Tag Archives: State of the Union 2023

SOTU Preview: Biden Offers Plan to Build on Economic Success

What a difference a year makes! The atmosphere for President Joe Biden’s State of the Union Address could not be more different from 2022, when Democrats controlled both houses of Congress. But his message, continuing to build on the progress of his Unity Agenda, repeats his theme to work in a bipartisan fashion for the good of the American people © Karen Rubin/news-photos-features.com via C-Span.

It is truly shocking to hear “poll” results where the majority of people think President Biden has done nothing, that the economy is weak, that no new jobs have been created. Beyond absurd – you have to wonder about who was polled, how the polling was done, or what rock these people have been under, or if they are permanently wired to Fox Fake News. This preview of the State of the Union Address providing a Fact Sheet on the Biden Administration’s economic record, comes from the White House:

President Biden has long believed that we must build the economy from the bottom up and middle out, not the top down. As the President says, when the middle class does well, the poor have a ladder up and the wealthy still do very well. He believes the best way to grow the economy, create good-paying jobs, and lower costs for families is by promoting workers, investing in America and its people, making the economy more competitive, and reforming the tax code to reward work and not wealth. Our progress over the last two years shows that his economic strategy is working.
 
The state of the economy is strong. In his State of the Union address, President Biden will highlight the historic progress we have made to bring the economy back from the pandemic and create more jobs in a two-year period than under any other president on record. He will discuss progress lowering costs and providing more breathing room for families, including cutting prescription drug costs, health insurance premiums, and energy bills, while driving the uninsured rate to historic lows. He will outline the manufacturing boom across the country—in infrastructure, semi-conductors, and clean energy—that is strengthening parts of the country left behind and creating good jobs, including for workers without college degrees.
 
And, he will emphasize that his economic strategy has been a fiscally responsible one. President Biden’s predecessor passed a nearly $2 trillion unpaid for tax cut with benefits skewed to the wealthy and large corporations, and the deficit went up every single year under his watch. Under President Biden, the deficit has fallen by $1.7 trillion, and his reforms to take on Big Pharma, lower prescription drug costs, and make the wealthy and large corporations pay their fair share will reduce the deficit by hundreds of billions more.
 
President Biden knows that the work to build an economy from the bottom up and middle out is far from done. He will say that we need to build on this work to continue growing our economy and lowering costs. He will discuss the work to come to implement his historic investment agenda in a way that benefits all Americans. And, the President will preview the budget he will send to Congress on March 9, which will build on the historic economic progress of the past two years by continuing to invest in America and its people, continuing to lower costs for families—from child care to housing to college to health care—protecting and strengthening Social Security and Medicare, and reducing the deficit through additional reforms to ensure the wealthy and largest corporations pay their fair share.
 
Historic Progress to Create Jobs, Promote Workers, and Transition to Steady and Stable Growth

When President Biden took office, the economy was in crisis, millions were out of work, and Main Streets were shuttered. In two years, the President has overseen a historic economy recovery and laid the foundation for steady and stable growth in the years to come.

A historic, equitable economic recovery. President Biden’s economic strategy led to a historic recovery with tangible benefits for workers and families. Since President Biden took office, the economy has created more than 12 million jobs—including more than 800,000 manufacturing jobs—and the unemployment rate is at a 54-year low, including near record lows for Black workers. The unemployment rate for Hispanic workers hit a record low last year. The past two years were also the best two years for new small business applications on record. None of this progress was pre-ordained. Before President Biden signed his Rescue Plan into law, experts predicted it would take far longer to create this many jobs. And few—if any—experts predicted it would be possible to get the unemployment rate down to a level last seen in 1969. In fact, before the Rescue Plan passed, the Congressional Budget Office projected the unemployment rate in the first quarter of 2023 would be 4.8%, rather than its current level of 3.4%.

More breathing room and economic security for families. This historic jobs recovery, along with Biden-Harris Administration policies designed to help workers and families, has left families more economically secure than before the pandemic. Compared to pre-pandemic levels, households are now less likely to be delinquent on their credit card bills and mortgages, and more likely to have health insurance. They are facing fewer evictions and foreclosures than there were before the pandemic, and bankruptcy rates are lower as well. This economic security is giving families peace of mind and breathing room that they didn’t have before the pandemic. Child poverty also fell to a historic low in 2021, and the President will call on Congress to continue these gains through the expanded Child Tax Credit, even as he has taken action to lift nearly 1 million children out of poverty by modernizing nutrition benefits.

