Friday, July 12, 2019

West Wing Reads President Trump on social media bias: ‘They’re Playing with a Lot of Minds’


West Wing Reads

President Trump on social media bias: ‘They’re playing with a lot of minds’ 


President Donald J. Trump called out social media censorship and bias during a first-of-its-kind summit at the White House yesterday, warning that legislation could follow “if Silicon Valley doesn’t change its ways,” Mark Moore reports for the New York Post.

“I am directing my administration to explore all regulatory and legislation solutions to protect free speech and the free speech rights of all Americans — that’s you people in this room,” the President said at the Social Media Summit at the White House. “We hope to see transparency, more accountability and more freedom — that’s on both sides.”

President Trump recognized the attendees for challenging both the establishment media and corporate censors and bringing more information to light for the American people.

Click here to read more.
USMCA will provide “access to rules-based, tariff-free global trade”—something “imperative to the economic prosperity and the livelihoods of more than 634,600 workers across [Michigan],” Chuck Hadden, CEO of the Michigan Manufacturers Association, writes in The Detroit News. “I remain hopeful that our lawmakers will see the economic opportunities . . . The USMCA will strengthen and modernize rules to spur economic prosperity, increase access to Canada and Mexico, and finally create an even playing field for U.S. manufacturers.”
“President Trump officially issued his executive order Thursday, which demands all other departments and agencies provide the Commerce Department with any information related to citizenship,” Julio Rosas and Jerry Dunleavy report in the Washington Examiner. The President also “instructed the Commerce Department begin planning the administrative processes necessary to add the citizenship question to the census in 2030.”
“The Trump administration's proposed sale of 108 M1A2T Abrams tanks to Taiwan not only serves a national security purpose — it is also a major boost to the Ohio manufacturing sector,” Russ Read writes in the Washington Examiner. “The Abrams is produced and serviced at the Joint Systems Manufacturing Center in Lima, Ohio, a city that has seen highs and lows based on the whims of the Pentagon.”

Statement from the Press Secretary on the Visit of President Jimmy Morales of the Republic of Guatemala

Office of the Press Secretary

Statement from the Press Secretary on the Visit of President Jimmy Morales of the Republic of Guatemala


President Donald J. Trump will welcome President Jimmy Morales of the Republic of Guatemala to the White House on July 15, 2019.  President Trump and President Morales will discuss ways to create a more robust relationship focused on addressing migration and security priorities.  The two leaders will also discuss how Guatemala can build a stronger relationship with its Central American partners to expand economic growth, create jobs, and promote opportunities for their citizens.

EXECUTIVE ORDER - COLLECTING INFORMATION ABOUT CITIZENSHIP STATUS IN CONNECTION WITH THE DECENNIAL CENSUS

Office of the Press Secretary

  
EXECUTIVE ORDER

- - - - - - -

COLLECTING INFORMATION ABOUT CITIZENSHIP
STATUS IN CONNECTION WITH THE DECENNIAL CENSUS

 

     By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered as follows:

     Section 1.  Purpose.  In Department of Commerce v. New York, No. 18-966 (June 27, 2019), the Supreme Court held that the Department of Commerce (Department) may, as a general matter, lawfully include a question inquiring about citizenship status on the decennial census and, more specifically, declined to hold that the Secretary of Commerce's decision to include such a question on the 2020 decennial census was "substantively invalid."  That ruling was not surprising, given that every decennial census from 1820 to 2000 (with the single exception of 1840) asked at least some respondents about their citizenship status or place of birth.  In addition, the Census Bureau has inquired since 2005 about citizenship on the American Community Survey -- a separate questionnaire sent annually to about 2.5 percent of households.

     The Court determined, however, that the explanation the Department had provided for including such a question on the census was, in the circumstances of that case, insufficient to support the Department's decision.  I disagree with the Court's ruling, because I believe that the Department's decision was fully supported by the rationale presented on the record before the Supreme Court.

     The Court's ruling, however, has now made it impossible, as a practical matter, to include a citizenship question on the 2020 decennial census questionnaire.  After examining every possible alternative, the Attorney General and the Secretary of Commerce have informed me that the logistics and timing for carrying out the census, combined with delays from continuing litigation, leave no practical mechanism for including the question on the 2020 decennial census.

