American Energy Independence
Unleashed America’s oil and natural gas potential
- For the first time in nearly 70 years, the United States has become a net energy exporter.
- The United States is now the number one producer of oil and natural gas in the world.
- Natural gas production reached a record-high of 34.9 quads in 2019, following record high production in 2018 and in 2017.
- The United States has been a net natural gas exporter for three consecutive years and has an export capacity of nearly 10 billion cubic feet per day.
- Withdrew from the unfair, one-sided Paris Climate Agreement.
- Canceled the previous administration’s Clean Power Plan, and replaced it with the new Affordable Clean Energy rule.
- Approved the Keystone XL and Dakota Access pipelines.
- Opened up the Arctic National Wildlife Refuge (ANWR) in Alaska to oil and gas leasing.
- Repealed the last administration’s Federal Coal Leasing Moratorium, which prohibited coal leasing on Federal lands.
- Reformed permitting rules to eliminate unnecessary bureaucracy and speed approval for mines.
- Fixed the New Source Review permitting program, which punished companies for upgrading or repairing coal power plants.
- Fixed the Environmental Protection Agency’s (EPA) steam electric and coal ash rules.
- The average American family saved $2,500 a year in lower electric bills and lower prices at the gas pump.
- Signed legislation repealing the harmful Stream Protection Rule.
- Reduced the time to approve drilling permits on public lands by half, increasing permit applications to drill on public lands by 300 percent.
- Expedited approval of the NuStar’s New Burgos pipeline to export American gasoline to Mexico.
- Streamlined Liquefied natural gas (LNG) terminal permitting and allowed long-term LNG export authorizations to be extended through 2050.
- The United States is now among the top three LNG exporters in the world.
- Increased LNG exports five-fold since January 2017, reaching an all-time high in January 2020.
- LNG exports are expected to reduce the American trade deficit by over $10 billion.
- Granted more than 20 new long-term approvals for LNG exports to non-free trade agreement countries.
- The development of natural gas and LNG infrastructure in the United States is providing tens of thousands of jobs, and has led to the investment of tens of billions of dollars in infrastructure.
- There are now 6 LNG export facilities operating in the United States, with 2 additional export projects under construction.
- The amount of nuclear energy production in 2019 was the highest on record, through a combination of increased capacity from power plant upgrades and shorter refueling and maintenance cycles.
- Prevented Russian energy coercion across Europe through various lines of effort, including the Partnership for Transatlantic Energy Cooperation, civil nuclear deals with Romania and Poland, and opposition to Nord Stream 2 pipeline.
- Issued the Presidential Permit for the A2A railroad between Canada and Alaska, providing energy resources to emerging markets.
Increased access to our country’s abundant natural resources in order to achieve energy independence
- Renewable energy production and consumption both reached record highs in 2019.
- Enacted policies that helped double the amount of electricity generated by solar and helped increase the amount of wind generation by 32 percent from 2016 through 2019.
- Accelerated construction of energy infrastructure to ensure American energy producers can deliver their products to the market.
- Cut red tape holding back the construction of new energy infrastructure.
- Authorized ethanol producers to sell E15 year-round and allowed higher-ethanol gasoline to be distributed from existing pumps at filling stations.
- Ensured greater transparency and certainty in the Renewable Fuel Standard (RFS) program.
- Negotiated leasing capacity in the Strategic Petroleum Reserve to Australia, providing American taxpayers a return on this infrastructure investment.
- Signed an executive order directing Federal agencies to work together to diminish the capability of foreign adversaries to target our critical electric infrastructure.
- Reformed Section 401 of the Clean Water Act regulation to allow for the curation of interstate infrastructure.
- Resolved the OPEC (Organization of the Petroleum Exporting Countries) oil crisis during COVID-19 by getting OPEC, Russia, and others to cut nearly 10 million barrels of production a day, stabilizing world oil prices.
- Directed the Department of Energy to use the Strategic Petroleum Reserve to mitigate market volatility caused by COVID-19.
Investing in America’s Workers and Families
Affordable and high-quality Child Care for American workers and their families
- Doubled the Child Tax Credit from $1,000 to $2,000 per child and expanded the eligibility for receiving the credit.
- Nearly 40 million families benefitted from the child tax credit (CTC), receiving an average benefit of $2,200 – totaling credits of approximately $88 billion.
- Signed the largest-ever increase in Child Care and Development Block Grants – expanding access to quality, affordable child care for more than 800,000 low-income families.
- Secured an additional $3.5 billion in the Coronavirus Aid, Relief, and Economic Security (CARES) Act to help families and first responders with child care needs.
