U.S. federal government response to the COVID-19 pandemic

The federal government of the United States initially responded to the COVID-19 pandemic in the country with various declarations of emergency, some of which led to travel and entry restrictions and the formation of the White House Coronavirus Task Force. As the pandemic progressed in the U.S. and globally, the U.S. government began issuing recommendations regarding the response by state and local governments, as well as social distancing measures and workplace hazard controls. State governments played a primary role in adopting policies to address the pandemic. Following the closure of most businesses throughout a number of U.S. states, President Donald Trump announced the mobilization of the National Guard in the most affected areas.

During 2020 and 2021, the U.S. Congress passed major stimulus packages as part of an aggressive effort to fight both the pandemic and its economic impact. Three major bills were passed: the CARES Act, the Consolidated Appropriations Act, 2021, and the American Rescue Plan Act of 2021. Other proposed acts of legislation to provide economic relief were made within both the House of Representatives and the Senate, with influence from the White House. In addition, other federal policy changes were made by a number of departments—some at the direction of President Trump, as well as his successor Joe Biden.

The Trump administration's communication regarding the pandemic generated negative responses. Trump was initially described as optimistic about the country's response to the pandemic and the threat level COVID-19 presented the public. As the pandemic's severity escalated in the U.S., Trump repeatedly made false or misleading statements. In contrast, officials within the Trump administration made numerous statements in support of physical distancing measures and business closures.

The federal government managed the development of several vaccines for the virus through Operation Warp Speed in 2020. Distribution of the vaccines was overseen by the Biden administration during 2021, during which time many pandemic measures were ended. The national emergency related to the pandemic was ended by a bipartisan resolution of Congress on April 10, 2023, and the public health emergency was ended on May 11, 2023, also by a bipartisan resolution of congress.

Background
On December 31, 2019, China reported a cluster of pneumonia cases in its city of Wuhan. On January 7, 2020, the Chinese health authorities confirmed that this cluster was caused by a novel infectious coronavirus. On January 8, the Centers for Disease Control and Prevention (CDC) issued an official health advisory via its Health Alert Network (HAN) and established an Incident Management Structure to coordinate domestic and international public health actions. On January 10 and 11, the World Health Organization (WHO) warned about a strong possibility of human-to-human transmission and urged precautions. On January 20, the WHO and China confirmed that human-to-human transmission had occurred.

The first report of a COVID-19 case in the U.S. came on January 20, in a man who returned on January 15 from visiting family in Wuhan, China, to his home in Snohomish County, Washington. He sought medical attention on January 19. The second report came on January 24, in a woman who returned to Chicago, Illinois, on January 13 from visiting Wuhan. The woman passed the virus to her husband, and he was confirmed to have the virus on January 30, in what was at that time the first reported case of local transmission in the U.S. The same day, the WHO declared the outbreak a Public Health Emergency of International Concern, warning that "all countries should be prepared for containment." The next day, January 31, the U.S. also declared a public health emergency.

Initial events and task force formation


Trump administration officials were briefed about the coronavirus outbreak in China on January 3, 2020. Health officials first substantially briefed the president about the virus on January 18, when HHS secretary Alex Azar called Trump while he was at Mar-a-Lago.

On January 27, then-acting chief of staff Mick Mulvaney convened a meeting with White House aides to draw greater attention to the virus among senior officials. Two days later, on January 29, President Trump established the White House Coronavirus Task Force, led by Secretary Azar, to coordinate and oversee efforts to "monitor, prevent, contain, and mitigate the spread" of COVID-19 in the United States. On February 26, Trump appointed Vice President Mike Pence to take charge of the nation's response to the virus.

On March 11, during an Oval Office address, Trump announced that he had requested a number of other policy changes: At this point, the federal government neared agreement on a stimulus proposal including direct cash payments to Americans. Trump announced that the Small Business Administration would be providing disaster loans which could provide impacted businesses with up to $2 million.
 * He would ask Congress to provide financial relief and paid sick leave for workers who were quarantined or had to care for others.
 * He would instruct the Small Business Administration (SBA) to provide loans to businesses affected by the pandemic, and would ask Congress for an additional $50 billion to help hard-hit businesses.
 * He would request that tax payments be deferred beyond April 15 without penalty for those affected, which he said could add $200 billion in temporary liquidity to the economy.
 * He would ask Congress to provide payroll tax relief to those affected.