     Nevertheless, we shall ensure that accurate citizenship data is compiled in connection with the census by other means.  To achieve that goal, I have determined that it is imperative that all executive departments and agencies (agencies) provide the Department the maximum assistance permissible, consistent with law, in determining the number of citizens and non-citizens in the country, including by providing any access that the Department may request to administrative records that may be useful in accomplishing that objective.  When the Secretary of Commerce decided to include the citizenship question on the census, he determined that such a question, in combination with administrative records, would provide the most accurate and complete data.  At that time, the Census Bureau had determined based on experience that administrative records to which it had access would enable it to determine citizenship status for approximately 90 percent of the population.  At that point, the benefits of using administrative records were limited because the Department had not yet been able to access several additional important sets of records with critical information on citizenship.  Under the Secretary of Commerce's decision memorandum directing the Census Bureau "to further enhance its administrative record data sets" and "to obtain as many additional Federal and state administrative records as possible," the Department has sought access to several such sets of records maintained by other agencies, but it remains in negotiations to secure access.  The executive action I am taking today will ensure that the Department will have access to all available records in time for use in conjunction with the census.

     Therefore, to eliminate delays and uncertainty, and to resolve any doubt about the duty of agencies to share data promptly with the Department, I am hereby ordering all agencies to share information requested by the Department to the maximum extent permissible under law.

     Access to the additional data identified in section 3 of this order will ensure that administrative records provide more accurate and complete citizenship data than was previously available.

     I am also ordering the establishment of an interagency working group to improve access to administrative records, with a goal of making available to the Department administrative records showing citizenship data for 100 percent of the population.  And I am ordering the Secretary of Commerce to consider mechanisms for ensuring that the Department's existing data-gathering efforts expand the collection of citizenship data in the future.

     Finally, I am directing the Department to strengthen its efforts, consistent with law, to obtain State administrative records concerning citizenship.

     Ensuring that the Department has available the best data on citizenship that administrative records can provide, consistent with law, is important for multiple reasons, including the following.

     First, data on the number of citizens and aliens in the country is needed to help us understand the effects of immigration on our country and to inform policymakers considering basic decisions about immigration policy.  The Census Bureau has long maintained that citizenship data is one of the statistics that is "essential for agencies and policy makers setting and evaluating immigration policies and laws."

     Today, an accurate understanding of the number of citizens and the number of aliens in the country is central to any effort to reevaluate immigration policy.  The United States has not fundamentally restructured its immigration system since 1965.  I have explained many times that our outdated immigration laws no longer meet contemporary needs.  My Administration is committed to modernizing immigration laws and policies, but the effort to undertake any fundamental reevaluation of immigration policy is hampered when we do not have the most complete data about the number of citizens and non-citizens in the country.  If we are to undertake a genuine overhaul of our immigration laws and evaluate policies for encouraging the assimilation of immigrants, one of the basic informational building blocks we should know is how many non-citizens there are in the country.

     Second, the lack of complete data on numbers of citizens and aliens hinders the Federal Government's ability to implement specific programs and to evaluate policy proposals for changes in those programs.  For example, the lack of such data limits our ability to evaluate policies concerning certain public benefits programs.  It remains the immigration policy of the United States, as embodied in statutes passed by the Congress, that "aliens within the Nation's borders [should] not depend on public resources to meet their needs, but rather rely on their own capabilities and the resources of their families, their sponsors, and private organizations" and that "the availability of public benefits [should] not constitute an incentive for immigration to the United States" (8 U.S.C. 1601(2)).  The Congress has identified compelling Government interests in restricting public benefits "in order to assure that aliens be self-reliant in accordance with national immigration policy" and "to remove the incentive for illegal immigration provided by the availability of public benefits" (8 U.S.C. 1601(5), (6)).

     Accordingly, aliens are restricted from eligibility for many public benefits.  With limited exceptions, aliens are ineligible to receive supplemental security income or food stamps (8 U.S.C. 1612(a)).  Aliens who are "qualified aliens" -- that is, lawful permanent residents, persons granted asylum, and certain other legal immigrants -- are, with limited exceptions, ineligible to receive benefits through Temporary Assistance for Needy Families, Medicaid, and State Children's Health Insurance Program for 5 years after entry into the United States (8 U.S.C. 1613(a)).  Aliens who are not "qualified aliens," such as those unlawfully present, are generally ineligible for Federal benefits and for State and local benefits (8 U.S.C. 1611(a), 1621(a)).

