Tag Archives: coronavirus pandemic

FACT SHEET: Biden Administration Launches Office of Pandemic Preparedness and Response Policy

More than one million Americans died of COVID, millions more are suffering long-COVID; it is estimated that 70 percent died needlessly, avoidably, while Biden’s swift actions to set up a comprehensive vaccination-delivery program (free tests, free masks, free vaccinations), saved 2 million lives. As part of President Biden’s commitment to ensure that our country is more prepared for a pandemic than we were when he took office, the Administration is standing up the Office of Pandemic Preparedness and Response Policy (OPPR). This will be a permanent office in the Executive Office of the President (EOP) charged with leading, coordinating, and implementing actions related to preparedness for, and response to, known and unknown biological threats or pathogens that could lead to a pandemic or to significant public health-related disruptions in the United States. © Karen Rubin/news-photos-features.com

A valid concern Americans should hold is that public health has been so politicized, so weaponized that leaders on all levels of government – federal, state, and local  – who are responsible for the welfare of their constituents, along with the weakening of their ability to take action to protect public health by the radical rightwing extremist judiciary put into place by McConnell and Trump, that we will not be informed when there is a new threat, that they will take action to quarantine, mandate masks and vaccinations to prevent hospital systems from being overwhelmed, and certainly, that concern that there won’t be the resources, the expertise, the means, infrastructure or the fortitude to protect us from the next pandemic. And the next pandemic is certain to take place, not in 100 years, but pushed forward by the changes to the ecosystem because of human-caused climate change.

More than one million died of COVID, millions more are suffering long-COVID; it is estimated that 70 percent died needlessly, avoidably, while Biden’s swift actions to set up a comprehensive vaccination-delivery program (free tests, free masks, free vaccinations), saved 2 million lives. With this in mind, the Biden-Harris Administration is taking steps, setting up the mechanisms to obtain vaccines, treatments and tests – while Florida Governor and presidential wannabe Ron DeSantis has actually made it illegal for Floridians to have a public response to a pandemic and Congressional Republicans show no interest whatsoever in allocating the funds to save lives. (Trump had dismantled the pandemic response infrastructure set up by the Obama Administration. Here is a fact sheet form the White House on its launch of Office of Pandemic Preparedness and Response Policy: –Karen Rubin/news-photos-features.com

The Biden-Harris Administration has made historic progress on our nation’s ability to manage COVID-19 so that it no longer meaningfully disrupts the way we live our lives. Under President Biden’s leadership, the Administration has taken significant steps to ensure all individuals have continued access to lifesaving protections such as vaccines, treatments, and tests, and that the nation is well prepared to manage the risks of COVID-19 or other causes of potential pandemics in the future.
 
As part of the President’s commitment to ensure that our country is more prepared for a pandemic than we were when he took office, the Administration is standing up the Office of Pandemic Preparedness and Response Policy (OPPR). This will be a permanent office in the Executive Office of the President (EOP) charged with leading, coordinating, and implementing actions related to preparedness for, and response to, known and unknown biological threats or pathogens that could lead to a pandemic or to significant public health-related disruptions in the United States. OPPR will take over the duties of the current COVID-19 Response Team and Mpox Team at the White House and will continue to coordinate and develop policies and priorities related to pandemic preparedness and response.
 
To lead this work, the President announced that Major General (ret) Paul Friedrichs will serve as the inaugural Director of OPPR and Principal Advisor on Pandemic Preparedness and Response as of August 7, 2023.  Maj. Gen. (ret) Friedrichs’ unparalleled experience makes him the right person to lead this office. He is currently Special Assistant to the President and Senior Director for Global Health Security and Biodefense at the National Security Council (NSC). Maj. Gen. (ret) Friedrichs previously served as Joint Staff Surgeon at the Pentagon, where he coordinated all issues related to health services, provided medical advice to the Chairman of the Joint Chiefs of Staff and served as medical adviser to the Department of Defense (DoD) Covid-19 Task Force. 
 
The Office of Pandemic Preparedness and Response Policy will:
 
Coordinate the Administration’s domestic response to public health threats that have pandemic potential, or may cause significant disruption, and strengthen domestic pandemic preparedness. This includes ongoing work to address potential public health outbreaks and threats from COVID-19, Mpox, polio, avian and human influenza, and RSV.
 
Drive and coordinate federal science and technology efforts related to pandemic preparedness. Specifically, OPPR will oversee efforts to develop, manufacture, and procure the next generation of medical countermeasures, including leveraging emerging technologies and working with HHS on next generation vaccines and treatments for COVID-19 and other public health threats. During the height of the pandemic, the Biden-Harris Administration made historic investments in COVID-19 vaccines, tests, and treatments that were made widely available. OPPR will continue to leverage these investments as it drives future progress in combatting COVID-19 and other public health threats.
 
Develop and provide periodic reports to Congress. As required by statute, OPPR will develop and provide to Congress a biennial Preparedness Review and Report and Preparedness Outlook Report every five years.
 
Major General (ret) Paul Friedrichs, Inaugural Director of OPPR and Principal Advisor on Pandemic Preparedness and Response
 
Major General Friedrichs is currently Special Assistant to the President and Senior Director for Global Health Security and Biodefense at the National Security Council (NSC). Prior to joining the NSC, Dr. Friedrichs most recently served as the Joint Staff Surgeon and the medical advisor to the Department of Defense (DoD) COVID-19 Task Force. Throughout his career he has worked closely with Federal, State, Tribal, local, and territorial government partners, as well as industry and academic counterparts and has been active in multiple professional medical societies. Dr. Friedrichs has also overseen the DoD global patient evacuation system, supporting global medical care and numerous interagency domestic and global disaster responses. He led the DoD Task Force which developed plans to implement high reliability medical principles across DoD and stood up the Air Force’s first medical analytics capabilities. Over the course of his 37-year career, he has led military hospitals and regional and global health care systems, published multiple medical papers, and consistently sought opportunities to partner with colleagues to improve health care delivery and preparedness. As the United States’ representative to the North Atlantic Treaty Organization Committee of Military Medical Chiefs, he worked closely with many of America’s closest allies and partners throughout the pandemic and in developing medical support to the Ukrainian military.
 
Dr. Friedrichs is a board-certified physician who has cared for hundreds of patients in combat and managed broad domestic and global public health threats. He has spent all of his career in public service, having first received his commission through Reserve Officer Training Corps in 1986 and rising to Major General in 2023.

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

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

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

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

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

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

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

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

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

Fewer Treatments for Americans:

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

Fewer Tests for Americans:

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

Fewer Shots in Arms Around the World:

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

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

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

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

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

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

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

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

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

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

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

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

Diplomacy, Economic Development , US Global Leadership Are Key to Biden’s New Strategy to Prevent Conflict and Promote Stability

Letter from the President on the Implementation of the Global Fragility Act

 

President Joe Biden, speaking in Warsaw, points to Russia’s unprovoked, criminal invasion of Ukraine in advancing his U.S. Strategy to Prevent Conflict and Promote Stability, in which the United States plays a leadership role – maximizing diplomacy and economic development – in helping countries address the root causes of conflict. ‘The world stands today at the dawn of a decisive decade — a moment of consequence and peril, of profound pain and extraordinary possibility.  Perhaps now more than ever, we have seen how the most urgent challenges of our time do not confine themselves within national borders. .. It is against this backdrop — at this inflection point in history — that America must lead.” © Karen Rubin/news-photos-features.com via msnbc

The world stands today at the dawn of a decisive decade — a moment of consequence and peril, of profound pain and extraordinary possibility.  Perhaps now more than ever, we have seen how the most urgent challenges of our time do not confine themselves within national borders.  A global pandemic that has claimed more than six million lives.  A climate crisis that threatens the future of every continent.  An emboldening of autocrats who believe that democracy and multilateralism cannot deliver in the 21st century.  These tests, and more, are among the sternest that the world has ever faced.
 
It is against this backdrop — at this inflection point in history — that America must lead.  We know all too well that today’s most pressing challenges — their root causes as well as their impacts — are global in nature.  We know that America’s security and success hinge in no small measure on the peace and stability of the world beyond our borders.  We know that beneath the global crises we face lie breathtaking opportunities for our Nation and the world — if we can summon the will to seize them.
 
This document — a prologue to the U.S. Strategy to Prevent Conflict and Promote Stability — represents an assertion of American leadership to take on the defining global challenges of our time.  Driven in large part by the tireless commitment of humanitarian advocates and civil society organizations working on the front lines of conflict, this Strategy is the product of a bipartisan vision, manifested by the passage of the Global Fragility Act in December 2019 with overwhelming bipartisan majorities.  It provides a roadmap:  a 10-year effort to strengthen the security and prosperity of people everywhere by helping to fortify the footing of parts of the world that continue to grapple with challenges that can lead to destabilizing conflict and violence.  It is, in short, an investment in global peace and security — one which will deliver critical returns not only in the nations with whom we’ll be working, but, most of all, here in the United States.
 
The heartbreaking images we are seeing in Ukraine — the result of a vicious and unprovoked attack by Vladimir Putin — are only the latest reminder of the tragic consequences of global conflict and the need to avert violence before it erupts.  We know that working broadly, strategically, and cooperatively to prevent conflict and instability is the greatest investment we can make in America’s future, and in the future of the entire world.  In Ukraine, as in Ethiopia, Syria, Yemen, and elsewhere around the world, the incalculable toll of lives lost, families separated, economies destroyed, and social fabrics torn threatens to spiral whole regions into cycles of violence and loss that can linger for generations.  Doing all that we can to assist communities around the world in their conflict prevention efforts is more than just the right thing to do.  It saves lives, safeguards Americans’ own security and prosperity, and establishes the United States as a trusted partner — a force for peace and stability in the world, and a nation that can be counted on to work and learn productively alongside the nations of every region to tackle common challenges and strengthen our shared future.
 
This Strategy lays out a whole-of-government approach to advancing America’s national interests on the world stage.  This means tapping into the expansive expertise and resources that reside across our Government, sharpening and updating those tools where needed, humbly applying the costly and painful lessons from the past, and transforming the way we work with each other.  Our diplomats, officers, and experts in the State Department, the United States Agency for International Development, the Department of Defense, the Department of the Treasury, and others across Government, as well as members of the Foreign Service and Armed Forces, will work in close cooperation with multilateral organizations and a wide variety of local partners in each nation where these efforts will be pursued — including civil society organizations, community leaders, businesses, and government officials. 

Those who are closest and most vulnerable to these challenges know best where the opportunities for peace and stability lie — they represent the strongest source of promise and immunity from destabilizing forces, and we must support their strength and resilience.  From strengthening social institutions and state-society relations, to mitigating the spread of extremist ideologies, to confronting the corrosive impact of gender inequality, to cultivating greater trust between security forces and citizens, to guarding against the destabilizing threat of climate change — we will help foster locally led, locally owned solutions grounded in mutual trust and long-term accountability.
 
Prevention is hard work — measured not in days and weeks, but in years and generations.  Its successes are never as evident as its failures, and it requires us to remain focused on lasting peace and stability over the allure of easier, more temporary gains that may not strengthen our position in the long term.  But, with this Strategy, we are committing ourselves to the effort.  As we implement this Strategy, my Administration looks forward to working closely with the Congress on a bipartisan basis, and in close consultation with civil society institutions and stakeholders on every level.  United in our vision, America can and must lead this essential new effort to interrupt potential pathways to conflict, alleviate threats before they escalate and arrive on our shores, and help safeguard the economy, health, and security of our Nation for generations to come. –Joseph R. Biden, Jr. 
 

Addressing the Collective Challenges of our Time:

Implementing the U.S. Strategy to Prevent Conflict and Promote Stability

Every country, including our own, experiences risks and challenges related to stability and conflict.  The international community grapples with issues that cut across borders, societies, ways of life, and economies.  As the world has witnessed too often, the effects of conflict and instability are not constrained by borders or technologies.  Cooperation and long-term investments in conflict prevention and stabilization are needed now more than ever to build peace across divided communities and boundaries.  We must collectively bolster societal resilience to prevent and reduce the heavy human and financial costs of conflicts that undermine global peace, security and sustainable development. 
 