FEMA was put in charge of procuring medical supplies on March 17. On March 18, Trump announced that the U.S. Department of Housing and Urban Development (HUD) would be suspending all kinds of foreclosures and evictions until the end of April. The week of March 19, the Federal Housing Finance Agency ordered federally guaranteed loan providers to grant forbearance of up to a year on mortgage payments from people who lost income due to the pandemic. It encouraged the same for non-federal loans and included a pass-through provision for landlords to grant forbearance to renters who lost income.

On March 20, Trump announced that the Department of Education would not be enforcing standardized testing for 2020. Trump had also instructed to waive all federally held student loans for the next 60 days, which could be extended if needed. Treasury Secretary Steven Mnuchin announced that the deadline for several federal filings including income tax returns and payments would be extended to July 15, 2020.

On March 22, Trump announced that he had directed FEMA to build four large medical stations with 1,000 beds for New York, eight large medical stations with 2,000 beds for California, and three large medical stations and four small medical stations with 1,000 beds for the State of Washington.

On March 23, Trump postponed the October 1, 2020, deadline for Americans on commercial airlines to carry Real ID-compliant documents. On April 3, Trump announced that the federal government would use funds from the CARES Act to pay hospitals for treatment of uninsured patients infected with the coronavirus. On April 20, Trump said he would sign an executive order to temporarily suspend immigration to the U.S. because of the pandemic.

A public–private partnership named Operation Warp Speed was begun to rapidly develop vaccines for the disease. On March 30, HHS announced the first grant to a vaccine in development with $456 million allocated to Johnson & Johnson. Additional funds were approved for Moderna, AstraZeneca, Regeneron, Novavax, Pfizer, and a partnership between Sanofi and GlaxoSmithKline. The program's timeline was formally announced on May 15. Two of the vaccines, Moderna's and Pfizer's, were given emergency use authorization by the FDA in December 2020, allowing a public vaccination campaign to commence.

Travel and entry restrictions


On January 31, three major U.S. airlines (Delta, American, and United) announced that beginning in early February they would suspend flights between the U.S. and China, although United Airlines continued select flights for returning Americans. Later that day, President Trump announced travel restrictions which would come into effect on February 2, preventing foreign nationals from entering the U.S. if they had been in China within the previous two weeks. The immediate family members of U.S. citizens and permanent residents were exempt from this restriction. Major Chinese carriers began to suspend flights from China to the United States three days after the announcement of the travel restrictions. In addition to restricting foreign nationals, Trump imposed a quarantine for up to 14 days on American citizens returning from Hubei, the main coronavirus hotspot at the time. This was the first quarantine order the U.S. federal government had issued in over 50 years. Although at the time the WHO recommended against countries imposing travel restrictions, Secretary Azar said the decision stemmed from the recommendations of HHS health officials. The New York Times analyzed that more than 380,000 people arrived in the U.S. from China in January, including around 4,000 from Wuhan. After the restrictions began, almost 40,000 people arrived in the U.S. from China in February and March.

Following the China-related restrictions, the Trump administration imposed other restrictions weeks later:
 * In mid-February, the CDC opposed allowing fourteen people who had tested positive for COVID-19 while passengers on the cruise ship Diamond Princess to be flown back to the U.S. without completing a 14-day quarantine. They were overruled by officials at the U.S. State Department. CDC director Robert Redfield refused to administer COVID-19 tests to returning Americans.
 * On March 2, travel restrictions were implemented on foreign nationals who had been in Iran within the previous two weeks. An exemption was made for immediate family members of U.S. citizens and permanent residents. This measure was announced on February 29.
 * On March 12, the CDC recommended against any non-essential travel to China, most of Europe, Iran, Malaysia, and South Korea. The following week, the U.S. Department of State recommended that U.S. citizens not travel abroad, while those who are abroad should "arrange for immediate return to the United States" unless prepared to remain abroad indefinitely.
 * On March 19, the State Department suspended routine visa services at all American embassies and consulates worldwide.
 * By March 20, the U.S. began barring entry to foreign nationals who had been in 28 European countries within the past 14 days. American citizens, permanent residents, and their immediate families returning from abroad could re-enter the United States under the new restrictions, but those returning from one of the specified countries would have to undergo health screenings and submit to quarantines and monitoring for up to 14 days. In addition to the earlier travel restrictions in place, Trump extended this quarantine and monitoring requirement to those coming from Iran and the entirety of China. Flights from all restricted countries were required to land at one of 13 airports where the U.S. Department of Homeland Security (DHS) had "enhanced" entry screenings. At least 241 foreigners (including several Canadians), who had recently traveled in China and Iran, were denied entry to the United States between February2 and March 3.
 * On April 21, President Trump announced a forthcoming executive order barring people from seeking green cards for a period of 60 days.

