Executive Order No. 14379. Addressing Addiction Through the Great American Recovery Initiative

• Executive Order No.: 14379
• Published date: 03 February 2026
• Date: 29 January 2026
• FR Document: 2026-02249
• Pages: 5081-5083
• Citation: 91 FR 5081
• Issuer: Executive Office of the President
• Section: Presidential Documents

Federal Register, Volume 91 Issue 22 (Tuesday, February 3, 2026)

[Federal Register Volume 91, Number 22 (Tuesday, February 3, 2026)]
                [Presidential Documents]
                [Pages 5081-5083]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2026-02249] Presidential Documents
                Federal Register / Vol. 91 , No. 22 / Tuesday, February 3, 2026 /
                Presidential Documents
                [[Page 5081]]
                 Executive Order 14379 of January 29, 2026
                
                Addressing Addiction Through the Great American
                 Recovery Initiative
                 By the authority vested in me as President by the
                 Constitution and the laws of the United States of
                 America, it is hereby ordered:
                 Section 1. Purpose and Policy. The disease of
                 addiction, also known as substance use disorder, is a
                 crisis that touches families in every community and
                 neighborhood in our Nation. 48.4 million Americans, or
                 16.8 percent of our Nation's population, suffer from
                 addiction, and my Administration will continue to
                 respond to a crisis of this scale with the attention it
                 deserves. Over the past year, we have made incredible
                 progress in stopping the inflow of illegal drugs that
                 threaten American communities. We must now supplement
                 that work by furthering a national effort to prioritize
                 addiction treatment and recovery.
                 Addiction is a chronic, treatable disease with relapse
                 rates similar to other chronic diseases. Unfortunately,
                 very few Americans who need treatment ever receive it
                 or believe they need it. Among the 40.7 million adults
                 who had a substance use disorder in 2024 and did not
                 receive substance use treatment, 95.6 percent (or 38.1
                 million people) did not perceive that they needed
                 treatment. Despite significant investment of resources,
                 addiction recovery efforts remain fragmented and do not
                 keep pace with scientific advancements.
                 The costs of these failures are devastating, not only
                 in lives lost, but also in the ripple effects across
                 our economy, workforce, and national strength.
                 Addiction contributes to declining workforce
                 participation, increased healthcare costs,
                 homelessness, family instability, and lost productivity
                 that together cost the United States hundreds of
                 billions of dollars each year.
                 The framework for addiction treatment should parallel
                 that of other chronic diseases--utilizing evidence-
                 based care, scientific advancement, continuous support,
                 and community connection. My Administration will drive
                 a new national response to the disease of addiction
                 that will create stronger coordination across
                 government, the healthcare sector, faith communities,
                 and the private sector in order to save lives, restore
                 families, strengthen our communities, and build the
                 Great American Recovery.
                 Sec. 2. Launching the Great American Recovery
                 Initiative. (a) There is hereby established the White
                 House Great American Recovery Initiative (Initiative)
                 co-chaired by the Secretary of Health and Human
                 Services and the Senior Advisor for Addiction Recovery.
                 There shall be an Executive Director who shall
                 administer and execute the day to day operations of the
                 Initiative, and who shall report to the Assistant to
                 the President for Domestic Policy.
                 (b) In addition to the Co-Chairs and the Executive
                 Director, the Initiative shall consist of the following
                 officials, or their designees:
                (i) the Attorney General;
                (ii) the Secretary of the Interior;
                (iii) the Secretary of Education;
                (iv) the Secretary of Labor;
                (v) the Secretary of Housing and Urban Development;
                (vi) the Secretary of Veterans Affairs;
                [[Page 5082]]
                (vii) the Assistant to the President and Chief of Staff;
                (viii) the Assistant to the President and Special Envoy for Peace Missions;
                (ix) the Assistant to the President and Cabinet Secretary;
                (x) the Director of National Drug Control Policy;
                (xi) the Administrator of the Centers for Medicare and Medicaid Services;
                (xii) the Commissioner of Food and Drugs;
                (xiii) the Director of the National Institutes of Health;
                (xiv) the Assistant Secretary for Mental Health and Substance Use,
                Department of Health and Human Services; and
                (xv) the heads of such other executive departments, agencies, and offices
                that the Co-Chairs and the Executive Director may from time to time
                designate or invite to participate.
                 (c) The Co-Chairs may hold public hearings,
                 meetings, roundtables, and similar events, as
                 appropriate, and may receive expert input from leaders
                 in public health, addiction and recovery treatment, and
                 other relevant subject matter areas.
                 Sec. 3. Addressing the Disease of Addiction. The Co-
                 Chairs and the Executive Director, along with the other
                 members of the Initiative, shall:
                (i) recommend all necessary steps to coordinate the Federal Government's
                response to the addiction crisis, including by better aligning relevant
                Federal programs, setting clear objectives, and providing data-driven
                updates to the public on progress towards meeting these objectives;
                (ii) take appropriate actions to increase awareness of the disease of
                addiction, help Americans receive the treatment they need, and foster a
                culture that celebrates recovery;
                (iii) advise heads of executive departments and agencies (agency heads) on
                how to implement programs that integrate prevention, early intervention,
                treatment, recovery support, and re-entry into all relevant public health,
                healthcare, criminal justice, workforce, education, housing and social
                services systems, and remove outdated silos between agencies, programs, or
                systems, in each case as deemed appropriate by the agency head and
                consistent with applicable law;
                (iv) advise agency heads on directing appropriate grants to support
                addiction recovery, with a focus on prevention, treatment, and long-term
                resilience; and
                (v) consult with States, tribal nations, local jurisdictions, community-
                based organizations, faith-based organizations, the private sector, and
                philanthropic entities on the best strategies to ensure more Americans
                receive the treatment they need and celebrate individuals going through the
                recovery process.
                 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.
                [[Page 5083]]
                 (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.
                 (d) The costs for publication of this order shall
                 be borne by the Department of Health and Human
                 Services.
                
                
                 (Presidential Sig.)
                 THE WHITE HOUSE,
                 January 29, 2026.
                [FR Doc. 2026-02249
                Filed 2-2-26; 11:15 am]
                Billing code 4150-28-P