On March 24, 2022, the Biden-Harris Administration launched the implementation of the U.S. Strategy to Prevent Conflict and Promote Stability with partner countries across the globe.  The Strategy outlines a ten-year, evidence-based, whole-of-government effort to foster peace and long-term stability through integrated U.S. diplomacy, development, and security-sector engagement with dual goals of strengthening national and regional peace, resilience and stability and enhancing the way our government operates in a variety of contexts.
 
Through collective action and partnership, the United States seeks to advance the vision and goals of the landmark Global Fragility Act through this Strategy in four diverse countries and one sub-region facing a wide variety of challenges to peace and stability.  This Strategy advances U.S. national security and interests.  The work now underway represents an important milestone, and next step, in the implementation of the Global Fragility Act, which continues to enjoy strong support within the U.S. Congress and among civil society.  Through a spirit of partnership, we can and will build on strengths of communities, governments, and nations to rebound from shocks, confront negative global trends and create new paradigms for broader cooperation.  The Strategy and Prologue chart a new path toward positive results that strengthen democracy, rule of law, security, good governance, gender equity and equality, health, education, and respect for human rights all aligned to fuel reservoirs of peace, strength and recovery and extinguish potential discord before it is sparked.
 
The United States will partner with Haiti, Libya, Mozambique, Papua New Guinea, and Coastal West Africa (Benin, Côte d’Ivoire, Ghana, Guinea, and Togo) guided by these principles:

  • Work collaboratively with government and civic partners on an integrated approach to prevent conflict, promote resilience and stability, and advance economic development;
     
  • Look beyond urgent crises and near-term needs to focus on mutually determined strategic goals and interests through whole-of-government ten-year plans;
     
  • Utilize development, diplomacy, and security-sector means in a coordinated way to support the pursuit of goals, foster an enabling environment, and solidify progress;
     
  • Provide new tools and insights to strengthen democratic institutions, for example in the areas of rule of law, anti-corruption, law enforcement, and fiscal transparency, and to promote human rights and gender equity and equality;
     
  • Adapt to and learning from changing conditions, anchor efforts in local communities, and make strategic adjustments based on joint analyses, research, and monitoring and evaluation; and
     
  • Take a multifaceted approach to address other current and emerging challenges, such as the climate crisis, global pandemics and declining democratic practices. 

The U.S. Congress authorized up to $200 million a year for these efforts and appropriated $125 million in Fiscal Year 2022 for the Prevention and Stabilization Fund, which supplements existing bilateral U.S. assistance to these partner countries.  This funding will support the development of ten-year implementation plans and related regional and multilateral activities.

The Biden-Harris Administration will closely monitor progress, milestones, and accomplishments under the Strategy.  These efforts will endure across future U.S. Administrations and advance much needed innovative approaches to peace and stability.

Read the Biden letter on the Global Fragility Act Implementation

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

ARP powered historic jobs recovery – with the largest calendar increase in jobs on record, unemployment down to 3.8%, and record drops in Hispanic Unemployment and Youth Unemployment – and ensured less scarring than any recovery in memory.

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

With the focus on Ukraine’s desperate fight against Russia’s criminal war and President Joe Biden’s role in marshaling the free world in its defense, little attention is being paid to the Biden Administration’s domestic actions that are having real achievements. On the one-year anniversary of the American Rescue Plan, the White House highlighted the difference the ARP is making in ordinary people’s lives; – Karen Rubin/news-photos-features.com

Lowering Health Care Costs and Increasing Health Coverage

  • 14.5 million Americans – the most ever – signed up for ACA marketplace plans due to, on average, 50% lower costs in premiums for returning consumers.
    • Nationwide, existing consumers with a new or updated plan selection after ARP saved an average of $67 (or 50%) per consumer per month on premiums, totaling $537 million per month in savings. In twenty states and the District of Columbia, existing consumers saved over $75 per month, on average, due to the ARP.
       
  • 5.8 million more Americans have health insurance today than a year ago. Between 2016 and 2019, 3.6 million Americans lost coverage.
     
  • A family of four is saving an average of $2,400 on their annual premiums. Four out of five consumers could find quality coverage for under $10 a month.
     

Investing in Mental Health:

  • $3 billion invested in expanding access to mental health and substance use services at the state level – largest one-time investment in history for mental health and substance use programs.
     
  • Billions more in American Rescue Plan funding are being used to address mental health challenges affecting our children, including through hiring school social workers and counselors. With the help of American Rescue Plan K-12 funding, schools have already seen a 65% increase in social workers, and a 17% increase in counselors. 

 
Fighting COVID

  • Distributed 200 million vaccines, and millions of therapeutics using ARP dollars.
     
  • 375 million at-home tests per month now available; before ARP, no at-home tests.
     
  • $14.5 billion to address COVID for America’s veterans, including support for 37,000 homeless veterans.

 
Getting Kids Back in School

  • Today, 99% of schools are openBefore ARPonly 46% of schools were open in-person.
     
  • Major Investments in Keeping Schools Open, Combatting Learning Loss & Addressing Mental Health Challenges: Independent experts estimate based on school district plans that 59% of school districts are using ARP funds to hire/retain teachers and counselors, 35% are using ARP funds to hire/retain psychologists and mental health staff, and 52% are using ARP funds for HVAC and ventilation.
     
  • A survey from the School Superintendents Association indicated 82% of superintendents plan to use funds to expand social, emotional, mental and physical health and development.

 
Supporting Working Families

  • Expanded Child Tax Credit for Working Families – Helping Deliver Record Lows in Child Poverty.
    • The 2021 CTC will reach a record nearly 40 million families with 65 million children.
    • Expanded $3,000 credit for kids age 6-17 and $3,600 for kids under 6
    • Experts estimate that the Child Tax Credit was the main driver in the American Rescue Plan bringing child poverty to record lows in 2021– including record low Black and Hispanic child poverty.
       
  • Economic Impact Payments for Vast Majority of Americans
    • Over 170 million Economic Impact Payments to 85% of all Americans – including an additional 19+ million payments to Social Security beneficiaries, 3 million payments to SSI beneficiaries, and 320,000 payments to Veterans who would not have received these benefits under normal tax filing requirements.
       
  • Ensured Kids didn’t go hungry in the summer
    • Estimated 30 million kids fed with first nationwide Summer supplemental nutrition program – more than 10x higher than 2019 summer meals for kids.
       
  • Unprecedented Emergency Rental Relief and Eviction Prevention
    • Over 4 million Emergency Rental Assistance payments to tenants in a single year – by orders of magnitude the largest eviction prevention effort in history.
    • Eviction filings at just 60% of historic averages in 5 months after CDC moratorium – even though some had projected an eviction tsunami.
       
  • More than doubled the amount of LIHEAP – the most ever going to help with Heating and Cooling Costs of well over 5 million households

 
Helping People Get Back to Work

  • Most One-Time Support for Childcare Providers Ever to Keep Them Open and Operating
    • 150,000+ providers supported by childcare stabilization payments so far, the most support for childcare providers ever.
    • More than 5 million children served by these providers.
       
  • Expanded Earned Income Tax Credit for Workers
    • Tripled EITC for 17 million workers without dependent children from $540 to $1500 – first increase since 1993 – and extended the credit to younger & older workers.
    • Helping millions of front-line workers: This expansion will help nearly 1.8 million cashiers and retail salespeople; almost 1 million cooks and food prep workers; and more than 850,000 nurses and health aides, 500,000 janitors, 400,000 truck and delivery drivers, and 300,000 childcare workers.
       
  • Getting Americans Back to Work with State and Local Investments
    • Over half of states and scores of cities across the country have invested in workforce development, apprenticeships, training, and premium pay for essential workers – with premium pay to nearly 750,000 essential workers.
    • State and local governments added 467,000 jobs in 2021 – best year since 2001.

Staying True to Our Veterans:

  • ARP provided resources for veterans currently receiving housing support, including an estimated 37,000 homeless veterans.
     
  • ARP cancelled health care copayment charges for 2.5 million veterans during the pandemic – worth $1 billion.
     
  • ARP Child Tax Credit expansion meant that roughly 5 million children in veteran and Active Duty families are receiving the credit for 2021, per CBPP estimates.
     
  • ARP invested in 16,000 veterans’ health care with ARP funds for 158 State Veterans Homes operations and for State Veterans Home renovations and capital projects.
  • ARP funding is enabling the Veterans Benefits Administration to reduce the claims backlog from 212,000 in March 2021 to 100,000 by September 2022.  

 
Rescuing and Transforming Our Communities:

  • Dozens of cities and 21 states have already committed ARP Fiscal Recovery Funds to public safety, including critical investments in gun crime prevention – hiring and retaining police officers for community policing and investing in critical technology to take on increases in gun and other violent crimes, and supporting evidence-based community violence interventions and summer youth employment.
     
  • State and local, Education and HUD investments in affordable housing and fighting homelessness:
    • ARP Department of Education program to provide services and enable full attendance for students experiencing homelessness will reach 1.5 million children. 
    • ARP added about 70,000 emergency vouchers to the rental market through HUD.
    • ARP funded new housing counseling program which is expected to provide 80,000 housing counseling sessions.
    • Roughly half of cities and states are investing some portion of their State and Local Funds in housing assistance and investments  from New Jersey’s $750 million eviction prevention and utilities program to Austin and Travis County’s $200 million ARP investment in a comprehensive plan to take on its homelessness crisis.
       
  • Broadband Investments underway across the country: 20 states have already invested Fiscal Recovery Funds to expand broadband access – in addition to $10 billion Capital Projects Fund which they can use to help ensure that all communities have access to high quality modern infrastructure needed to access critical services, including broadband.
    • Even with more on the way, states and territories have already announced about $9 billion in ARP investments to expand high speed internet access.
       
  • Long-needed investments in clean water: with 21 states already committing Fiscal Recovery Funds to improve water and sewer infrastructure, including removing lead pipes.
    • Even with more on the way, states and territories have already announced investing $7.5 billion in ARP funds for water and sewer improvements.

Providing Permanent Tax Relief for Puerto Rico Families

  • Made hundreds of thousands of families in Puerto Rico eligible for CTC for first time – previously ~90% of families excluded from CTC.
     
  • First-ever Federal Support for Puerto Rico’s EITC, more than tripling workers’ benefits.

Most support ever for Tribal Communities

  • $32 billion to Tribal communities and Native people, the largest in assistance to tribal governments in history.

FACT SHEET:
How The American Rescue Plan Is Keeping America’s Schools Open Safely, Combating Learning Loss, And Addressing Student Mental Health
 

On March 11, 2021 – one year ago – President Biden signed the American Rescue Plan (ARP) Act into law, an unprecedented $1.9 trillion package of emergency assistance measures. The ARP provides a historic investment in America’s preschool through twelfth grade (P-12) schools in response to the COVID-19 pandemic to keep schools safely open, tackle learning loss and mental health. These funds include $122 billion for P-12 schools in Elementary and Secondary School Emergency Relief (ARP ESSER) funds. ARP also dedicated an additional $8 billion to states and school districts to meet the needs of certain student populations, including over $3 billion for students with disabilities and $800 million for children and youth experiencing homelessness.
 
ARP has already had a significant impact on schools across the country: over the last year, states, school districts, and schools have used these funds to safely reopen and sustain in-person instruction, combat learning loss, and address students’ mental health needs.
 
In his State of the Union address last week, President Biden called on schools to hire more teachers, urged the American people to sign up to be tutors and mentors, and – as part of his unity agenda – encouraged the country to come together to address child mental health. ARP ESSER funds are supporting this agenda in several ways:

  • Schools have gone from 46% open before ARP to 99% safe and open today: Before ARP was signed into law, just 46 percent of America’s P-12 schools were open for full-time, in-person learning. Today, over 99 percent of P-12 schools are open for full-time, in-person instruction.
     
  • ARP led to record growth in local education jobs that are critical to meeting students’ academic and mental health needs: Although there is more work to do to address longstanding educator shortages and return to pre-pandemic levels, ARP has led to record jobs growth in the education sector. With the help of ARP ESSER funding, local governments added more than 279,000 education jobs in 2021 – the best calendar year of jobs growth since records began in 1956 – and added an additional nearly 46,000 jobs in the first two months of 2022. Schools have already seen a 65% increase in social workers and a 17% increase in counselors relative to before the pandemic.
     