     The lack of accurate information about the total citizen population makes it difficult to plan for annual expenditures on certain benefits programs.  And the lack of accurate and complete data concerning the alien population makes it extremely difficult to evaluate the potential effects of proposals to alter the eligibility rules for public benefits.

     Third, data identifying citizens will help the Federal Government generate a more reliable count of the unauthorized alien population in the country.  Data tabulating both the overall population and the citizen population could be combined with records of aliens lawfully present in the country to generate an estimate of the aggregate number of aliens unlawfully present in each State.  Currently, the Department of Homeland Security generates an annual estimate of the number of illegal aliens residing in the United States, but its usefulness is limited by the deficiencies of the citizenship data collected through the American Community Survey alone, which includes substantial margins of error because it is distributed to such a small percentage of the population.

     Academic researchers have also been unable to develop useful and reliable numbers of our illegal alien population using currently available data.  A 2018 study by researchers at Yale University estimated that the illegal alien population totaled between 16.2 million and 29.5 million.  Its modeling put the likely number at about double the conventional estimate.  The fact is that we simply do not know how many citizens, non-citizens, and illegal aliens are living in the United States.

     Accurate and complete data on the illegal alien population would be useful for the Federal Government in evaluating many policy proposals.  When Members of Congress propose various forms of protected status for classes of unauthorized immigrants, for example, the full implications of such proposals can be properly evaluated only with accurate information about the overall number of unauthorized aliens potentially at issue.  Similarly, such information is needed to inform debate about legislative proposals to enhance enforcement of immigration laws and effectuate duly issued removal orders.  

     The Federal Government's need for a more accurate count of illegal aliens in the country is only made more acute by the recent massive influx of illegal immigrants at our southern border.  In Proclamation 9822 of November 9, 2018 (Addressing Mass Migration Through the Southern Border of the United States), I explained that our immigration and asylum system remains in crisis as a consequence of the mass migration of aliens across our southern border.  As a result of our broken asylum laws, hundreds of thousands of aliens who entered the country illegally have been released into the interior of the United States pending the outcome of their removal proceedings.  But because of the massive backlog of cases, hearing dates are sometimes set years in the future and the adjudication process often takes years to complete.  Aliens not in custody routinely fail to appear in court and, even if they do appear, fail to comply with removal orders.  There are more than 1 million illegal aliens who have been issued final removal orders from immigration judges and yet remain at-large in the United States.

     Efforts to find solutions that address the immense number of unauthorized aliens living in our country should start with accurate information that allows us to understand the true scope of the problem.

     Fourth, it may be open to States to design State and local legislative districts based on the population of voter-eligible citizens.  In Evenwel v. Abbott, 136 S. Ct. 1120 (2016), the Supreme Court left open the question whether "States may draw districts to equalize voter-eligible population rather than total population."  Some States, such as Texas, have argued that "jurisdictions may, consistent with the Equal Protection Clause, design districts using any population baseline -- including total population and voter-eligible population -- so long as the choice is rational and not invidiously discriminatory".  Some courts, based on Supreme Court precedent, have agreed that State districting plans may exclude individuals who are ineligible to vote.  Whether that approach is permissible will be resolved when a State actually proposes a districting plan based on the voter-eligible population.  But because eligibility to vote depends in part on citizenship, States could more effectively exercise this option with a more accurate and complete count of the citizen population.

     The Department has said that if the officers or public bodies having initial responsibility for the legislative districting in each State indicate a need for tabulations of citizenship data, the Census Bureau will make a design change to make such information available.  I understand that some State officials are interested in such data for districting purposes.  This order will assist the Department in securing the most accurate and complete citizenship data so that it can respond to such requests from the States.

     To be clear, generating accurate data concerning the total number of citizens, non-citizens, and illegal aliens in the country has nothing to do with enforcing immigration laws against particular individuals.  It is important, instead, for making broad policy determinations.  Information obtained by the Department in connection with the census through requests for administrative records under 13 U.S.C. 6 shall be used solely to produce statistics and is subject to confidentiality protections under Title 13 of the United States Code.  Information subject to confidentiality protections under Title 13 may not, and shall not, be used to bring immigration enforcement actions against particular individuals.  Under my Administration, the data confidentiality protections in Title 13 shall be fully respected.  

