Health Equity Policy Tracker

Monitoring and translating policies that impact health equity.

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In Force

Memo: Eliminating Waste, Fraud, and Abuse in Medicaid

Department of Health and Human Services
Last Updated
December 10, 2025
Date Enacted
June 6, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This memorandum directs HHS and CMS to eliminate waste, fraud, and abuse in Medicaid by ensuring Medicaid payment rates are not higher than Medicare rates to safeguard program integrity and protect taxpayers while preserving coverage for eligible individuals.

Healthcare Coverage
Healthcare Delivery, Services & Quality
Justice System
In Force

Rule: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly

Department of Health and Human Services
Last Updated
December 10, 2025
Date Enacted
April 4, 2025
Policy Type
Rule
Rule

Policy Type: Rule

A legally binding directive issued by a federal agency to implement, interpret, or enforce laws passed by Congress. Rules go through a formal rulemaking process, including public notice and comment, before taking effect.

Who It Impacts: Businesses, organizations, and individuals subject to federal agency oversight. For example, a new environmental regulation could impact manufacturing companies, or a healthcare rule could affect providers and insurers.

Who Is Not Impacted: People or entities not subject to the agency’s jurisdiction. For example, a rule by the Environmental Protection Agency (EPA) regulating industrial emissions would not directly impact a restaurant owner unless they operate in an affected industry.

The CY 2026 final rule updates Medicare Advantage, Part D drug plans, insulin cost-sharing, Medicare cost plans and PACE, revising payment policies, codifying drug-price and prescription-coverage adjustments under the Inflation Reduction Act, and adding transparency and technical changes to improve plan operations and beneficiary protections.

Healthcare Coverage
Healthcare Delivery, Services & Quality
Social Safety Net
In Force

EO 14202: Eradicating Anti-Christian Bias

Executive Office of the President - White House Office
Last Updated
December 10, 2025
Date Enacted
February 6, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

The administration asserts that previous policies and actions have targeted Christianity and limited religious freedom. This executive order establishes a Task Force to Eradicate Anti-Christian Bias to review activities of all executive departments and agencies for any policies or actions which may be “anti-Christian” and make recommendations and develop strategies to address them to promote religious freedom.

Public Health
Education
Social Safety Net
In Force

EO 14337: Revocation of Executive Order on Competition

Executive Office of the President - White House Office
Last Updated
December 10, 2025
Date Enacted
August 13, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order revokes EO 14036 (Promoting Competition in the American Economy), which was designed to encourage fair competition and prohibit monopolization. Through revocation, Executive Order 14337 makes it easier for companies to consolidate and reduces competition in the marketplace.

Food & Nutrition
Healthcare Coverage
Healthcare Delivery, Services & Quality
In Force

Memo: CDC Covid-19 Funding Cancellation

Department of Health and Human Services
Last Updated
December 10, 2025
Date Enacted
March 25, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

The Department of Health and Human Services issued a statement to cancel the $11.4 billion in supplemental COVID-19 funding previously issued to state and local public health departments for pandemic response. As a result of lawsuits, approximately 80% of funding has been restored to 23 states. The remaining states have not had their funding restored.

Public Health
Healthcare Delivery, Services & Quality
In Force

EO 14356: Ensuring continued accountability in federal hiring

Executive Office of the President - White House Office
Last Updated
December 10, 2025
Date Enacted
October 15, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order continues existing hiring freezes to reduce the federal workforce. In order for a federal civilian position to be filled, an agency must form a Strategic Hiring Committee to review and approve new hires and agencies must develop annual staffing plans to be coordinated with the Office of Personnel Management and the Office of Management and Budget. There are exemptions for positions connected with the Executive Office of the President, political appointees, defense, law enforcement and immigration. Programs such as Social Security, Medicare and benefits for veterans are protected, and agencies are prohibited from hiring contractors.

Public Health
Research and Data
Food & Nutrition
Social Safety Net
In Force

Memo: Delivering Emergency Price Relief for American Families and Defeating the Cost of Living Crisis

Executive Office of the President - White House Office
Last Updated
December 10, 2025
Date Enacted
January 20, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This memo asserts that previous policies have reduced the supply of consumer products, increased housing costs, and increased the cost of gas-powered vehicles through subsidizing electric vehicles. In response, the memo directs executive departments and agencies to deliver “emergency price relief.” Actions may include lowering the cost of housing, reducing the cost of home appliances, reducing healthcare associated expenses, creating employment opportunities, and eliminating climate policies.

Housing
Climate
Healthcare Delivery, Services & Quality
In Force

EO 14212: Establishing the President’s Make America Healthy Again (MAHA) Commission

Executive Office of the President - White House Office
Last Updated
December 10, 2025
Date Enacted
February 13, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

EO 14212 established the MAHA Commission to address the prevalence of chronic disease, especially childhood chronic disease, by examining food, chemicals, medications, technology use, and other lifestyle factors. MAHA is commissioned to conduct an assessment to identify the scope and drivers of childhood chronic disease and develop a federal action plan focused on nutrition, environmental factors, physical inactivity, stress, and medication usage.

Food & Nutrition
Healthcare Delivery, Services & Quality
Public Health
In Force

Memo: Rescission of Guidance on Adding Sexual Orientation and Gender Identity

Department of Health and Human Services
Last Updated
December 10, 2025
Date Enacted
June 5, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This memo rescinds the Center for Medicaid and CHIP Services (CMCS) Informational Bulletin, Guidance on Adding Sexual Orientation and Gender Identity Questions to State Medicaid and CHIP Applications for Health Coverage. The rescission is due to a decision to stop collecting information on sexual orientation and gender identity as part of Transformed Medicaid Statistical Information System (T-MSIS) data submissions. Affected agencies and individuals include those involved with Medicaid and the Children’s Health Insurance Program (CHIP).

Healthcare Coverage
Research and Data
In Force

Agency Directive: Medicaid Managed Care Payments and Emergency Medical Condition Coverage for “Aliens” Ineligible for Full Medicaid Benefits

Department of Health and Human Services
Last Updated
December 10, 2025
Date Enacted
September 30, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

The guidance from the Center for Medicare and Medicaid Services (CMS) directs how providers and health systems claim federal Medicaid funds to provide care for individuals ineligible for full Medicaid, under the “emergency medical condition provision” of the Social Security Act. Under this interpretation, risk-based capitation payments made to managed care organizations (MCOs), prepaid inpatient health plans (PIHPs), and prepaid ambulatory health plans (PAHPs) for those ineligible for Medicaid will no longer qualify for federal matching funds.