- Created the first-ever paid family leave tax credit for employees earning $72,000 or less.
- Signed into law 12-weeks of paid parental leave for Federal workers.
- Signed into law a provision that enables new parents to withdraw up to $5,000 from their retirement accounts without penalty when they give birth to or adopt a child.
Advanced apprenticeship career pathways to good-paying jobs
- Expanded apprenticeships to more than 850,000 and established the new Industry-Recognized Apprenticeship programs in new and emerging fields.
- Established the National Council for the American Worker and the American Workforce Policy Advisory Board.
- Over 460 companies have signed the Pledge to America’s Workers, committing to provide more than 16 million job and training opportunities.
- Signed an executive order that directs the Federal government to replace outdated degree-based hiring with skills-based hiring.
Advanced women’s economic empowerment
- Included women’s empowerment for the first time in the President’s 2017 National Security Strategy.
- Signed into law key pieces of legislation, including the Women, Peace, and Security Act and the Women Entrepreneurship and Economic Empowerment Act.
- Launched the Women’s Global Development and Prosperity (W-GDP) Initiative – the first-ever whole-of-government approach to women’s economic empowerment that has reached 24 million women worldwide.
- Established an innovative new W-GDP Fund at USAID.
- Launched the Women Entrepreneurs Finance Initiative (We-Fi) with 13 other nations.
- Announced a $50 million donation on behalf of the United States to We-Fi providing more capital to women-owned businesses around the world.
- Released the first-ever Strategy on Women, Peace, and Security, which focused on increasing women’s participation to prevent and resolve conflicts.
- Launched the W-GDP 2x Global Women’s Initiative with the Development Finance Corporation, which has mobilized more than $3 billion in private sector investments over three years.
Ensured American leadership in technology and innovation
- First administration to name artificial intelligence, quantum information science, and 5G communications as national research and development priorities.
- Launched the American Broadband Initiative to promote the rapid deployment of broadband internet across rural America.
- Made 100 megahertz of crucial mid-band spectrum available for commercial operations, a key factor to driving widespread 5G access across rural America.
- Launched the American AI Initiative to ensure American leadership in artificial intelligence (AI), and established the National AI Initiative Office at the White House.
- Established the first-ever principles for Federal agency adoption of AI to improve services for the American people.
- Signed the National Quantum Initiative Act establishing the National Quantum Coordination Office at the White House to drive breakthroughs in quantum information science.
- Signed the Secure 5G and Beyond Act to ensure America leads the world in 5G.
- Launched a groundbreaking program to test safe and innovative commercial drone operations nationwide.
- Issued new rulemaking to accelerate the return of American civil supersonic aviation.
- Committed to doubling investments in AI and quantum information science (QIS) research and development.
- Announced the establishment of $1 billion AI and quantum research institutes across America.
- Established the largest dual-use 5G test sites in the world to advance 5G commercial and military innovation.
- Signed landmark Prague Principles with America’s allies to advance the deployment of secure 5G telecommunications networks.
- Signed first-ever bilateral AI cooperation agreement with the United Kingdom.
- Built collation among allies to ban Chinese Telecom Company Huawei from their 5G infrastructure.
Preserved American jobs for American workers and rejected the importation of cheap foreign labor
- Pressured the Tennessee Valley Authority (TVA) to reverse their decision to lay off over 200 American workers and replace them with cheaper foreign workers.
- Removed the TVA Chairman of the Board and a TVA Board Member.
Life-Saving Response to the China Virus
Restricted travel to the United States from infected regions of the world
- Suspended all travel from China, saving thousands of lives.
- Required all American citizens returning home from designated outbreak countries to return through designated airports with enhanced screening measures, and to undergo a self-quarantine.
- Announced further travel restrictions on Iran, the Schengen Area of Europe, the United Kingdom, Ireland, and Brazil.
- Issued travel advisory warnings recommending that American citizens avoid all international travel.
- Reached bilateral agreements with Mexico and Canada to suspend non-essential travel and expeditiously return illegal aliens.
- Repatriated over 100,000 American citizens stranded abroad on more than 1,140 flights from 136 countries and territories.
- Safely transported, evacuated, treated, and returned home trapped passengers on cruise ships.
- Took action to authorize visa sanctions on foreign governments who impede our efforts to protect American citizens by refusing or unreasonably delaying the return of their own citizens, subjects, or residents from the United States.
Acted early to combat the China Virus in the United States
- Established the White House Coronavirus Task Force, with leading experts on infectious diseases, to manage the Administration’s efforts to mitigate the spread of COVID-19 and to keep workplaces safe.