Containment efforts within the U.S.


On January 30, the WHO warned that "all countries should be prepared for containment, including active surveillance, early detection, isolation and case management, contact tracing and prevention of onward spread" of the virus. February 25 was the first day the CDC told the American public to prepare for an outbreak.

By February, the CDC was exploring options to control the spread of COVID-19 in the United States. Six cities believed to be high-risk were selected for early "sentinel surveillance" to try to detect the virus in patients who did not meet CDC guidelines for testing; those cities were Chicago, New York, San Francisco, Los Angeles, Seattle and Honolulu. Very few tests were successfully completed within a five-week window. Once testing showed the disease was spreading among those without travel-related risk factors, public officials in California began to issue "stay at home" orders; it would be at least a week before similar orders were issued in other parts of the country.

At a White House press briefing on April 1, Dr. Anthony S. Fauci said that, even though he expected social distancing rules could eventually be relaxed even before the availability of a vaccine, a vaccine would still be necessary to end the pandemic.

As part of the early efforts to contain and mitigate the pandemic within the United States, Surgeon General Jerome Adams announced in early March that local leaders would soon have to consider whether to cancel large gatherings, consider telework policies, and close schools. Over the next few weeks, a number of states imposed stay-at-home orders of diverse scope and severity, which placed limits on where people could travel, work and shop away from their homes. By March 21, governors in New York, California and other large states had ordered most businesses to close and for people to stay inside, with limited exceptions.

On March 16, Trump announced "15 Days to Slow the Spread"—a series of guidelines based on CDC recommendations on topics such as physical distancing, self-isolation, and protecting those at high risk. The government also recommended closing schools and avoiding gatherings of more than ten people. Coronavirus Response Coordinator Deborah Birx cited an analysis by Imperial College London that if nothing was done by government officials, 2.2 million would die in the United States. The researchers recommended enforced social distancing for the entire population and closing all schools and universities. The White House recommended "social distancing". One month later, epidemiologists Britta Jewell and Nicholas Jewell estimated that, had social distancing policies been implemented just two weeks earlier, U.S. deaths due to COVID-19 might have been reduced by 90%.

In late March, Trump announced that the National Guard would be deployed to California, New York, and Washington, and FEMA would send large medical stations with thousands of beds to the three states. The city of Chicago said it would rent more than a thousand empty hotel rooms to house coronavirus patients who need to be isolated but do not require hospitalization. Containment and care facilities would include two Navy hospital ships. USNS Mercy (T-AH-19) arrived in Los Angeles on March 27, and USNS Comfort (T-AH-20) arrived in New York City on March 30.

On March 28, the president said he had decided not to enact a tri-state lockdown of New York, New Jersey, and Connecticut, after having publicly suggested earlier in the day he was considering such a move; instead he ordered the CDC to issue a travel advisory suggesting voluntary travel limitations in these states.

Buildings normally used for sports and entertainment were transformed into field hospitals. The Coachella Valley Music and Arts Festival, for instance, was postponed to October and the fairgrounds where it is normally held was turned into a medical center. To prepare housing for homeless persons, states such as California have procured private hotels and motels as emergency shelters and isolation spaces. Manpower from the military and volunteer armies were called up to help construct the emergency facilities.

On March 31, Birx reiterated the projection of 1.5 million to 2.2 million deaths if government officials did nothing to stop the virus, compared with 100,000 to 240,000 deaths if measures such as social distancing were taken. As April began, various state and local officials, including the mayors of New York and Los Angeles, and the governors or health departments of Colorado, Pennsylvania, and Rhode Island encouraged residents to wear non-medical cloth face coverings while in public, as an additional measure to prevent unknowingly infecting others. The CDC issued a similar recommendation on April 3. Health officials generally advised against the use of medical-grade PPE (such as surgical masks and respirators) by the general public, preferring to save them for healthcare personnel due to shortages.

In early May, the Institute for Health Metrics and Evaluation at the University of Washington predicted the American death toll would reach 137,000 by early August.