Progress on transitioning to steady, stable growth with lower inflation. In the wake of unprecedented economic disruption from a historic pandemic, inflation has been a challenge all over the globe. Last spring, President Biden set the goal of transitioning our economy to lower inflation, while maintaining a resilient job market for American workers. Now, annual inflation has fallen for six months straight, driven in large part by a roughly $1.50 decline in gas prices compared to last summer. Over the second half of 2022, three-month core inflation fell from nearly 8% at an annualized rate to 3% at an annualized rate—at the same time that the unemployment remained at or near 50-year lows. As a result of the progress on inflation and the resilience of the job market, wages adjusted for inflation are higher than they were seven months ago. While there is more work to do to bring inflation down and lower costs for families—and there may be setbacks along the way—the past six months have marked significant progress toward the President’s goal of bringing down inflation without giving up the economic progress we’ve made.

Manufacturing Boom Across the Country and Historic Investments in Infrastructure

Even before the pandemic, the middle class was hollowed out. Manufacturing jobs moved overseas and factories closed down. The President believes that the United States can lead the world in manufacturing again. His economic plan has done just that—generate a manufacturing boom across the country and build an economy where no one is left behind. The President’s economic plan is stimulating new factories and manufacturing lines and creating good-paying jobs that don’t require a four-year degree. His plan includes the most significant upgrade to our nation’s infrastructure in generations—an investment larger than FDR’s investment Rural Electrification and Eisenhower’s efforts to build the Interstate Highway system. It includes the most significant clean energy plan ever, transitioning the clean energy economy and lowering households’ energy costs. And, it includes the most substantial investment in science, innovation, and industrial strategy in over 50 years.
 
In just the two years since President Biden took office, we have spurred more than $700 billion in announced private investment in manufacturing, utilities, and energy from more than 200 companies in all 50 states. Much of this investment is driven by the semiconductor, energy, electric vehicles and batteries, and other cutting-edge sectors.
 
Ensuring President Biden’s agenda creates a future made in America. Building on the historic investment agenda the President has signed into law, President Biden is ensuring that our historic infrastructure investments use materials made in America. For decades, Buy America laws focused on iron and steel and only covered certain federally funded infrastructure projects. This giant loophole meant projects could be built with other materials sourced from anywhere in the world. The Biden-Harris Administration is working to close this loophole and implement new standards, once and for all, so materials for roads and bridges, airports, transit, rail, water, high-speed internet, and clean energy infrastructure are made in America and support American jobs.
 
The President will announce in the State of the Union that he is issuing proposed guidance to ensure construction materials from copper and aluminum to fiber optic cable, lumber, and drywall, are made in America. Once finalized, these standards will apply to virtually all infrastructure spending supported by Federal financial assistance—not simply roads and bridges, but also buildings, water infrastructure and high-speed internet, providing consistency for companies and state and local governments to apply the standards and a strong federal government-wide demand signal.
 
These steps complement the Administration’s implementation of the most robust updates in nearly 70 years to the Buy American Act for federal procurement. Those updates are helping to ensure that taxpayers’ dollars support American manufacturing, boost resiliency in critical industries, and create good-paying jobs right here at home. The Buy American rule increased the percentage value of component parts manufactured in the US from 55% to 60% this past fall as the first step toward increasing that value to 75%.
 
Lowering Health Care Costs for Families
 
The President knows what it’s like to stare at the ceiling, worried about paying for prescriptions or health care. He believes that every American has a right to the peace of mind that comes with knowing they have access to affordable, quality health care. President Biden passed legislation to lower health care and prescription drug costs for American families, giving families more breathing room. Tomorrow, he will discuss the historic progress we have made on lowering health care costs under his watch, including steps to strengthen Medicare, Medicaid, and the Affordable Care Act (ACA), and steps we must take to build on that progress and give more families the peace of mind of affordable prescriptions and health care.

$800 lower health care premiums. A record-setting 16.3 million people signed up for ACA coverage this year, and the national uninsured rate hit an all-time low last year. That’s thanks in large part to President Biden and Democrats in Congress’ work to lower premiums for ACA coverage by an average of $800 per person per year—along with President Biden’s actions to quadruple consumer assistance, increase outreach, and close the “family glitch” loophole that blocked many children and spouses from affordable coverage. Tomorrow, the President will call on Congress to make these savings for American families permanent, so we can continue our work to make health care a right, not a privilege.

60 million Medicare beneficiaries will be protected from skyrocketing drug costs. President Biden took on Big Pharma—and won. Thanks to the new prescription drug law, Medicare will be able to negotiate drug prices and cap out-of-pocket pharmacy costs at $2,000 per year under Part D, and drug companies will pay rebates to Medicare if they try to hike their prices faster than the rate of inflation. For the last six weeks, seniors across the country have been benefiting from key drug pricing protections that are putting money back in their pockets:

  • $35 price cap on insulin in Medicare. Starting this year, Medicare beneficiaries will pay no more than $35 per month per insulin prescription. 1.5 million people would have each saved, on average, $500 per year had this law been in effect in 2020. The President will call on Congress to extend this commonsense, life-saving protection to all Americans, not just people with Medicare.
     
  • $0 vaccines through Medicare. More adult vaccines are now available without any co-pays under Medicare Part D thanks to the new prescription drug law. This includes the shingles vaccine, which used to cost seniors as much as $200.