- Pledged in the State of the Union address to “take all necessary steps to safeguard our citizens from the Virus,” while the Democrats’ response made not a single mention of COVID-19 or even the threat of China.
- Declared COVID-19 a National Emergency under the Stafford Act.
- Established the 24/7 FEMA National Response Coordination Center.
- Released guidance recommending containment measures critical to slowing the spread of the Virus, decompressing peak burden on hospitals and infrastructure, and diminishing health impacts.
- Implemented strong community mitigation strategies to sharply reduce the number of lives lost in the United States down from experts’ projection of up to 2.2 million deaths in the United States without mitigation.
- Halted American funding to the World Health Organization to counter its egregious bias towards China that jeopardized the safety of Americans.
- Announced plans for withdrawal from the World Health Organization and redirected contribution funds to help meet global public health needs.
- Called on the United Nations to hold China accountable for their handling of the virus, including refusing to be transparent and failing to contain the virus before it spread.
Re-purposed domestic manufacturing facilities to ensure frontline workers had critical supplies
- Distributed billions of pieces of Personal Protective Equipment, including gloves, masks, gowns, and face shields.
- Invoked the Defense Production Act over 100 times to accelerate the development and manufacturing of essential material in the USA.
- Made historic investments of more than $3 billion into the industrial base.
- Contracted with companies such as Ford, General Motors, Philips, and General Electric to produce ventilators.
- Contracted with Honeywell, 3M, O&M Halyard, Moldex, and Lydall to increase our Nation’s production of N-95 masks.
- The Army Corps of Engineers built 11,000 beds, distributed 10,000 ventilators, and surged personnel to hospitals.
- Converted the Javits Center in New York into a 3,000-bed hospital, and opened medical facilities in Seattle and New Orleans.
- Dispatched the USNS Comfort to New York City, and the USNS Mercy to Los Angeles.
- Deployed thousands of FEMA employees, National Guard members, and military forces to help in the response.
- Provided support to states facing new emergences of the virus, including surging testing sites, deploying medical personnel, and advising on mitigation strategies.
- Announced Federal support to governors for use of the National Guard with 100 percent cost-share.
- Established the Supply Chain Task Force as a “control tower” to strategically allocate high-demand medical supplies and PPE to areas of greatest need.
- Requested critical data elements from states about the status of hospital capacity, ventilators, and PPE.
- Executed nearly 250 flights through Project Air Bridge to transport hundreds of millions of surgical masks, N95 respirators, gloves, and gowns from around the world to hospitals and facilities throughout the United States.
- Signed an executive order invoking the Defense Production Act to ensure that Americans have a reliable supply of products like beef, pork, and poultry.
- Stabilized the food supply chain restoring the Nation’s protein processing capacity through a collaborative approach with Federal, state, and local officials and industry partners.
- The continued movement of food and other critical items of daily life distributed to stores and to American homes went unaffected.
Replenished the depleted Strategic National Stockpile
- Increased the number of ventilators nearly ten-fold to more than 153,000.
- Despite the grim projections from the media and governors, no American who has needed a ventilator has been denied a ventilator.
- Increased the number of N95 masks fourteen-fold to more than 176 million.
- Issued an executive order ensuring critical medical supplies are produced in the United States.
Created the largest, most advanced, and most innovative testing system in the world
- Built the world’s leading testing system from scratch, conducting over 200 million tests – more than all of the European Union combined.
- Engaged more than 400 test developers to increase testing capacity from less than 100 tests per day to more than 2 million tests per day.
- Slashed red tape and approved Emergency Use Authorizations for more than 300 different tests, including 235 molecular tests, 63 antibody tests, and 11 antigen tests.
- Delivered state-of-the-art testing devices and millions of tests to every certified nursing home in the country.
- Announced more flexibility to Medicare Advantage and Part D plans to waive cost-sharing for tests.
- Over 2,000 retail pharmacy stores, including CVS, Walmart, and Walgreens, are providing testing using new regulatory and reimbursement options.
- Deployed tens of millions of tests to nursing homes, assisted living facilities, historically black colleges and universities (HBCUs), tribes, disaster relief operations, Home Health/Hospice organizations, and the Veterans Health Administration.
- Began shipping 150 million BinaxNOW rapid tests to states, long-term care facilities, the IHS, HBCUs, and other key partners.
Pioneered groundbreaking treatments and therapies that reduced the mortality rate by 85 percent, saving over 2 million lives
- The United States has among the lowest case fatality rates in the entire world.