  • Analysis of school district plans shows overwhelming majority of funds are being used for priorities like teachers, counselors, academic recovery, mental health, and health and safety measures like ventilation improvements:  FutureEd – an education think tank at Georgetown University’s McCourt School of Public Policy – analyzed data on a representative sample of over 3,000 school districts’ plans covering 55% of ARP ESSER funds. This analysis showed:
    • Nearly 60% of funds are being used to:
      • invest in staffing – both retaining current staff and expanding professional development opportunities, as well as recruiting, hiring and training of new teachers, school staff and mental health professionals to increase school capacity and meet the academic and mental health needs of students;
      • combat learning loss through student support programs such as evidence-based tutoring, expanded after-school and summer learning and enrichment programs, and the purchase of millions of new textbooks and learning materials; and 
      • supporting the physical and mental health of students and educators.
    • Another 24% is being invested in keeping schools operating safely, including providing PPE and updating school facilities to support health and safety. This includes investments in lead abatement and an estimated nearly $10 billion for improvements to HVAC and ventilation.
       
  • ARP has fueled investments in education spending and accelerated the rate of spending of education relief funds by five to six times: Before the passage of ARP, states and school districts were spending a total of a little more than $500 million per month of federal emergency relief funds for education. Since the passage of the ARP and the assurance to states and school districts that critical funds were on their way, the monthly rate of spending of ESSER funds from ARP and earlier relief legislation has accelerated to more than $3 billion per month – an increase of five to six times.
     
  • All 50 states submitted clear spending plans that have been approved by the U.S. Department of Education: On March 24, less than two weeks after ARP was signed, two-thirds of funds – $81 billion – were released. To ensure funds would be used effectively, states had to submit and receive approval on their spending plan to receive their final third of funds. As of December 2021, every state, plus DC and Puerto Rico, submitted a plan, the U.S. Department of Education has approved all plans, and all $122 billion in ARP ESSER funds have been made available to states.
     
  • Survey of 600 school superintendents shows school leaders are meeting the challenge of the President’s unity agenda by using funds for students’ mental health and other developmental needs: The COVID-19 pandemic has subjected many young Americans to social isolation, loss of routines, and traumatic grief – increasing the need for mental health supports. A recent survey by AASA, The School Superintendents Association, found that 82% of districts plan to use funds to address this need by expanding supports for social, emotional, mental, and physical health and development.
     
  • States and school districts have deployed funds strategically while engaging meaningfully with their communities – including parents: In developing their spending plans, states and school districts were required to engage members of the community, including parents, educators, students, representatives of students with disabilities and others. The U.S. Department of Education continues to encourage states and school districts to consult with these critical partners on how to ensure these funds have the most impact in classrooms.

ARP ESSER-Funded State and District Activities
From the U.S. Department of Education
 
Safely Reopening Schools and Sustaining Safe Operations
Safely reopening schools and keeping them open safely are essential for student learning and well-being. 

  • Houston Independent School District (HISD) in Texas has allocated ARP ESSER funds to campuses for COVID-19 mitigation efforts. HISD has provided COVID-19 testing at 90 percent of its campuses and has hosted nearly 100 vaccine clinics.
     
  • The DeKalb County School District in Georgia upgraded air filters from MERV 8 to MERV 13 in every school facility that could accommodate that size filter and took steps to improve ventilation in all other schools using ARP ESSER funding.
     
  • White Plains City School District in New York will use a combination of local and federal funds to replace the HVAC units across their district to provide a safer learning environment for students and staff. Upon completion, the total project will cost $26.3 million, with nearly one-third of the funding coming from relief funds, including ARP ESSER.

Combating Learning Loss
States and school districts have the resources they need, and are required to address the impacts of the pandemic on students’ learning. States and districts nationwide are using funds to hire teachers and other instructional staff, launch tutoring, summer and afterschool programs (which states are required to fund), and make long-overdue investments in instructional materials. States are specifically required to address the needs of students disproportionately impacted by the pandemic, including students with disabilities, English learners, and students experiencing homelessness.
 
Recruiting, Retaining, and Expanding Professional Development of Staff:

  • Maine School Administrative District 11 is addressing gaps in learning opportunities by using ARP ESSER funds to hire nine new teachers and implement a new math, language arts, and social studies program. The additional teachers permitted the district to reduce class sizes from 22-24 students to an average of 14-16 students. The district has provided external and internal coaching, ongoing professional learning, and additional support to educators and staff.
     
  • Gaston County Schools in North Carolina is adding an additional teacher and a temporary employee per school to decrease class sizes, help manage workloads and provide classroom coverage in each of its 54 schools using ARP ESSER funding. This supports and helps retain current teachers, who are less likely to have to give up planning time to cover another classroom, or combine classrooms, and also benefits students whose learning is less likely to be disrupted by the absence of another teacher.
     
  • The Asheville City Schools Board of Education in North Carolina is using ARP ESSER funds for a bonus of $3,000 to $3,500 over the course of the year for full-time teachers and faculty in order to increase staff retention.
     
  • Providence Public School District in Rhode Island is launching new incentives to recruit and retain highly-qualified educators, including early signing bonuses for newly-hired educators and support staff in hard-to-fill positions using  ARP ESSER funding.

Summer Learning and Enrichment:  

  • In New Mexico, the College and Career Readiness Bureau of the New Mexico Public Education Department launched the Summer Enrichment Internship Program in 2021 using ARP ESSER funding. The program covers the cost of summer internships for New Mexico high school students and provides high school students, particularly those most impacted by the pandemic, with the opportunity to participate in high-quality internships in government agencies, including county, tribal, and municipal placements. Over 300 community partners and 1,200 student interns participated across 26 counties. Summer jobs programs like these that engage students are also important community violence intervention strategies. This program will continue in the summer of 2022 as well.
     
  • Cleveland Metropolitan School District in Ohio used ARP ESSER funds to increase summer learning participation seven-fold. In 2021, 8,400 students participated in summer school, compared to 1,000-1,200 students in previous years. Focused on “Finish, Enrich, and Engage,” the expanded summer school offered 12 weeks of programming that allowed for credit accumulation and unfinished learning. Students engaged in problem-based learning units in the morning with engagement activities like clubs and sports in the afternoon. This inclusive programming, which included students with disabilities and multilingual learners, will continue in summer 2022.
     
  • The Oklahoma State Department of Education is using ARP ESSER funds to implement evidence-based summer learning and enrichment programs and to expand afterschool programming through partnerships with community organizations. They provide for social, emotional, and academic support and access to technology. This initial investment of $6 million provided services through 28 organizations, at 140 sites, serving an average 11,000 students a month through the summer of 2021.

Tutoring: 

  • The Arkansas Division of Elementary and Secondary Education has established the Arkansas Tutoring Corps using ARP ESSER funding. The Arkansas Tutoring Corps program includes recruitment, preparation, and support for candidates to become qualified tutors to provide instruction or intervention to meet the academic needs of students most impacted by lost instructional time. A system connects prepared candidates with organizations seeking to support students’ academic needs. The program is already enhancing learning experiences of students due to loss of instructional time and addressing gaps in foundational skills in mathematics and literacy.

 
Meeting Students’ Social, Emotional, and Mental Health Needs
Districts and states must use a portion of ARP ESSER funds for evidence-based interventions that respond to students’ social, and emotional needs – such as the ability to collaborate with others or persist through difficult challenges – and to support students’ mental health. Districts must specifically address the impact of the pandemic on groups of students that were disproportionately impacted. 
 
Hiring Counselors and Increasing Supports:

  • The Kansas Department of Education has developed a Grow Your Own Counselor model with ARP ESSER funding that encourages districts to identify candidates and employ them as student services coordinators while they develop their skills in an approved school counseling graduate program.
     
  • The Nevada Department of Education has allocated $7.5 million to support districts in hiring 100 additional school based mental health professionals. Using ARP ESSER funding, the state is spending $1.7 million to hire a Multi-Tiered Systems of Support coach for every district.
     
  • Plymouth-Canton Community Schools in Michigan hired three full-time high school counseling staff to decrease counselor caseloads with ARP ESSER funding. Counselors are now able to dedicate more time to individual student meetings, attend meetings with assistant principals and deans to review academic progress and other needs of students, and develop a wellness center at each campus.

Community Schools:

  • The New York City Department of Education announced an investment of $10 million to expand the district’s research-based community schools initiative from 266 to 406 sites citywide using ARP ESSER funding. These schools provide integrated student support services to students and the surrounding community, such as mental health care, adult education courses, community violence intervention programs, and nutrition support.

Strengthening the Educator Workforce
The pandemic has taken a toll on the nation’s educators as well as its students. States and districts should support and stabilize the educator workforce and make staffing decisions that will help address students’ social, emotional, mental health, and academic needs. 

  • The Tennessee Department of Education has created a “Grow Your Own” grant with federal funding, including ARP ESSER, that is designed to foster partnerships between educator preparation programs (EPPs) and districts to provide promising and innovative, no-cost pathways to the teaching profession by increasing EPP enrollment and growing the supply of qualified teachers. The program is currently comprised of 65 partnerships between 14 EPPs and 63 districts across the state – enabling over 650 future educators to become a Tennessee teacher for free. $6.5 million has been allocated to this program thus far. Tennessee also pioneered a pathway with the U.S. Department of Labor by establishing the nation’s first registered apprenticeship program for teachers, which will help sustain the state’s Grow Your Own programs and partnerships leveraging federal apprenticeship funding.  

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

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

The White House detailed the consequences of Congress failing to fund efforts to combat COVID-19. Republicans have continually politicized what is a public health crisis, prolonging the epidemic and exacerbating the worst consequences – on health, life, hospitals and medical workers as well as the economy. Now Republicans are even promising to revoke the Affordable Care Act (Obamacare) if they take control of Congress, as they had tried over 60 times before. It is as if they are prolonging the misery in order to have something to attack President Joe Biden and Democrats, when Biden’s historic efforts to test, vaccinate and treat the country (free), have saved a million lives. Now the country is first beginning to address the effects of long-COVID that will affect untold millions.

In a press call, a senior administration official stated,Our scientific and medical experts have been clear that in the next couple of months we could see COVID cases increase here in the U.S., just as we’re seeing cases rising abroad right now. That’s why we remain laser-focused on fighting COVID and preparing for the future.
 
The President has laid out a comprehensive National COVID-19 Preparedness Plan to continue the progress we’ve made and to ensure we keep the country moving forward safely.
 
We asked for immediate funding needed to start to implement that plan.
 
In fact, for months, we’ve made clear to Congress, on a bipartisan basis, that the funding for tests, treatments, and vaccines was drying up and that additional funds would be needed.
 
In January, we notified the Hill that funding would be needed after the Omicron surge.  In February, we briefed appropriators and authorizers about the status of funds and the consequences if there were no additional funds.
 
We sent a formal request of $22.5 billion to the Hill, again being clear of what we could not do without more funding.
 
The President called for additional funding in his State of the Union address; outlined in a 96-page plan, made clear that more funding is needed. 
 
And our team has held more than two dozen calls and meetings with members of Congress about this emergency funding request. 
 
We have been clear: We hoped Congress would provide these resources, as lawmakers have done multiple times on a bipartisan basis under the prior administration.
 
Further inaction will set us back; leave us unprepared — less prepared; and cost us more lives.
 
We need Congress to provide the $22.5 billion in emergency immediate funding.
 
Now, let me walk through some of the immediate consequences of a lack of funding.
 
First, on vaccines: Without additional funding, we do not have the adequate resources to purchase enough booster shots for all Americans if an additional shot is needed.
 
Keep in mind, when Congress passed the supplemental bill in December of 2020 and the American Rescue Plan, the mRNA vaccines were envisioned as a two-shot vaccine.  We’ve now administered nearly 100 million booster shots, and four shots are now recommended and available for immunocompromised people.
 
To ensure enough fourth doses for all Americans or a variant-specific vaccine should we ever need them, we must have funding in hand.
 
