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Health Care Accomplishments Tracker

January 2021

  • On his first day in office, President Biden signed Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, which called for the Federal Government to advance an ambitious, whole-of-government equity agenda.
  • Following issuance of an Executive Order to strengthen access to affordable, quality health care, President Biden reopened HealthCare.gov for a special enrollment period to help Americans gain coverage as they continue to suffer from the health and economic impacts of the pandemic. Reopening the ACA Marketplace means nearly 9 million people will be eligible for free or subsidized health insurance coverage.
  • The Biden-Harris administration announced it will invest $50 million in marketing and education efforts during the special enrollment period to reach groups that have historically experienced lower access to health coverage and greater disparities in health outcomes.
  • President Biden established a COVID-19 Health Equity Task Force to mitigate the health disparities revealed and exacerbated by the pandemic. 
  • President Biden directed federal agencies to consider actions to strengthen and protect access to health care. President Biden also directed federal agencies to re-examine Trump-era policies that undermine the ACA and Medicaid. 

February 2021

  • The Biden-Harris administration sent letters to states signaling it would end Trump’s disastrous Medicaid work requirements program.
  • The Biden-Harris administration announced it would defend the Affordable Care Act in California v. Texas, the lawsuit before the Supreme Court to completely dismantle the law. This move reverses the Trump administration’s support for ripping away coverage from more than 20 million Americans and protections for 135 million people with pre-existing conditions.

March 2021

  • President Biden signed the American Rescue Plan into law, providing essential relief during the COVID-19 pandemic and delivering lower health care premiums to millions of families. The American Rescue Plan: 
    • Lowers health care costs for millions by increasing financial assistance in the exchanges and makes financial assistance more widely available to middle class families, ensuring people purchasing coverage on the ACA marketplaces will not pay more than 8.5 percent of their income for coverage. Families will now save an average of $2,400 a year on their health insurance premiums.
    • Eliminates premiums for those making 150 percent of the federal poverty level.
    • Expands coverage and builds on public health emergency continuous coverage protections by providing robust financial incentives for the states that have not yet implemented Medicaid expansion. 
    • Creates a pathway to coverage for pregnant Americans, allowing states to extend postpartum coverage under Medicaid from 60 days to 12 months following pregnancy. 

April 2021

  • The Biden-Harris administration announced that more than 528,000 Americans signed up for insurance through the ACA Marketplace during the first six weeks of the special enrollment period, and 17 percent of sign-ups came from Black Americans.
  • The Biden-Harris administration began rolling back Trump’s gag rule that barred family planning providers from mentioning abortion to patients in order to receive Title X funding. Trump’s rule forced more than 1,000 clinics to leave the program and reduced the provider capacity of the Title X network by nearly half. The Biden-Harris administration’s rule will restore essential funding back to these providers, like Planned Parenthood, which offer essential health care services to low-income patients, including STI screenings and contraception. 
  • In a joint session to Congress, President Biden outlined bold proposals to further expand coverage, keep premium costs low for millions of people in America who buy insurance on their own, and lower the high cost of prescription drugs by giving Medicare the power to negotiate with drug companies. 

May 2021 

  • The Biden-Harris administration announced that nearly one million Americans signed up for insurance through the ACA Marketplace between February 15 and April 30. Importantly, many of these enrollees have been able to take advantage of the dramatic savings under the American Rescue Plan, with the average monthly premiums falling to $86 for those signing up in April. Another two million enrollees that signed up before the American Rescue Plan’s subsidies took effect returned to the Marketplace and saw their premiums cut by 40 percent. 

July 2021

  • The Missouri Supreme Court unanimously ruled in favor of Medicaid expansion, reversing a lower court decision rejecting the program. In August 2020, voters in Missouri approved expansion, but Republicans in the state legislature refused to fund the program, leading to a months-long legal battle. 

