Delivering Most-Favored-Nation Prescription Drug Pricing to American Patients (Trump EO Tracker)

Reestablishes the Presidential Fitness Test and revitalizes the President's Council on Sports, Fitness, and Nutrition to promote youth participation in sports, improve national health, and address rising rates of obesity and inactivity. Directs federal agencies to support these initiatives and outlines strategies for nationwide engagement and fitness programming.
 
This executive order reestablishes the Presidential Fitness Test and revitalizes the President's Council on Sports, Fitness, and Nutrition to address the national health crisis and promote youth participation in sports. It directs the Secretary of Health and Human Services, in coordination with the Secretary of Education, to administer the test and support the Council's initiatives, which include developing school-based fitness programs, setting national youth fitness programs, setting goals, and launching public campaigns. The Council is also tasked with advising the President on strategies to combat childhood obesity and inactivity, enhance military readiness, and foster a culture of physical excellence across all sectors of society. 

Directs federal agencies to support the expanded use of civil commitment and institutional treatment for homeless individuals with serious mental illness or substance use disorders, while conditioning federal grants on the enforcement of anti-vagrancy laws and restricting funding for programs that permit drug use or prioritize housing without treatment. 
 
Federal agencies must promote the expanded use of civil commitment for homeless individuals with serious mental illness or substance use disorders, including by seeking the reversal of judicial precedents and termination of consent decrees that obstruct institutionalization. This order conditions federal grant funding on local enforcement of anti-vagrancy laws, such as bans on public drug use, camping, and squatting, and prohibits support for programs that emphasize housing without requiring treatment or accountability. The order also expands support for drug and mental health courts, permits more restrictive housing rules, and authorizes the collection and sharing of health data with law enforcement to enhance public safety. 

Accelerates the buildout of artificial intelligence (AI) data centers and supporting infrastructure by easing federal permitting, streamlining environmental reviews, and expanding access to federally owned land for development consistent with national prosperity and security. It revokes Executive Order 14141 and directs the Secretary of Commerce, in consultation with the Director of the Office of Science and Technology Policy (OSTP) and other relevant executive departments and agencies, to launch a financial support initiative for Qualifying Projects, including loans, loan guarantees, grants, tax incentives, and offtake agreements. Within 10 days, all relevant agencies must identify existing categorical exclusions under the National Environmental Policy Act (NEPA), and within 180 days, the Administrator of the Environmental Protection Agency (EPA) must issue guidance to expedite reuse of Brownfield and Superfund Sites and review relevant permitting regulations. The Department of the Army, acting through the Assistant Secretary of the Army for Civil Works, must review permitting under the Clean Water Act and Rivers and Harbors Act within 180 days. The Federal Permitting Improvement Steering Council (FPISC) Executive Director has 30 days to designate transparency projects for expedited review under the Fixing America’s Surface Transportation Act (FAST-41). The Department of the Interior (DOI), Department of Energy (DOE), and Department of Defense (DOD) are instructed to make available federal and military land for Qualifying Projects.

Directs all federal agencies to procure only those large language models (LLMs) developed in accordance with two Unbiased AI Principles: truth-seeking and ideological neutrality.  Within 120 days, the Director Management and Budget (OMB), in coordination with the Administrator for Federal Procurement Policy (OFPP), the Administrator of General Services (GSA), and the Director of the Office of Science and Technology Policy (OSTP), must issue guidance for implementing this directive. Agencies must then, within 90 days of receiving that guidance, adopt procedures to ensure all procured LLMs meet these principles.

Directs the Department of Commerce (DOC) to establish the American Artificial Intelligence (AI) Exports Program within 90 days to promote global deployment of U.S.-developed full-stack AI technology packages and reinforce American leadership in AI standards and infrastructure. The program will be developed in consultation with the Department of State (DOS) and the Office of Science and Technology Policy (OSTP), with selected industry-led proposals receiving priority designation and access to federal support. The Economic Diplomacy Action Group (EDAG), chaired by the Secretary of State, will coordinate financing tools such as loans, loan guarantees, and risk insurance. The Department of Defense (DOD), Department of Energy (DOE), Small Business Administration (SBA), and OSTP will support review, investment coordination, and export promotion. Proposals must comply with U.S. export laws and be submitted within 90 days of the public call. 

This proclamation addresses the EPA’s April 5, 2024 final rule, National Emission Standards for Hazardous Air Pollutants:  Ethylene Oxide Emissions Standards for Sterilization Facilities Residual Risk and Technology Review, 89 Fed. Reg. 24090 (EtO Rule), which imposes new emissions-control requirements on commercial sterilization facilities. The proclamation declares that that certain stationary sources subject to the EtO Rule, as identified in Annex I of the proclamation, are exempt from compliance with the EtO Rule for a period of two years beyond the EtO Rule’s relevant compliance dates. During the two-year period, the exempted stationary sources will remain subject to the emissions and compliance obligations in effect prior to the issuance of the EtO Rule.

Establishes Schedule G within the excepted service to cover noncareer, policymaking or policy-advocating positions that are normally subject to change with a presidential transition. The Director of the Office of Personnel Management (OPM) is directed to issue implementing regulations, and the Secretary of Veterans Affairs (VA) is tasked with appointing candidates aligned with the President’s policy priorities while remaining neutral on political affiliation. 

Exempts six coal-fired power units in Ohio, Colorado, and Illinois from compliance with EPA’s revised Mercury and Air Toxics Standards (MATS) for two additional years, through July 8, 2029. Allows these facilities to operate under the previous MATS standards due to the unavailability of commercially viable compliance technology.