Healthcare Coverage
Healthcare Delivery, Services & Quality
Social Safety Net
Research and Data
In Force

2025 Marketplace Integrity and Affordability Proposed Rule

Department of Health and Human Services
Last Updated
December 3, 2025
Date Enacted
June 25, 2025
Policy Type
Rule
Rule

Policy Type: Rule

A legally binding directive issued by a federal agency to implement, interpret, or enforce laws passed by Congress. Rules go through a formal rulemaking process, including public notice and comment, before taking effect.

Who It Impacts: Businesses, organizations, and individuals subject to federal agency oversight. For example, a new environmental regulation could impact manufacturing companies, or a healthcare rule could affect providers and insurers.

Who Is Not Impacted: People or entities not subject to the agency’s jurisdiction. For example, a rule by the Environmental Protection Agency (EPA) regulating industrial emissions would not directly impact a restaurant owner unless they operate in an affected industry.

The 2025 Marketplace Integrity and Affordability Proposed Rule revises Affordable Care Act (ACA) Marketplace eligibility and enrollment by focusing on program integrity. It impacts enrollment and eligibility, income verification and tax reconciliation, plan and benefit design, reenrollment, premium requirements, and policies that affect LGBTQIA+ and rural communities, immigrants, and individuals with Deferred Action for Childhood Arrivals (DACA) status.

Healthcare Coverage
In Force

EO 14212: Establishing the President’s Make America Healthy Again (MAHA) Commission

Executive Office of the President - White House Office
Last Updated
December 3, 2025
Date Enacted
February 13, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

EO 14212 established the MAHA Commission to address the prevalence of chronic disease, especially childhood chronic disease, by examining food, chemicals, medications, technology use, and other lifestyle factors. MAHA is commissioned to conduct an assessment to identify the scope and drivers of childhood chronic disease and develop a federal action plan focused on nutrition, environmental factors, physical inactivity, stress, and medication usage.

Food & Nutrition
Healthcare Delivery, Services & Quality
Public Health
In Force

Defending American Companies and Innovators From Overseas Extortion and Unfair Fines and Penalties

Executive Office of the President - White House Office
Last Updated
December 3, 2025
Date Enacted
February 21, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This memo directs federal agencies to impose tariffs or other responsive actions in response to foreign government’s taxes or regulatory structures that are viewed as “discriminatory, disproportionate.” Factors that would be included in determining the response include taxes discriminating against US companies, regulations inhibiting the growth of US companies, actions that could jeopardize US companies’ intellectual property, or any actions that decrease US company global competitiveness.

Housing
Transportation
Food & Nutrition
Cash or Economic Assistance
Social Safety Net
In Force

EO 14336: Ensuring American Pharmaceutical Supply Chain Resilience by Filling the Strategic Active Pharmaceutical Ingredients Reserve

Executive Office of the President - White House Office
Last Updated
December 3, 2025
Date Enacted
August 13, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order directs HHS’s Office of the Assistant Secretary for Preparedness and Response (ASPR) to stockpile a six-month supply of Active Pharmaceutical Ingredients (APIs) for approximately 26 critical drugs in a Strategic API Reserve (SAPIR), prioritizing U.S.-made ingredients. Within 90 days of the EO, the ASPR is additionally directed to develop a plan to maintain 86 essential medicines and medical countermeasures, obtaining APIs for those drugs if not already included in the list of 26 critical drugs.

Healthcare Delivery, Services & Quality
Public Health
In Force

EO 14249: Protecting America’s Bank Account Against Fraud, Waste, and Abuse

Executive Office of the President - White House Office
Last Updated
December 2, 2025
Date Enacted
March 25, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This order strengthens financial integrity by empowering the U.S. Treasury to verify payments before disbursing funds and consolidates federal financial systems. It also increases transparency on how taxpayer dollars flow, aiming to reduce fraud, waste, and abuse in federal spending.

Social Safety Net
In Force

EO 14243: Stopping Waste, Fraud and Abuse by Eliminating Information Silos

Executive Office of the President - White House Office
Last Updated
December 2, 2025
Date Enacted
March 26, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This order requires federal agencies to remove barriers to data access by enabling the sharing of unclassified records across agencies and between the federal government and states, aiming to detect and prevent waste, fraud, and abuse more effectively.

Research and Data
Public Health
Justice System
Social Safety Net
In Force

EO 14221: Making America Great Again by Empowering Patients with Clear, Actionable Healthcare Pricing Information

Executive Office of the President - White House Office
Last Updated
December 2, 2025
Date Enacted
February 25, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order directs federal agencies to enhance and enforce healthcare price transparency, requiring actual (not estimated) prices, standardization across providers and insurers, and stronger accountability mechanisms to empower patients with meaningful cost information and promote affordability and competition.

Cash or Economic Assistance
Healthcare Coverage
Healthcare Delivery, Services & Quality
Research and Data
In Force

EO 14179: Removing Barriers to American Leadership in Artificial Intelligence

Executive Office of the President - White House Office
Last Updated
December 2, 2025
Date Enacted
January 23, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order establishes U.S. policy to “sustain and enhance America’s global AI dominance,” directs the development of a federal AI Action Plan within 180 days, and mandates the review, suspension, or rescission of prior government actions deemed to hinder innovation.

Research and Data
Education
Healthcare Delivery, Services & Quality
Public Health
In Force

Notice of Medicaid Information Sharing Between the Centers for Medicare & Medicaid Services and the Department of Homeland Security

Last Updated
December 2, 2025
Date Enacted
November 25, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This notice establishes that Centers for Medicare and Medicaid Services (CMS) will share information with the Department of Homeland Security (DHS) and U.S. Immigration and Customs Enforcement (ICE). Potential information shared include biographical details, immigration and citizenship status, contact information and location data. CMS will securely share the minimum amount of information necessary and ICE may request additional information on a case-by-case basis.

Public Health
Research and Data
Healthcare Coverage
Healthcare Delivery, Services & Quality
Social Safety Net
Introduced

Proposed Rule: Public Charge Ground of Inadmissibility

Department of Homeland Security
Last Updated
December 2, 2025
Date Enacted
Policy Type
Rule
Rule

Policy Type: Rule

A legally binding directive issued by a federal agency to implement, interpret, or enforce laws passed by Congress. Rules go through a formal rulemaking process, including public notice and comment, before taking effect.

Who It Impacts: Businesses, organizations, and individuals subject to federal agency oversight. For example, a new environmental regulation could impact manufacturing companies, or a healthcare rule could affect providers and insurers.

Who Is Not Impacted: People or entities not subject to the agency’s jurisdiction. For example, a rule by the Environmental Protection Agency (EPA) regulating industrial emissions would not directly impact a restaurant owner unless they operate in an affected industry.