October 2021

  • HHS announced the release of the new HHS Overdose Prevention Strategy to increase access to the full range of care and services for individuals who use substances that cause overdose and their families. This new strategy prioritizes four key target areas—primary prevention, harm reduction, evidence-based treatment, and recovery support—and reflects the Biden-Harris administration principles of maximizing health equity for underserved populations.

November 2021

  • Under the leadership of President Biden, House Democrats passed the Build Back Better Act. The legislation includes historic measures to strengthen American health care, lower insurance premiums, give Medicare the power to negotiate for lower drug prices, expand affordable coverage to millions by closing the Medicaid coverage gap, expand Medicare benefits, and invest $150 billion in home care for seniors and people with disabilities. 

January 2022

  • The Biden-Harris administration announced that a record 14.5 million Americans received their health insurance through the ACA marketplaces, thanks in large part to the American Rescue Plan. The administration noted that more than 5.8 million Americans newly gained coverage through the Marketplace in 2021, including 2.8 million Americans who enrolled during the Special Enrollment Period (SEP). Marketplace enrollment increases have been particularly large for Hispanic, Black and American Indian and Alaska Native people. 
  • The No Surprises Act took effect on January 1, prohibiting surprise medical bills for out-of-network care that occurs in unexpected or emergency situations.

April 2022

June 2022

July 2022

  • HHS announced a proposed rule implementing Section 1557 of the Affordable Care Act that prohibits discrimination on the basis of race, color, national origin, sex, age, and disability in certain health programs and activities. This proposed rule reverses harmful Trump administration action and restores and strengthens civil rights protections for patients and consumers in certain federally funded health programs and HHS programs services. 

August 2022

  • President Biden signs the Inflation Reduction Act into law, which lowers prescription drug and premium costs for millions of seniors and families. The Inflation Reduction Act: 
    • Protects seniors from prescription drug hikes. Under the Inflation Reduction Act, when drug companies hike prices faster than that the rate of inflation, they will have to pay Medicare a rebate. This will not only save the government billions of dollars, but it will drastically reduce out-of-pocket costs for Medicare beneficiaries. 
    • Gives Medicare the power to negotiate lower drug prices, which will save taxpayers billions of dollars and lower costs for some of the most popular and expensive prescription drugs. By 2030, 80 of the most expensive prescription drugs will have lower prices because of these negotiations.
    • Caps drug costs for seniors. Under this new law, Part D plans will be required to cap annual out-of-pocket spending to $2,000, giving over 46.6 million Americans with Medicare Part D more reassurance and financial stability.
    • Cuts insulin costs. The Inflation Reduction Act caps insulin prices at no more than $35 for all Medicare beneficiaries beginning in January 2023 — saving seniors up to $1,500 annually.
    • Provides free vaccines for seniors. All Medicare Part D beneficiaries will have access to covered vaccines, such as shingles and Tdap, at no cost starting in 2023. 
    • Lowers health insurance premiums for millions of Americans. The Inflation Reduction Act saves the average American family $2,400 a year. 
    • Caps the amount of money families pay for health insurance. The Inflation Reduction Act ensures families pay no more than 8.5 percent of their income towards coverage. 
    • Eliminates premiums for low-wage workers. The Inflation Reduction Act ensures no American with an income at or below 150 percent of the federal poverty level buying their coverage on the Marketplace will pay a premium.
  • The Biden-Harris administration announced that the uninsured rate reached an all-time low of 8 percent. 
  • Ahead of the 2023 open enrollment period, the Biden-Harris administration announced the single-largest investment ever in the Navigator program of nearly $100 million to help connect more people to affordable coverage, with a focus on outreach to racial and ethnic minorities, people in rural areas, LGBTQ+ people, and other underserved communities.
  • CMS proposed a rule making it easier for millions of eligible people to enroll in and retain their Medicaid coverage. The rule would reduce red tape and simplify applications, verifications, enrollment, and renewals for health care coverage through Medicaid and the Children’s Health Insurance Program (CHIP). 
  • Following the Dobbs v. Jackson decision, President Biden signed an Executive Order on Securing Access to Reproductive and Other Healthcare Services, building on actions that the Biden-Harris administration has taken to protect access to reproductive health care services and defend women’s fundamental rights.  