1 million surprise medical bills are prevented every month. Before President Biden took office, millions of people received surprise bills for out-of-network care, costing them hundreds or thousands of dollars. The Administration is protecting millions of consumers from surprise medical bills through the implementation of the No Surprises Act, which has already protected 10 million Americans from unfair, undeserved out-of-network charges.

$3,000 in savings on hearing aids. In October 2022, over-the-counter hearing aids hit the shelves following a rule from the Food and Drug Administration. Now, millions of Americans can buy hearing aids for low to moderate hearing loss without a prescription or exam. This is anticipated to save Americans as much as $3,000 per pair, providing more breathing room for the estimated 30 million Americans with mild-to-moderate hearing loss.

39 states and the District of Columbia have expanded Medicaid coverage. Missouri, Oklahoma, and South Dakota are the most recent states to expand Medicaid to hundreds of thousands of low-income adults previously locked out of Medicaid coverage. The Administration remains committed to closing the coverage gap in the remaining 11 states, and the President will call on Congress to finish the job. In addition, the Administration also worked with over half the states and DC to extend Medicaid postpartum coverage for millions of women.

Promoting Competition

As President Biden said at last year’s State of the Union, “capitalism without competition isn’t capitalism. It’s exploitation—and it drives up prices.” Over the past year, the Administration has been delivering for the American people to lower prices, protect workers, and increase competition across the economy. In this year’s State of the Union, the President will highlight progress we need to continue to make to promote competition and protect consumers.

Cracking down on junk feesThe Consumer Financial Protection Bureau (CFPB) is lowering or eliminating the banking and credit card “junk” fees that too many Americans pay. The CFPB announced a proposal that will slash excessive credit card late fees to $8 from approximately $30, which combined with other measures could save consumers up to $9 billion a year in late fees. Last year, the CFPB also targeted overdraft and bounced check fees—making changes that will cut fees by over $1 billion a year. The Department of Transportation (DOT) also proposed a rule that would require airlines and online search sites to disclose up front any fees to choose seats including to sit next to one’s child, for baggage, and for changes or cancellations. It also published a dashboard of airline policies when flights are delayed or cancelled due to issues under the airlines’ control, leading 9 airlines to change policies to guarantee coverage of hotels and 10 airlines to guarantee coverage of meals.

The President will re-state his call on Congress to pass a Junk Fees Prevention Act to ban resort and family seating fees, eliminate unnecessary early termination fees for internet and phone services, and crack down on excessive fees and other practices that drive up ticket prices. DOT will also launch a family seating dashboard to raise awareness about airline policies and undertake a rulemaking to ban these fees.

Addressing non-compete agreements. Roughly 30 million Americans, including many low-wage workers, are covered by non-compete agreements that can stifle wage growth for American workers by making it more difficult for workers to leave for higher-paying jobs. The Federal Trade Commission released a proposed rule in January 2023 to ban non-compete clauses, which it estimates will increases wages by $300 billion annually.

Lowering ocean shipping costs. Ocean carriers increased their rates by as much as 1,000% during the pandemic. Last June, Congress passed the Ocean Shipping Reform Act heeding the President’s call in the 2022 State of the Union. This legislation will cut costs for shippers, and in turn American families, and ensure fairer treatment for exports from our farmers and ranchers.

Lowering meat prices. The Administration has taken a number of steps to increase competition in the meat and poultry markets. The Department of Agriculture (USDA) has also issued proposed regulations under the Packers & Stockyards Act to increase competition and market integrity and to prevent abuse of farmers in the poultry growing system. USDA is also using $1 billion to expand independent meat processing capacity, so the market isn’t dominated by just a few big players.

Helping consumers get the right to repairThe President believes that consumers shouldn’t be restricted by big manufacturers from repairing their own equipment—whether it’s a tractor or a smartphone. After President Biden expressed strong support for the right to repair in his Competition Executive Order, Microsoft conducted a study on the issue and made its Surface devices more easily repairable and Apple announced self-service repair for certain devices.

Improving safety and accountability in nursing homesAs the President directed in last year’s State of the Union, CMS has taken action to strengthen oversight of the worst performing nursing homes, prevent abuse and Medicare fraud, and improve families’ ability to comparison shop across nursing homes. In the coming days and months, CMS will announce new actions to increase safety and accountability at nursing homes.

Reducing the Deficit by Ensuring the Wealthy and Large Corporations Pay their Fair Share

In the last two years, the Administration cut the deficit by more than $1.7 trillion—the largest deficit reduction in American history. The President believes we need to continue that progress—and reward work, not wealth.

Since coming to office, the President has signed legislation to make the wealthy and large corporations pay their fair share and provide tax cuts for working families, while reducing the deficit. Under his plan, no one making under $400,000 per year will pay more in taxes.