- The Food and Drug Administration (FDA) launched the Coronavirus Treatment Acceleration Program to expedite the regulatory review process for therapeutics in clinical trials, accelerate the development and publication of industry guidance on developing treatments, and utilize regulatory flexibility to help facilitate the scaling-up of manufacturing capacity.
- More than 370 therapies are in clinical trials and another 560 are in the planning stages.
- Announced $450 million in available funds to support the manufacturing of Regeneron’s antibody cocktail.
- Shipped tens of thousands of doses of the Regeneron drug.
- Authorized an Emergency Use Authorization (EUA) for convalescent plasma.
- Treated around 100,000 patients with convalescent plasma, which may reduce mortality by 50 percent.
- Provided $48 million to fund the Mayo Clinic study that tested the efficacy of convalescent plasma for patients with COVID-19.
- Made an agreement to support the large-scale manufacturing of AstraZeneca’s cocktail of two monoclonal antibodies.
- Approved Remdesivir as the first COVID-19 treatment, which could reduce hospitalization time by nearly a third.
- Secured more than 90 percent of the world’s supply of Remdesivir, enough to treat over 850,000 high-risk patients.
- Granted an EUA to Eli Lilly for its anti-body treatments.
- Finalized an agreement with Eli Lilly to purchase the first doses of the company’s investigational antibody therapeutic.
- Provided up to $270 million to the American Red Cross and America’s Blood Centers to support the collection of up to 360,000 units of plasma.
- Launched a nationwide campaign to ask patients who have recovered from COVID-19 to donate plasma.
- Announced Phase 3 clinical trials for varying types of blood thinners to treat adults diagnosed with COVID-19.
- Issued an EUA for the monoclonal antibody therapy bamlanivimab.
- FDA issued an EUA for casirivimab and imdevimab to be administered together.
- Launched the COVID-19 High Performance Computing Consortium with private sector and academic leaders unleashing America’s supercomputers to accelerate coronavirus research.
Brought the full power of American medicine and government to produce a safe and effective vaccine in record time
- Launched Operation Warp Speed to initiate an unprecedented drive to develop and make available an effective vaccine by January 2021.
- Pfizer and Moderna developed two vaccines in just nine months, five times faster than the fastest prior vaccine development in American history.
- Pfizer and Moderna’s vaccines are approximately 95 effective – far exceeding all expectations.
- AstraZeneca and Johnson & Johnson also both have promising candidates in the final stage of clinical trials.
- The vaccines will be administered within 24 hours of FDA-approval.
- Made millions of vaccine doses available before the end of 2020, with hundreds of millions more to quickly follow.
- FedEx and UPS will ship doses from warehouses directly to local pharmacies, hospitals, and healthcare providers.
- Finalized a partnership with CVS and Walgreens to deliver vaccines directly to residents of nursing homes and long-term care facilities as soon as a state requests it, at no cost to America’s seniors.
- Signed an executive order to ensure that the United States government prioritizes getting the vaccine to American citizens before sending it to other nations.
- Provided approximately $13 billion to accelerate vaccine development and to manufacture all of the top candidates in advance.
- Provided critical investments of $4.1 billion to Moderna to support the development, manufacturing, and distribution of their vaccines.
- Moderna announced its vaccine is 95 percent effective and is pending FDA approval.
- Provided Pfizer up to $1.95 billion to support the mass-manufacturing and nationwide distribution of their vaccine candidate.
- Pfizer announced its vaccine is 95 percent effective and is pending FDA approval.
- Provided approximately $1 billion to support the manufacturing and distribution of Johnson & Johnson’s vaccine candidate.
- Johnson & Johnson’s vaccine candidate reached the final stage of clinical trials.
- Made up to $1.2 billion available to support AstraZeneca’s vaccine candidate.
- AstraZeneca’s vaccine candidate reached the final stage of clinical trials.
- Made an agreement to support the large-scale manufacturing of Novavax’s vaccine candidate with 100 million doses expected.
- Partnered with Sanofi and GSK to support large-scale manufacturing of a COVID-19 investigational vaccine.
- Awarded $200 million in funding to support vaccine preparedness and plans for the immediate distribution and administration of vaccines.
- Provided $31 million to Cytvia for vaccine-related consumable products.
- Under the PREP Act, issued guidance authorizing qualified pharmacy technicians to administer vaccines.
- Announced that McKesson Corporation will produce store, and distribute vaccine ancillary supply kits on behalf of the Strategic National Stockpile to help healthcare workers who will administer vaccines.
- Announced partnership with large-chain, independent, and regional pharmacies to deliver vaccines.