Vaccines are our most effective tool.  We cannot be caught without the ability to move quickly to get more of the most effective vaccines available as soon as we are able.
 
Next, on treatments: To date, we have shipped over 7 million courses of treatments to the American people.  And in many cases, we have sent federal medical personnel to states to help administer those treatments.  When Omicron hit, the federal government stepped in to ramp up delivery of the last remaining treatment that worked.
 
These efforts have saved lives in every state in the country.
 
We have planned — we had planned to purchase additional monoclonals as soon as next week.  Without additional funding, we are cancelling those plans.  And as we will make clear to governors later this morning, we also need to cut the number of monoclonal antibody treatments we send to states by 30 percent starting next week.
 
Even with these cuts, we anticipate that our supply of monoclonal antibody treatments will run out as soon as late May.
 
Next, on the preventative treatments for immunocompromised Americans: We have purchased 1.7 million doses of AstraZeneca’s Evusheld — all that they could produce to date.
 
AstraZeneca recently told us that they will be — they will have additional supply that will be available for delivery starting in September.  These are doses we had planned to purchase as soon as the end of March.
 
Without more funding, the federal government will now be forced to scale back on that purchase.  So, we’ll likely run out of treatments for our most vulnerable Americans by the end of the year, if not sooner.
 
The bottom line on treatments is this: Without additional funding soon, thousands of patients could lose access to treatments, and these companies will have little incentive to continue investing in the development and manufacturing of these treatments.
 
Next, on the uninsured fund: [The Administration] notified Congress in February that this fund that reimburses doctors and other medical providers for caring for uninsured individuals was running out of money and would have to stop taking new claims in March.
 
Unfortunately, we’re now having to take that action.
 
HHS will begin to scale back this program starting next week and end it completely in early April.
 
This means doctors, nurses, pharmacists, labs, and other healthcare providers will no longer be reimbursed for tests, treatments, and vaccinations for people without health insurance.
 
And finally, in addition to all of these impacts to our domestic response, the lack of funding greatly impacts our global response.
 
Without more funding, USAID and our interagency partners will have to cut short efforts to turn vaccines into vaccinations around the world.
 
In fact, the administration won’t be able to extend surge support to over 20 additional under-vaccinated countries that will need intensive support this year to get shots in arms.
 
This will devastate our ability to ensure these countries can effectively deploy safe and effective vaccines.  And leaving large unvaccinated populations worldwide will increase the risk of new deadly emerging — of variants emerging that could evade our current vaccines and treatments. 
 
Without additional funding, USAID will also be unable to provide lifesaving supplies, tests, therapeutics, oxygen, and other humanitarian aid to countries still struggling to manage a continued COVID disease burden.
 
Here is the White House fact sheet:

The U.S. has made tremendous progress in our fight against COVID-19. Over the past 14 months, the Biden Administration has made vital investments – using resources Congress provided on a bipartisan basis – to make sure the American people have free and widely available access to lifesaving tools: vaccines, booster shots, treatments, tests, and high-quality masks. As we enter a new moment in the pandemic, Congress has not provided us with the funding we need to continue the COVID-19 response and minimize the pandemic’s impact to the Nation and our economy. With cases rising abroad, scientific and medical experts have been clear that in the next couple of months there could be increasing cases of COVID-19 here in the U.S as well. As the Administration has warned, failure to fund these efforts now will have severe consequences as we will not be equipped to deal with a future surge. Waiting to provide funding once we’re in a surge will be too late. 
 
Without funding, the United States will not have enough additional boosters or variant specific vaccines, if needed, for all Americans. The federal government is unable to purchase additional life-saving monoclonal antibody treatments and will run out of supply to send to states as soon as late May. The federal government cannot purchase sufficient quantities of treatments for immunocompromised individuals. And, the federal government will be unable to sustain the testing capacity we built over the last 14 months, as we head into the second half of the year.
 
Earlier this month, President Biden laid out a comprehensive plan to ensure that the country can continue to move forward safely and remain prepared to fight new variants and future surges of the virus. And the Administration has been clear that we need Congress to provide additional resources, including $22.5 billion in immediate emergency funding. Inaction will set us back in this fight, leave us less prepared, and cost us more lives. 
 
Consequences of lack of critical funding include:

  • Inability to Secure Sufficient Booster Doses and Variant Specific Vaccines, If Needed: The federal government does not have adequate resources to purchase enough booster vaccine doses for all Americans, if additional doses are needed. The shortages will be even more acute if we need a variant-specific booster vaccine, since we will not have any existing supply.
  • Providers No Longer Able to Submit Claims for Testing, Treating, and Vaccinating the Uninsured:  The fund that reimburses doctors and other medical providers for caring for uninsured individuals will start to be scaled back this month and end completely in early April.   Specifically, one week from today – March 22 — the Uninsured Program will stop accepting new claims for testing and treatment due to lack of sufficient funds. Providers will no longer be able to submit claims for providing these services to uninsured individuals, forcing providers to either absorb the cost or turn away people who are uninsured, increasing the disparity in access to critically needed health care and putting additional burdens on safety net providers. Three weeks from today—April 5—the Uninsured Program will also stop accepting vaccination claims due to a lack of sufficient funds.  
  • Ending the Purchase of Monoclonal Antibody Treatments, Scaling Back State/Territory Allocations: The federal government has no more funding f0r additional monoclonals, including a planned order for March 25. To date, the federal government has been able to provide these life-saving treatments free of charge to Americans and work with states to make sure they get to as many people as possible who need them. In order to keep these treatments free and available to the American people for as long as possible, the Administration will now have to stretch our current supply and, starting next week, will be forced to cut state allocations of our limited existing supply of life-saving monoclonal antibody treatments by more than 30%. 
  • Halting Critical Testing, Vaccine, Treatment Efforts: The President’s National Preparedness Plan was clear that the federal government must invest in next-generation vaccines and treatments and maintain our testing capacity in order to fight COVID-19 in the future. Now, without additional funding, we do not have the ability to:
     
    • Purchase additional oral antiviral pills beyond the 20 million already secured.
       
    • Pre-purchase promising new antivirals. The reason why the Administration has been able to secure more oral antiviral pills than any other country is because we committed to purchasing them early, even prior to an Emergency Use Authorization (EUA). As even more effective pills potentially become available, the federal government is no longer able to make advance purchase commitments to ensure America is one of the first countries in line. 
       
    • Accelerate the creation of a next-generation, pan-COVID vaccine that would provide broad protection against a range of variants. Vaccines are the most effective tool to prevent COVID-19, and the Administration does not have the funding for necessary investments in research and to support the development of promising new vaccine candidates.  Such next-generation vaccines hold potential to broaden protection against known and future variants, reduce dosing through single-dose primary regimens with extended duration of protection (i.e., longer interval between boosters or possible elimination of boosters altogether), and reduce costs by increasing manufacturing yields and extending shelf life.
       
    • Maintain our domestic testing capacity beyond June. After spending the last year building up our testing capacity, that progress will be squandered, the Administration will be unable to help keep domestic manufacturers online starting in June. That means, heading into the second half of the year, there will be significantly diminished domestic testing capacity and we may be unprepared for surges.
       
  • Scaling Back Planned Purchases of Preventive Treatments for Immunocompromised: The federal government has been planning to move forward with a purchase of preventative treatments for the immunocompromised as soon as March 31 that would begin delivery in September, once the treatments are manufactured.  However, absent additional funding the federal government will now be forced to scale back that purchase of treatments for our most vulnerable. Because these treatments take more than 6 months to manufacture, the United States will likely not have enough of these treatments by the end of the year.  And being unable to make additional purchase commitments now likely means that fewer treatments will be available next year as well.  
     
  • Reducing Ability to Rapidly Identify and Assess Emerging Variants.  Robust surveillance and research are critical to identify, understand and monitor emerging variants.  With reduced capability to perform adequate surveillance, the country will be prone to being “blindsided” by future variants. In the absence of funding to immediately assess lab-based efficacy and real-world effectiveness of existing vaccines and treatments as new variants emerge, health care professionals will be forced to make insufficiently informed treatment decisions. The Administration will need to wind down some COVID surveillance investments, leaving us less able to detect the next variant.
     
  • Damage to Global Vaccination and COVID-19 Treatment Efforts: Without additional funding to support getting shots into arms, USAID and interagency partners will have to cut short efforts to turn vaccines into vaccinations across the globe.  Leaving large unvaccinated populations worldwide will increase the risk of new deadly variants emerging that could evade our current vaccines and treatments.  Without additional funds, the Administration would be unable to extend Global VAX surge support to 20+ additional under-vaccinated countries that will need intensive support this year to get shots in arms. This will devastate our ability to ensure those countries can effectively deploy safe and effective vaccines. USAID will also be unable to provide life-saving supplies, tests, therapeutics, oxygen, and humanitarian aid to countries still struggling to manage a continuing COVID disease burden. 

 
In addition to the immediate need for funding, in order to facilitate a smooth transition to insurance coverage of life-savings COVID treatments the Administration is requesting that Congress provides authority to ensure seamless access to Medicare and insurance coverage for treatments under an Emergency Use Authorization (EUA).

Biden Launches Aggressive Plan, Including Vaccine Mandates, More Testing, Treatments to Combat COVID-19

President Joe Biden, declaring that America has lost patience with the 25 percent of Americans – 80 million – who refuse to get vaccinated against COVID-19 in face of a surging Delta variant, put away the carrot and took out the stick, issuing new executive orders that will mandate vaccinations for all federal workers and workers for federal contractors, personnel in hospitals and medical facilities that take Medicare or Medicaid, and requiring corporations with over 100 workers to mandate vaccinations or weekly testing – orders that will cover about two-thirds of all American workers. © Karen Rubin/news-photos-features.com

President Joe Biden, declaring that America has lost patience with the 25 percent of Americans – 80 million – who refuse to get vaccinated against COVID-19 in face of a surging Delta variant, put away the carrot and took out the stick, issuing new executive orders that will mandate vaccinations for all federal workers and workers for federal contractors, personnel in hospitals and medical facilities that take Medicare or Medicaid, and requiring corporations with over 100 workers to mandate vaccinations or weekly testing – orders that will cover about two-thirds of all American workers.

“What makes it incredibly more frustrating is that we have the tools to combat COVID-19, and a distinct minority of Americans –supported by a distinct minority of elected officials — are keeping us from turning the corner.  These pandemic politics, as I refer to, are making people sick, causing unvaccinated people to die.

“We cannot allow these actions to stand in the way of protecting the large majority of Americans who have done their part and want to get back to life as normal…

“My plan also increases testing, protects our economy, and will make our kids safer in schools.  It consists of six broad areas of action and many specific measures in each that — and each of those actions that you can read more about at WhiteHouse.gov.”

Key to the plan is the mandate vaccinations in various instances

“This is not about freedom or personal choice.  It’s about protecting yourself and those around you — the people you work with, the people you care about, the people you love.
 
“My job as President is to protect all Americans.” 

To the unvaccinated, the President said, “We’ve been patient, but our patience is wearing thin.  And your refusal has cost all of us.  So, please, do the right thing.  But just don’t take it from me; listen to the voices of unvaccinated Americans who are lying in hospital beds, taking their final breaths, saying, “If only I had gotten vaccinated.”  “If only.”

Here’s a highlighted transcript of his speech on September 9, 2021:

THE PRESIDENT:  Good evening, my fellow Americans.  I want to talk to you about where we are in the battle against COVID-19, the progress we’ve made, and the work we have left to do.
 
And it starts with understanding this: Even as the Delta variant COVID-19 has been hitting this country hard, we have the tools to combat the virus, if we can come together as a country and use those tools.
 
If we raise our vaccination rate, protect ourselves and others with masking and expanded testing, and identify people who are infected, we can and we will turn the tide on COVID-19.
 
It will take a lot of hard work, and it’s going to take some time.  Many of us are frustrated with the nearly 80 million Americans who are still not vaccinated, even though the vaccine is safe, effective, and free.
 
You might be confused about what is true and what is false about COVID-19.  So before I outline the new steps to fight COVID-19 that I’m going to be announcing tonight, let me give you some clear information about where we stand.
 
