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EO 14379Executive OrderTrump 47 · R

Executive Order 14379

Addressing Addiction Through the Great American Recovery Initiative

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In simple terms

This executive order establishes the White House Great American Recovery Initiative, co-chaired by the Secretary of HHS and a Senior Advisor for Addiction Recovery, to coordinate federal response to substance use disorder. The Initiative brings together 15+ officials across cabinet departments and agencies to recommend steps for aligning federal programs, increasing treatment access, and integrating addiction services across health, criminal justice, workforce, education, and housing systems.

Federal Register Open PDF 91 FR 5081

Record & deadlines

  1. Signed

    Signed by the President

  2. FR published

    Published in the Federal Register · 91 FR 5081

    Federal Register PDF

Key directives

  • Establish White House Great American Recovery Initiative co-chaired by Secretary of HHS and Senior Advisor for Addiction Recovery
  • Executive Director to administer day-to-day operations, report to Assistant to President for Domestic Policy
  • Initiative to recommend steps to coordinate federal addiction response, align programs, set objectives, provide data-driven public updates
  • Initiative to increase awareness, help Americans receive treatment, foster recovery-celebrating culture
  • Advise agency heads on integrating prevention, early intervention, treatment, recovery support, re-entry across public health, healthcare, criminal justice, workforce, education, housing, social services
  • Advise agency heads on directing grants to support addiction recovery with focus on prevention, treatment, long-term resilience
  • Consult with states, tribal nations, local jurisdictions, community-based, faith-based, private sector, philanthropic entities

Who is ordered

What to expect

Immediate

  • Establishment of White House Great American Recovery Initiative
  • Designation of Co-Chairs (HHS Secretary, Senior Advisor for Addiction Recovery) and Executive Director

Near term (90d)

  • Initiative members to begin coordinating federal response
  • Potential public hearings and roundtables
  • Initial consultations with states, tribes, local jurisdictions, and private sector

Long term

  • Integration of prevention/treatment/recovery across health, criminal justice, workforce, education, housing systems
  • Data-driven public progress updates
  • Potential realignment of federal grant programs

Risks & tensions

  • No appropriations provided; implementation 'subject to availability of appropriations' may limit impact
  • Advisory role only—Initiative 'recommends' and 'advises' but lacks direct operational authority over agencies
  • Vague 'as deemed appropriate by the agency head' language may weaken coordination
  • Potential tension between criminal justice integration and public health approach
  • Scale of crisis (48.4 million Americans) vs. limited structural mechanisms for enforcement
Executive Order 14379: Addressing Addiction Through the Great American Recovery Initiative · Executive Orders