     Sec. 2.  Policy.  It is the policy of the United States to develop complete and accurate data on the number of citizens, non-citizens, and illegal aliens in the country.  Such data is necessary to understand the effects of immigration on the country, and to inform policymakers in setting and evaluating immigration policies and laws, including evaluating proposals to address the current crisis in illegal immigration.

     Sec. 3.  Assistance to the Department of Commerce and Maximizing Citizenship Data.  (a)  All agencies shall promptly provide the Department the maximum assistance permissible, consistent with law, in determining the number of citizens, non‑citizens, and illegal aliens in the country, including by providing any access that the Department may request to administrative records that may be useful in accomplishing that objective.  In particular, the following agencies shall examine relevant legal authorities and, to the maximum extent consistent with law, provide access to the following records:

          (i)    Department of Homeland Security, United States Citizenship and Immigration Services - National-level file of Lawful Permanent Residents, Naturalizations;

          (ii)   Department of Homeland Security, Immigration and Customs Enforcement - F1 & M1 Nonimmigrant Visas;

          (iii)  Department of Homeland Security - National-level file of Customs and Border Arrival/Departure transaction data;

          (iv)   Department of Homeland Security and Department of State, Worldwide Refugee and Asylum Processing System - Refugee and Asylum visas;

          (v)    Department of State - National-level passport application data;

          (vi)   Social Security Administration - Master Beneficiary Records; and

          (vii)  Department of Health and Human Services - CMS Medicaid and CHIP Information System.

     (b)  The Secretary of Commerce shall instruct the Director of the Census Bureau to establish an interagency working group to coordinate efforts, consistent with law, to maximize the availability of administrative records in connection with the census, with the goal of obtaining administrative records that can help establish citizenship status for 100 percent of the population.  The Director of the Census Bureau shall chair the working group, and the head of each agency shall designate a representative to the working group upon request from the working group chair.

     (c)  To ensure that the Federal Government continues to collect the most accurate information available concerning citizenship going forward, the Secretary of Commerce shall consider initiating any administrative process necessary to include a citizenship question on the 2030 decennial census and to consider any regulatory changes necessary to ensure that citizenship data is collected in any other surveys and data-gathering efforts conducted by the Census Bureau, including the American Community Survey.  The Secretary of Commerce shall also consider expanding the distribution of the American Community Survey, which currently reaches approximately 2.5 percent of households, to secure better citizenship data.

     (d)  The Department shall strengthen its efforts, consistent with law, to gain access to relevant State administrative records.

     Sec. 4.  General Provisions.  (a)  Nothing in this order shall be construed to impair or otherwise affect:

          (i)   the authority granted by law to an executive department or agency, or the head thereof; or

          (ii)  the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

     (b)  This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

     (c)  This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.


 

                              DONALD J. TRUMP


 

THE WHITE HOUSE,
    July 11, 2019.
 

REMARKS BY PRESIDENT TRUMP ON CITIZENSHIP AND THE CENSUS

Office of the Press Secretary

REMARKS BY PRESIDENT TRUMP
ON CITIZENSHIP AND THE CENSUS

Rose Garden



5:37 P.M. EDT

     THE PRESIDENT:  Thank you very much everyone.  Are you a citizen of the United States of America?  “Oh, gee, I’m sorry, I just can’t answer that question.”  And that’s after spending billions and billions of dollars.  There used to be a time when you could answer questions like that very easily.  There used to be a time when you could proudly declare, “I am a citizen of the United States.”

     Now they’re trying to erase the very existence of a very important word and a very important thing: citizenship.  They’re even coming after the Pledge of Allegiance in Minnesota.  I’m proud to be a citizen.  You’re proud to be a citizen.  The only people who are not proud to be citizens are the ones who are fighting us all the way about the word, “citizen.”

     Today I’m here to say we are not backing down on our effort to determine the citizenship status of the United States population.  I stand before you to outline new steps my administration is taking to ensure that citizenship is counted so that we know how many citizens we have in the United States.  Makes sense?

     We will defend the right of the American people to know the full facts about the population size of citizens and non-citizens in America.  It is essential that we have a clear breakdown of the number of citizens and non-citizens that make up the U.S. populations.  Imperative.

