WASHINGTON – President Trump began his second term Monday with a sweeping order aimed at reversing dozens of former President Biden’s top priorities, from regulations aimed at lowering health care costs, to coronavirus awareness, to expansions of the Affordable Care Act and protections against gender discrimination.
The “initials” order, signed in front of cheering crowds at Capital One Arena, revokes dozens of Biden administration policies that the new White House called inflammatory, inflationary and possibly illegal. They understand An order from October 2022 To test Medicare and Medicaid models that could lower health care costs, an extension, Biden said, of carrying out his administration’s signature to Negotiate drug prices in the Inflation Reduction Act.
Trump also takes off some Biden administration efforts to expand access to Covid-19 treatments and vaccines, the 2021 formation of a Gender Policy Council, and multiple sex and gender discrimination protections. He ordered federal workers to return to offices full time and he froze federal hiring, with some exceptions.
Separately, Trump ordered the United States to begin the process of withdraw from the World Health Organizationwhom he blames for mishandling the covid-19 pandemic.
Trump’s broad proclamations, like any decoration of the president, typically begin the process of rulemaking and regulation at federal agencies. Inversions could face legal challenges or congressional intervention. Several of Biden’s orders were related to laws passed by Congress.
ACT
Trump reversed Biden’s executive order that led to longer enrollment periods for Affordable Care Act plans in most states and additional funding for third parties that help people enroll in the ACA insurance. These measures helped the Biden administration double ACA enrollment to about 24 million people, although those gains were mainly due to additional government subsidies that reduced the cost of ACA premiums.
Drug price
Trump also rescinded an executive order that prompted the Center for Medicare and Medicaid Innovation to create Three drug pricing experiments It hasn’t completely died down yet. It is unclear whether CMMI under the new administration will continue to pursue them.
The first model aimed to help state Medicaid programs pay for cell and gene therapies that are highly effective but expensive. The idea was to create multistate purchasing agreements that would allow states to not pay for drugs if they were ineffective.
CMMI has begun the process of enrolling states in the pilot program, and the application is expected to be open until February 28.
The second experiment tests Medicare poses less for drugs that receive accelerated approvals from the Food and Drug Administration. Accelerated approvals make promising drugs available to patients sooner, before it is fully proven that the drugs actually work. The reduced payments would, theoretically, incentivize drugmakers to finish studying drugs through confirmatory trials.
The final pilot is designed to encourage Medicare prescription drug plans to offer generic drugs for common chronic conditions for a flat copay at $2. The goal was to standardize copays for generic drugs and encourage patients to continue taking medications.
THE Pick intended to work CMMI Under the Trump administration is former White House and Department of Health and Human Services aide Abe Sutton.
COVID-19(female
Trump revoked several Biden policies aimed at tackling the Covid-19 pandemic and preparing the country for future infectious disease outbreaks. All were issued in 2021 amid the crisis and were meant to boost Covid-19 testing, treatment research, provide economic relief and improve pandemic cooperation with other countries.
Gender and gender discrimination
The president, as he promised on the campaign trail and during his inauguration speech, also targeted a number of health and education policies that establish protections for LGBTQ+ people and transgender people in particular .
“It will henceforth be the official policy of the United States Government that there are only two sexes, male and female,” Trump said during his inauguration speech.
The orders rescinded Monday include a 2022 policy against discrimination against people on the basis of sexual or gender identity that ordered support for LGBTQ+ students and directed officials to end programs promoting so-called conversion therapy both domestically and internationally. Trump also reversed Biden’s orders to promote gender and gender identity protections in schools.
Trump also rescinded a 2021 Biden order to establish the Gender Policy Council, initially chaired by Jennifer Klein, a veteran of the Obama and Clinton administrations.