Billionaire Minimum Tax. President Biden is a capitalist and believes that anyone should be able to become a millionaire or a billionaire. He also believes that it is wrong for America to have a tax code that results in America’s wealthiest households paying a lower tax rate than working families. In a typical year, billionaires pay an average tax rate of just 8%. In the State of the Union, he’ll call on Congress to pass his billionaire minimum tax. This minimum tax would make sure that the wealthiest Americans no longer pay a tax rate lower than teachers and firefighters.

Surcharge on corporate stock buybacksStock buybacks enable corporations to funnel tax-advantaged payouts to wealthy and foreign investors, instead of paying dividends that shareholders are required to pay taxes on. In addition, a number of experts have argued that CEOs—who are compensated mostly in stock—use buybacks to enrich themselves to the detriment of the long-term growth of the company. Last year, oil and gas companies made record profits and invested very little in domestic production and to keep gas prices down—instead they bought their own stock, giving all that profit to their CEOs and shareholders. President Biden signed into law a surcharge on corporate stock buyback, which reduces the differential tax treatment between buybacks and dividends and encourages businesses to invest in their growth and productivity as opposed to paying out corporate executives or funneling tax-preferred profits to foreign shareholders. In the State of the Union, the President will call for quadrupling the tax on corporate stock buybacks.

Corporate minimum taxIn 2020, 55 of the largest corporations that were profitable paid $0 in federal income tax. To end that unfairness in the tax code, President Biden signed into law a 15 percent minimum tax on the profits that large corporations—those with over $1 billion in profits—report to shareholders. This book minimum tax means that it will be harder for companies that say they’re earning a billion in profits to pay tax rates in the single digits on those profits. It also levels the playing field for companies—including small businesses—that are already paying their fair share.

Legislation to crack down on tax cheats and create a fairer tax system. Working people pay 99% of the taxes they owe on their income from wages and salaries, while the top 1 percent hides about 20% of their income from tax, including by funneling it through offshore accounts in tax havens that don’t report earnings. The President signed legislation into law that will crack down on wealthy people and large corporations that cheat on their taxes, while improving customer service for taxpayers. The legislation will not increase audit rates for families or small businesses making under $400,000 per year.

SOTU Preview: Biden to Outline Vision to Advance Progress on Unity Agenda in Year Ahead

This year’s State of the Union address by President Joe Biden will have a very different look, with Republican Speaker Kevin McCarthy standing in place of Nancy Pelosi, but Biden plans to continue to press for further progress on the Unity Agenda he proposed last year © Karen Rubin/news-photos-features.com via C-SPAN.

During his first State of the Union address, President Biden announced a four-part Unity Agenda focused on areas where members of both parties can come together and make additional progress for the American people: ending cancer as we know it; delivering on the sacred obligation to veterans; tackling the mental health crisis; and beating the opioid and overdose epidemic.

Over the last year, the President was proud to work with Democrats and Republicans to enact major legislation that delivers on all aspects of this four-part agenda. In his State of the Union today, the President will announce a new set of policies to continue to make progress advancing his Unity Agenda and deliver results for families across the country.

Accelerating Progress to End Cancer as We Know It Today
Cancer has touched nearly every American family, and it remains the second leading cause of death in America. To accelerate progress in the fight against cancer, last year, the President and First Lady reignited the Cancer Moonshot with the goal of cutting U.S. cancer death rates by at least half in 25 years and improving the experience of individuals, caregivers, and families living with and surviving cancer. Over the past year, the Cancer Moonshot has announced nearly 30 new federal programs, policies and resources to close the screening gap, tackle environmental exposure, decrease preventable cancers, advance cutting-edge research, support patients and caregivers, and more. More than 60 private companies, non-profits, academic institutions, and patient groups have also answered the President’s call and stepped up with new actions and collaborations. The President will call on Congress to act to end cancer as we know it, and the Cancer Moonshot will drive additional progress this year by:

Bringing America’s cancer research system into the 21st century. As we work to continue the progress we’ve made over the last year, the Administration is urging Congress to reauthorize the National Cancer Act, which 52 years ago set up the National Cancer Institute (NCI) in its current form. The reauthorization will update the nation’s cancer research and care systems to put modern American innovation fully to work to end cancer as we know it. This includes standing up clinical trial networks, creating new data systems that break down silos, and ensuring that knowledge gained through research is available to as many experts as possible, so we can find answers faster and make a difference for patients. Working with Congress, we can also lock in the strong investment in cancer research that passed in 2016 as part of the broadly bipartisan 21st Century Cures Act, which otherwise expires this year.

Providing patient navigation support to every American facing cancer. The Biden-Harris Administration will take steps to ensure that patient navigation services – services that help guide individuals, caregivers, and families through cancer screening, diagnosis, treatment, and survivorship – are covered benefits going forward for as many people facing cancer as possible. These patient navigation services not only improve the experience for those patients and their families, they improve patient outcomes and provide value back to the health care system. 