October 2022

  • The White House announced that President Biden will sign an executive order directing the Department of Health and Human Services to explore new actions it can take to lower prescription drug costs for middle-class families. 
  • The Biden-Harris administration issued a final rule to fix the “family glitch,” which blocked millions of families from accessing affordable coverage through the ACA marketplaces. This rule will expand coverage and lower health care costs for more than one million Americans.

November 2022 

  • HHS announced that new enrollments for ACA coverage are up nearly 40% over last year thanks to the enhanced subsidies in the Inflation Reduction Act and the administration’s historic investment in the Navigator program. 
  • South Dakota residents voted to expand Medicaid to more than 40,000 people across the state. 

December 2022

  • The Centers for Medicare & Medicaid Services (CMS) released the proposed Notice of Benefit and Payment Parameters for 2024, which takes important steps to make ACA coverage more accessible, affordable, and equitable for the American people. Specifically, the new rules expand access to mental health and substance use disorder treatment, promote prescription drug affordability, and make it easier for patients to enroll in and maintain their health insurance. 
  • President Biden signed legislation to guarantee 12-month continuous coverage for children on Medicaid and CHIP once they are enrolled, ensuring millions are not arbitrarily thrown off of their coverage. The bill also gives states the ability to extend postpartum Medicaid coverage for new mothers and takes important steps to ensure people who qualify for Medicaid stay covered when states are allowed to end pandemic coverage requirements.

January 2023

  • The Department of Health and Human Services announced that 16.3 million people have signed up for health coverage during the 2023 open enrollment period. This represents a record number of Americans who signed up for coverage under the Affordable Care Act. This is more than a 12 percent increase from the same time last year. 
  • On January 1, 2023, two key provisions of the Inflation Reduction Act took effect. First, insulin copays are now capped at $35 per month for more than three million diabetics covered by Medicare. Second, all adults on Medicare Part D have access to covered vaccines, such as shingles and Tdap, at no cost. These policies alone will save seniors hundreds of dollars on their health care costs, keep millions of people healthy, and prevent dangerous complications associated with diabetes, shingles, and other serious diseases. 
  • President Biden signed a new Executive Order, Further Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, to strengthen and reaffirm the administration’s commitment to deliver equity and build an America in which all can participate, prosper, and reach their full potential.

February 2023 

  • The Biden-Harris administration announced it had effectively implemented the largest adult vaccination program in U.S. history, with nearly 270 million Americans receiving at least one shot of a COVID-19 vaccine.

March 2023

  • As a result of the Biden-Harris administration’s stewardship of the ACA Marketplaces since taking office, 4.4 million more Americans, a total of 16.4 million enrolled in affordable Marketplace coverage.  
  • On the 13th anniversary of the Affordable Care Act (ACA) being signed into law, North Carolina became the 40th state to expand Medicaid, extending affordable health care to 600,000 North Carolinians.
  • The Biden-Harris administration announced that, as a result of the American Rescue Plan, an estimated 462,000 Americans across 30 states and the District of Columbia have access to 12 months of postpartum coverage, a key policy to reduce maternal health disparities that exist for Black, Indigenous, and rural mothers. 
  • In response to calls from President Biden, the three largest insulin manufacturers announced $35 monthly out-of-pocket cost caps, lowering costs of about 90% of the insulin on the market.