Prioritized resources for the most vulnerable Americans, including nursing home residents
- Quickly established guidelines for nursing homes and expanded telehealth opportunities to protect vulnerable seniors.
- Increased surveillance, oversight, and transparency of all 15,417 Medicare and Medicaid nursing homes by requiring them to report cases of COVID-19 to all residents, their families, and the Centers for Disease Control and Prevention (CDC).
- Required that all nursing homes test staff regularly.
- Launched an unprecedented national nursing home training curriculum to equip nursing home staff with the knowledge they need to stop the spread of COVID-19.
- Delivered $81 million for increased inspections and funded 35,000 members of the Nation Guard to deliver critical supplies to every Medicare-certified nursing homes.
- Deployed Federal Task Force Strike Teams to provide onsite technical assistance and education to nursing homes experiencing outbreaks.
- Distributed tens of billions of dollars in Provider Relief Funds to protect nursing homes, long-term care facilities, safety-net hospitals, rural hospitals, and communities hardest hit by the virus.
- Released 1.5 million N95 respirators from the Strategic National Stockpile for distribution to over 3,000 nursing home facilities.
- Directed the White House Opportunity and Revitalization Council to refocus on underserved communities impacted by the coronavirus.
- Required that testing results reported include data on race, gender, ethnicity, and ZIP code, to ensure that resources were directed to communities disproportionately harmed by the virus.
- Ensured testing was offered at 95 percent of Federally Qualified Health Centers (FQHC), which serve over 29 million patients in 12,000 communities across the Nation.
- Invested an unprecedented $8 billion in tribal communities.
- Maintained safe access for Veterans to VA healthcare throughout the COVID-19 Pandemic and supported non-VA hospital systems and private and state-run nursing homes with VA clinical teams.
- Signed legislation ensuring no reduction of VA education benefits under the GI Bill for online distance learning.
Supported Americans as they safely return to school and work
- Issued the Guidelines for Opening Up America Again, a detailed blueprint to help governors as they began reopening the country. Focused on protecting the most vulnerable and mitigating the risk of any resurgence, while restarting the economy and allowing Americans to safely return to their jobs.
- Helped Americans return to work by providing extensive guidance on workplace-safety measures to protect against COVID-19, and investigating over 10,000 coronavirus-related complaints and referrals.
- Provided over $31 billion to support elementary and secondary schools.
- Distributed 125 million face masks to school districts.
- Provided comprehensive guidelines to schools on how to protect and identify high-risk individuals, prevent the spread of COVID-19, and conduct safe in-person teaching.
- Brought back the safe return of college athletics, including Big Ten and Pac-12 football.
Rescued the American economy with nearly $3.4 trillion in relief, the largest financial aid package in history
- Secured an initial $8.3 billion Coronavirus Preparedness and Response Act, supporting the development of treatments and vaccines, and to procure critical medical supplies and equipment.
- Signed the $100 billion Families First Coronavirus Relief Act, guaranteeing free coronavirus testing, emergency paid sick leave and family leave, Medicaid funding, and food assistance.
- Signed the $2.3 trillion Coronavirus Aid, Relief, and Economic Security (CARES) Act, providing unprecedented and immediate relief to American families, workers, and businesses.
- Signed additional legislation providing nearly $900 billion in support for coronavirus emergency response and relief, including critically needed funds to continue the Paycheck Protection Program.
- Signed the Paycheck Protection Program and Healthcare Enhancement Act, adding an additional $310 billion to replenish the program.
- Delivered approximately 160 million relief payments to hardworking Americans.
- Through the Paycheck Protection Program, approved over $525 billion in forgivable loans to more than 5.2 million small businesses, supporting more than 51 million American jobs.
- The Treasury Department approved the establishment of the Money Market Mutual Fund Liquidity Facility to provide liquidity to the financial system.
- The Treasury Department, working with the Federal Reserve, was able to leverage approximately $4 trillion in emergency lending facilities.
- Signed an executive order extending expanded unemployment benefits.
- Signed an executive order to temporarily suspend student loan payments, evictions, and collection of payroll taxes.
- Small Business Administration expanded access to emergency economic assistance for small businesses, faith-based, and religious entities.
- Protected jobs for American workers impacted by COVID-19 by temporarily suspending several job-related nonimmigrant visas, including H-1B’s, H-2B’s without a nexus to the food-supply chain, certain H-4’s, as well as L’s and certain J’s.