This proposed rule rescinds the 2022 public charge ground of inadmissibility regulations, which returns the determination of whether an immigrant is likely to be a public charge back to a case-by-case basis, at the discretion of individual officers. “Public charge” is when an immigrant is considered primarily reliant on public services. Under this proposed rule, officers could consider many past and current factors in making this determination, including use of Medicaid, SNAP, CHIP, or housing assistance.

Public Health
Healthcare Delivery, Services & Quality
Social Safety Net
Healthcare Coverage
In Force

EO 14283: White House Initiative to Promote Excellence and Innovation at Historically Black Colleges and Universities

Executive Office of the President - White House Office
Last Updated
November 21, 2025
Date Enacted
April 23, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order establishes the White House Initiative on Historically Black Colleges and Universities (HBCUs). The initiative is focused on increasing the role of the private sector in HBCUs institutional infrastructure and helping to provide opportunities for HBCU students. It also commits to making college and degree attainment more affordable, encouraging states to provide required State matching funds for 1890 Land-Grant institutions and enhancing the information regarding HBCUs in the public policy space.

Education
In Force

EO 14277: Advancing Artificial Intelligence Education for American Youth

Executive Office of the President - White House Office
Last Updated
November 21, 2025
Date Enacted
April 23, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order prioritizes Artificial Intelligence (AI) education and training for both teachers and students so that they may use AI in the classroom for the purposes of equipping students with AI skills to enter the future workforce. To do this, it 1) establishes an Artificial Intelligence Education Task Force, 2) establishes the Presidential Artificial Intelligence Challenge to encourage student and educator learning, 3) directs the Task Force to identify and provide resources to support AI instruction in K-12, 4) enhances training for educators on AI, and 5) establishes apprenticeships to support AI skill development for youth.

Education
Research and Data
Climate
In Force

EO 14218: Preventing Illegal Aliens from Obtaining Social Security

Executive Office of the President - White House Office
Last Updated
November 21, 2025
Date Enacted
April 15, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

EO 14218 requires the Social Security Administration (SSA), the Department of Health and Human Services (DHHS), and the Department of Labor (DOL) to strengthen enforcement efforts to prevent ineligible undocumented immigrants from receiving SSA benefits. While eligibility laws already exist, the policy expands investigations, data matching, and fraud prevention measures, raising national concerns about income disruptions, errors, and avoidance of care.

Social Safety Net
Public Health
Healthcare Delivery, Services & Quality
Cash or Economic Assistance
Food & Nutrition
In Force

EO: 14190 Removing Discrimination and Discriminatory Equity Ideology from the Foreign Service

Executive Office of the President - White House Office
Last Updated
November 21, 2025
Date Enacted
September 19, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

EO 14190 declares that hiring in foreign service policy positions shall be based solely on merit, and it asserts that divisive and discriminatory policies have been embedded in the federal government over the past four years, including hiring processes and employment performance evaluations in the Foreign Service. The policy explicitly applies to the U.S. Department of Agriculture, the U.S. Department of Commerce, USAID, and the U.S. Agency for Global Media.

Cash or Economic Assistance
Climate
Education
Food & Nutrition
Healthcare Coverage
In Force

Presidential Memoranda: Strengthening the Suitability of the Fitness of the Federal Workforce

Executive Office of the President - White House Office
Last Updated
November 21, 2025
Date Enacted
November 3, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This presidential memo directs the Office of Personnel Management (OPM) to expand its role, allowing it to make final suitability determinations to remove employees who do not meet the required standards of conduct and fitness for participation in the federal workforce. Previously, this rule was only applied to federal job applicants, not current employees. It enables the Trump administration to “fast-track” the dismissal of federal employees who no longer meet suitability standards. The memo is based on the belief that it will ensure the federal government is staffed by individuals who uphold the highest standards of conduct, and that public service is a privilege, with those who breach the public’s trust being held accountable.

Public Health
Healthcare Coverage
In Force

EO 14173: Ending Illegal Discrimination and Restoring Merit-Based Opportunity

Executive Office of the President - White House Office
Last Updated
November 21, 2025
Date Enacted
November 3, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

EO 14173 declares the termination of all discriminatory and illegal preferences, including those related to Diversity, Equity, and Inclusion (DEI) and affirmative action, in federal agencies and the private sector. This Executive Order (EO) rescinds multiple previous EOs, including those concerning Diversity, Equity, and Inclusion (DEI) in environmental justice, promoting diversity, equity, and inclusion in the federal workforce, and Equal Employment Opportunities for federal contractors. EO requires organizations, educational institutions, and public and private sector entities receiving federal grants or contracts to comply with “anti-discrimination” laws that cease promoting diversity-promoting and affirmative action practices.

Cash or Economic Assistance
Climate
Education
Food & Nutrition
Healthcare Coverage
In Force

EO 14214: Keeping Education Accessible and Ending Covid-19 Vaccine Mandates in Schools

Executive Office of the President - White House Office
Last Updated
November 21, 2025
Date Enacted
February 15, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

EO 14214 directs federal agencies to withhold discretionary funds from schools and universities that require students to be vaccinated against COVID-19. It characterizes vaccine mandates as coercive and as infringements on personal freedom, parental authority, and religious rights. The policy’s goal is to ensure that access to education is not conditioned on vaccination status.

Public Health
Healthcare Delivery, Services & Quality
In Force

EO 14195: Imposing Duties to Address the Synthetic Opioid Supply Chain in the People’s Republic of China

Executive Office of the President - White House Office
Last Updated
November 21, 2025
Date Enacted
February 1, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This Executive Order and subsequent Amendments declare a national emergency tied to the influx of synthetic opioids (e.g., fentanyl) from the People’s Republic of China (PRC) and impose additional duties/tariffs on imports from the PRC to pressure cooperation in disrupting the synthetic-opioid supply chain. Subsequent orders increase tariff rates and close de minimis shipping “loopholes.”

Healthcare Delivery, Services & Quality
Public Health
Social Safety Net
Research and Data
In Force

US Policy Memorandum: Public Charge Inadmissibility Determination

Last Updated
November 20, 2025
Date Enacted
September 4, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

The Public Charge Inadmissibility Memorandum, issued on September 4, 2025, reaffirms existing policy to follow the statutes, regulations, and current U.S. Citizenship and Immigration Services (USCIS) policy, which states that individuals seeking admission or adjustment of their immigration status may be denied if deemed “likely at any time to become a public charge” or, in policy terms, to become largely dependent on the U.S. government for support. The policy addresses cash assistance and public benefit programs (e.g., Social Security Income (SSI), Temporary Assistance for Needy Families (TANF), and state and local cash assistance programs), and support for long-term institutional care. Non-cash programs such as Medicaid, the Children’s Health Insurance Program (CHIP), and SNAP are generally excluded.

