Implementing the President’s Department of Government Efficiency Cost Efficiency Initiative (Trump EO Tracker)

This memorandum directs the Secretary of Health and Human Services to take appropriate action to eliminate waste, fraud, and abuse in Medicaid, including by ensuring Medicaid payments rates are not higher than Medicare.

Orders the suspension of entry for any alien into the United States as a nonimmigrant to pursue a course of study at Harvard University or to participate in an exchange visitor program hosted by Harvard University. The suspension and limitation shall expire, absent extension, 6 months after today’s date.

Orders the full suspension of entry for nationals of countries of identified concern.

Orders the Counsel to the President, in consultation with the Attorney General and the head of any other relevant executive department or agency to investigate whether certain individuals conspired to deceive the public about President Biden’s mental state and unconstitutionally exercise the authorities and responsibilities of the President. The investigation will also include the circumstances surrounding President Biden’s execution of numerous executive actions during his final years in office.

Directs the Departments of Defense and Energy to deploy advanced nuclear reactors for critical military and AI infrastructure, starting with operation at a domestic military base by September 30, 2028, and site deployment at DOE facilities within 30 months. Mandates interagency action to secure fuel supplies, streamline NEPA compliance, and pursue at least 20 new nuclear export agreements by the end of the 120th Congress to position U.S. nuclear technology as a global strategic asset.

Orders the Director of the Office of Science and Technology Policy (OSTP Director) to issue guidance for agencies on implementation of “Gold Standard Science” in the conduct and management of their respective scientific activities

Directs the Nuclear Regulatory Commission to undergo structural, cultural, and regulatory reform to accelerate licensing timelines, reduce costs, and support rapid deployment of advanced nuclear technologies. Requires the NRC to propose revised rules within 9 months and finalize them within 18 months, including science-based radiation limits, expedited design approvals, and standardized licensing for modular and microreactors.

Directs the Department of Energy to reform national lab processes and establish a pilot program to approve at least three advanced reactor test sites outside the labs, with operations targeted by July 4, 2026. Requires expedited reviews, new environmental exclusions, and DOE-wide coordination to ensure qualified test reactors can be operational within two years of application.