Great Healthcare for Americans
Empowered American patients by greatly expanding healthcare choice, transparency, and affordability
- Eliminated the Obamacare individual mandate – a financial relief to low and middle-income households that made up nearly 80 percent of the families who paid the penalty for not wanting to purchase health insurance.
- Increased choice for consumers by promoting competition in the individual health insurance market leading to lower premiums for three years in a row.
- Under the Trump Administration, more than 90 percent of the counties have multiple options on the individual insurance market to choose from.
- Offered Association Health Plans, which allow employers to pool together and offer more affordable, quality health coverage to their employees at up to 30 percent lower cost.
- Increased availability of short-term, limited-duration health plans, which can cost up to 60 percent less than traditional plans, giving Americans more flexibility to choose plans that suit their needs.
- Expanded Health Reimbursement Arrangements, allowing millions of Americans to be able to shop for a plan of their choice on the individual market, and then have their employer cover the cost.
- Added 2,100 new Medicare Advantage plan options since 2017, a 76 percent increase.
- Lowered Medicare Advantage premiums by 34 percent nationwide to the lowest level in 14 years. Medicare health plan premium savings for beneficiaries have totaled $nearly 1.5 billion since 2017.
- Improved access to tax-free health savings accounts for individuals with chronic conditions.
- Eliminated costly Obamacare taxes, including the health insurance tax, the medical device tax, and the “Cadillac tax.”
- Worked with states to create more flexibility and relief from oppressive Obamacare regulations, including reinsurance waivers to help lower premiums.
- Released legislative principles to end surprise medical billing.
- Finalized requirements for unprecedented price transparency from hospitals and insurance companies so patients know what the cost is before they receive care.
- Took action to require that hospitals make the prices they negotiate with insurers publicly available and easily accessible online.
- Improved patients access to their health data by penalizing hospitals and causing clinicians to lose their incentive payments if they do not comply.
- Expanded access to telehealth, especially in rural and underserved communities.
- Increased Medicare payments to rural hospitals to stem a decade of rising closures and deliver enhanced access to care in rural areas.
Issued unprecedented reforms that dramatically lowered the price of prescription drugs
- Lowered drug prices for the first time in 51 years.
- Launched an initiative to stop global freeloading in the drug market.
- Finalized a rule to allow the importation of prescription drugs from Canada.
- Finalized the Most Favored Nation Rule to ensure that pharmaceutical companies offer the same discounts to the United States as they do to other nations, resulting in an estimated $85 billion in savings over seven years and $30 billion in out-of-pocket costs alone.
- Proposed a rule requiring federally funded health centers to pass drug company discounts on insulin and Epi-Pens directly to patients.
- Ended the gag clauses that prevented pharmacists from informing patients about the best prices for the medications they need.
- Ended the costly kickbacks to middlemen and ensured that patients directly benefit from available discounts at the pharmacy counter, saving Americans up to 30 percent on brand name pharmaceuticals.
- Enhanced Part D plans to provide many seniors with Medicare access to a broad set of insulins at a maximum $35 copay for a month’s supply of each type of insulin.
- Reduced Medicare Part D prescription drug premiums, saving beneficiaries nearly $2 billion in premium costs since 2017.
- Ended the Unapproved Drugs Initiative, which provided market exclusivity to generic drugs.
Promoted research and innovation in healthcare to ensure that American patients have access to the best treatment in the world
- Signed first-ever executive order to affirm that it is the official policy of the United States Government to protect patients with pre-existing conditions.
- Passed Right To Try to give terminally ill patients access to lifesaving cures.
- Signed an executive order to fight kidney disease with more transplants and better treatment.
- Signed into law a $1 billion increase in funding for critical Alzheimer’s research.
- Accelerated medical breakthroughs in genetic treatments for Sickle Cell disease.
- Finalized the interoperability rules that will give American patients access to their electronic health records on their phones.
- Initiated an effort to provide $500 million over the next decade to improve pediatric cancer research.
- Launched a campaign to end the HIV/AIDS epidemic in America in the next decade.
- Started a program to provide the HIV prevention drug PrEP to uninsured patients for free.
- Signed an executive order and awarded new development contracts to modernize the influenza vaccine.
Protected our Nation’s seniors by safeguarding and strengthening Medicare
- Updated the way Medicare pays for innovative medical products to ensure beneficiaries have access to the latest innovation and treatment.
- Reduced improper payments for Medicare an estimated $15 billion since 2016 protecting taxpayer dollars and leading to less fraud, waste, and abuse.
- Took rapid action to combat antimicrobial resistance and secure access to life-saving new antibiotic drugs for American seniors, by removing several financial disincentives and setting policies to reduce inappropriate use.