     Knowing this information is vital to formulating sound public policy, whether the issue is healthcare, education, civil rights, or immigration.  We must have a reliable count of how many citizens, non-citizens, and illegal aliens are in our country.

The Department of Commerce sensibly decided to include a citizenship question in the 2020 Census, as has been done many, many times throughout the history of the United States.

Unfortunately, this effort was delayed by meritless litigation.  As shocking as it may be, far-left Democrats in our country are determined to conceal the number of illegal aliens in our midst.  They probably know the number is far greater, much higher than anyone would have believed before.  Maybe that’s why they fight so hard.

This is part of a broader left-wing effort to erode the rights of the American citizen.  And it’s very unfair to our country.

The Supreme Court ultimately affirmed our right to ask the citizenship question.  And, very strongly, it was affirmed.  But the Supreme Court ruled that we must provide further explanation that would have produced even more litigation and considerable time delays.

The case is already in three federal district courts that have been, to be totally honest, extremely unfriendly to us.  These delays would have prevented us from completing the census on time.  It’s deeply regrettable, but it will not stop us from collecting the needed information -- and I think even in greater detail and more accurately.  Therefore, we are pursuing a new option to ensure a complete and timely count of the non-citizen population.

Today, I will be issuing an executive order to put this very plan into effect immediately.  I’m hereby ordering every department and agency in the federal government to provide the Department of Commerce with all requested records regarding the number of citizens and non-citizens in our country.  They must furnish all legally accessible records in their possession immediately.

We will utilize these vast federal databases to gain a full, complete, and accurate count of the non-citizen population, including databases maintained by the Department of Homeland Security and the Social Security Administration.

We have great knowledge in many of our agencies.  We will leave no stone unturned.  The Census Bureau projected that using previously available records, it could determine citizenship for 90 percent of our population or more.

With today’s executive order, which eliminates long-standing obstacles to data sharing, we’re aiming to count everyone.  Ultimately, this will allow us to have an even more complete count of citizens than through asking the single question alone.  It will be, we think, far more accurate.

The Census Bureau can use this information, along with information collected through the questionnaire, to create the official census.  In other words, as a result of today’s executive order, we will be able to ensure the 2020 Census generates an accurate count of how many citizens, non-citizens, and illegal aliens are in the United States of America.  Not too much to ask.

This will greatly inform a wide array of public policy decisions.  This information is also relevant to administering our elections.  Some states may want to draw state and local legislative districts based upon the voter-eligible population.

Indeed, the same day the Supreme Court handed down the census decision, it also said it would not review certain types of districting decisions, which could encourage states to make such decisions based on voter eligibility.

With today’s order, we will collect all of the information we need to conduct an accurate census and to make responsible decisions about public policy, voting rights, and representation in Congress.

In everything we do, we will faithfully represent the people of the United States of America.

I would like now to introduce Attorney General Bill Barr to the podium.  Thank you.  Thank you, Bill.  (Applause.)

ATTORNEY GENERAL BARR:  Good evening.  Thank you, Mr. President.  And congratulations on today's executive order, which will ensure that we finally have an accurate understanding of how many citizens and non-citizens live in our country.

As the Supreme Court recognized, it would be perfectly lawful for the federal government to ask on the census whether individuals are citizens of the United States.  And it's entirely reasonable to want to know how many citizens and non-citizens there are in the United States.

In fact, the federal government has routinely asked questions relating to citizenship ever since the 1820s.  But while the Supreme Court correctly recognized that it would be entirely appropriate to include citizenship questions on the census, it nevertheless held that the Commerce Department did not adequately explain its decisions for doing so on the 2020 Census -- because, as the Supreme Court recognized, the defect in the Commerce Department's decision was curable with a better record.

The President asked me to work with Secretary Ross to determine whether there remained a viable path for including a citizenship question on the census.  I did so.

In my view, the government has ample justification to inquire about citizenship status on the census, and could plainly provide rationales for doing so that would satisfy the Supreme Court.  And therefore, there is no question that a new decision to add the question would ultimately survive legal review.

The problem is that any new decision would be subject to immediate challenge as a new claim in the three ongoing district court cases.  In addition, there are injunctions currently in place that forbid adding the question.  There is simply no way to litigate these issues and obtain relief from the current injunctions in time to implement any new decision without jeopardizing our ability to carry out the census, which we're not going to do.  We're not going to jeopardize our ability to carry out the census.