Tackling the biggest single driver of cancer deaths in this country – smoking. The Administration is preparing further action to help people avoid smoking in the first place and support Americans who want to quit. These steps could prevent as much as 30 percent of cancer deaths in this country, saving up to 130,000 American lives, annually. While we have made progress, tobacco products still hook too many young people at an early age and take control away from individual Americans to make the decision not to smoke. The Administration is working to put that control back in the hands of Americans.

During his first State of the Union address, President Biden cited the recent announcement of his plan to supercharge the Cancer Moonshot and called on Congress to fund ARPA-H, the Advanced Research Projects Agency for Health, to drive breakthroughs in cancer, Alzheimer’s, diabetes, and other diseases. Since that time, the President and Congress have stepped up together to provide ARPA-H $2.5 billion in initial investment. The President also signed into law the Inflation Reduction Act, which will lower prescription drug costs for tens of thousands of cancer patients with Medicare coverage. The Bipartisan Infrastructure Law will also help cut cancer deaths by accelerating clean-up at Superfund sites and helping states and communities replace lead pipes and service lines.

Supporting America’s Veterans and Their Families, Caregivers, and Survivors
The President believes there is no more sacred obligation than taking care of our nation’s military service members, veterans, and their families, caregivers, and survivors. On health care, education, and housing, the Administration and Congress have worked together to make progress to connect veterans and their families to needed resources. Over the past year, the Administration expanded benefits for veterans as well as their caregivers and survivors, and delivered more benefits and health care more quickly to more veterans than ever before. In 2022, VA processed an all-time record 1.7 million veteran claims, and delivered $128 billion in earned benefits to 6.1 million veterans and survivors. In the State of the Union, the President will announce his Administration plans to continue that work by:

Reducing veteran suicide. Suicide among veterans is a public health and national security crisis. Since 2010, more than 71,000 veterans have died by suicide – more than the total number of deaths from combat during the Vietnam War and operations in Iraq and Afghanistan combined. Since releasing a comprehensive strategy for reducing military and veteran suicide, both DOD and VA reported declines in suicide deaths, but much more remains to be done. This will include actions to:  

  • Support states and territories. The Department of Veterans Affairs (VA) is working with the Departments of Health and Human Services (HHS) and Defense (DOD) to partner with 49 states and 5 territories through the Governor’s Challenge. To help facilitate this work, VA will launch a new $10 million program to provide federal resources to states, territories, Tribes and Tribal organizations to develop and implement proposals under the program.
     
  • Increase lethal means safety: In the coming year, VA will deploy new resources to improve suicide risk identification and increase lethal means safety counseling and safe storage. VA will offer additional training for the 1.3 million community providers and expand KeepItSecure, the landmark lethal means safety campaign, with new resources and materials for providers, caregivers, family members of veterans, and gun shop owners to encourage safe storage of firearms and lethal medications.
     
  • Expand outreach to justice involved veterans. Veterans who become involved in the criminal justice system may be at high risk of suicide. Through Veteran Treatment Courts and other justice outreach engagements, VA is able to provide veterans access to benefits and services that can be life-changing, and VA will accelerate hiring of veteran justice outreach professionals to expand these programs.
     
  • Expand Access to Legal Support Services. VA will build upon and expand its current 28 Medical-Legal Partnerships. Family caregivers participating in VA’s Program of Comprehensive Assistance will also be able to receive Financial and Legal Assistance later this year. VA will also award up to 75 grants under its new Legal Services for Homeless Veterans and Veterans at Risk for Homeless (LSV-H) program to provide legal services to veterans who are homeless or at risk of homelessness.

Expanding access to peer support, including mental health services. Military service increases the risk of mental health problems and other adjustment challenges for veterans. Veteran Peer Specialists are a critical asset within VA’s workforce, working across various programs to connect their fellow veterans to services, participate as members of health care teams, and provide individual and group-based peer support. Last year, VA pledged to hire an additional 280 peer specialists and is on track to meet this goal by the end of 2023. VA will increase the number of peer specialists working across VA medical centers by 350 over the next 7 years.

Ensuring access to affordable, stable housing for low-income veterans. Every veteran should have a roof over their head. The President’s upcoming budget will triple the number of extremely low-income veterans who can access the assistance they need to afford rent over the years ahead, paving the path to an entitlement for those who have served our country. The number of veterans experiencing homelessness declined by 11% between 2020 and 2022 and the United States permanently housed more than 40,000 veterans in 2022 alone. 

Delivering high-quality job training for veterans and their spouses. Roughly 200,000 service members transition from the military to civilian life each year. In the coming year, DOL’s Veteran Employment and Training Service (DOL-VETS) will implement its Employment Navigator Partnership Pilot, which has already provided one-on-one career assistance to 6,500 transitioning service members and military spouses. And, the Department of Defense will use the Military Spouse Career Accelerator Pilot program, a 12-week paid fellowship program, to expand employment opportunities for eligible military spouses.