- Launched new online tools, including eMedicare, Blue Button 2.0, and Care Compare, to help seniors see what is covered, compare costs, streamline data, and compare tools available on Medicare.gov.
- Provided new Medicare Advantage supplemental benefits, including modifications to help keep seniors safe in their homes, respite care for caregivers, non-opioid pain management alternatives like therapeutic massages, transportation, and more in-home support services and assistance.
- Protected Medicare beneficiaries by removing Social Security numbers from all Medicare cards, a project completed ahead of schedule.
- Unleashed unprecedented transparency in Medicare and Medicaid data to spur research and innovation.
Remaking the Federal Judiciary
Appointed a historic number of Federal judges who will interpret the Constitution as written
- Nominated and confirmed over 230 Federal judges.
- Confirmed 54 judges to the United States Courts of Appeals, making up nearly a third of the entire appellate bench.
- Filled all Court of Appeals vacancies for the first time in four decades.
- Flipped the Second, Third, and Eleventh Circuits from Democrat-appointed majorities to Republican-appointed majorities. And dramatically reshaped the long-liberal Ninth Circuit.
Appointed three Supreme Court justices, expanding its conservative-appointed majority to 6-3
- Appointed Justice Neil Gorsuch to replace Justice Antonin Scalia.
- Appointed Justice Brett Kavanaugh to replace Justice Anthony Kennedy.
- Appointed Justice Amy Coney Barrett to replace Justice Ruth Bader Ginsburg.
Achieving a Secure Border
Secured the Southern Border of the United States
- Built over 400 miles of the world’s most robust and advanced border wall.
- Illegal crossings have plummeted over 87 percent where the wall has been constructed.
- Deployed nearly 5,000 troops to the Southern border. In addition, Mexico deployed tens of thousands of their own soldiers and national guardsmen to secure their side of the US-Mexico border.
- Ended the dangerous practice of Catch-and-Release, which means that instead of aliens getting released into the United States pending future hearings never to be seen again, they are detained pending removal, and then ultimately returned to their home countries.
- Entered into three historic asylum cooperation agreements with Honduras, El Salvador, and Guatemala to stop asylum fraud and resettle illegal migrants in third-party nations pending their asylum applications.
- Entered into a historic partnership with Mexico, referred to as the “Migrant Protection Protocols,” to safely return asylum-seekers to Mexico while awaiting hearings in the United States.
Fully enforced the immigration laws of the United States
- Signed an executive order to strip discretionary Federal grant funding from deadly sanctuary cities.
- Fully enforced and implemented statutorily authorized “expedited removal” of illegal aliens.
- The Department of Justice prosecuted a record-breaking number of immigration-related crimes.
- Used Section 243(d) of the Immigration and Nationality Act (INA) to reduce the number of aliens coming from countries whose governments refuse to accept their nationals who were ordered removed from the United States.
Ended asylum fraud, shut down human smuggling traffickers, and solved the humanitarian crisis across the Western Hemisphere
- Suspended, via regulation, asylum for aliens who had skipped previous countries where they were eligible for asylum but opted to “forum shop” and continue to the United States.
- Safeguarded migrant families, and protected migrant safety, by promulgating new regulations under the Flores Settlement Agreement.
- Proposed regulations to end the practice of giving free work permits to illegal aliens lodging meritless asylum claims.
- Issued “internal relocation” guidance.
- Cross-trained United States Border Patrol agents to conduct credible fear screenings alongside USCIS (United States Citizenship and Immigration Services) adjudication personnel to reduce massive backlogs.
- Streamlined and expedited the asylum hearing process through both the Prompt Asylum Claim Review (PACR) and the Humanitarian Asylum Review Process (HARP).
- Launched the Family Fraud Initiative to identify hundreds of individuals who were fraudulently presenting themselves as family units at the border, oftentimes with trafficking children, in order to ensure child welfare.
- Improved screening in countries with high overstay rates and reduced visa overstay rates in many of these countries.
- Removed bureaucratic constraints on United States consular officers that reduced their ability to appropriately vet visa applicants.
- Worked with Mexico and other regional partners to dismantle the human smuggling networks in our hemisphere that profit from human misery and fuel the border crisis by exploiting vulnerable populations.
Secured our Nation’s immigration system against criminals and terrorists
- Instituted national security travel bans to keep out terrorists, jihadists, and violent extremists, and implemented a uniform security and information-sharing baseline all nations must meet in order for their nationals to be able to travel to, and emigrate to, the United States.
- Suspended refugee resettlement from the world’s most dangerous and terror-afflicted regions.
