Addressing Addiction Through the Great American Recovery Initiative

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;

(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.

(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.

THE WHITE HOUSE,

January 29, 2026.