An October 2020 report in The Washington Post cited poor infection controls in some nursing homes resulting from mismanagement and reduced enforcement efforts by the Centers for Medicare and Medicaid Services under the Trump Administration as significantly contributing to tens of thousands of deaths in those facilities.

Communication


In January 2020, President Trump disregarded warnings from his administration's officials about the threat the virus posed to the United States in favor of the country's economic considerations. He publicly downplayed the danger until mid-March, making numerous optimistic statements, including that the outbreak was "under control" and being overcome, or that the virus would somehow vanish. On February 26, speaking of the number of known infected in the country at the time, Trump predicted "the 15 within a couple of days is going to be down to close to zero—that's a pretty good job we've done." By the end of March, The Washington Post described Trump's pronouncements as having "evolved from casual dismissal to reluctant acknowledgment to bellicose mobilization". When asked about his initial dismissive comments, Trump explained that he wanted to "give people hope" as a "cheerleader for the country", although he "knew everything".

On March 11, 2020, Trump gave an Oval Office address where he announced an imminent travel ban between Europe and the United States. The announcement caused chaos in European and American airports, as Americans abroad scrambled to get flights back to the United States. The administration later had to clarify that the travel ban applied to foreigners coming from the Schengen Area, and later added Ireland and the UK to the list. The flawed rollout of the travel ban led to hours-long waits and crowded lines at major airports for incoming passengers to the U.S., causing a public health hazard. Trump also listed several economic policy proposals designed to provide tax relief for workers, aid small businesses, and fight the spread of the virus. Trump declared that insurance companies "have agreed to waive all co-payments for coronavirus treatments". (After the speech, the America's Health Insurance Plans association clarified that the waivers were only for tests, not for treatments.) On March 13, Trump declared the coronavirus to be a national emergency, freeing up $50 billion in federal funds to fight the outbreak.

Starting March 16, Trump began to hold daily press briefings on the coronavirus situation, lasting from an hour to more than two hours and usually broadcast live by the television networks. On March 16, Trump said for the first time that the coronavirus was "not under control", and the situation was "bad" with months of impending disruption to daily lives, and a recession possible. Also on March 16, Trump and the Coronavirus Task Force released new recommendations based on CDC guidelines for Americans, titled "15 Days to Slow the Spread". These recommendations included physical distancing and hygienic instructions, as well as directions to the states in dealing with school closures, nursing homes, and common public venues.

On March 17, a French doctor made an online report of a small clinical study claiming good results treating coronavirus patients with the anti-malaria drug hydroxychloroquine. On March 18, the German drug manufacturer Bayer offered to donate millions of doses of the drug to the FDA. The next day, March 19, Trump promoted hydroxychloroquine and chloroquine during his daily briefing as potential treatments by prescription for COVID-19. For the next several weeks Trump continued to promote the drug as a potential "game changer" in treatment of the virus. Within days of his first mention of the drug, a shortage occurred for chloroquine and hydroxychloroquine in the United States, while panic buying occurred overseas in Africa and South Asia.

On March 22, Trump indicated a desire to scale back physical distancing measures, saying: "We cannot let the cure be worse than the problem itself." Despite having said in a previous briefing that he preferred to have mitigation measures be controlled by individual states because it was compatible with the Constitution, Trump said at an April 13 briefing that, as president, he has the "ultimate authority"; Pence affirmed that the powers of the president are "plenary" during a national emergency. On April 16, Trump assured governors "you are going to call your own shots" about relaxing restrictions. On April 17, Trump gave a public call to "liberate" Michigan, Virginia, and Minnesota after protests occurred against stay-at-home orders issued by the Democratic governors of these states. Trump praised and encouraged protestors who violated stay-at-home orders in Democratic states, as well as praised Republican governors who violated the White House's own coronavirus guidelines regarding re-opening their economies.

By April, criticism of his administration's response grew, prompting Trump to blame many others for the state of the crisis, including the media, Democratic governors, the Obama administration, China, and the WHO. His positions and statements undermined international confidence in the United States to lead the world in pandemic response. On April 15, Trump said government data showed the U.S. was "past the peak" of the epidemic and was "in a very strong position to finalize guidelines for states on reopening the country". He announced a temporary halt on funding to the WHO over its handling of the coronavirus outbreak, and alleged Chinese favoritism, pending a review. The next day, April 16, the administration unveiled new federal guidelines for a three-phased approach to restoring normal commerce and services, but only for places with strong testing and seeing a decrease in COVID-19 cases.