- Rebalanced refugee assistance to focus on overseas resettlement and burden-sharing.
- 85 percent reduction in refugee resettlement.
- Overhauled badly-broken refugee security screening process.
- Required the Department of State to consult with states and localities as part of the Federal government’s refugee resettlement process.
- Issued strict sanctions on countries that have failed to take back their own nationals.
- Established the National Vetting Center, which is the most advanced and comprehensive visa screening system anywhere in the world.
Protected American workers and taxpayers
- Issued a comprehensive “public charge” regulation to ensure newcomers to the United States are financially self-sufficient and not reliant on welfare.
- Created an enforcement mechanism for sponsor repayment and deeming, to ensure that people who are presenting themselves as sponsors are actually responsible for sponsor obligations.
- Issued regulations to combat the horrendous practice of “birth tourism.”
- Issued a rule with the Department of Housing and Urban Development (HUD) to make illegal aliens ineligible for public housing.
- Issued directives requiring Federal agencies to hire United States workers first and prioritizing the hiring of United States workers wherever possible.
- Suspended the entry of low-wage workers that threaten American jobs.
- Finalized new H-1B regulations to permanently end the displacement of United States workers and modify the administrative tools that are required for H-1B visa issuance.
- Defended United States sovereignty by withdrawing from the United Nations’ Global Compact on Migration.
- Suspended Employment Authorization Documents for aliens who arrive illegally between ports of entry and are ordered removed from the United States.
- Restored integrity to the use of Temporary Protected Status (TPS) by strictly adhering to the statutory conditions required for TPS.
Restoring American Leadership Abroad
Restored America’s leadership in the world and successfully negotiated to ensure our allies pay their fair share for our military protection
- Secured a $400 billion increase in defense spending from NATO (North Atlantic Treaty Organization) allies by 2024, and the number of members meeting their minimum obligations more than doubled.
- Credited by Secretary General Jens Stoltenberg for strengthening NATO.
- Worked to reform and streamline the United Nations (UN) and reduced spending by $1.3 billion.
- Allies, including Japan and the Republic of Korea, committed to increase burden-sharing.
- Protected our Second Amendment rights by announcing the United States will never ratify the UN Arms Trade Treaty.
- Returned 56 hostages and detainees from more than 24 countries.
- Worked to advance a free and open Indo-Pacific region, promoting new investments and expanding American partnerships.
Advanced peace through strength
- Withdrew from the horrible, one-sided Iran Nuclear Deal and imposed crippling sanctions on the Iranian Regime.
- Conducted vigorous enforcement on all sanctions to bring Iran’s oil exports to zero and deny the regime its principal source of revenue.
- First president to meet with a leader of North Korea and the first sitting president to cross the demilitarized zone into North Korea.
- Maintained a maximum pressure campaign and enforced tough sanctions on North Korea while negotiating de-nuclearization, the release of American hostages, and the return of the remains of American heroes.
- Brokered economic normalization between Serbia and Kosovo, bolstering peace in the Balkans.
- Signed the Honk Kong Autonomy Act and ended the United States’ preferential treatment with Hong Kong to hold China accountable for its infringement on the autonomy of Hong Kong.
- Led allied efforts to defeat the Chinese Communist Party’s efforts to control the international telecommunications system.
Renewed our cherished friendship and alliance with Israel and took historic action to promote peace in the Middle East
- Recognized Jerusalem as the true capital of Israel and quickly moved the American Embassy in Israel to Jerusalem.
- Acknowledged Israel’s sovereignty over the Golan Heights and declared that Israeli settlements in the West Bank are not inconsistent with international law.
- Removed the United States from the United Nations Human Rights Council due to the group’s blatant anti-Israel bias.
- Brokered historic peace agreements between Israel and Arab-Muslim countries, including the United Arab Emirates, the Kingdom of Bahrain, and Sudan.
- Brokered a deal for Kosovo to normalize ties and establish diplomatic relations with Israel.
- Announced that Serbia would move its embassy in Israel to Jerusalem.
- First American president to address an assembly of leaders from more than 50 Muslim nations, and reach an agreement to fight terrorism in all its forms.
- Established the Etidal Center to combat terrorism in the Middle East in conjunction with the Saudi Arabian Government.
- Announced the Vision for Peace Political Plan – a two-state solution that resolves the risks of Palestinian statehood to Israel’s security, and the first time Israel has agreed to a map and a Palestinian state.
- Released an economic plan to empower the Palestinian people and enhance Palestinian governance through historic private investment.
Stood up against Communism and Socialism in the Western Hemisphere