In last year’s State of the Union, the President called for Congress to pass comprehensive legislation to address military toxic exposures. In August 2022, President Biden signed the bipartisan PACT Act into law, the most significant expansion of benefits and services for toxic exposed veterans in more than 30 years. Over the last year, the Administration also took critical action to help reduce veteran suicide, including transitioning the Veterans Crisis Line to “988, press 1.” The Administration also expanded access to reproductive health services for women veterans, supported more than 2.3 million children living with wounded, ill, or injured service members through the First Lady’s Joining Forces Initiative, and implemented key measures to protect veterans from predatory for-profit colleges.

Tackling the Mental Health Crisis
Forty percent of American adults report symptoms of anxiety and depression, and the percent of children and adolescents with anxiety and depression has risen nearly thirty percent. Last year, President Biden called for additional actions to advance his Mental Health Strategy across its three objectives: support Americans by creating healthy environments; strengthening system capacity, and connecting more Americans to care.  Over the last year, the Administration invested critical resources to provide mental health and substance use supports to Americans, including by expanding Certified Community Behavioral Health Clinics, investing unprecedented resources in the 988 suicide prevention hotline, and taking steps to help address the harms of social media on youth. In the State of the Union, the President will say that we will continue that work by:

Creating healthy environments. Decades of research show that coordinating prevention and recovery support across settings can pay long-term dividends. The Biden-Harris Administration will:

  • Protect kids online. There is compelling and growing evidence that social media and other tech platforms can be harmful to mental health, wellbeing and development. Children, adolescents, and teens are especially vulnerable to such harm. More than one-third of American teens say they use a major social media platform “almost constantly” and that they spend “too much time on social media.” Far too often, the platforms do not enforce their own terms of service with respect to minors who use their products and services. Children are also subject to the platforms’ excessive data collection vacuum, which they use to deliver sensational and harmful content and troves of paid advertising. Children also suffer from bullying, harassment, abuse, and even sexual exploitation by other users online. And platforms use manipulative design techniques embedded in their products to promote addictive and compulsive use by young people in the name of “user engagement” – all to generate more revenue. The Administration will build on the Surgeon-General’s Youth Mental Health Advisory, the Department of Health and Human Services’ new Center of Excellence on Social Media and Mental Wellness, and the recent passage of the Children and Media Research Advancement Act. Platforms and other interactive digital service providers should be required to prioritize the privacy and wellbeing of young people above profit and revenue in their product design, including safety by design standards and practices for online platforms, products, and services. The President is calling for bipartisan support to ban targeted advertising online for children and young people and enact strong protections for their privacy, health and safety online.
     
  • Strengthen data privacy and platform transparency for all Americans: Big Tech companies collect huge amounts of data on the things we buy, the websites we visit, and the places we go.  There should be clear and strict limits on the ability to collect, use, transfer, and maintain our personal data, especially for sensitive data such as geolocation and health information, and the burden must fall on companies – not consumers – to minimize how much information they collect. We must also demand transparency about the algorithms companies use that far too often discriminate against Americans and sow division. The President has called for imposing much stronger transparency requirements on Big Tech platforms and is calling for bipartisan support to impose strong limits on targeted advertising and the personal data that companies collect on all Americans.
     
  • Support the mental health of the health workforce. Even before the pandemic, health workers were experiencing high levels of burnout, anxiety, and depression. Studies have shown that burnout have reached crisis levels, affecting up to 54 percent of nurses and physicians. This year, the Centers for Disease Control and Prevention will launch a new campaign to provide a hub of mental health and resiliency resources to health care organizations in better supporting their workforce
     
  • Promote youth resilience. While rates of anxiety, depression, and self-harm among youth have been on the rise over the past several years, there are also remarkable stories of hope and resilience. To help foster innovation in promoting resilience, HHS will launch a new Children and Youth Resilience Prize Challenge, awarding a total of $750,000 in a new pilot program.  

Connecting more Americans to care.  On average, it takes 11 years after the onset of mental health symptoms for someone to seek treatment. We can do better. To mitigate these challenges, the Administration is working to make care more affordable and accessible across all types of health insurance, integrating mental health services into settings that are more familiar, such as schools, and expanding access to telehealth. To continue this progress, the Biden Administration will:

  • Improve school-based mental health. The Department of Education (ED) will announce more than $280 million in grants to increase the number of mental health care professionals in high-need districts and strengthen the school-based mental health profession pipeline. HHS and ED intend to issue guidance and propose a rule, respectively, to remove red tape for schools, making it easier for them to provide health care to students and more easily bill Medicaid funding for these critical services.
     
  • Strengthen parity. This spring, the Administration will propose new rules to ensure that insurance plans are not imposing inequitable barriers to care and mental health providers are being paid by health plans on par with other health care professionals.
     