Social Safety Net
In Force

EO 14273: Lowering Drug Prices by Once Again Putting Americans First

Executive Office of the President - White House Office
Last Updated
November 20, 2025
Date Enacted
April 15, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

EO 14273 directs the Department of Health and Human Services to leverage federal purchasing power and regulation to lower prescription drug prices to shift costs from patients and taxpayers. The EO includes several mechanisms to achieve this directive including directing HHS to issue new guidance for the Medicare Drug Price Negotiation Program for specific drugs and biologics, develop new pricing models for high-cost drugs, survey hospital pharmaceutical costs to align with Medicare payments (affecting 340B hospitals), direct HHS and OMB to ensure cost savings measures and test value-based care payment options, increase transparency into Pharmacy Benefit Manager Compensation, direct the FDA to streamline lower cost drug option, and assess current pharmaceutical payment incentive practices.

Healthcare Coverage
Healthcare Delivery, Services & Quality
Social Safety Net
In Force

Memo: Ending Illegal DEI and DEIA Discrimination and Preferences

Office of the Attorney General
Last Updated
November 20, 2025
Date Enacted
February 5, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This memorandum directs the Civil Rights Division and Office of Legal Policy to offer recommendations to the Associate Attorney General for how to end programs and principles related to DEI and DEIA in the private sector through deterrence and litigation. It also prohibits educational agencies, colleges and universities receiving federal funds from taking into consideration DEI in admissions decisions.

Education
Research and Data
In Force

Return to In-Person Work

Executive Office of the President - White House Office
Last Updated
November 20, 2025
Date Enacted
January 20, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This memorandum terminates all remote work arrangements and returns all federal employees to full-time in-person work. Department and agency heads have leeway to make necessary exceptions.

Public Health
In Force

EO 14216: Expanding Access to In Vitro Fertilization

Executive Office of the President - White House Office
Last Updated
November 20, 2025
Date Enacted
February 18, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order sets federal policy to ensure reliable access to in-vitro fertilization (IVF) by directing the Domestic Policy Council to submit recommendations within 90 days to reduce out-of-pocket and health-plan costs and ease regulatory/statutory barriers to IVF treatment.

Healthcare Coverage
Healthcare Delivery, Services & Quality
Research and Data
Education
In Force

EO 14177: President’s Council of Advisors on Science and Technology

Executive Office of the President - White House Office
Last Updated
November 20, 2025
Date Enacted
January 23, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order reestablishes the President’s Council of Advisors on Science and Technology (PCAST) to guide federal policy on emerging technologies, scientific research, and innovation. Its recommendations will shape national science priorities, with direct implications for health equity in research funding, data systems, and access to technology-driven care.

Research and Data
Education
Healthcare Delivery, Services & Quality
Public Health
In Force

HR 1: One Big Beautiful Bill Act

Last Updated
November 20, 2025
Date Enacted
July 4, 2025
Policy Type

Policy Type:

This law enacts deep cuts and eligibility restrictions across major federal safety-net programs, especially the Supplemental Nutrition Assistance Program (SNAP) and Medicaid/Children’s Health Insurance Program (CHIP), shifting costs to states and narrowing access for low-income individuals and immigrants, with disproportionate impacts on historically marginalized communities.

Cash or Economic Assistance
Food & Nutrition
Healthcare Coverage
Healthcare Delivery, Services & Quality
Housing
Introduced

Restoring Food Security for American Families and Farmers Act of 2025

Department of Agriculture
Last Updated
October 9, 2025
Date Enacted
April 8, 2025
Policy Type
Policy Statement
Policy Statement

Policy Type: Policy Statement

The Restoring Food Security for American Families and Farmers Act of 2025, which will be introduced by Senator Lujan (D-NM) and Representative Hayes (D-CT), seeks to repeal the 20% cut to SNAP enacted in the budget reconciliation bill, also known as the One Big Beautiful Bill Act (HR 1).

Food & Nutrition
Public Health
In Force

Preventing Woke AI in the Federal Government

Executive Office of the President - Office of Management and Budget
Last Updated
October 9, 2025
Date Enacted
July 23, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

EO 14319 risks undermining health equity by discouraging AI models from incorporating DEI frameworks critical to addressing disparities. Without explicit equity safeguards, “neutral” AI may reproduce systemic biases, worsening outcomes for marginalized populations—particularly Black, Latino, and LGBTQ+ communities already facing disproportionate barriers in healthcare. Stripping equity-focused design from AI threatens to deepen inequities rather than reduce them.

Healthcare Delivery, Services & Quality
Public Health
Research and Data
Social Safety Net
In Force

Improving Oversight of Federal Grantmaking

Executive Office of the President - White House Office
Last Updated
September 24, 2025
Date Enacted
August 7, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

Executive Order (EO) 14332 directs federal agencies to ensure grantmaking funds from tax dollars are spent in ways that align with the Trump administration’s policies and the “national interest.” The order reflects the administration's concerns that some current grant funding supports “corrupt ideology”, is duplicative, or ineffective. Senior appointees will review all grants and funding announcements, prohibiting grant funding initiatives related to “racial preferences, nonbinary gender recognition, illegal immigration, or ‘anti-American values.’”

Social Safety Net
Healthcare Delivery, Services & Quality
Justice System
Food & Nutrition
Cash or Economic Assistance
In Force

Realigning The United States Refugee Admissions Program

Department of Homeland Security
Last Updated
September 24, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

Executive Order (EO) 14163 permanently suspends the U.S. Refugee Assistance Program (USRAP). It grants the President broad authority to restart or halt refugee admissions and processing, leaving current refugees in the US without assistance and those outside without guidance on the future state of the program.

Cash or Economic Assistance
Education
Healthcare Coverage
Housing
Food & Nutrition
Introduced

CY 2026 Physician Fee Schedule: Medicare and Medicaid Programs

Department of Health and Human Services
Last Updated
August 28, 2025
Date Enacted
January 1, 2026
Policy Type
Rule
Rule

Policy Type: Rule

A legally binding directive issued by a federal agency to implement, interpret, or enforce laws passed by Congress. Rules go through a formal rulemaking process, including public notice and comment, before taking effect.

Who It Impacts: Businesses, organizations, and individuals subject to federal agency oversight. For example, a new environmental regulation could impact manufacturing companies, or a healthcare rule could affect providers and insurers.

Who Is Not Impacted: People or entities not subject to the agency’s jurisdiction. For example, a rule by the Environmental Protection Agency (EPA) regulating industrial emissions would not directly impact a restaurant owner unless they operate in an affected industry.

