Healthcare Directives
Ensuring American Pharmaceutical Supply Chain Resilience by Filling the Strategic Active Pharmaceutical Ingredients Reserve
President Trump's August 13, 2025 order addresses the vulnerability of the US pharmaceutical supply chain by directing the immediate replenishment of the Strategic Active Pharmaceutical Ingredients Reserve (SAPIR).
The order prioritizes securing a six-month supply of APIs for 26 critical drugs, with a preference for domestically sourced materials.
It also mandates planning for a second SAPIR repository and an updated list of essential medicines to ensure long-term resilience.
Funding will be sourced from existing government resources, subject to budgetary limitations.
President’s Council on Sports, Fitness, and Nutrition, and the Reesetablishment of the Presidential Fitness Test
President Donald J. Trump issued an executive order on July 31, 2025, revoking Executive Order 13824 (President's Council on Sports, Fitness, and Nutrition) and amending Executive Order 13265 (President's Council on Physical Fitness and Sports).
The amended order renames the council, reestablishes the Presidential Fitness Test, and outlines the council's functions, including advising the President on strategies to improve national health and fitness levels, particularly among children.
The order emphasizes collaboration across various sectors – public and private, civilian and military – to create a national culture of health and fitness.
Ending Crime and Disorder on America’s Streets
President Trump issued an executive order addressing homelessness and its impact on public safety.
The order directs federal agencies to prioritize public safety by restoring civil commitment for individuals with mental illness posing risks to themselves or others, and to prioritize enforcement of prohibitions against vagrancy.
It also mandates a realignment of federal funding towards evidence-based programs that address substance abuse, and away from those deemed ineffective. Additional stipulations focus on increased accountability for recipients of federal funding for homeless programs and stricter regulations on housing those suffering from substance abuse or mental illness.
Regulatory Relief for Certain Stationary Sources to Promote American Security with Respect to Sterile Medical Equipment
President Trump issued a proclamation granting a two-year exemption from new ethylene oxide emissions standards for specific sterilization facilities.
This action is intended to prevent shortages of sterile medical equipment, deemed critical for both civilian and military medical systems.
The proclamation cites the lack of commercially viable technology to comply with the new standards and declares the exemption essential for national security.
The exemption delays implementation of Environmental Protection Agency’s (EPA) April 2024 rule.
Regulatory Relief for Certain Stationary Sources to Promote American Chemical Manufacturing Security
President Trump issued a proclamation granting a two-year exemption from specific Clean Air Act regulations for listed chemical manufacturing facilities.
The exemption, justified by national security concerns and the unavailability of necessary compliance technologies, aims to protect the domestic chemical industry and reduce reliance on foreign producers.
The proclamation identifies several facilities across multiple states and asserts that the temporary exemption will allow these facilities to continue operation while solutions to comply with the HON Rule are developed.
Eliminating Waste, Fraud, and Abuse in Medicaid
President Trump issued a memorandum to address what he claims is excessive and wasteful spending in the Medicaid program.
The memorandum directs the Secretary of Health and Human Services to take action to eliminate waste, fraud, and abuse within Medicaid and to align Medicaid payment rates with those of Medicare—a move the president characterizes as necessary to protect the financial stability of both programs and ensure access to care for seniors and vulnerable groups.
The President contends that the Biden administration enabled states to circumvent cost controls resulting in unsustainable spending.
National Physical Fitness and Sports Month, 2025
President Trump proclaimed May 2025 as National Physical Fitness and Sports Month.
The proclamation emphasizes the importance of prioritizing public health and well-being, particularly regarding sports participation, especially among youth.
It highlights previous executive actions supporting children's participation in sports while simultaneously protecting women's sports.
The President calls on Americans to incorporate fitness and sports into daily life, aiming to create a healthier and stronger nation.
Restoring Gold Standard Science
President Trump's May 23, 2025, executive order, "Restoring Gold Standard Science," aims to rebuild public trust in federal science.
The order mandates that agencies adopt "Gold Standard Science" principles, emphasizing reproducibility, transparency, and unbiased peer review.
It addresses concerns about misleading scientific information used in past government decisions, encouraging agencies to readily share data, acknowledge uncertainties, and apply a weight-of-evidence approach to analyses.
The order also reinstates pre-2021 scientific integrity policies, revokes certain related changes from 2021-2025, and promotes internal agency processes to investigate violations.