at and between ports of entry, $40 million to combat fentanyl trafficking and disrupt transnational criminal organizations, and funds to hire an additional 460 processing assistants at CBP and ICE.
Expands Health Care, Benefits, and Services for Military Environmental Exposures. The PACT Act represents the most significant expansion of VA health care and disability compensation benefits for veterans exposed to burn pits and other environmental exposures in more than 30 years. As part of the PACT Act, the Congress authorized the Cost of War Toxic Exposures Fund (TEF) to fund increased costs above 2021 funding levels for health care and benefits delivery for veterans exposed to a number of environmental hazards—and ensure there is sufficient funding available to cover these costs without shortchanging other elements of veteran medical care and benefit delivery. The Budget provides $20.3 billion for the TEF in 2024, which is $15.3 billion above the 2023 enacted level.
Reducing Deficits by Nearly $3 Trillion by Making the Wealthy and Big Corporations Pay Their Fair Share and Cutting Wasteful Spending on Big Pharma, Big Oil, and Special Interests
After inheriting historically high deficits from the previous Administration, President Biden told the American people he would reduce the deficit, pay for his proposals, and ensure that no one making less than $400,000 a year would pay a penny more in new taxes. That’s exactly what he has done—and exactly what he will continue to do.
The President’s Budget builds on the record-breaking deficit reduction he achieved during his first two years in office. It more than fully pays for its investments, reduces deficits by nearly $3 trillion over the next decade by making the wealthy and big corporations pay their fair share and cutting wasteful spending on Big Pharma, Big Oil, and other special interests, and ensures that no one making less than $400,000 per year will pay a penny more in new taxes.
The Budget reflects the President’s ironclad belief that we need a tax system that rewards work, not wealth—and that ensures the wealthiest Americans and biggest corporations don’t pay lower tax rates than teachers or firefighters. That’s in sharp contrast with Congressional Republicans, who in recent months have proposed policies that would add $3 trillion to the debt over the next decade while handing out tax giveaways to the wealthy and big corporations.
Building on the progress the President has already made to promote a fairer tax code, the Budget proposes additional reforms that would ensure the wealthy and corporations pay their fair share while cutting wasteful spending on Big Pharma, Big Oil, and other special interests.
Proposes a Minimum Tax on Billionaires. The tax code currently offers special treatment for the types of income that wealthy people enjoy. While the wages and salaries that everyday Americans earn are taxed as ordinary income, billionaires make their money in ways that are taxed at lower rates, and sometimes not taxed at all. This special treatment, combined with sophisticated tax planning and giant loopholes, allows many of the wealthiest Americans to pay lower rates on their full income than many middle-class households pay. To finally address this glaring problem, the Budget includes a 25 percent minimum tax on the wealthiest 0.01 percent.
Ensures Corporations Pay Their Fair Share. The Budget includes an increase to the rate that corporations pay in taxes on their profits. Corporations received an enormous tax break in 2017, cutting effective U.S. tax rates for U.S. corporations to a low of less than 10 percent. While their profits soared, their investment in the economy did not. Their shareholders and top executives reaped the benefits, without the promised trickle down to workers, consumers, or communities. The Budget would set the corporate tax rate at 28 percent, still well below the 35 percent rate that prevailed prior to the 2017 tax law. This tax rate change is complemented by other proposals to incentivize job creation and investment in the United States and ensure large corporations pay their fair share.
Stops the Race to the Bottom in International Corporate Tax and End Tax Breaks for Offshoring. For decades, countries have competed for multinational business by slashing tax rates, at the expense of having adequate revenues to finance core services. Thanks in part to the Administration’s leadership, more than 130 nations signed on to a global tax framework to finally address this race to the bottom. Building on that framework, the Budget proposes to reform the international tax system to reduce the incentives to book profits in low-tax jurisdictions, stop corporate inversions to tax havens, and raise the tax rate on U.S. multinationals’ foreign earnings from 10.5 percent to 21 percent. These reforms will ensure that profitable multinational corporations pay their fair share.
Quadruples the Stock Buybacks Tax. Last year, the President signed into law a surcharge on corporate stock buybacks, which reduces the differential tax treatment between buybacks and dividends and encourages businesses to invest and grow as opposed to funneling tax-preferred profits to foreign shareholders. The Budget proposes quadrupling the stock buybacks tax from one percent to four percent to address the continued tax advantage for buybacks and encourage corporations to invest in productivity and the broader economy.
Repeals Trump Tax Cuts for the Wealthy and Reform Capital Gains Tax to Ensure the Wealthy Pay Their Fair Share. The 2017 tax law lowered rates for the wealthiest Americans, delivering massive tax cuts to the top one percent. The Budget repeals the Trump tax cuts for the highest-income Americans, restoring the top tax rate of 39.6 percent for single filers making more than $400,000 a year and married couples making more than $450,000 per year. It also proposes taxing capital gains at the same rate as wage income for those with more than $1 million in income and finally closes the carried interest loophole that allows some wealthy investment fund managers to pay tax at lower rates than their secretaries.
Cuts Wasteful Spending on Big Pharma, Big Oil, and Other Special Interests, Combats Fraud, and Makes Programs More Efficient. The Budget puts forward reforms that cut wasteful spending on Big Pharma, Big Oil, and other special interests, crack down on fraud, and strengthen program integrity—saving taxpayers hundreds of billions of dollars. For example, the Budget cuts Federal spending by $160 billion—and saves billions of dollars for seniors—by increasing the number of drugs Medicare can select for negotiation and bringing more drugs into the negotiation process sooner, building on the Inflation Reduction Act’s reforms. It also includes a package of reforms to crack down on systemic fraud—combatting identity theft and other fraud in Unemployment Insurance, increasing funding for the Anti-Pandemic Fraud Strike Force, and investing in Inspectors General.