On July 14, 2025, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the CY2026 Physician Fee Schedule (PFS), outlining new payment policies for clinicians and other providers. The rule sets Medicare Medicare's service payment structure and covers several key areas: physician payments, telehealth updates, specialty care models, and quality programs such as the Medicare Shared Savings Program (MSSP) and the Quality Payment Program (QPP), with negative impacts on health equity.

Healthcare Delivery, Services & Quality
In Force

CDC Advisory Committee on Immunizations

Department of Health and Human Services
Last Updated
August 28, 2025
Date Enacted
June 26, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

The Agency Action summarizes the main takeaways for the CDC’s Advisory Committee on Immunization Practice (ACIP) meeting held in late June 2025. In this meeting, the committee voted to: (1) approve a one dose respiratory syncytial virus (RSV) vaccine for vulnerable infants. (2) approve an updated Vaccines for Children Program resolution for prevention of RSV, (3) reaffirm recommendation for annual influence vaccines that are thimerosal free, and (4) recommend seasonal thimerosal free influenza vaccine for all those over 6 months of age (e.g., school-aged children, pregnant women, adults).

Public Health
In Force

Additional Rescissions of Harmful Executive Orders and Actions

Executive Office of the President - White House Office
Last Updated
August 28, 2025
Date Enacted
March 14, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

Executive Order (EO) 14236 ends 18 of former President Biden’s orders and actions that were meant to improve economic and public health in the United States, as well as advocate for human rights globally. The order under President Biden included increasing the minimum wage for federal contractors, ensuring strong supply chain systems, promoting clean energy, and supporting workers, LGBTQ+ people, and Native Americans. EO 14236 specifically revoked actions such as data-driven COVID-19 public health initiatives, advancing LGBTQ+ global human rights, and biotechnology innovation, among others.

Public Health
Research and Data
Climate
Social Safety Net
In Force

Restoring Gold Standard Science

Executive Office of the President - White House Office
Last Updated
August 25, 2025
Date Enacted
May 25, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This order requires federal agencies to use transparent, rigorous, and unbiased science in decision-making to restore public trust. Under this order, “Gold Standard Science” refers to science conducted in a manner that is deemed reproducible, transparent, communicative of error, interdisciplinary, skeptical of findings and assumptions, subject to unbiased peer review, accepting of negative results, and free from conflicts of interest. The order references prior administrative actions that “politicized” science and compromised scientific integrity, including incorporation of diversity, equity, and inclusion (DEI) considerations in science planning, execution, and communication. The order calls for the Director of the Office of Science and Technology Policy to issue guidance on the implementation of “Gold Standard Science” and all agency heads to update and enforce agency policies accordingly.

Research and Data
In Force

Reforming the Federal Hiring Process and Restoring Merit To Government Service

Executive Office of the President - White House Office
Last Updated
August 25, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

Executive Order (EO) 14170 directs the establishment and implementation of a Federal Hiring Plan aimed at reducing time-to-hire, improving communication and transparency with applicants, and integrating modern technology to support recruitment processes. The EO emphasizes recruiting highly qualified and dedicated individuals who will “faithfully serve the Executive branch” and further “American ideals, values, and interests”, directing federal agencies to exclude diversity, equity, and inclusion (DEI) considerations from hiring criteria.

Social Safety Net
Public Health
Justice System
Healthcare Coverage
Introduced

Council To Assess the Federal Emergency Management Agency

Department of Homeland Security
Last Updated
August 25, 2025
Date Enacted
January 24, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

Executive Order 14180 established a review council to evaluate the efficacy, priorities, and competence of FEMA and provide recommendations to the President on drastic changes. The findings will include insights into 1) the adequacy and impartiality of FEMA’s responses to national disasters, 2) FEMA staffing and overall ability to function, 3) how FEMA’s responses compare to State, local, and private responses, and 4) the State’s overall role in disaster response.

Climate
Public Health
In Force

Agency Directive: Teen Pregnancy Prevention Policy

Department of Health and Human Services
Last Updated
August 21, 2025
Date Enacted
July 1, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

In July 2025, the Department of Health and Human Services (HHS) issued new guidance for the Teen Pregnancy Prevention Program (TPPP). The guidance states, “Federal funds may not be used to indoctrinate America’s children with radical ideologies or other inappropriate material.” The policy prohibits TPPP materials from including references to gender identity, LGBTQIA+ topics, and “anti-American ideologies”, such as equity in sexual education programming. It also asserts a “parents’ right to protect their children from content that undermines religious beliefs .” It requires parents to have the option to opt their child out of programming that may conflict with their religious beliefs.

Education
Healthcare Delivery, Services & Quality
Public Health
In Force

Making America Beautiful Again by Improving our National Parks

Executive Office of the President - White House Office
Last Updated
August 13, 2025
Date Enacted
July 3, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This Executive Order increases entrance and recreation fees specifically for all foreign tourists (nonresidents). The additional revenue is intended to support expanded investments in park maintenance, staffing, and infrastructure upgrades - enhancing the overall visitor experience and preserving natural and cultural resources. The order also prioritizes American residents in reservation systems and permits lotteries at high-demand park sites.

Climate
In Force

Rescinded Reinforcement of EMTALA Obligations specific to Patients who are Pregnant or are Experiencing Pregnancy Loss

Department of Health and Human Services
Last Updated
July 30, 2025
Date Enacted
May 30, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This federal action applies to the Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Service (CMS). It rescinds the agency’s July 2022 guidance titled “Reinforcement of EMTALA Obligations specific to Patients who are Pregnant or are Experiencing Pregnancy Loss” and the accompanying Letter from the former HHS Secretary. The Emergency Medical Treatment and Labor Act (EMTALA), encoded in the Social Security Act, outlines three requirements for hospital emergency departments: 1. all individuals are entitled to a medical screening examination in emergency settings, 2. individuals are entitled to stabilizing treatment, and 3. individuals may only be transferred to other hospitals if they are appropriately stabilized. The original memo emphasized specific provisions regarding hospital requirements, and it was rescinded under the stipulation of consistency with Executive Order 14192 “Unleashing Prosperity Through Deregulation”.

Public Health
In Force

SAMHSA Statement on 988 Press 3 Option

Department of Health and Human Services
Last Updated
July 30, 2025
Date Enacted
June 17, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

As of July 17th 2025, a federal directive eliminated the specialized support option for LGBTQ+ youth through the 988 Suicide & Crisis Lifeline. Previously, callers could “Press 3” or text “PRIDE” to be connected with counselors trained specifically to work with LGBTQ+ youth. The directive announcing the change notably referred only to “LGB+ youth,” erasing references to transgender and queer individuals.