April 2023

  • HHS finalized a rule to crack down on misleading advertising from insurers on Medicare Advantage plans. 
  • As the pandemic-era Medicaid continuous coverage requirement ends, the Biden-Harris administration is working to ensure states have strong plans in place to keep people covered and prevent those who still qualify for Medicaid coverage from losing it.
  • President Biden announced a historic set of executive actions to support and strengthen the caregiving workforce, including family caregivers and long-term care workers for seniors and people with disabilities. 
  • The Department of Justice announced it was seeking a stay of the devastating ruling in Braidwood Management v. Becerra, which ends a major provision of the Affordable Care Act (ACA) that requires no-cost coverage of lifesaving preventive health care services. Braidwood is the latest effort by ACA opponents and their Republican allies to dismantle American health care. 
  • CMS issued two new rules to strengthen access to care for millions of people who rely on Medicaid and the Children’s Health Insurance Program (CHIP). Together, the two new rules would ensure the 92 million adults and children who rely on Medicaid have meaningful access to health care services including primary care, behavioral health and substance use disorder services, and OB/GYN care by establishing national standards for the time patients must wait to see a provider and the distance they must travel.
  • CMS released a proposal to expand health care to DACA recipients.

May 2023

  • President Biden committed to protecting health care for millions of Americans as Republicans are seeking to rip away coverage for as many as 21 million people who rely on Medicaid through their extreme “Default on America Act.” President Biden told reporters Medicaid is off the table while the White House confirmed “he will not accept proposals that take away peoples’ health coverage.”
  • CMS announced a proposal to increase prescription drug pricing transparency in Medicaid to hold drug manufacturers accountable while saving taxpayers money and strengthening Medicaid.

June 2023

  • President Biden signed legislation protecting millions of Americans’ health care, avoiding default on our nation’s debt. This victory was achieved for the American people despite Republicans’ best effort to rip Medicaid away from 21 million Americans with burdensome paperwork requirements after trying to hold the economy hostage in order to get their way. 
  • The Biden administration announced that the number of drugs subject to the Inflation Reduction Act’s inflation penalties has doubled. This means that 43 prescription drugs had price hikes outpacing the annual rate of inflation last quarter, and now these drug manufacturers must pay Medicare a rebate and Medicare beneficiaries will see lower coinsurance costs. According to CMS, beneficiaries could save up to $449 per dose on these drugs. 
  • The Biden administration announced investments in helping up to 3 million eligible seniors and people with disabilities enroll in the Extra Help program in 2023 to benefit from the program’s lower cost premiums, deductibles, and copayments. The program. The Inflation Reduction Act expanded the program, and the expansion goes into effect in January 2024.
  • President Biden issued an executive order on strengthening access to affordable contraception and family planning services.

July 2023

  • The Biden administration announced new executive actions to lower health care costs and protect people with pre-existing conditions. The new actions work to eliminate surprise medical bills and limit junk insurance plans that do not need to cover people with pre-existing conditions like asthma, cancer, and diabetes. 
  • HHS finalized the guidance that describes how Medicare will negotiate with big drug companies for lower drug prices and released a new report showing that nearly 19 million people with Medicare will save an average of $400 thanks to the Inflation Reduction Act’s $2,000 annual cost caps alone.

August 2023

  • The Biden administration announced the first round of high-cost drugs whose prices will come down as part of the Inflation Reduction Act’s Medicare Drug Price Negotiation Program. This program will lower prices for some of the highest-priced prescription drugs on the market used to treat conditions like cancer, diabetes, and autoimmune disorders – conditions that disproportionately impact women, communities of color, and people in rural areas.
  • The Biden administration announced that it is requiring states to take immediate action to ensure their Medicaid systems to automatically renew coverage do not disenroll people who currently qualify for Medicaid. This action is essential to protecting coverage for people who rely on Medicaid and will especially help children and people of color stay covered. 

September 2023

  • The Biden administration released a historic proposed rule that strengthens prohibitions discrimination for people with disabilities in any program or activity receiving funding from HHS. 
  • The Biden administration announced that nearly 500,000 children and adults who were improperly disenrolled from Medicaid and CHIP will regain their coverage. Thanks to the Biden administration’s actions, those people will once again receive Medicaid coverage and any medical bills they incurred while they were disenrolled from the program will be covered. 
  • The Biden administration successfully defended a lawsuit from drug company allies that would have halted Medicare’s ability to negotiate lower drug prices.