So as a practical matter, the Supreme Court's decision closed all paths to adding the question to the 2020 census.  Put simply, the impediment was not -- it was a logistical impediment, not a legal one.  We simply cannot complete the litigation in time to carry out the census.

One other point on this: Some in the media have been suggesting, in the hysterical mode of the day, that the administration has been planning to add the citizenship question to the census by executive fiat without regard to contrary court orders or what the Supreme Court might say.  This has been based on rank speculation and nothing more.

As should be obvious, there has never been under cons- -- this has never been under consideration.  We have always accepted that any new decision to add a citizenship question to the census would be subject to judicial review.

Turning to today, I applaud the President for recognizing in his executive order that including a question on the census is not the only way to obtain this vital information.  The course the President has chosen today will bring unprecedented resources to bear on determining how many citizens and non-citizens are in our country, and will yield the best data the government has had on citizenship in many decades.  That information will be used for countless purposes, as the President explained in his remarks today.

For example, there is a current dispute over whether illegal aliens can be included for apportionment purposes.  Depending on the resolution of that dispute, this data may be relevant to those considerations.  We will be studying this issue.

Congratulations again, Mr. President, on taking this effective action.

     THE PRESIDENT:  Thank you very much, everybody.  Thank you, Bill.  (Applause.)  Thank you very much.

                               END                 5:48 P.M. EDT

Thursday, July 11, 2019

Statement from the Press Secretary on the Visit of Prime Minister Mark Rutte of the Netherlands


Office of the Press Secretary

Statement from the Press Secretary on the Visit of Prime Minister Mark Rutte of the Netherlands

 

President Donald J. Trump will welcome Prime Minister Mark Rutte of the Netherlands to the White House on July 18, 2019.  President Trump looks forward to reaffirming the historic ties and shared interests that link the United States and the Netherlands.  The President and Prime Minister will discuss ways to further strengthen economic and security cooperation. President Trump and Prime Minister Rutte will also participate in a special presentation ceremony of an American flag that was flown from the stern of a United States Navy vessel during the D-Day invasion.  This historic flag will be presented by its Dutch owners to the President for future display in the Smithsonian National Museum of American History in Washington, D.C.


Wednesday, July 10, 2019

1600 Daily The White House • July 10, 2019 President Trump Refuses to Accept the Status Quo on One of America’s Deadliest Diseases


1600 Daily
The White House • July 10, 2019

President Trump refuses to accept the status quo on one of America’s deadliest diseases 


Across America, 37 million patients suffer from chronic kidney disease. Each year, more than 100,000 begin dialysis to treat end-stage renal disease—50 percent of whom die within five years.

That mortality rate is far too high. All told, kidney disease ranks as the ninth leading cause of death in America. The current quality of care for these patients is unacceptable, and the treatment options available to them are far too expensive.  

President Donald J. Trump, as with so many other issues confronting America, has refused to accept that awful status quo. At the Ronald Reagan Building and International Trade Center in Washington today, he signed an executive order that takes the biggest step in decades toward advancing American kidney health.

🎬 President Trump: It’s time to get “Americans off these waitlists.”

“Today we’re taking groundbreaking action to bring new hope to millions of Americans suffering from kidney disease,” he said.

Under President Trump’s new order, Medicare will test adjusting payment incentives to encourage preventative kidney care, as well as the use of home dialysis and kidney transplants. Furthermore, the President is directing his Administration to develop a process to get artificial kidneys to patients and expedite the process of kidney matching.

And crucially, the President is beginning the process of removing financial barriers to organ donation, including by allowing for the reimbursement of lost wages and childcare expenses faced by organ donors.

“For these patients, their loved ones, and for the impacted—all those impacted by kidney disease—I'm here to say: We are fighting by your side, and we're determined to get you the best treatment anywhere in the world,” President Trump said.

President Trump’s executive order is a bold new approach to kidney treatment.

 President Trump: “We are with you every step of the way.”

Ivanka Trump helps secure women’s rights legislation in Ivory Coast 


In April, Advisor to the President Ivanka Trump traveled to Africa, where she made the case for advancing women’s rights and legal status across the world. One of the countries she visited, Ivory Coast, today took concrete steps toward that vision by passing legislation encouraged by Ms. Trump.