During an Oval Office meeting on April 23, William Byron, an official from the Department of Homeland Security, offered Trump a brief presentation on the effect of disinfectants and sunlight on the virus on surfaces, which had been discussed during the earlier Situation Room meeting. Following Byron's presentation at the press briefing Trump began asking questions and suggested the possibility that light or disinfectants could be used inside the human body to cure coronavirus. Trump's remarks prompted doctors, lawmakers and the makers of the disinfectant brand Lysol to respond with incredulity and warnings against ingesting disinfectant chemicals.

On May 1, the CDC presented a 17-page report titled "Guidance for Implementing the Opening Up America Again Framework" to the administration. It had been written to provide advice for faith leaders, places of business and other public places, educators, and state and local officials as they began to reopen. The White House refused to use the report, and Trump said he felt the guidelines were too restrictive. Reports of new cases began to level off in May and most states began to open restaurants and other places of business, placing limits to the numbers of people allowed in the establishment at the same time. Dr. Fauci warned that if caution was not used the rate of infections could rebound and he was particularly concerned about opening the schools in the fall. Trump replied to Fauci's statements in an interview, saying, "we have to get the schools open, we have to get our country open, we have to open our country ... We have to get it open. I totally disagree with him [Fauci] on schools."



On October 2, 2020, both Trump and his wife tested positive for COVID-19 as part of a larger outbreak amid the White House. While being treated at Walter Reed National Military Medical Center, Trump tweeted in support for more economic stimulus before halting and then reengaging talks.

Pressure on health agencies
Trump repeatedly pressured federal health agencies to take particular actions that he favored. He once claimed that there is a "deep state" conspiracy causing federal health agencies to delay approval of vaccines and treatments in order to hurt him politically.

At a campaign rally in Tulsa, Oklahoma, on June 20, 2020, Trump said he had instructed his administration to slow down coronavirus testing in order to keep the number of confirmed cases down. This claim was contradicted in sworn testimony by the federal health officials in charge of coronavirus response. On the Fourth of July, Trump said that the United States was testing too much, and that "by so doing, we show cases, 99% of which are totally harmless." Food and Drug Administration commissioner Dr. Stephen Hahn declined to confirm Trump's comments. The WHO estimated 15% of COVID-19 cases become severe and 5% become critical.

Trump wanted to get speedy approval of convalescent plasma, and he complained that people within the health agencies who opposed him were deliberately delaying approval of treatments and vaccines until after the election. He wanted to be able to announce it as a treatment breakthrough at the 2020 Republican National Convention, but the National Institutes of Health (NIH) had concerns about its effectiveness. On the Wednesday before the convention he ordered Dr. Francis S. Collins, head of the NIH, to "get it done by Friday." On the eve of the convention the NIH still had concerns, but Trump announced that the Food and Drug Administration had given emergency authorization for plasma therapy to be more widely used. In his announcement he greatly exaggerated the effectiveness of the treatment.

In September 2020, it was reported that political appointees at the Department of Health and Human Services (HHS) tried repeatedly to change, delay, or remove reports about COVID-19 from the CDC's Morbidity and Mortality Weekly Report (MMWR) if they undermined Trump's claims that the outbreak was under control. A report downplaying the benefit of hydroxychloroquine as a COVID-19 treatment was delayed for almost a month as the HHS team raised questions about the political leanings of the authors. A report on the susceptibility of schoolchildren to the virus was also held up. In emails to the head of CDC, officials at HHS accused MMWR scientists attempting to "hurt the president" and writing "hit pieces on the administration". One official tried unsuccessfully to get all issues of MMWR held up until he personally approved them. CDC resisted many of the changes, but increasingly allowed HHS personnel to review articles and suggest changes before publication. A spokesman for HHS confirmed that attempts to change MMWR content had been going on for $3 1/2$ months. He said it was because the MMWR reporting contained "political content" as well as scientific information, adding that the changes suggested by HHS were "infrequently" accepted by CDC.