Social Safety Net

Ending Taxpayer Subsidization of Biased Media

Executive Office of the President - White House Office
Last Updated
July 30, 2025
Date Enacted
May 1, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order ends all federal funding and terminates existing funding for National Public Radio (NPR) and the Public Broadcasting Service (PBS). The executive order directs the Corporation for Public Broadcasting (CPB) Board and executive departments and agencies to terminate funding.

Education
Public Health

Initial Recissions of Harmful Executive Orders and Actions

Executive Office of the President - White House Office
Last Updated
July 30, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This Executive Order rescinds 78 executive orders and memoranda issued under the Biden administration. The order revokes federal implementation of efforts related to racial justice, the LGBTQ+ community, climate change/environmental protections/sustainability, public health (e.g. COVID-19), immigration, social determinants of health (e.g., housing), cybersecurity/artificial intelligence, and public/social safety net benefits (e.g., Medicaid).

Climate
Healthcare Coverage
Housing
Justice System
Public Health
Blocked

Protecting The Meaning And Value Of American Citizenship

Executive Office of the President - White House Office
Last Updated
July 30, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order seeks to redefine the meaning of Birthright Citizenship, as outlined in the 14th Amendment of the Constitution. This order purports that if an individual’s mother and/or father were not lawful citizens or permanent residents of the United States at the time of their birth or an individual’s mother was in the United States lawfully but only temporarily, and their father was not a permanent resident, they are not considered United States Citizens.

Cash or Economic Assistance
Food & Nutrition
Healthcare Coverage
Healthcare Delivery, Services & Quality
Justice System
In Force

DHS Reinstates Migrant Protection Protocols

Department of Homeland Security
Last Updated
July 15, 2025
Date Enacted
January 21, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

This is a reinstatement of the Migrant Protection Protocols that were originally instituted in January 2019 but later rescinded in 2021. It is more commonly referred to as the "Remain in Mexico" program, which kept asylum applicants in Mexico before a formal court hearing, which could be weeks or months away.

Justice System
In Force

EO 14242: Improving Education Outcomes by Empowering Parents, States, and Communities

Executive Office of the President - White House Office
Last Updated
July 15, 2025
Date Enacted
March 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This Executive Order directs the Secretary of Education to close the U.S. Department of Education - a Department's whose mission is to "promote student achievement and preparation for global competitiveness by fostering educational excellence and ensuring equal access." EO1424 also threatens to withhold federal funds from schools that engage in activities related to diversity, equity, and inclusion or provides support for transgender students.

Education
In Force

EO 14185 - Restoring America’s Fighting Force

Executive Office of the President - White House Office
Last Updated
July 15, 2025
Date Enacted
January 27, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This Executive Order directs the elimination all diversity, equity, and inclusion offices and programs within the Department of Defense and the U.S. Coast Guard. It also instructs the Secretary of Defense to conduct an internal review and write a report . It also attempts to limit the speech and educational freedom of DOD staff, educators, instructors, contractors and members from the Armed Forces by prohibiting debate on topics the Administration deems "un-American."

Justice System
In Force

EO 14155: Withdrawing the United States From the World Health Organization

Executive Office of the President - White House Office
Last Updated
July 15, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This Executive Order announces the US intends to withdraw from the World Health Organization (WHO). While the Trump administration previously issued a withdrawal notification in July 2020, President Biden rescinded that decision upon taking office. EO 14155 now directs a cessation of US funding, support, and resources to the WHO, the reassignment of government employees working with the WHO, and the development of public health safeguards as necessary. Additionally, it calls for a review and replacement of the 2024 U.S. Global Health Security Strategy and requires identifying credible international partners to take over roles formerly fulfilled by the WHO.

Public Health
Research and Data
In Force

Restoring Truth and Sanity to American History

Executive Office of the President - White House Office
Last Updated
June 30, 2025
Date Enacted
March 27, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

EO 14253 seeks to remove what this Administration terms “improper, divisive or anti-American ideology” from historical settings, primary national parks and the Smithsonian museums and suggests that including including historical figures or narratives on racism, sexism and /or being transgender perpetuates division among Americans while falsely characterizing American history and principles.

Justice System
Temporarily Blocked

Exclusions from Federal Labor-Management Relations Program

Executive Office of the President - White House Office
Last Updated
June 30, 2025
Date Enacted
March 27, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

Executive Order 14251 stripped the collective bargaining rights away from many federal employees who were determined by the current administration to work positions of national security. Affected agencies include the Department of Defense, Department of Justice, Food and Drug Administration (FDA), Centers for Disease Control and Prevention (CDC), and Environmental Protection Agency (EPA). As a result of this executive order, employees in these identified agencies lost the federal protection to organize, collectively bargain, and participate in union activities.

Public Health
In Force

Restoring Public Service Loan Forgiveness

Executive Office of the President - White House Office
Last Updated
June 30, 2025
Date Enacted
March 27, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

The Public Service Loan Forgiveness (PSLF) Program was created by Congress to encourage Americans to enter the public service sector by offering student loan forgiveness after qualifying service. This EO directs the Secretary of Education to propose updates to the federal regulations governing PSLF to restrict organizations - and therefore the employees - that are eligible for loan forgiveness. While at face value expanding the ineligibility of PSLF to criteria such as terrorism and child abuse appears rational, the broad EO purposes uses broad terminology and phrasing which could allow for unjust and discriminatory application of the EO such as denying eligibility to employees at organizations serving LGBTQI+ youth or mixed immigrant status households.

Cash or Economic Assistance
In Force

Eliminating Internal Discriminatory Practices

Department of Justice
Last Updated
June 30, 2025
Date Enacted
February 5, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

In this memo the U.S. Attorney General directs the agency to report to the Attorney General all diversity, equity and inclusion (DEI), diversity, equity, inclusion and accessibility (DEIA) and environmental justice programs and positions at the U.S. Department of Justice as well as any contractor, vendor, grant or expenditure that worked in this area. The memo directs the agency to take all legal steps to end reference to DEI, DEIA and Environmental Justice in their programs and trainings.

Justice System
In Force

Enforcing the Hyde Amendment

Executive Office of the President - White House Office
Last Updated
June 23, 2025
Date Enacted
January 24, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

Executive Order 14182 reinforces the Hyde Amendment and discriminatory federal restrictions to abortion access. The Hyde Amendment was originally included in the 1976 annual congressional appropriations bill and bars use of federal funds for elective abortion care in the federally funded insurance programs of Medicaid, Medicare and the Children's Insurance Program known as CHIP. This executive order directs federal agencies to strictly enforce the Hyde Amendment across all federally funded programs, significantly shaping how reproductive healthcare is accessed and delivered under federal funding streams. The Executive Order specifically revokes two Biden-era policies protecting access to reproductive healthcare services, that were put in place after the Supreme Court's decision to eliminate the rights established in Roe v. Wade.