“We are pleased to recognize and applaud the Ivorian government’s recent passage of the marriage law, which supports women’s equal management of household assets,” she said in a statement to The Associated Press.

This new legislation paves the way for the economic empowerment of women and sets an example for other countries to follow. Specifically, the updated family code makes the social and political landscape more equitable for women by getting rid of laws that prevented them from owning or inheriting property.

Reforms such as these are a top priority for the White House’s Women’s Global Development and Prosperity Initiative (W-GDP), which Ivanka Trump helps lead. W-GDP’s core message is that when women are empowered, both their families and their communities benefit substantially. Launched in February, W-GDP aims to empower 50 million women throughout the world by 2025.

Today, U.S. International Development Agency Administrator Mark Green, alongside Ms. Trump, announced 14 new projects in support of W-GDP. These partnerships alone will leverage millions of dollars to reach more than 100,000 women in the years ahead.

The Associated Press: Ivory Coast passes legislation encouraged by Ivanka Trump

Learn more: President Trump’s W-GDP aims to empower 50 million women  

Photo of the Day

Official White House Photo by Shealah Craighead
President Donald J. Trump signs an Executive Order on Advancing American Kidney Health at the Ronald Reagan Building and International Trade Center in Washington, D.C. | July 10, 2019  

President Donald J. Trump Announces Intent to Nominate Personnel to Key Administration Posts

Office of the Press Secretary
President Donald J. Trump Announces Intent to Nominate Personnel to Key Administration Posts 

Today, President Donald J. Trump announced his intent to nominate the following individuals to key positions in his Administration:

Sung Y. Kim of California, to be Ambassador Extraordinary and Plenipotentiary to the Republic of Indonesia.

Sung Y. Kim is a career member of the Senior Foreign Service, class of Career Minister, and currently serves as Ambassador to the Philippines.  Ambassador Kim’s extensive history of public service at the Department of State, including as Ambassador to the Republic of Korea, Special Envoy for the Six Party Talks, Director of the Office of Korean Affairs, Special Representative for North Korea Policy, and Deputy Assistant Secretary of State in the Bureau of East Asian and Pacific Affairs.  Earlier in his career, Ambassador Kim served as a Political Officer at the Embassies in Seoul, Republic of Korea, Tokyo, Japan, and Kuala Lumpur, Malaysia.  Ambassador Kim earned his B.A. from the University of Pennsylvania, J.D. from Loyola University Law School, and Masters of Law from the London School of Economics and Political Science.  Ambassador Kim received the Presidential Meritorious Honor Award in 2018, and he speaks Korean and Japanese.

Adam Seth Boehler of California, to be Chief Executive Officer of the United States International Development Finance Corporation.

Adam Seth Boehler currently serves as Senior Advisor to the Secretary of the Department of Health and Human Services, Deputy Administrator of the Centers for Medicare and Medicaid Services, and Director of the Center for Medicare & Medicaid Innovation.  Mr. Boehler is founder and former CEO of Landmark Health, which provides affordable in-home medical care for 100,000 vulnerable people and employs 1,000 people in the United States and India.  Adam graduated magna cum laude from the Wharton School of the University of Pennsylvania.

July 10, 2019 Executive Order - ADVANCING AMERICAN KIDNEY HEALTH

Office of the Press Secretary

Executive Order

- - - - - - -

ADVANCING AMERICAN KIDNEY HEALTH

 

     By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered as follows:

     Section 1.  Purpose.  My Administration is dedicated to advancing American kidney health.  The state of care for patients with chronic kidney disease and end-stage renal disease (ESRD) is unacceptable:  too many at-risk patients progress to late-stage kidney failure; the mortality rate is too high; current treatment options are expensive and do not produce an acceptable quality of life; and there are not enough kidneys donated to meet the current demand for transplants.

     Kidney disease was the ninth-leading cause of death in the United States in 2017.  Approximately 37 million Americans have chronic kidney disease and more than 726,000 have ESRD.  More than 100,000 Americans begin dialysis each year to treat ESRD.  Twenty percent die within a year; fifty percent die within 5 years.  Currently, nearly 100,000 Americans are on the waiting list to receive a kidney transplant.