On August 24, the testing guidelines on the CDC web page were quietly changed from their earlier recommendation that "testing is recommended" for anyone who has come into contact with someone who has COVID-19; the new message said that such people do not need to be tested if they do not have symptoms. Multiple public health experts expressed alarm at the new guideline, because people can be contagious even if they have no symptoms, and early testing of exposed people is considered essential to track and suppress the spread of the virus. On September 17, it was reported that the new guidelines had been written by the White House coronavirus task force, and been "dropped into" the CDC website by officials in the HHS over the objections of CDC scientists. A July document on "The importance of reopening schools" was also placed on the CDC website by HHS rather than CDC scientists. Two former directors of the CDC said that the notion of political appointees or non-scientists posting information to the CDC website is "absolutely chilling" and undermines the credibility of the institution. On September 18, the guideline was revised to its original recommendation, stressing that anyone who has been in contact with an infected person should be tested.

Administration officials


During the early stages of the outbreak, government officials gave mixed assessments of the seriousness and scale of the outbreak. CDC Director Robert R. Redfield said in late January that "the immediate risk to the American public is low," then in late February said it would be "prudent to assume this pathogen will be with us for some time to come". Speaker of the House Nancy Pelosi appeared on television encouraging people to visit the Chinatown neighborhood of her San Francisco district. While federal economic policy chief Larry Kudlow declared the coronavirus containment "pretty close to airtight". Dr. Nancy Messonnier (head of the National Center for Immunization and Respiratory Diseases) and Anthony Fauci (head of the National Institute of Allergy and Infectious Diseases) warned of the impending community spread of the virus in the United States, with Messonnier stating: "Disruption to everyday life might be severe." Around this point, Stephen Hahn, the head of the FDA, warned of national medical supplies being disrupted due to the outbreak. In early March, the U.S. Surgeon General, Vice Admiral Jerome Adams, declared that "this is likely going to get worse before it gets better."

In February 2020, the CDC was notifying the press it expected the infections to spread, and urged local governments, businesses, and schools to develop plans for the outbreak. Among the suggested preparations were canceling mass gatherings, switching to teleworking, and planning for continued business operations in the face of increased absenteeism or disrupted supply chains. CDC officials warned that widespread transmission may force large numbers of people to seek hospitalization and other healthcare, which may overload healthcare systems.

A March 14 article on NBC said CDC officials wanted to recommend everyone over 60 remain inside their homes whenever possible but was instructed by the Trump administration to not say that.

Public health officials stressed that local governments would need assistance from the federal government if there were school and business closures. On March 23, Surgeon General Jerome Adams made several media appearances, in which he endorsed physical distancing measures and warned the country: "This week, it's going to get bad... we really, really need everyone to stay at home ... Every single second counts. And right now, there are not enough people out there who are taking this seriously." On April 5, Anthony Fauci said that as many as 50% of coronavirus carriers may be asymptomatic. In late April, Trump's adviser and son-in-law, Jared Kushner, declared that in response to the pandemic "the federal government rose to the challenge, and this is a great success story." By mid-May, media appearances of senior federal health officials had been sharply reduced. Six CDC staff members spoke to CNN for a story published on May 20. The officials said the CDC was not trusted by the White House and had "been muzzled", with their post-March recommendations "watered down".

In early May, President Trump proposed that the coronavirus task force be phased out to accommodate another group centered on reopening the economy. Amid a backlash, Trump publicly stated that the coronavirus task force would continue "indefinitely". However, by the end of May, the coronavirus task force was meeting far less frequently.

After Trump himself tested positive for COVID-19 on October 2, he was admitted into Walter Reed. After a press briefing by the President's personal physician on October 4, an administration source close to the President stated that Trump was admitted due to concerns over "worsening" vitals and conditions. This source was later identified by the AP as White House Chief of Staff Mark Meadows, who was caught on camera asking to be "off the record" after the physician ended the press briefing. Meadows' statement to the press contradicted statements and stances given by the physician during the press conference. During the same press conference, the physician also confused reporters when he mistakenly stated that Trump's diagnosis was for the "past 72 hours", later clarifying that he meant the past three days. Over a year later, Meadows revealed that Trump had actually tested positive (and also negative from another test) prior to debating Biden on September 29.

