AMCP Trump Administration Actions Tracker

AMCP tracks presidential actions affecting the practice of managed care pharmacy. This tracker includes executive orders (EOs), memorandums, proclamations, and nominations released by the Trump administration on or after Jan. 20, 2025.

Jump to: Health Care | Federal Workforce/General Government | Trade Tariffs | Nominees/Appointees | HHS Leadership

Health Care

ActionNumber/NameIssue DateEffectTimeframeLinkLitigation
Executive Order# - Expanding Access to In Vitro Fertilization2/18/25Instructs the Assistant to the President for Domestic Policy to develop a list of policy recommendations on protecting access to IVF treatments, as well as opportunities to reduce OOP and health plan costs.Recommendations must be submitted within 90 days of the date of this order.

White House 

Fact Sheet

 

N/A
Executive Order14214 -Keeping Education Accessible and ending COVID-19 Vaccine Mandates in Schools2/15/25Opposes the use of federal funding for schools (K-12 and higher education) or agencies that require COVID-19 vaccination. Also directs Dept. of Edu. to issue guidance to schools on their legal obligations with respect to COVID-19 vaccine mandates.Directs the Secretary of Education to provide a plan to end COVID-19 vaccine mandates in schools within 90 days of the order.

Federal Register 

Fact Sheet

N/A
Executive Order14212 - Establishing the President’s Make America Healthy Again Commission2/13/25Directs federal health departments and agencies to combat the causes of chronic disease, including obesity, diabetes, and mental health disorders. Also establishes a Make America Healthy Again Commission, chaired by the HHS Secretary, which is tasked with studying the cause of and providing policy recommendations to alleviate childhood chronic disease.Within 100 days of the enactment of this order, the Commission must submit a Make our Children Healthy Again Assessment. Within 180 days, the Commission must submit a Make Our Children Healthy Again Strategy report.

Federal Register 

Fact Sheet

N/A
Executive Order14187 – Protecting Children from Chemical and Surgical Mutilation1/28/25Seeks to prohibit or limit federal support for gender affirming care for transgender children. Directs HHS to provide new guidance and resources on care for children experiencing gender dysphoria and rescind prior guidance on gender affirming care for children. Excludes pediatric transgender surgeries from TRICARE coverage and Federal Employee Health Benefits coverage. Directs DOJ to prioritize enforcement of protections against pediatric genital mutilation, and work with Congress to develop a private right of action for children and parents of children who have transitioned. Also expands the definition of “child” to include those under 19 years of age.N/AFederal RegisterInjunction filed 2/4/25 U.S. District Judge Brendan A. Hurson granted temporary restraining order on 2/13/25.
Executive Order14182 – Enforcing the Hyde Amendment1/24/25Ends the use of federal dollars to promote or fund abortion, revokes two EOs on reproductive health care, 14076 and 14079. Passed in 1976, the Hyde amendment restricts federal funding for elective abortions.N/A

Federal Register

Fact Sheet

 
MemorandumMemorandum for the Secretary of State, the Secretary of Defense, the Secretary of Health and Human Services, the Administrator of the United States for International Development1/24/25Directs HHS, the Department of State, and USAID to reinstate the Mexico City Policy. The Mexico City Policy blocks foreign non-governmental organizations who provide abortion counseling from receiving federal funding.N/AWhite HouseN/A
Executive Order14155 - Withdrawing the United States from the World Health Organization1/20/25Withdraws the U.S. from the WHO, requires NSC to establish protocols to safeguard public health, rescinds 2024 Global Health Security Strategy and Biden EO 13987 on COVID-19 mobilizationN/AFederal RegisterN/A
MemorandumDelivering Price Relief for American Families and Defeating the Cost of Living Crisis1/20/25Directs all federal agencies to improve the affordability of necessary goods and services, includes action to: “eliminate unnecessary administrative expenses and rent-seeking practices that drive up healthcare costs.”N/AWhite House Fact SheetN/A
Executive Order14148 – Initial Rescissions of Harmful Executive Orders and Actions1/20/25Revokes dozens of executive actions from the Biden Administration, including several health care-related actions on COVID-19 pandemic preparedness, health equity, and drug pricing.N/AWhite House AMCP Policy BriefN/A


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Federal Workforce/General Government

ActionNumber/NameIssue DateEffectTimeframeLinkLitigation 
Executive OrderCommencing The Reduction of the Federal Bureaucracy2/19/25Proposal to abolish a specific group of government agencies as a way to decrease the federal government's size; it mandates that the leaders of those agencies verify adherence within a two-week timeframe.Within 14 days of this orderWhite House  
Executive Order# - Ensuring Accountability for All Agencies2/18/25Aims to increase administrative oversight of independent federal agencies. Directs Director of the Office of Management and Budget (OMB) to establish management objectives and submit reports to the President on agency performance. OMB is directed to review regulatory actions to ensure they remain consistent with the administration’s priorities, and OMB may adjust apportionment for independent agencies inconsistent with the President’s priorities. Also clarifies the President and Attorney General’s power to provide “authoritative interpretations” of law.Within 60 days of the date of this order, or the completion of implementation guidance