     Sec. 2.  Policy.  It is the policy of the United States to:

     (a)  prevent kidney failure whenever possible through better diagnosis, treatment, and incentives for preventive care;

     (b)  increase patient choice through affordable alternative treatments for ESRD by encouraging higher value care, educating patients on treatment alternatives, and encouraging the development of artificial kidneys; and

     (c)  increase access to kidney transplants by modernizing the organ recovery and transplantation systems and updating outmoded and counterproductive regulations.

     Sec. 3.  Announcing an Awareness Initiative on Kidney and Related Diseases.  Within 120 days of the date of this order, the Secretary of Health and Human Services (Secretary) shall launch an awareness initiative at the Department of Health and Human Services (Department) to aid the Secretary's efforts to educate patients and support programs that promote kidney disease awareness.  The initiative shall develop proposals for the Secretary to support research regarding preventing, treating, and slowing progression of kidney disease; to improve kidney transplantation; and to share information with patients and providers to enhance awareness of the causes and consequences of kidney disease.

     Sec. 4.  Payment Model to Identify and Treat At-Risk Populations Earlier in Disease Development.  Within 30 days of the date of this order, the Secretary shall select a payment model to test innovations in compensation for providers of kidney care services based on kidney patient cost and quality outcomes.  The model should broaden the range of care and Medicare payment options available to potential participants with a focus on delaying or preventing the onset of kidney failure, preventing unnecessary hospitalizations, and increasing the rate of transplants.  It should aim at achieving these outcomes by creating incentives to provide care for Medicare beneficiaries who have advanced stages of kidney disease but who are not yet on dialysis.  The selected model shall include options for flexible advance payments for nephrologists to better support their management and coordination of care for patients with kidney disease.

     Sec. 5.  Payment Model to Increase Home Dialysis and Kidney Transplants.  Within 30 days of the date of this order, the Secretary shall select a payment model to evaluate the effects of creating payment incentives for greater use of home dialysis and kidney transplants for Medicare beneficiaries on dialysis.  The model should adjust payments based on the percentage of a participating provider's attributed patients who either are on home dialysis or have received a kidney transplant and should include a learning system to help participants improve performance.  Greater rates of home dialysis and transplantation will improve quality of life and care for patients who require dialysis and may eliminate the need for dialysis altogether for many patients.

     Sec. 6.  Encouraging the Development of an Artificial Kidney.  Within 120 days of the date of this order, in order to increase breakthrough technologies to provide patients suffering from kidney disease with better options for care than those that are currently available, the Secretary shall:

     (a)  announce that the Department will consider requests for premarket approval of wearable or implantable artificial kidneys in order to encourage their development and to enhance cooperation between developers and the Food and Drug Administration; and

     (b)  produce a strategy for encouraging innovation in new therapies through the Kidney Innovation Accelerator (KidneyX), a public-private partnership between the Department and the American Society of Nephrology.

     Sec. 7.  Increasing Utilization of Available
Organs.  (a)  Within 90 days of the date of this order, the Secretary shall propose a regulation to enhance the procurement and utilization of organs available through deceased donation by revising Organ Procurement Organization (OPO) rules and evaluation metrics to establish more transparent, reliable, and enforceable objective metrics for evaluating an OPO's performance.

     (b)  Within 180 days of the date of this order, the Secretary shall streamline and expedite the process of kidney matching and delivery to reduce the discard rate.  Removing process inefficiencies in matching and delivery that result in delayed acceptance by transplant centers will reduce the detrimental effects on organ quality of prolonged time with reduced or cut-off blood supply.

     Sec. 8.  Supporting Living Organ Donors.  Within 90 days of the date of this order, the Secretary shall propose a regulation to remove financial barriers to living organ donation.  The regulation should expand the definition of allowable costs that can be reimbursed under the Reimbursement of Travel and Subsistence Expenses Incurred Toward Living Organ Donation program, raise the limit on the income of donors eligible for reimbursement under the program, allow reimbursement for lost-wage expenses, and provide for reimbursement of child-care and elder-care expenses.

     Sec. 9.  General Provisions.  (a)  Nothing in this order shall be construed to impair or otherwise affect:

          (i) authority granted by law to an executive department or agency, or the head thereof; or


          (ii)  the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

     (b)  This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

     (c)  This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

 

 

                              DONALD J. TRUMP



 

THE WHITE HOUSE,
    July 10, 2019.