First, we have made considerable progress in battling COVID-19.  When I became President, about 2 million Americans were fully vaccinated.  Today, over 175 million Americans have that protection
 
Before I took office, we hadn’t ordered enough vaccine for every American.  Just weeks in office, we did.  The week before I took office, on January 20th of this year, over 25,000 Americans died that week from COVID-19.  Last week, that grim weekly toll was down 70 percent.
 
And in the three months before I took office, our economy was faltering, creating just 50,000 jobs a month.  We’re now averaging 700,000 new jobs a month in the past three months.
 
This progress is real.  But while America is in much better shape than it was seven months ago when I took office, I need to tell you a second fact.
 
We’re in a tough stretch, and it could last for a while.
  The highly contagious Delta variant that I began to warn America about back in July spread in late summer like it did in other countries before us.
 
While the vaccines provide strong protections for the vaccinated, we read about, we hear about, and we see the stories of hospitalized people, people on their death beds, among the unvaccinated over these past few weeks. 
 
This is a pandemic of the unvaccinated.  And it’s caused by the fact that despite America having an unprecedented and successful vaccination program, despite the fact that for almost five months free vaccines have been available in 80,000 different locations, we still have nearly 80 million Americans who have failed to get the shot. 
 
And to make matters worse, there are elected officials actively working to undermine the fight against COVID-19.  Instead of encouraging people to get vaccinated and mask up, they’re ordering mobile morgues for the unvaccinated dying from COVID in their communities.  This is totally unacceptable.
 
Third, if you wonder how all this adds up, here’s the math:  The vast majority of Americans are doing the right thing.  Nearly three quarters of the eligible have gotten at least one shot, but one quarter has not gotten any.  That’s nearly 80 million Americans not vaccinated.  And in a country as large as ours, that’s 25 percent minority.  That 25 percent can cause a lot of damage — and they are.
 
The unvaccinated overcrowd our hospitals, are overrunning the emergency rooms and intensive care units, leaving no room for someone with a heart attack, or [pancreatitis], or cancer.
 
And fourth, I want to emphasize that the vaccines provide very strong protection from severe illness from COVID-19.  I know there’s a lot of confusion and misinformation.  But the world’s leading scientists confirm that if you are fully vaccinated, your risk of severe illness from COVID-19 is very low. 
 
In fact, based on available data from the summer, only one of out of every 160,000 fully vaccinated Americans was hospitalized for COVID per day.
 
These are the facts. 
 
So here’s where we stand: The path ahead, even with the Delta variant, is not nearly as bad as last winter.  But what makes it incredibly more frustrating is that we have the tools to combat COVID-19, and a distinct minority of Americans –supported by a distinct minority of elected officials — are keeping us from turning the corner.  These pandemic politics, as I refer to, are making people sick, causing unvaccinated people to die. 
 
We cannot allow these actions to stand in the way of protecting the large majority of Americans who have done their part and want to get back to life as normal. 
 
As your President, I’m announcing tonight a new plan to require more Americans to be vaccinated, to combat those blocking public health. 
 
My plan also increases testing, protects our economy, and will make our kids safer in schools.  It consists of six broad areas of action and many specific measures in each that — and each of those actions that you can read more about at WhiteHouse.gov.  WhiteHouse.gov.
 
The measures — these are going to take time to have full impact.  But if we implement them, I believe and the scientists indicate, that in the months ahead we can reduce the number of unvaccinated Americans, decrease hospitalizations and deaths, and allow our children to go to school safely and keep our economy strong by keeping businesses open.
 
First, we must increase vaccinations among the unvaccinated with new vaccination requirements.  Of the nearly 80 million eligible Americans who have not gotten vaccinated, many said they were waiting for approval from the Food and Drug Administration — the FDA.  Well, last month, the FDA granted that approval.
 
So, the time for waiting is over.  This summer, we made progress through the combination of vaccine requirements and incentives, as well as the FDA approval.  Four million more people got their first shot in August than they did in July. 
 
But we need to do more.  This is not about freedom or personal choice.  It’s about protecting yourself and those around you — the people you work with, the people you care about, the people you love.
 
My job as President is to protect all Americans. 
 
So, tonight, I’m announcing that the Department of Labor is developing an emergency rule to require all employers with 100 or more employees, that together employ over 80 million workers, to ensure their workforces are fully vaccinated or show a negative test at least once a week.
 
Some of the biggest companies are already requiring this: United Airlines, Disney, Tysons Food, and even Fox News.
 
The bottom line: We’re going to protect vaccinated workers from unvaccinated co-workers.  We’re going to reduce the spread of COVID-19 by increasing the share of the workforce that is vaccinated in businesses all across America.
 
My plan will extend the vaccination requirements that I previously issued in the healthcare field.  Already, I’ve announced, we’ll be requiring vaccinations that all nursing home workers who treat patients on Medicare and Medicaid, because I have that federal authority.
 
Tonight, I’m using that same authority to expand that to cover those who work in hospitals, home healthcare facilities, or other medical facilities –- a total of 17 million healthcare workers.
 
If you’re seeking care at a health facility, you should be able to know that the people treating you are vaccinated.  Simple.  Straightforward.  Period.
 
Next, I will sign an executive order that will now require all executive branch federal employees to be vaccinated — all.  And I’ve signed another executive order that will require federal contractors to do the same.
 
If you want to work with the federal government and do business with us, get vaccinated.  If you want to do business with the federal government, vaccinate your workforce. 
 
And tonight, I’m removing one of the last remaining obstacles that make it difficult for you to get vaccinated.
 
The Department of Labor will require employers with 100 or more workers to give those workers paid time off to get vaccinated.  No one should lose pay in order to get vaccinated or take a loved one to get vaccinated.
 
Today, in total, the vaccine requirements in my plan will affect about 100 million Americans –- two thirds of all workers. 
 
And for other sectors, I issue this appeal: To those of you running large entertainment venues — from sports arenas to concert venues to movie theaters — please require folks to get vaccinated or show a negative test as a condition of entry.
 
And to the nation’s family physicians, pediatricians, GPs — general practitioners –- you’re the most trusted medical voice to your patients.  You may be the one person who can get someone to change their mind about being vaccinated. 
 
Tonight, I’m asking each of you to reach out to your unvaccinated patients over the next two weeks and make a personal appeal to them to get the shot.  America needs your personal involvement in this critical effort.
 
And my message to unvaccinated Americans is this: What more is there to wait for?  What more do you need to see?  We’ve made vaccinations free, safe, and convenient.
 
The vaccine has FDA approval.  Over 200 million Americans have gotten at least one shot. 
 
We’ve been patient, but our patience is wearing thin.  And your refusal has cost all of us.  So, please, do the right thing.  But just don’t take it from me; listen to the voices of unvaccinated Americans who are lying in hospital beds, taking their final breaths, saying, “If only I had gotten vaccinated.”  “If only.”
 
It’s a tragedy.  Please don’t let it become yours.
 
The second piece of my plan is continuing to protect the vaccinated.
 
For the vast majority of you who have gotten vaccinated, I understand your anger at those who haven’t gotten vaccinated.  I understand the anxiety about getting a “breakthrough” case.
 
But as the science makes clear, if you’re fully vaccinated, you’re highly protected from severe illness, even if you get COVID-19.  
 
In fact, recent data indicates there is only one confirmed positive case per 5,000 fully vaccinated Americans per day.
 
You’re as safe as possible, and we’re doing everything we can to keep it that way — keep it that way, keep you safe.
 
That’s where boosters come in — the shots that give you even more protection than after your second shot.
 
Now, I know there’s been some confusion about boosters.  So, let me be clear: Last month, our top government doctors announced an initial plan for booster shots for vaccinated Americans.  They believe that a booster is likely to provide the highest level of protection yet.
 
Of course, the decision of which booster shots to give, when to start them, and who will give them, will be left completely to the scientists at the FDA and the Centers for Disease Control.
 
But while we wait, we’ve done our part.  We’ve bought enough boosters — enough booster shots — and the distribution system is ready to administer them.
 
As soon as they are authorized, those eligible will be able to get a booster right away in tens of thousands of sites across the country for most Americans, at your nearby drug store, and for free
 
The third piece of my plan is keeping — and maybe the most important — is keeping our children safe and our schools open.  For any parent, it doesn’t matter how low the risk of any illness or accident is when it comes to your child or grandchild.  Trust me, I know. 
 
So, let me speak to you directly.  Let me speak to you directly to help ease some of your worries.
 
It comes down to two separate categories: children ages 12 and older who are eligible for a vaccine now, and children ages 11 and under who are not are yet eligible.
 
The safest thing for your child 12 and older is to get them vaccinated.  They get vaccinated for a lot of things.  That’s it.  Get them vaccinated.
 
As with adults, almost all the serious COVID-19 cases we’re seeing among adolescents are in unvaccinated 12- to 17-year-olds — an age group that lags behind in vaccination rates.
 
So, parents, please get your teenager vaccinated.
 
What about children under the age of 12 who can’t get vaccinated yet?  Well, the best way for a parent to protect their child under the age of 12 starts at home.  Every parent, every teen sibling, every caregiver around them should be vaccinated.  
 
Children have four times higher chance of getting hospitalized if they live in a state with low vaccination rates rather than the states with high vaccination rates. 
 
Now, if you’re a parent of a young child, you’re wondering when will the vaccine be available for them.  I strongly support an independent scientific review for vaccine uses for children under 12.  We can’t take shortcuts with that scientific work. 
 
But I’ve made it clear I will do everything within my power to support the FDA with any resource it needs to continue to do this as safely and as quickly as possible, and our nation’s top doctors are committed to keeping the public at large updated on the process so parents can plan.
 
Now to the schools.  We know that if schools follow the science and implement the safety measures — like testing, masking, adequate ventilation systems that we provided the money for, social distancing, and vaccinations — then children can be safe from COVID-19 in schools.
 
Today, about 90 percent of school staff and teachers are vaccinated.  We should get that to 100 percent.  My administration has already required teachers at the schools run by the Defense Department — because I have the authority as President in the federal system — the Defense Department and the Interior Department — to get vaccinated.  That’s authority I possess. 
 
Tonight, I’m announcing that we’ll require all of nearly 300,000 educators in the federal paid program, Head Start program, must be vaccinated as well to protect your youngest –– our youngest — most precious Americans and give parents the comfort.
 
And tonight, I’m calling on all governors to require vaccination for all teachers and staff.  Some already have done so, but we need more to step up. 
 
Vaccination requirements in schools are nothing new.  They work.  They’re overwhelmingly supported by educators and their unions.  And to all school officials trying to do the right thing by our children: I’ll always be on your side. 
 
Let me be blunt.  My plan also takes on elected officials and states that are undermining you and these lifesaving actions.  Right now, local school officials are trying to keep children safe in a pandemic while their governor picks a fight with them and even threatens their salaries or their jobs.  Talk about bullying in schools.  If they’ll not help — if these governors won’t help us beat the pandemic, I’ll use my power as President to get them out of the way. 
 
The Department of Education has already begun to take legal action against states undermining protection that local school officials have ordered.  Any teacher or school official whose pay is withheld for doing the right thing, we will have that pay restored by the federal government 100 percent.  I promise you I will have your back. 
 
The fourth piece of my plan is increasing testing and masking.  From the start, America has failed to do enough COVID-19 testing.  In order to better detect and control the Delta variant, I’m taking steps tonight to make testing more available, more affordable, and more convenient.  I’ll use the Defense Production Act to increase production of rapid tests, including those that you can use at home. 
 
While that production is ramping up, my administration has worked with top retailers, like Walmart, Amazon, and Kroger’s, and tonight we’re announcing that, no later than next week, each of these outlets will start to sell at-home rapid test kits at cost for the next three months.  This is an immediate price reduction for at-home test kits for up to 35 percent reduction.
 
We’ll also expand free testing at 10,000 pharmacies around the country.  And we’ll commit — we’re committing $2 billion to purchase nearly 300 million rapid tests for distribution to community health centers, food banks, schools, so that every American, no matter their income, can access free and convenient tests.  This is important to everyone, particularly for a parent or a child — with a child not old enough to be vaccinated.  You’ll be able to test them at home and test those around them.
 