  • Enhance crisis services. The Administration launched 988, the National Suicide & Crisis Lifeline, in 2022, making it easier for individuals experiencing a behavioral health crisis to receive timely care. In the coming year, HHS will improve the capacity of the 988 Lifeline by investing in an expansion of the crisis care workforce; scaling mobile crisis intervention services; and developing additional guidance on best practices in crisis response. 
     
  • Expand access to telehealth. HHS will triple resources dedicated to promoting interstate license reciprocity for delivery of mental health services across state lines. VA will launch a new nationwide network of behavioral health clinicians to ensure timely access to evidence-based mental health services to veterans enrolled in VA health care. And, DoD will continue to expand the BRAVE program, a virtual behavioral health center providing services 24/7 to service members and their families located on federal installations across the globe.

Strengthening system capacity. Severe shortages in the behavioral health workforce are at the center of the mental health crisis. In addition to implementing legislation passed by Congress that creates 350 new slots to help train the next generation of mental health professionals, the Administration will:

  • Recruit diverse candidates to the mental health profession: HHS will increase funding to recruit future mental health professionals from Historically Black Colleges and Universities and to expand the Minority Fellowship Program.
     
  • Prioritize research: The Office of Science and Technology Policy and Domestic Policy Council released the White House Report on Mental Health Research Priorities, which identifies key areas where additional scientific research is needed to address our national mental health crisis. These priorities will ensure coordination across the federal agencies and private sector partners that support or perform mental health research.

Last year, after the President called for addressing the nation’s mental health crisis in the State of the Union, the Administration made important progress on expanding access to mental health services and treatment for substance use. President Biden signed into law the Bipartisan Safer Communities Act, which makes unprecedented investment in youth mental health and supports school-based health services. The Administration also oversaw the successful transition to 988, the National Suicide & Crisis Lifeline, investing over $500 million to strengthen 988 infrastructure and grow local crisis-center capacity – a twenty-fold increase over the prior administration. The Biden Administration also developed new resources to support the mental health and resilience of frontline workers, expanded Medicare coverage to include additional mental health and substance use disorder services, and encouraged states to better address youth mental health for those with Medicaid coverage.

Beating the Opioid and Overdose Epidemic by Accelerating the Crackdown on Fentanyl Trafficking and Public Health Efforts to Save Lives
Last year, President Biden announced his plan to beat the opioid epidemic as part of his Unity Agenda, because opioid use and trafficking affect families in red communities and blue communities and every community in between. Under President Biden’s leadership, overdose deaths and poisonings have decreased for five months in a row – but these deaths remain unacceptably high and are primarily caused by fentanyl. In the State of the Union, the President will announce key actions the Administration to tackle this issue head on, including by:  

Disrupting the trafficking, distribution, and sale of fentanyl. In just the last year Customs and Border Protection (CBP) has seized a historic 260,000 pounds of illicit drugs primarily at ports of entry on our border, including nearly 15,000 pounds of fentanyl. The Drug Enforcement Administration and the White House Office of National Drug Control Policy’s (ONDCP) High-Intensity Drug Trafficking Areas (HIDTA) program were involved in the seizure of more than 26,000 pounds of fentanyl in FY22—including 50.6 million fentanyl-laced counterfeit prescription pills—along with over 6,500 pounds of heroin, 335,000 pounds of methamphetamine, and 370,000 pounds of cocaine. The HIDTA seizures denied $9 billion to drug traffickers, cutting into their profits. Further, through President Biden’s Executive Order on Imposing Sanctions on Foreign Persons Involved in the Global Illicit Drug Trade, the Department of the Treasury has imposed sanctions against dozens of individuals and entities involved in the illicit drug trade. To aggressively expand on this historic effort, the President will announce in the State of Union that his administration will:

  • Stop more fentanyl from getting into the U.S. at the Southwest Border Ports of Entry. By providing 123 new large-scale scanners at Land Points of Entry along the Southwest Border by Fiscal Year 2026, Customs and Border Protection (CBP) will increase its inspection capacity from what has historically been around two percent of passenger vehicles and about 17 percent of cargo vehicles to 40 percent of passenger vehicles and 70 percent of cargo vehicles. These investments will crack down on a major avenue of fentanyl trafficking, securing our border and keeping dangerous drugs from reaching our country.
     
  • Stop more packages from being shipped into the United States with fentanyl and the materials used to make it. Drug traffickers use small, hard-to-track packages to ship opioids and other illicit materials into and within the United States, hidden among the millions of packages sent daily via commercial package delivery companies. That’s why CBP is working with these companies to have them voluntarily provide data that help law enforcement identify, inspect and intercept suspicious packages. Through these combined public-private efforts, CBP has increased seizures in commercial package delivery services’ warehouses from 42,000 pounds of illicit substances to more than 63,000 pounds in just the past two years. This year, CBP will expand these voluntary data sharing partnerships to capture more information – and, in turn, seize more packages.
     