Public Health
Healthcare Delivery, Services & Quality
Healthcare Coverage
In Force

Designating English as the Official Language of the United States

Executive Office of the President - White House Office
Last Updated
June 23, 2025
Date Enacted
March 1, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

Executive Order 14224 designates English as the official language of the United States. The order revokes EO 13166 (https://www.federalregister.gov/documents/2000/08/16/00-20938/improving-access-to-services-for-persons-with-limited-english-proficiency), which required federal agencies to develop and implement plans to ensure individuals with limited English proficiency can access federal programs and services by issuing language access guidance for entities that receive federal funding. It does not require or direct any changes in services provided by any federal agency, and agencies are “not required to amend, remove, or otherwise stop production of documents, products, or other services prepared or offered in languages other than English.” It does not prohibit agencies from continuing to offer services in languages other than English.

Public Health
Healthcare Delivery, Services & Quality
Justice System
In Force

Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government

Executive Office of the President - White House Office
Last Updated
June 23, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

Executive Order 14186 seeks to define and federally recognize only two distinct biological categories of sex in the United States - male and female, reducing definitions of gender to biological binaries. The EO directs federal agencies to take specific actions, including removing federal statements and resources related to LGBTQ and gender expansive communities, requiring federal government-issued identification documents to align with sex-assigned-at-birth, banning the use of federal funds for gender-affirming care for justice-involved individuals, mandating that detainment center placement align with sex-assigned-at-birth, and enforcing these definitions across federal agencies.

Research and Data
Housing
Healthcare Coverage
In Force

"CMS Refocuses on its Core Mission and Preserving the State-Federal Medicaid Partnership"

Department of Health and Human Services
Last Updated
June 2, 2025
Date Enacted
April 10, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

The Medicaid program is jointly funded by federal and state governments. For many years, states have relied on Section 1115 waiver authority to support state-based demonstration projects aimed at addressing social determinants of health. However, in a letter issued on April 10, CMS notified states that it will no longer approve new, or extend existing, state-based demonstration projects that use federal matching funds to support programs that address Medicaid recepients social needs as a strategy to improve health outcomes and reduce health care costs.

Healthcare Coverage
Healthcare Delivery, Services & Quality
In Force

Guidance on Funding for Research on Health Effects of Climate Change

Department of Health and Human Services
Last Updated
May 30, 2025
Date Enacted
March 24, 2025
Policy Type
Guidance
Guidance

Policy Type: Guidance

Non-binding advice and explanations issued by agencies about laws, regulations, and procedures, providing clarity and guidance to the public and regulated entities. It helps inform the public about how regulations are interpreted and implemented, without having the force of law.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by guidance, though these policies may indirectly influence their applications for funding or enforcement practices that affect them.

This action terminates National Institutes of Health (NIH) funding for any research, academic programs, or initiatives related to climate change. It is part of a broader directive from the federal government to withdraw support from areas that conflict with the administration’s stated priorities, including work focused on gender identity, LGBTQI+ health equity, vaccine hesitancy, and diversity, equity, and inclusion initiatives.

Research and Data
Climate
Withdrawn

Cancellation of Section 4 Grants

Department of Housing and Urban Development
Last Updated
May 30, 2025
Date Enacted
February 28, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

This action terminates contracts and grants for the U.S. Department of Housing and Urban Development’s (HUD) Section 4 program, also known as the Capacity Building for Community Development and Affordable Housing Program. Section 4 provides funding to Community Development Corporations and Community Housing Development Organizations to support affordable housing initiatives and community development projects that directly benefit low- and moderate-income families and individuals.

Housing
Social Safety Net
In Force

DOT implementation of Executive Orders Addressing Energy, Climate Change, Diversity, and Gender

Department of Transportation
Last Updated
May 30, 2025
Date Enacted
January 29, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This action states that U.S. Department of Transportation (DOT) must adhere to a heightened requirement of cost/benefit analysis, complicating the consideration of social justice, equity or environmental impacts. Projects will be prioritized if they support transportation for families, with preference to areas with marriage and birth rates higher than the national average. Projects will be deprioritized for communities that have vaccine mandates or mask mandates in place or that – in the opinion of federal administration - do comply with immigration enforcement.

Climate
Transportation
In Force

"Protecting Children from Chemical and Surgical Mutilation Quality and Safety Special Alert Memo"

Executive Office of the President - White House Office
Last Updated
May 30, 2025
Date Enacted
March 5, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

CMS issued a "Quality and Safety Special Alert Memo" to hospitals and other providers, characterizing medically appropriate gender-affirming care for children and adolescents — which the memo refers to as “chemical and surgical mutilation” — as dangerous and lacking scientific support. While the memo does not mandate any immediate action, it signals that CMS may consider future measures to restrict access to gender-affirming care. Additionally, the memo includes misrepresentations of data on transgender identity and references an openly anti-transgender organization actively working to limit access to this type of care.

Healthcare Delivery, Services & Quality
In Force

Ending Taxpayer Subsidization of Open Borders

Executive Office of the President - White House Office
Last Updated
May 30, 2025
Date Enacted
February 19, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order directs the heads of federal departments and agencies to take a number of actions to ensure that taxpayer dollars do not go to support persons who lack a legal immigration status. These include (1) identifying federally funded programs that permit undocumented immigrants to obtain any cash or no-cash benefit, (2) send funds to any jurisdiction where sanctuary policies are in place, and (3) enhance eligibility verification systems so they exclude undocumented immigrants.

Healthcare Delivery, Services & Quality
Healthcare Coverage
Temporarily Blocked

Preserving and Protecting the Integrity of American Elections

Executive Office of the President - White House Office
Last Updated
May 30, 2025
Date Enacted
March 25, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order attempts to encumber voter registration processes. On its face, it seeks to prohibit foreign nationals from voting in federal elections and directs a nationwide mail ballot receipt deadline. It orders the Election Assistance Commission to require documentary proof of U.S. citizenship in its national mail voter registration form and directs agencies to exchange immigration information for state-level prosecution of noncitizens unlawfully registered to vote.