In addition to testing, we know masking helps stop the spread of COVID-19.  That’s why when I came into office, I required masks for all federal buildings and on federal lands, on airlines, and other modes of transportation.  
 
Today — tonight, I’m announcing that the Transportation Safety Administration — the TSA — will double the fines on travelers that refuse to mask.  If you break the rules, be prepared to pay. 
 
And, by the way, show some respect.  The anger you see on television toward flight attendants and others doing their job is wrong; it’s ugly. 
 
The fifth piece of my plan is protecting our economic recovery.  Because of our vaccination program and the American Rescue Plan, which we passed early in my administration, we’ve had record job creation for a new administration, economic growth unmatched in 40 years.  We cannot let unvaccinated do this progress — undo it, turn it back. 
 
So tonight, I’m announcing additional steps to strengthen our economic recovery.  We’ll be expanding COVID-19 Economic Injury Disaster Loan programs.  That’s a program that’s going to allow small businesses to borrow up to $2 million from the current $500,000 to keep going if COVID-19 impacts on their sales. 
 
These low-interest, long-term loans require no repayment for two years and be can used to hire and retain workers, purchase inventory, or even pay down higher cost debt racked up since the pandemic began.  I’ll also be taking additional steps to help small businesses stay afloat during the pandemic. 
 
Sixth, we’re going to continue to improve the care of those who do get COVID-19.  In early July, I announced the deployment of surge response teams.  These are teams comprised of experts from the Department of Health and Human Services, the CDC, the Defense Department, and the Federal Emergency Management Agency — FEMA — to areas in the country that need help to stem the spread of COVID-19. 
 
Since then, the federal government has deployed nearly 1,000 staff, including doctors, nurses, paramedics, into 18 states.  Today, I’m announcing that the Defense Department will double the number of military health teams that they’ll deploy to help their fellow Americans in hospitals around the country. 
 
Additionally, we’re increasing the availability of new medicines recommended by real doctors, not conspiracy theorists.  The monoclonal antibody treatments have been shown to reduce the risk of hospitalization by up to 70 percent for unvaccinated people at risk of developing sefe- — severe disease. 
 
We’ve already distributed 1.4 million courses of these treatments to save lives and reduce the strain on hospitals.  Tonight, I’m announcing we will increase the average pace of shipment across the country of free monoclonal antibody treatments by another 50 percent.
 
Before I close, let me say this: Communities of color are disproportionately impacted by this virus.  And as we continue to battle COVID-19, we will ensure that equity continues to be at the center of our response.  We’ll ensure that everyone is reached.  My first responsibility as President is to protect the American people and make sure we have enough vaccine for every American, including enough boosters for every American who’s approved to get one. 
 
We also know this virus transcends borders.  That’s why, even as we execute this plan at home, we need to continue fighting the virus overseas, continue to be the arsenal of vaccines. 
 
We’re proud to have donated nearly 140 million vaccines over 90 countries, more than all other countries combined, including Europe, China, and Russia combined.  That’s American leadership on a global stage, and that’s just the beginning.
 
We’ve also now started to ship another 500 million COVID vaccines — Pfizer vaccines — purchased to donate to 100 lower-income countries in need of vaccines.  And I’ll be announcing additional steps to help the rest of the world later this month.
 
As I recently released the key parts of my pandemic preparedness plan so that America isn’t caught flat-footed when a new pandemic comes again — and it will — next month, I’m also going to release the plan in greater detail.
 
So let me close with this: We have made so much progress during the past seven months of this pandemic.  The recent increases in vaccinations in August already are having an impact in some states where case counts are dropping in recent days.  Even so, we remain at a critical moment, a critical time.  We have the tools.  Now we just have to finish the job with truth, with science, with confidence, and together as one nation.
 
Look, we’re the United States of America.  There’s nothing — not a single thing — we’re unable to do if we do it together.  So let’s stay together.
 
God bless you all and all those who continue to serve on the frontlines of this pandemic.  And may God protect our troops.
 
Get vaccinated.

White House: Reopening Schools, Rebuilding With Equity

The Biden Administration is placing a priority on reopening schools safely in face of a new COVID-19 wave that is striking younger people, while advancing educational equity © Karen Rubin/news-photos-features.com

With the Delta variant of COVID-19 impacting younger people, including children too young to be vaccinated at this stage, the Biden Administration has taken decisive action to support the safe reopening of schools for in-person instruction and to address the pandemic’s disparate impact on students of color and other underserved students.

This is in stark contrast to some Republican Governors – Ron DeSantis of Florida and Greg Abbott of Texas stand out– who are actively sabotaging efforts for public schools to keep their students, faculty and community safe. DeSantis has actually threatened public school districts – including Broward, Florida’s second largest – with withholding funding if they dare impose a mask mandate (the school district rescinded its order).

In remarks about the latest efforts by the administration to get COVID-19 under control and prevent needless sickness and death (some 75,000 may die by November, according to some projections), President Biden said, “I say to these governors, ‘Please, help.’  But if you aren’t going to help, at least get out of the way of the people who are trying to do the right thing.  Use your power to save lives.” (It’s as if these governors want to sabotage the Biden administration’s efforts to end the pandemic and so people suffer and then punish Democrats in the 2022 midterms and 2024 election.)

“As families across the country eagerly anticipate a return to school, the Administration is determined to ensure that our schools and students not only recover from the pandemic, but that we Build Back Better for the future.”

This fact sheet is from the White House:
 
Prioritizing safe reopening
 
The President made clear on Day One of this Administration that safely reopening schools was a national priority, signing the Executive Order on Supporting the Reopening and Continuing Operation of Schools and Early Childhood Education Providers, which launched a comprehensive effort across the White House, Department of Education, and Department of Health and Human Services to safely reopen schools for in-person instruction. The Department released two volumes of its COVID-19 Handbook focused on safely reopening schools and meeting the needs of students, and launched a clearinghouse of best practices for safely operating in-person and addressing the needs of students and staff. Secretary Cardona’s National Safe School Reopening Summit highlighted best practices from districts across the country to support safe in-person learning.
 
Vaccination is our leading strategy to end the pandemic, and—combined with the layered mitigation strategies recommended by the CDC—has the greatest potential to allow schools to reopen fully this fall and stay open for in-person learning. That’s why, in March the President prioritized teachers and school staff for access to the COVID vaccine. As a result, almost 90 percent of educators and school staff are now vaccinated. To get more of our students ages 12 and older vaccinated, the President is now calling on school districts nationwide to host at least one pop-up vaccination clinic over the coming weeks and directing pharmacies in the federal pharmacy program to prioritize this and to work with school districts across the country to host vaccination clinics at schools and colleges.
 
Heroic efforts from teachers, parents, and school staff, combined with the Administration’s aggressive vaccination push, has demonstrated that safe in-person learning is possible. Since January, the percentage of K-8 schools offering remote-only instruction decreased from 23 percent in January to only 2 percent in May.
 
However, there is still work to be done. During the pandemic, students of color have been less likely to be enrolled in in-person instruction. Data shows that on average students in remote learning report poorer well-being than those in in-person instruction. A continued reliance on remote learning threatens to further widen disparities. The Administration will continue to address the concerns of families, and provide support to states in creating safe, inclusive, and supportive learning environments.
 
Investing historic resources in equitable reopening
 
With the passage of the American Rescue Plan, the Biden-Harris Administration has invested a historic $130 billion to support schools safely reopening and addressing the needs of students, including $122 billion through the American Rescue Plan’s Elementary and Secondary School Emergency Relief Fund (ARP ESSER). ARP ESSER funding supports efforts to get students back in the classroom safely for in-person learning, to safely keep schools open once students are back, and to address the social, emotional, mental health, and academic needs of all students. This funding is being used to help schools safely operate, implement high-quality summer learning and enrichment programs, hire nurses and counselors, support the vaccination of students and staff, and invest in other measures to take care of students.
 
Ensuring funds address the needs of students. Districts and states must spend a combined minimum of 25 percent of the state’s total ARP ESSER funds, totaling nearly $30.5 billion, to address the impact of lost instructional time through summer learning or enrichment, extended day instruction, comprehensive afterschool programs, or other evidence-based practices. Funded strategies must also respond to students’ social and emotional needs and account for the disproportionate impact of the coronavirus on underserved students. The Administration recognizes that the communities that support our students have a critical understanding of what their students need and are key to ensuring funds have the greatest impact on students. As they put together their plans for the use of funds, states and school districts are required to engage a wide range of stakeholders during the planning process, including educators, school leaders and staff, students, families, civil rights organizations, and stakeholders representing the interests of students with disabilities, English learners, students experiencing homelessness, children in foster care, migratory students, students who are incarcerated and other underserved students.
 
Protecting high-poverty districts from funding cuts. The American Rescue Plan’s ARP ESSER program includes a first-of-its-kind maintenance of equity requirement to ensure that high-poverty school districts and schools are protected in the event of funding cuts. These requirements will ensure that school districts and schools serving a large share of students from low-income backgrounds will not experience disproportionate budget cuts—and that the school districts with the highest poverty levels do not experience any decrease in state per-pupil funding below their pre-pandemic level.
 
Ensuring states continue to fund education. The Department has emphasized the importance of the American Rescue Plan’s maintenance of effort requirement, which ensures that states continue to fulfill their commitments to fund their education systems, and has worked with states to ensure that they meet these requirements. The maintenance of effort requirement helps protect students by making sure that federal pandemic relief funds are used to meet the immediate needs and impacts of the pandemic on students and schools to the greatest extent possible, rather than to supplant general state funding for K-12 education.

Supporting effective implementation. The Department of Education has worked aggressively to support states and school districts in implementing education relief funding. This includes providing resources on how ARP ESSER funds can be used, including to support effective ventilation in schoolsvaccination efforts, creating and expand full-service community schools , hiring nurses and counselors, and providing high-quality summer programs and high-dosage tutoring to students. With critical partners like the National Governors Association and Council of Chief State School Officers, the Department launched the Summer Learning and Enrichment Collaborative to support states providing high-quality summer learning and enrichment. 
 
Stabilizing and ensuring access to child care. High-quality early care and education helps ensure that children can take full advantage of education and training opportunities later in life. The pandemic significantly disrupted the child care sector, threatening access to this critical support and threatening economic security for childcare workers, who are disproportionately women of color. The American Rescue Plan invested $24 billion in stabilizing the child care sector, and is helping to provide this essential industry—which provides vital opportunities for children—with more flexible funding to help more low-income working families access high-quality care, increase compensation for early childhood workers, and help parents to work.   
 
Addressing the needs of students experiencing homelessness. The pandemic increased housing insecurity, and disproportionately impacted the education of students experiencing homelessness, who were less likely to be able to successfully engage in remote learning due to lack of reliable access to the internet. The Department of Education has released all $800 million in American Rescue Plan funds for identifying and addressing the needs of students experiencing homelessness, including by providing wraparound services and support ranging from afterschool to mental health services.
 
Supporting students with disabilities. The pandemic created serious challenges for many students with disabilities, who struggled to access special education and related services according to their individualized services plan. The American Rescue Plan provides support to students with disabilities and infants and toddlers with disabilities through the Individuals with Disabilities Education Act. To ensure states can deliver the necessary services and supports to young children and youth with disabilities, the American Rescue Plan devotes nearly $2.6 billion in grants to states to support elementary and secondary education students with disabilities, $200 million for preschool children with disabilities, and $250 million for infants and toddlers with disabilities and their families.
 
Bolstering Tribal education. The Bureau of Indian Education (BIE) is using $535 million in American Rescue Plan funds to support 183 BIE-funded K-12 schools, providing much-needed financial support to help Tribal communities recover more quickly from the pandemic’s wide-ranging impact.
 
Funding COVID testing. The American Rescue Plan includes $10 billion to support COVID-19 testing in schools. This funding will help to reopen schools, including in communities of color, which have been disproportionately impacted by the pandemic. 
 