White House 

Fact Sheet

Litigation expected 
MemorandumMemorandum for the Heads of Executive Departments and Agencies on Advancing United States Interests When Funding Nongovernmental Organizations2/6/25Instructs federal agencies to review all funding that agencies provide to Nongovernmental Organizations (NGOs). Agency heads are instructed to align funding decisions with the goals and priorities of the Trump administration.N/AWhite HouseN/A 
Executive Order14192 – Unleashing Prosperity Through Deregulation1/31/25For FY 2025, executive departments or agencies must identify 10 existing regulations to be repealed, for every new regulation promulgated. The costs of newly elected regulation shall be offset by the elimination of existing costs of the 10 repealed regulations.Effective for FY 2025 (Oct. 1, 2024 – Sept. 30, 2025)Federal Register Fact Sheet  
MemorandumMemorandum for Heads of Executive Departments and Agencies on Temporary Pause of Agency Grant, Loan, and Other Financial Assistance Programs1/27/25Established a temporary pause on all federal financial assistance programsMemo withdrawnOffice of Management and BudgetInjunction filed on 2/3/25, U.S. District Judge Loren L. AliKhan filed a temporary restraining order 
MemorandumRegulatory Freeze Pending Review1/20/25Requires all executive departments and agencies to withhold rulemaking prior to a review by a Trump appointed official, agencies must withdraw rules that have not been published by the Federal Register, agencies must consider postponing rules that have not been published/taken effect for 60 days60 days, starting at 12:00pm ET on 1/20/25White House  


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Trade Tariffs

Action Number/NameIssue DateEffectTimeframeLinkLitigation
Executive OrderEO 14195 - Imposing Duties to Address the Synthetic Opioid Supply Chain in the People’s Republic of China2/1/25Imposes a 10 percent tariff on Chinese goods starting February 4; revokes de minimis for these products; includes a clause for escalation if there is retaliation; states tariffs will be lifted once China addresses the opioid crisis.N/AFederal Register 
Executive OrderEO 14194 - Imposing Duties to Address the Situation at Our Southern Border2/1/25 Imposes a 25% tariff on Mexican goods starting February 4; revokes de minimis for these products; includes a clause for escalation if there is retaliation; states tariffs will be lifted once Mexico resolves the "illegal migration and drug crisis." Paused on 2/3/25 until 3/4/25.Paused until 3/4/25Federal Register White House 
Executive OrderEO 14193 - Imposing Duties to Address the Flow of Illicit Drugs Across Our Northern Border2/1/25Imposes a 25% tariff on Canadian goods starting February 4; revokes de minimis for these products; includes a clause for escalation if there is retaliation; states tariffs will be lifted once Canada resolves the "public health crisis" (illicit drugs). Paused on 2/3/25 until 3/4/25. Federal Register White House 


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Nominees/Appointees

White House Positions

Chief of StaffSusie Wiles
Deputy Chief of StaffDan Scavino
Deputy Chief of Staff for PolicyStephen Miller
Deputy Chief of Staff for Legislative, Political, and Public AffairsJames Blair
Deputy Chief of Staff for Communications and PersonnelTaylor Budowich
White House CounselWilliam McGinley
Office of Management & Budget DirectorRussell Vought (Director)*
Don Dempsey (Health Program Associate Director)
Domestic Policy Council (DPC)Vince Haley (Director)
Theo Merkel (Special Assistant to the President - Health Care)
National Economic CouncilKevin Hassett (Director)
Joel Zinberg (Health Care)
President's Council of Advisors on Science and TechnologyLynne Parker (Executive Director)
David Sacks (Special Advisor for AI and Crypto)
White House Office of Science and Technology Policy Director*Michael Kratsios

*Position requires Senate confirmation


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Department of Health & Human Services and Sub-Agency Leadership

Secretary of Health and Human ServicesRobert F. Kennedy
Deputy Secretary of Health and Human ServicesVacant, nomination pending for James O'Neil
Chief of StaffHeather Flick
Deputy Chief of StaffStefanie Spear (Principal Deputy, external focus), Scott Rowell (Operations), Hannah Anderson (Policy)
Counselors: TBA
Administrator of the Centers for Medicare and Medicaid ServicesVacant, nomination pending for Mehmet Oz
Chief of Staff: Stephanie Carlton
U.S. Surgeon GeneralVacant, nomination pending for Janette Nesheiwat
Director of the National Institutes of HealthVacant, nomination pending for Jayanta Bhattacharya
Dr. Matthew J. Memoli (Acting)
Commissioner of Food and DrugsVacant, nomination pending for Martin Makary
Dr. Sara Brenner (Acting)
Director of the Centers for Disease Control and PreventionVacant, Nomination pending for David Weldon
Dr. Susan Monarez (Acting)
Administrator of the Health Resources and Services AdministrationThomas J. Engels
Assistant Secretary for Preparedness and ResponseVacant, nomination pending for Houston Park
Director of the Advanced Research Projects Agency for HealthVacant
Deputy Administrator for the Center for MedicareIng-Jye Cheng (Acting)
Director of the Center for Medicaid & CHIP ServicesDrew Snyder
Deputy Administrator for the Center for Medicare and Medicaid InnovationAbe Sutton