Healthcare Delivery, Services & Quality
In Force

EO 14201 - Keeping Men Out of Women's Sports

Executive Office of the President - White House Office
Last Updated
May 30, 2025
Date Enacted
February 5, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This order seeks to rescind all federal funding to educational programs that permit individuals assigned male at birth to participate in women's sports. The Secretary of Education and Attorney General are directed to "protect all-female athletic opportunities" under Title IX. Federal agencies have reviewed grants to educational programs and have attempted to rescind funding from institutions that have not complied with this order. The order has been challenged multiple times by students, educational institutions, and city and state governments.

Education
Temporarily Blocked

EO 14187 - Protecting Children from Chemical and Surgical Mutilation

Executive Office of the President - White House Office
Last Updated
May 30, 2025
Date Enacted
January 28, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This order provides a definition of “chemical and surgical mutilation” that is intended to encompass all forms of health care that is commonly referred to as gender-affirming care for an individual under 19. It directs specific actions to limit healthcare, including stopping insurance support, reviewing policies, and requiring this policy for all federally funded organizations.

Healthcare Coverage
Healthcare Delivery, Services & Quality
Temporarily Blocked

Supplemental Guidance to the 2024 NIH Grants Policy Statement: Indirect Cost Rates

Department of Health and Human Services
Last Updated
May 30, 2025
Date Enacted
February 7, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

This action mandates that all new grants issued by the National Institutes of Health, as well as existing grants with costs incurred from February 10, 2025, onward, will be subject to a 15 percent cap on indirect cost rates. NIH will no longer negotiate these rates to account for regional or organizational variations.

Education
Healthcare Delivery, Services & Quality
Public Health
Introduced

HHS Announces Transformation to Make America Healthy Again

Department of Health and Human Services
Last Updated
April 15, 2025
Date Enacted
March 27, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

HHS announced a significant workforce reduction and major organizational restructuring: Termination of an additional 10,000 full-time employees (down to 62,000 from 82,000 in January 2025), a consolidation of its 28 divisions into 15, and its regional offices from 10 to 5, and a new Administration for Healthy America (AHA).

Healthcare Delivery, Services & Quality
Food & Nutrition
Healthcare Coverage
Cash or Economic Assistance
Public Health
In Force

Sanctuary Jurisdiction Directives

Department of Justice
Last Updated
April 15, 2025
Date Enacted
February 5, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

This action directs the Department of Justice (DOJ) to enforce federal immigration laws by restricting funding to jurisdictions and organizations that support or provide services to removable immigrants. It mandates a review of federal grants and contracts to ensure compliance with immigration laws and requires all DOJ components to stop funding to non-governmental organizations that aid removable noncitizens. Additionally, the memorandum calls for legal action against state and local jurisdictions that obstruct federal immigration enforcement efforts.

Healthcare Delivery, Services & Quality
In Force

"Declaring A National Emergency At The Southern Border Of The United States"

Executive Office of the President - White House Office
Last Updated
March 27, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order declares that a national emergency exists at the U.S. southern border and directs military personnel and resources to support the U.S. government’s response to the emergency. It directs the building of physical barriers, largely continuing the immigration policies of the first Trump administration.

No items found.
In Force

"Unleashing American Energy" (EO 14154)

Executive Office of the President - White House Office
Last Updated
March 27, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This wide-ranging executive order includes actions to promote fossil fuel energy expansion and dismantle NEPA regulations, and mandates that all agencies immediately pause the disbursement of funds appropriated through the Inflation Reduction Act of 2022 (IRA) or the Infrastructure Investment and Jobs Act (IIJA) that are related to climate change, infrastructure improvement, and public health protection.

Housing
Transportation
Climate
Public Health
In Force

EO 14151 - Ending Radical and Wasteful Government DEI Programs and Preferencing

Executive Office of the President - White House Office
Last Updated
March 27, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order mandates the termination of programs, policies, and positions related to diversity, equity, inclusion, and accessibility (DEI and DEIA), and environmental justice, by March 20, 2025. The order also calls for an end to “equity-related” grants and contracts, and performance requirements for employees, contractors, or grantees.

Research and Data
Housing
Food & Nutrition
Transportation
Healthcare Coverage
In Force

Rescission of Guidance on Health-Related Social Needs (HRSNs), CMCS Center Informational Bulletin

Department of Health and Human Services
Last Updated
March 27, 2025
Date Enacted
March 4, 2025
Policy Type
Guidance
Guidance

Policy Type: Guidance

Non-binding advice and explanations issued by agencies about laws, regulations, and procedures, providing clarity and guidance to the public and regulated entities. It helps inform the public about how regulations are interpreted and implemented, without having the force of law.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by guidance, though these policies may indirectly influence their applications for funding or enforcement practices that affect them.

CMS rescinded bulletins on health-related social needs, affecting Medicaid and Children’s Health Insurance Program (CHIP) services and supports, such as housing and nutrition interventions. Eighteen states have approved section 1115 waivers to address these needs under the Health Related Social Needs (HRSN) framework - this framework was also rescinded but the approvals are still valid.

Food & Nutrition
Housing
In Force

Policy on Adhering to the Text of the Administrative Procedure Act

Department of Health and Human Services
Last Updated
March 27, 2025
Date Enacted
March 3, 2025
Policy Type
Policy Statement
Policy Statement

Policy Type: Policy Statement

This action rescinds away an HHS policy that has been in place for more than 50 years regarding public participation in certain kinds of HHS rulemaking, referred to as the Richardson Waiver.

No items found.
In Force

"Ending Illegal DEI and DEIA Discrimination and Preferences"

Department of Justice
Last Updated
March 27, 2025
Date Enacted
February 5, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

This action states that the Department of Justice's Civil Rights Division will investigate, eliminate, and penalize illegal DEI and DEIA preferences, mandates, policies, programs, and activities in the private sector and in educational institutions that receive federal funds.

Education
In Force

HHS’ Civil Rights Office Acts Swiftly to Combat Anti-Semitism

Department of Health and Human Services
Last Updated
March 26, 2025
Date Enacted
February 3, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This action described the initiation of compliance reviews for four medical schools following reports of pro-Palestinian activism during 2024 commencement ceremonies. The investigations will examine whether the medical schools complied with their obligations under Title VI of the Civil Rights Act of 1964 and Section 1557.

Education
In Force

Enforcement Actions in or Near Protected Areas

Department of Homeland Security
Last Updated
March 24, 2025
Date Enacted
January 20, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

This directive rescinds the Biden Administration’s guidelines for ICE and CBP enforcement actions that “thwart law enforcement in or near so-called ‘sensitive’ areas.” Essentially, this ends a Biden-era policy that protected certain areas—such as churches, school, and hospitals—from immigration enforcement, replacing it with an unreleased directive that gives ICE agents unbridled power to take enforcement actions in any of these spaces using so-called “common sense.”

Healthcare Delivery, Services & Quality
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