Protecting the rights of students. Protecting the rights of students to equal opportunity is an essential part of ensuring educational equity. The Department of Education has provided resources to school leaders, students, families and other stakeholders to ensure students’ rights are protected, including information about civil rights and school reopening and confronting COVID-19-related harassment against AAPI students. The Department of Education has moved swiftly to implement the President’s Executive Order on Guaranteeing an Educational Environment Free from Discrimination on the Basis of Sex, Including Sexual Orientation or Gender Identity; implement a comprehensive plan to address sexual harassment, including sexual violence, in schools; and make clear that it will enforce Title IX to prohibit discrimination based on sexual orientation and gender identity, including for LGBTQ+ students. The Department has also worked to address the disproportionately high rates of school discipline for students of color and students with disabilities that removes them from the classroom. The Department held a public convening on school discipline in May and launched a major, ongoing effort to address racial, disability-based and other disparities in the administration of school discipline.
 
Closing the digital divide. The American Rescue Plan included $7.2 billion for the E-Rate program, which helps support American schools by funding programs to help ensure K-12 students and teachers have the appropriate internet connections and devices for distance learning, a particular challenge in low-income and rural communities.
 
Supporting nutrition security. It is hard for students to learn successfully when they are experiencing hunger. Black and Latino households face food insecurity at twice the rate of white households. The American Rescue Plan guards against food hardship among students this summer by allowing states to continue the Pandemic-EBT program, which provides grocery benefits to replace meals for students who are eligible for free and reduced priced meals when schools are closed. It also increases SNAP benefits by 15 percent through September 2021, maintaining the increase through the summer, when childhood hunger spikes due to a lack of school meals. The U.S. Department of Agriculture likewise acted to offer flexibility for the 2021-2022 school year by providing waivers that allow schools to serve free meals to all students.  
 
For more information on how President Biden’s Build Back Better agenda builds on this work by investing historic and vitally-needed resources that unlock opportunity for millions of Americans, please see the White House Fact Sheet on How the Biden-Harris Administration is Advancing Educational Equity.
 

Biden Calls for a Month of Action to Get Americans Vaccinated to Get to a Summer of Freedom, a Summer of Joy

“The more people we get vaccinated, the more success we’re going to have in our fight against this virus,” said President Joe Biden. “America is headed into the summer dramatically different from last year’s summer: a summer of freedom, a summer of joy, a summer of get-togethers and celebrations. An all-American summer that this country deserves after a long, long, dark winter that we’ve all endured.” © Karen Rubin/news-photos-features.com

President Joe Biden is calling for June to be a “Month of Action” – a full-court press to reach the goal of 70 percent of Americans vaccinated against COVID-19 by July 4th. He outlined the unprecedented peacetime effort to make the vaccinations available for free, and even enticing incentives from governments, companies and sports organizations. New York State is awarding full four-year scholarships at a SUNY college; Ohio is picking $1 million lottery winners. The Biden Administration has created a website in order to find the nearest place to get a vaccination by texting your zipcode, organized free Uber lifts, free drop-in-day care and incentivized employers to give paid leave to get the shot.

“The more people we get vaccinated, the more success we’re going to have in our fight against this virus,” he said. “America is headed into the summer dramatically different from last year’s summer: a summer of freedom, a summer of joy, a summer of get-togethers and celebrations. An all-American summer that this country deserves after a long, long, dark winter that we’ve all endured.”

Here are his remarks:

In just four months, thanks to the American people, we have made incredible progress getting people vaccinated quickly, efficiently, and equitably. Nearly 170 million Americans of every party, every background, every walk of life have stepped up, rolled up their sleeves, and gotten the shot.
 
Fifty-two percent of adults are now fully vaccinated, including seventy-five percent of all seniors. Twenty-eight states and the District of Columbia have achieved 50 percent of adults being fully vaccinated in their jurisdictions.
 
And it’s clearer than ever: The more people we get vaccinated, the more success we’re going to have in our fight against this virus.
 
Since January 20 — and we’re talking, now, about 15 [5] months — the average daily cases are down from 184,000 to 19,000, below 20,000 for the first time since March of 2020. Average hospitalizations are down from 117,000 to 21,000. Death rates are down over 85 percent.
 
And this didn’t just happen by chance. We got to this moment because we took aggressive action from day one with a whole-of-government response. We used every lever at our disposal to get this done.
 
We experienced the production and expanded it in a significant way: in lifesaving vaccines available for every single American. They’re available, and we knew that was the case months ago.
 
We worked with cities and states to create over 80,000 vaccination sites. We deployed over 9,000 federal staff, including 5,100 active-duty troops to help get shots in arms. Now, as a result, we have built a world-class vaccination program.
 
I promised you we’d marshal a wartime effort to defeat this virus, and that’s just what we’ve been doing.
 
And now, tens of millions of Americans have been vaccinated. They’re able to return to closer to a — closer-to-normal life.
 
Fully vaccinated people are safely shedding their masks and greeting one another with a smile. Grandparents are hugging their grandkids again. Small-business owners are reopening storefronts and restaurants.
 
Because of the vaccination strategy, our economic strategy, we’re — experienced the strongest economic recovery this country has seen in decades.
 
There is a group called the Organization of Economic Co-operation and Development — OECD — which includes most of the world’s largest economies in its membership. They’ve been one of those leading bodies analyzing economic growth across — around the world for 60 years.
 
Just this week, they increased their projection for the U.S. economic growth this year to 6.9 percent — 6.9 percent. That’s the fastest pace in nearly four decades. And that’s because of our vaccination program and our economic response, which, alone, are adding 3 to 4 percentage points to our growth; driving stronger growth not just there — not just this year, but in years to come.
 
In fact, America is the only major country where global forecasters have actually increased their five-year forecasts for economic growth since January of 2020.
 
And because of that, America is headed into the summer dramatically different from last year’s summer: a summer of freedom, a summer of joy, a summer of get-togethers and celebrations. An all-American summer that this country deserves after a long, long, dark winter that we’ve all endured.
 
But what happens after the summer? The data could not be clearer: For all the progress we’re making as a country, if you are unvaccinated, you are still at risk of getting seriously ill or dying, or spreading disease to others, especially when Americans spend more time indoors again, closely gathered in the fall, as — and as we face the potential threat of a new, more dangerous variants. 
 
Even now, if you look at the areas of the country where vaccination rates are the highest, the death — the death rates are dramatically falling. They — the vaccines are effective; they’re effective against the variants currently circulating in the United States. On the other hand, COVID deaths are unchanged in many parts of our country that are lagging behind in vaccinations.
 
And for young people who may think this doesn’t affect you, listen up, please: This virus, even a mild case, can be with you for months. It will impact on your social life. It could have long-term implications for your health that we don’t even know about yet or fully understand yet.
 
It’s true that young people are much less likely to die from COVID. But if you do not get vaccinated, you could get COVID sooner or later. But you could get COVID still.
 
A substantial percentage of people with COVID, even young people, will suffer illnesses, and some will have long-term health impacts as a consequence.
 
If you’re thinking that the side effects from the shot are worse than the COVID, or that you can’t just take a chance, you are just dead wrong.
 
Do it for yourself. Do it to protect those more vulnerable than you: your friends, you family, your community.
 
You know, some people have questions about how quickly the vaccines were developed. They say they’ve been developed so quickly, they can’t be that good. Well, here’s what you need to know: Vaccines were developed over a decade of research in similar viruses, and they’ve gone through strict FDA clinical trials.
 
The bottom line is this — I promise you: They are safe. They are safe. And even more importantly, they’re extremely effective.
 
And if you’re vaccinated, you are protected. If you are not vaccinated, you are not protected.
 
Places with high vaccination rates will also see fewer cases of COVID moving forward. Places with lower vaccination rates are going to see more.
 
You know, we were elected to be President and Vice President for all Americans. And I don’t want to see the country that is already too divided become divided in a new way — between places where people live free from fear of COVID and places where, when the fall arrives, death and severe illnesses return.
 
The vaccine is free, it’s safe, and it’s effective. Getting the vaccine is not a partisan act. The science was done under Democratic and Republican administrations. Matter of fact, the first vaccines were authorized under a Republican President and widely developed by a Democratic President — deployed by a Democratic President.
 
All over the world, people are desperate to get a shot that every American can get at their neighborhood drug store at no cost, with no wait.
 
Every American over 12 years of age — no matter where you live, what you believe, who you voted for — has the right to get vaccinated. It’s your choice.
 
So, please, exercise your freedom, live without fear. We need to be one America, united — free from fear this fall.
 
Now, how will we keep beating this virus as we enter — as we enter the fall after summer? On May 4, I asked Americans to come together to get 70 percent of adults with one shot by July 4th — 70 percent at least with one shot. To date, 12 states have already reached this important milestone. We expect — we expect more to make this milestone this week.
 
Nationally, we are at 63 percent of adults with one shot. And we are getting closer, but we still have work to do. With 73 percent of Americans over the age of 40 with one shot, and as — we especially need people under 40 to step up. Over 40 is doing much better.
 
That’s why, today, we’re announcing a month-long effort to pull all the stops — all the stops to free ourselves from this virus and get to 70 percent of adult Americans vaccinated.
 
Now, I’m going to take everyone — you know, it’s going to take everyone — everyone — the federal government; the state governments; local, Tribal, and territorial governments; the private sector; and, most importantly, the American people — to get to the 70 percent mark so we can declare our independence from COVID-19 and free ourselves from the grip it has held over us — our lives for the better part of a year.
 
Each of you has the power to help us gain this freedom as a nation. If you get a shot this week, you can be fully vaccinated by July 4th — by the week of July the 4th. And you can celebrate Independence Day free from fear or worry.
 
This effort has five key parts. First, we’re making it easier than ever to get vaccinated. Ninety percent of you live within five miles of a vaccination site. The vaccinations are free, and most places allow walk-up vaccinations. No appointment needed.
 
You can go to Vaccines.gov or text your ZIP Code to 438829 to get a text back with the places you can get a shot that are close by.
 
And now, we’re going to make it even easier. In response to our call to action, businesses and organizations across the country have stepped up to help everyone get vaccinated.
 
Starting next week, many vaccination sites will be offering extended hours during the month of June, including pharmacies that will be open 24 hours every Friday night — for 24 hours they’ll be open — this month.
 
And if you’re too busy at work or school, you can get vaccinated around the clock on any Friday. Any Friday.
 
For parents who haven’t been able to get the shot because they didn’t have the childcare: Starting today, KinderCare, Learning Care Group, the Bright Horizons, alongside with hundreds of YMC- loc- — YMCA locations, are going to offer free drop-in childcare while the parents are getting vaccinated.
 
In addition, Uber and Lyft are both offering free rides to and from vaccination sites — vaccination centers. It’s easier than ever to get vaccinated.
 
So, again, text 438829 to find out what the nearest places you can get vaccinated are from your ZIP Code. And visit pharmacies with an extended-hour and walk-up shots that are available. Free childcare, free rides, free shots.
 
Second, we’re going to redouble our outreach and public education efforts. We’re going to relaunch them, in effect. We’re going to launch a national vaccination tour to encourage people to take the shot. The Vice President is going to lead that tour across the South and the Midwest, where we still had millions of people to vaccinate.
 
She’s going to be joined by Jill — by the First Lady and the Second Gentleman and Cabinet Secretaries along the way.
 
In the spirit of meeting people where they are, we’ll also be working with the Black Coalition Against COVID and other organizations to launch a new initiative called “Shots at the Shop.” Barbershops, beauty shops are hubs of activity and information in Black and brown communities in particular, but in many communities across the nation. Local barbers, stylists, they become key advocates for vaccinations in their communities, offering information to customers, booking appointments for them, even using their own businesses as vaccination sites. We’re going to work with shops across the country to make an even bigger impact over the next month.
 
We’ll also kick things off this weekend with a National Canvassing Weekend, where thousands of volunteers will be out knocking on doors and encourage their communities to get vaccinated.
 
And mayors — mayors will be stepping up even more over the next month and partnering with us on the City Vaccination Challenge to see which city can grow its vaccination rate the fastest — the most — by July 4th.
 
We need you to join these efforts. This is the kind of on-the-ground work that’s going to get the job done.
 
Third, we’ll be increasing our work with employers — employers. A lot of working people are holding back because they’re concerned about losing pay if they take time off to get a shot, or if they don’t feel well the next day. I’ve said before: For small- and medium-sized employers, if you give people paid time off to get a shot, you’ll get a tax credit to cover that cost.
 