  • Lead a sustained diplomatic push that will address fentanyl and its supply chain abroad.  The Administration will work with international partners to disrupt the global fentanyl production and supply chain, and call on others to join our efforts. We will focus on seizing chemical ingredients and fentanyl before it can reach our communities, and hold accountable the producers, traffickers, and facilitators of these deadly drugs. Many of these ingredients and materials originate outside our borders, and we will call on global partners to work with us and do more to disrupt the criminal elements within their countries who sell chemicals and tools for the production of counterfeit pills around the world.
     
  • Work with Congress to make permanent tough penalties on suppliers of fentanyl. The federal government regulates illicitly produced fentanyl analogues and related substances as Schedule I drugs, meaning they are subject to strict regulations and criminal penalties. But traffickers have found a loophole: they can easily alter the chemical structure of fentanyl—creating “fentanyl related substances” (FRS)—to evade regulation and enhance the drug’s impact. The DEA and Congress temporarily closed this loophole by making all FRS Schedule I. The Administration looks forward to working with Congress on its comprehensive proposal to permanently schedule all illicitly produced FRS into Schedule I. Traffickers of these deadly substances must face the penalties they deserve, no matter how they adjust their drugs.

Expanding access to evidence-based prevention, harm reduction, treatment, and recovery. Over the last year, the Biden-Harris Administration took unprecedented steps to expand access to naloxone and other harm reduction interventions, such as permitting the use of $50 million for local public health departments to purchase naloxone, releasing guidance to make it easier for programs to obtain and distribute naloxone to at-risk populations, and prioritizing the review of over-the-counter naloxone applications. The Administration has also fundamentally changed addiction treatment across the country by working with Congress to remove barriers that prevented medical professionals from prescribing treatment for opioid use disorder and pursuing rulemaking to make permanent the COVID-19 era flexibilities that allowed for telehealth prescribing of buprenorphine and take-home methadone doses. To further connect people to life-saving help, the Biden-Harris Administration will:

  • Deliver more life-saving naloxone to communities hit hard by fentanyl. In late spring, HHS will take new steps to encourage and aide states in their efforts to use existing funding to purchase naloxone and distribute it in their communities. The Substance Abuse and Mental Health Services Administration (SAMHSA) will provide enhanced technical assistance to states who have existing State Opioid Response funds, and will host peer learning forums, national policy academies, and convenings with organizations distributing naloxone beginning this spring.
     
  • Ensure every jail and prison across the nation can provide treatment for substance use disorder. Providing treatment while individuals are in jails and prisons, and continuing their treatment in their communities, has been proven to decrease overdose deaths, reduce crime, and increase employment during reentry. By this summer, the Federal Bureau of Prisons will ensure that each of their 122 facilities are equipped and trained to provide in-house medication-assisted treatment (MAT). Further, since more than 90 percent of individuals who are incarcerated are in state and local jails and prisons, the Centers for Medicare and Medicaid Services will provide guidance this spring allowing states to use Medicaid funds to provide health care services—including treatment for people with substance use disorder—to individuals in those facilities prior to their release.
     
  • Build on historic progress to drastically expand access to medications for opioid use disorder. The Biden-Harris Administration will further expand access to treatment by working with medical professionals to make prescribing proven treatments, including buprenorphine for opioid use disorder, part of routine health care delivery and ensure that manufacturers, wholesalers, and pharmacies are making medications available to everyone with a prescription. 
     
  • Launch a national campaign to educate young people on the dangers of fentanyl, and how naloxone saves lives. The Ad Council’s Real Deal on Fentanyl campaign has raised awareness about the dangers of fentanyl among youth. ONDCP and the Ad Council will build on this work by launching a naloxone education component of the campaign, which will reach the young people who are the fastest-growing age group to experience opioid overdose and poisoning by engaging popular social media platforms, college athletes and campus-based organizations. The campaign will also develop media to be shared on college campuses, in bars, public transportation stations, and retail locations to educate young people about the dangers of fentanyl and highlight naloxone resources.

During his first State of the Union address, President Biden called on Congress to get rid of outdated rules that stop doctors from prescribing treatments and provide law enforcement with the tools necessary to stop the flow of illicit drugs like fentanyl. In his State of the Union today, President Biden will highlight a bipartisan effort that delivered on his promise by passing the MAT Act, which removed the X-waiver as a barrier for health care providers prescribing life-saving medications for opioid use disorder at a time when fewer than 1 out of Americans can access the treatment they need. President Biden also signed into law the Consolidated Appropriations Act that included a two-year extension to classify fentanyl-related substances as Schedule I substances under the Controlled Substances Act, ensuring law enforcement has the tools they need to respond to the manufacture and trafficking of illicitly manufactured synthetic opioids driving the overdose epidemic.