Important News

White House launches 'Great American Recovery Initiative' to coordinate federal addiction response

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Key takeaways

  • An executive order establishes the White House Great American Recovery Initiative to prioritize addiction treatment and recovery.
  • The Initiative is co-chaired by the Secretary of Health and Human Services and the Senior Advisor for Addiction Recovery, with an Executive Director reporting to the Assistant to the President for Domestic Policy.
  • Membership includes cabinet-level and agency leaders (Attorney General; Secretaries of Interior, Education, Labor, HUD, Veterans Affairs; Director of National Drug Control Policy; CMS Administrator; FDA Commissioner; NIH Director; HHS Assistant Secretary for Mental Health and Substance Use; and others).
  • Primary duties: coordinate the federal response, align programs, set objectives and publish data-driven updates, increase public awareness, and promote recovery culture.
  • The Initiative will advise agencies on integrating prevention, treatment, recovery support, and re-entry across public health, criminal justice, workforce, education, housing, and social services systems.
  • The order cites statistics: 48.4 million Americans (16.8% of the population) suffer from addiction; among 40.7 million adults with a substance use disorder in 2024, 95.6% did not perceive a need for treatment.
  • Implementation is to be consistent with applicable law, subject to availability of appropriations, and the order does not create new enforceable legal rights.

Follow Up Questions

Who holds the position "Senior Advisor for Addiction Recovery" and how is that role appointed?Expand

Kathryn Burgum has been identified in White House coverage and major news reports as the Senior Advisor for Addiction Recovery and a co‑chair of the Initiative. Senior Advisers to the President are White House political appointees who are selected by the President and serve without Senate confirmation (appointments within the Executive Office of the President typically do not require Senate advice and consent).

What specific authority can the Initiative’s Co-Chairs exercise over other federal agencies?Expand

The Executive Order does not give the Co‑Chairs any new statutory authority over other agencies; it directs them to recommend, advise, hold hearings/roundtables, and coordinate, but Section 4(a) preserves existing statutory authority of agency heads and makes clear the order does not alter legal powers of departments or their heads.

Will the Initiative create new federal funding streams or rely on existing appropriations for grants?Expand

The order does not create new federal funding streams; implementation is “subject to the availability of appropriations” (Section 4(b)), so the Initiative will advise on directing grants but any grant funding depends on existing or future appropriations and applicable law.

How will the Initiative measure progress and what public data will be published?Expand

The Initiative must set clear objectives and provide “data‑driven updates to the public on progress towards meeting these objectives” (Sec. 3(i)); the order does not specify exact metrics or datasets — those measurement details will be defined by the Co‑Chairs and participating agencies and published later.

What is the Director of National Drug Control Policy and what role will that office play in the Initiative?Expand

The Director of National Drug Control Policy (ONDCP Director) is the head of the Executive Office of the President office that coordinates federal drug control activities and strategies. Under the Executive Order, the ONDCP Director is a designated member of the Initiative and will participate in coordination, planning, and advising on aligning federal programs and grants to address addiction.

How will the Initiative coordinate with states, tribal nations, and local jurisdictions on implementation?Expand

The order directs the Initiative to “consult with States, tribal nations, local jurisdictions, community‑based organizations, faith‑based organizations, the private sector, and philanthropic entities” (Sec. 3(v)). It authorizes outreach, hearings, and roundtables to coordinate strategies, but implementation with states/tribes will be by consultation and recommendations; the EO does not preempt state or tribal authority.

Does the order change privacy protections or data-sharing rules for people receiving addiction treatment?Expand

No. The Executive Order does not change federal privacy or data‑sharing protections for people in treatment; it contains no language altering HIPAA, 42 CFR Part 2, or other privacy laws — implementation must be “consistent with applicable law” (Sec. 4(b)), so existing privacy rules remain in force.

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