Already, millions of workers across the country are eligible for paid time off and incentives from their employers. I’m asking all employers: Do the right thing.
 
And we’re making it easy for employers to set up on-the-job vaccination clinics to make it even more convenient for their employees to get a shot.
 
Fourth, we’re going to continue encouraging people to get vaccinated with incentives and fun rewards. The state of Ohio had a heck of a fun reward — a new millionaire last week — thanks to the creative idea of the governor for holding a vaccination — a vaccine lottery.
 
The grocery store, Kroger, announced that they’re going to give away $1 million each week to someone who gets vaccinated at one of their pharmacies.
 
The NBA, the NHL, NASCAR — NASCAR tracks — they’re offering vaccine- — vaccines outside playoff games and at races. Major League Baseball will be offering free tickets to people who get vaccinated at the ballpark.
 
And to top it off, Anheuser-Busch announced that beer is on them on July the 4th. That’s right, get a shot and have a beer. Free beer for everyone 21 years or over to celebrate the independence from the virus.
 
Fifth, and finally, we’re asking the American people to help. We need you. We need you to get your friends, family, neighbors, and coworkers vaccinated. Help them find an appointment. Drive them to the site. Talk to them about why you made the choice for yourself. So many Americans have already stepped up to help get their communities vaccinated.
 
And over the next month, we’re going to need you more than ever. We need every American to commit to the five actions I’ve mentioned this month.
 
Go to WeCanDoThis.HHS.gov — WeCanDoThis.HHS.gov — to sign up to volunteer and learn more about how you can help.
 
Take at least five actions to help in June. And you might even be invited to visit us at the White House in July to celebrate independence together.
 
I’ll close with this: We need everyone across the country to pull together to get us over the finish line. I promise you we can do this. Just look at what we’ve already done — we’ve already accomplished together in only four months.
 
We know it for a fact: Americans could do anything when we do it together. So, please, do your part. Give it your all through July the 4th. Let’s reach our 70 percent goal. Let’s go into the summer freer and safer. Let’s celebrate a truly historic Independence Day.

“The more people we get vaccinated, the more success we’re going to have in our fight against this virus,” he said. “America is headed into the summer dramatically different from last year’s summer: a summer of freedom, a summer of joy, a summer of get-togethers and celebrations. An all-American summer that this country deserves after a long, long, dark winter that we’ve all endured.”

Biden Announces National Month of Action to Mobilize All-of-America Sprint to Get 70% Americans Vaccinated by July4th

National Month of Action will mobilize national organizations, local government leaders, community-based and faith-based partners, businesses, employers, social media influencers, celebrities, athletes, colleges, young people, and thousands of volunteers

President Biden highlights additional efforts by businesses and organizations across the country to advance equity and make it even easier to get vaccinated

Vice President Kamala Harris will lead a National Vaccination Tour to encourage vaccinations in key communities across the country

 

President Biden has mobilized the greatest peacetime effort in order to get 70 percent of Americans vaccinated against COVID-19 by July 4th, which he said would be a true Independence Day against the debilitating, lethal coronavirus that has so crippled the economy and society, He has made it as easy as possible and the vaccine available everywhere – organizing free lifts, employer paid leave, child care, while state governments and companies have come up with incentives, ranging from free beer or baseball tickets to a million dollar lottery prize © Karen Rubin/news-photos-features.com

President Biden announced June would be a National Month of Action to mobilize an all-of-America sprint to get 70% of U.S. adults at least one shot by July 4th, so that more people can get the protection they need to be safe from a pandemic that has taken the lives of nearly 600,000 Americans.  July 4th, he said, would be a true Day of Independence against this debilitating, lethal virus.

Throughout the month, national organizations, local government leaders, community-based and faith-based partners, businesses, employers, social media influencers, celebrities, athletes, colleges, young people, and thousands of volunteers across the nation will work together to get their communities vaccinated. 

The President announced a slew of actions that will make it even easier to get vaccinated, mobilize the country around vaccine outreach and education efforts,and incentivize vaccination. Additionally, organizations and businesses from across the country continue to step up and respond to the President’s call to action.

Thanks to the President’s whole-of-government response, the U.S. has made significant progress in its fight against the pandemic since the President took office less than 5 months ago. Already, 63% of adult Americans have gotten vaccinated, including 73% of Americans age 40 and over, and COVID-19 cases and deaths have plummeted as a result – cases are down over 90% and deaths are down over 85% since January 20th. 

Twelve states have already given at least one shot to 70% of adults and more than 28 states and D.C. have fully vaccinated 50% or more of their adult populations, but millions of Americans still need protection against the virus.
 
Organizations and business from across the country have stepped up and responded to the President’s call to action. 

The National Month of Action will include the following initiatives:
 
MAKING IT EASIER TO GET VACCINATED AND ADVANCING EQUITY
 

  • Free child care for individuals getting vaccinated: Four of the nation’s largest child care providers will offer free child care to all parents and caregivers getting vaccinated or recovering from vaccination from now until July 4th. KinderCare and Learning Care Group locations across the country will offer free, drop-in appointments to any parent or caregiver who needs support to get vaccinated or recover from vaccination, and more than 500 YMCAs in nearly every state will offer drop-in care during vaccination appointments. Bright Horizons will also provide free child care to support the vaccination of over 10 million workers employed at participating organizations. The vaccine is free for everyone, however, many unvaccinated Americans report concern about the potential ripple expenses of getting vaccinated, such as having to pay for child care.

    The U.S. Department of Health and Human Services is also issuing new guidance that encourages states to use child care funding from the American Rescue Plan to provide financial incentives to neighborhood- and home-based child care providers who join the President’s call to action and support their communities in getting vaccinated. Visit Vaccines.gov/incentives.html to learn more.
     
  • Extended hours at pharmacies across the country in June to offer more flexible appointment availability: Starting next week, thousands of pharmacies nationwide will stay open late every Friday in June, and offer services throughout the night to make sure Americans can get their shot. These extended hours will ensure that those with less flexible work hours have the opportunity to get vaccinated at times convenient to them. Participating pharmacy chains include Albertsons, CVS, Rite-Aid, and Walgreens.

 
MOBILIZING THE COUNTRY TO DO MORE VACCINATION EDUCATION AND OUTREACH:

  • Community Canvassing, Phone Banking, Text Banking, and Vaccination Events: The Administration’s organizing efforts will focus on what we know works best to ensure everyone has equitable vaccine access: person-to-person action that connects people with key resources and information like Vaccines.gov, text 4-3-8-8-2-9, the National COVID-19 Vaccination Hotline (1-800-232-0233), and more. The Month of Action will include calls and texts to people in areas with low vaccination rates and canvasses in neighborhoods close to walk-in clinics where people can get vaccinated on the spot. More than 100 organizations have already committed to host over 1,000 events the first weekend alone, with thousands of additional events to take place over the course of the month. The President will call on Americans to take at least five actions to help their communities during the Month of Action, and some volunteers may be invited to visit the White House in July. Americans can visit WeCanDoThis.hhs.gov to learn more and sign up to help their communities get vaccinated.
     
  • “We Can Do This” National Vaccination Tour: The President will announce the Vice President will lead a nation-wide tour to reach millions of Americans who still need protection against the virus, to highlight the ease of getting vaccinated, encourage vaccinations, and energize and mobilize grassroots vaccine education and outreach efforts. The Vice President’s travel will be anchored in the South, and the First Lady, the Second Gentleman, and members of the Cabinet will also join the Administration’s tour to communities across the country.
     
  • Mayors Challenge to Increase Vaccination Rates in Cities Across America: Mayors across the country are stepping up to help in this effort by launching the “Mayors Challenge,” a competition to see which city can grow its vaccination rate the most by July 4th. Participating mayors commit to taking actions throughout the month to boost vaccinations, such as coordinated canvassing efforts, partnerships with local businesses, and incentives for local residents. The Administration has created a toolkit for mayors and local leaders, and will help recognize the winning cities later this year. More than 50 mayors of cities in Alabama, Arizona, California, Florida, Illinois, Kentucky, Louisiana, Massachusetts, Maryland, Michigan, Missouri, Montana, Nevada, New Jersey, New York, New Mexico, Ohio, Oregon, South Carolina, Tennessee, Texas, Virginia, Washington, and Wisconsin, and, as well as D.C., have already signed up the challenge, which is being run in collaboration with the U.S. Conference of Mayors.
     
  • Shots at the Shop – A New Initiative to Engage Black-Owned Barbershops and Beauty Salons: The President will announce the Administration is teaming up with the Black Coalition Against COVID, the University of Maryland Center for Health Equity, and SheaMoisture to launch “Shots at the Shop,” an initiative that will engage Black-owned barbershops and beauty salons across the country to support local vaccine education and outreach efforts. Throughout the month of June, each participating shop will engage customers with information about the vaccines, display educational materials, and host on-site vaccination events in partnership with local providers. The “Shots at the Shop” initiative will invite participation from across the country, with a particular focus on supporting shops in some of the hardest-hit localities still experiencing significant gaps in vaccination rates.
     
  • Blanketing Local TV and Radio and Social Media to Get Americans the Facts and Answer Their Questions: The National Association of Broadcasters (NAB), representing more than 7,000 TV and radio stations across the country, will have local station members participate in the National Month of Action. NAB members will be airing vaccine education segments in their programming featuring trusted voices from the community, as well as medical professionals from leading medical associations across the country, including the American Medical Association, American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Hospital Association, American Association of Nurse Practitioners, and Primary Care Collaborative. Medical experts will have the opportunity to share information on benefits of vaccination, address questions and concerns, and publicize where individuals in the community can get vaccinated. And, the Administration will continue deploying medical experts, public health leaders, and Cabinet officials through a whole-of-government approach to communicate directly with Americans, including by working with social media platforms and engaging celebrities and influencers to reach people where they are.
     
  • COVID-19 College Challenge: The Administration is launching the COVID-19 College Challenge, where colleges and universities can take a pledge and commit to taking action to get their students and communities vaccinated by going to WhiteHouse.gov/COVIDCollegeChallenge and signing up. As part of the challenge, the Administration will provide resources like training sessions, toolkits, and educational material to assist colleges and universities in vaccination efforts; facilitate on-site vaccinations at schools; and launch a student corps within the COVID-19 Community Corps to recognize and activate students across the country who are taking extraordinary efforts to draw young people out to get vaccinated and engage the youth community. More than 200 colleges in 43 states have already taken the pledge and committed to the COVID-19 College Challenge. This challenge builds on the Administration’s work to facilitate partnerships between more than 60 community colleges and pharmacies in the Federal Retail Pharmacy Program to provide pop-up vaccination clinics at high-enrollment community colleges between now and July 4th.

 
INCENTIVIZING VACCINATION
 
Business Incentives for Vaccinated Americans: Thousands of employers and businesses have already stepped up to support vaccination efforts, including by offering incentives for vaccinations and providing their workers paid-leave for vaccinations. During the Month of Action, the Administration will continue working with employers to make it even easier to set up workplace vaccination clinics, and call on more businesses to encourage and incentivize vaccinations.
 
Starting today, Americans will be able to find a list of these and other incentives on Vaccines.gov/incentives.html. Examples of new private sector actions and incentives that recently launched include:

  • Anheuser-Busch will give away free beer to all adults over the age of 21 in America on July 4th to celebrate the country’s progress against COVID.
     
  • CVS launched a sweepstakes for vaccinated people to win free cruises, tickets to Super Bowl LVI, and cash prizes.
     
  • Door Dash will give $2 million in gift cards to the National Association of Community Health Centers to incentivize vaccinations.
     
  • Major League Baseball teams will offer on-site vaccinations at games and give free tickets to those who get vaccinated.
     
  • Microsoft will give away thousands of Xboxes to Boys and Girls Clubs in hard-hit areas who will run promotions and educational seminars about the importance of vaccinations in hard-hit and hard-to-reach communities.
     
  • Kroger launched a “Community Immunity” program to give $1 million to a vaccinated person every week in June and give dozens of vaccinated Americans free groceries for a year.
     

United Airlines launched the “Your Shot to Fly” Sweepstakes for Mileage Plus members to win a year of free flights or a roundtrip for two in any class of service.