November 2023

  • The Biden administration announced that 1.6 million people have signed up for health care coverage on the ACA Marketplace during the first week of open enrollment, which represents a 50 percent increase over the same period last year. Of those who signed up week one, more than 300,000 were new customers.
  • The White House and HHS released new resources to help support federal agencies, states, local and tribal governments to better coordinate health care, public health, and social services — specifically by releasing the first ever U.S. Playbook to Address Social Determinants of Health.
  • CMS proposed a rule to allow states to include adult dental services as an essential health benefit that ACA health plans must cover without annual or lifetime limits.
  • CMS approved Missouri as the 40th state to implement a full 12 months of Medicaid postpartum coverage, which was an option made available through the American Rescue Plan.

December 2023

  • The Biden administration announced plans to lower prices for certain high-priced medicines by developing a policy for using federal “march-in rights” to license drugs to other manufacturers who could sell it for less. The plan includes a new framework for federal agencies to determine when it is appropriate to apply march-in rights authority to a specific high-cost drug that was developed using taxpayer dollars. The move is expected to stop price gouging and boost competition between drug manufacturers to lower prices for patients.
  • The Biden administration announced that dozens of drug companies will be required to pay a rebate to Medicare because they raised prices faster than the rate of inflation. In total, 48 drugs under Medicare Part B hiked prices faster than inflation in the last quarter of 2023, and now the rebate payments are expected to save seniors who take these drugs up to $2,786 per dose. 
  • The Biden administration announced a new policy to ensure the best value for taxpayers by establishing a fair pricing standard for medical products purchased by the Administration for Strategic Preparedness and Response.
  • The Biden administration released a new report on the first 10 drugs selected for Medicare negotiation under the Inflation Reduction Act. Seven of the 10 drugs used taxpayer dollars during development and the rate of growth in spending for these 10 drugs was more than 3 times as fast as for all Part D drugs over the same period.

January 2024

  • A new provision of the Inflation Reduction Act took effect: a total spending cap on prescription drug costs. This year, millions of seniors will see new limits on out-of-pocket spending for their prescriptions, and next year they will pay no more than $2,000 on drugs across the board. According to the Kaiser Family Foundation, this particularly helps seniors with serious conditions like cancer and Multiple Sclerosis. Seniors will also continue to save on insulin and vaccines.
  • The Biden administration announced that a record 21.3 million Americans have signed up for health insurance through the Affordable Care Act (ACA) marketplaces – over nine million more than when President Biden took office. Thanks to the Inflation Reduction Act lowering health insurance premiums, 80 percent of enrollees were able to find a health plan through the Marketplace for $10 or less per month.

February 2024

  • The Center for Medicare and Medicaid services took a major step to lower the prices of prescription drugs by kicking off the first round of negotiations under the Inflation Reduction Act’s Medicare Drug Price Negotiation Program. 

March 2024

  • The president signed an executive order directing federal agencies to prioritize women’s health research, including studying conditions like menopause, arthritis, and heart disease.
  • The Biden administration issued a final rule to protect consumers and limit short-term junk plans that do not need to cover pre-existing conditions. This move by President Biden will protect consumers from junk insurance that often uses deceptive marketing practices and leaves American families with staggering medical bills.
  • President Biden and Vice President Kamala Harris visited North Carolina to celebrate the progress that the administration has made to expand and protect affordable health care. They pointed to record enrollment under the ACA, lower premiums for people who buy coverage on their own, and prescription drug savings for millions of Americans. President Biden also outlined plans to further expand affordable health care for people across North Carolina and the nation. 
  • The Biden administration announced a final rule that improves how millions of Americans, including children, apply for and renew coverage through Medicaid, CHIP, and the Basic Health Program (BHP). The rule standardizes enrollment and renewal processes nationwide and applies consumer protections from the ACA to Medicaid and CHIP enrollees, like banning lifetime limits and waiting periods.
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