Suppression of whistleblowers
The Trump administration replaced Christi Grimm as Inspector General of the Department of Health and Human Services after she produced a report documenting severe shortages of medical supplies in U.S. hospitals as COVID-19 cases increased, which contradicted President Trump's claims that hospitals had what they needed. Former Biomedical Advanced Research and Development Authority director Rick Bright filed a whistleblower complaint alleging his transfer to NIH was retaliation for raising concerns about the dangers of scientifically unproven therapies, including sharing information about the known side effects of hydroxychloroquine, which had been promoted by President Trump in press briefings. Bright testified before a Senate committee that HHS officials denied and ignored his January warnings about a shortage in the domestic supply of respirator masks. Bright said he was told that if such a shortage happened, the government would simply change CDC guidelines to tell some people they did not need to wear masks, to which Bright said he replied, "I can't believe you can sit there and say that with a straight face."

Scientific and medical response to Trump pandemic management
In September 2020, responding to the pandemic as well as climate change and other urgent issues, the Scientific American condemned the Trump administration's handling of the pandemic. In the almost 200 years that the journal has been in print it had never before made a political statement. They wrote:

"The evidence and the science show that Donald Trump has badly damaged the U.S. and its people—because he rejects evidence and science. The most devastating example is his dishonest and inept response to the COVID-19 pandemic, which cost more than 190,000 Americans their lives by the middle of September. He has also attacked environmental protections, medical care, and the researchers and public science agencies that help this country prepare for its greatest challenges. That is why we urge you to vote for Joe Biden, who is offering fact-based plans to protect our health, our economy and the environment. These and other proposals he has put forth can set the country back on course for a safer, more prosperous and more equitable future."

In October 2020, The New England Journal of Medicine, published an editorial which condemned the Trump administration's handling of the coronavirus pandemic saying that "they have taken a crisis and turned it into a tragedy." The journal wrote that the Trump administration's handling of the crisis had resulted in tens of thousands of "excess" deaths as well as "immense economic pain and an increase in social inequality" due to the fact that the virus hit disadvantaged communities the hardest. This was the first time the journal had ever supported or condemned a political candidate and only three other times in its over 200-year history had an editorial been signed by all the (34) editors.

Domestic response
During his first few days in office, President Joe Biden signed 12 executive orders targeting the virus. On January 20, 2021, his first day as president, with the goal of containing coronavirus, Biden implemented a federal mask mandate, requiring the use of masks and social distancing in all federal buildings, on federal lands, and by federal employees and contractors. Biden also signed an order on January 21, 2021, that directed FEMA to offer full reimbursements to states for the cost of using their own National Guard personnel and emergency supplies such as personal protective equipment in schools.

On January 21, 2021, the administration released a 200-page document titled "National Strategy for the COVID-19 Response and Pandemic Preparedness." Biden also created the White House COVID-19 Response Team to succeed the COVID-19 Advisory Board for a unified federal government response. On January 21, 2021, Biden issued two executive orders, one on the importance of addressing systemic racism and health disparities plaguing underserved communities, and the second on establishing a unified testing strategy across the United States. The first order calls for a COVID-19 Health Equity Task Force to be established through the Department of Health and Human Services. It will include government and non-government officials to ensure an "equitable" pandemic response and recovery. The second order calls for a National Pandemic Testing Board to be established to improve US coronavirus testing capacity. On January 21, 2021, Biden signed an executive order to increase access to healthcare and therapeutics for COVID-19.

On January 21, 2021, Biden enacted the Defense Production Act, allowing the President to direct the manufacturing of critical goods, ensuring the availability of glass vials, and syringes at the federal level. In justifying his use of the act, Biden said, "And when I say wartime, people kind of look at me like 'wartime?' Well, as I said last night, 400,000 Americans have died. That's more than have died in all of World War II. 400,000. This is a wartime undertaking." On January 21, 2021, Biden signed 10 executive orders pertaining to the COVID-19 pandemic. To meet his vaccination goal of 100 million shots in his first 100 days in office, Biden signed an executive order increasing supplies for vaccination, testing and personal protective equipment. After meeting that goal by March 18, he doubled the goal. This goal was reached on April 21, 2021.

On January 21, 2021, Biden also issued an executive order to enhance the collection and collaboration of COVID-19-related data. The order states that official representatives from the following executive departments and agencies work with the COVID-19 Response Coordinator: the Secretary of Defense, the Attorney General, the Secretary of Commerce, the Secretary of Labor, the Secretary of Health and Human Services, the Secretary of Education, the Director of the Office of Management and Budget, the Director of National Intelligence, the Director of the Office of Science and Technology Policy, and the Director of the National Science Foundation.

On January 22, 2021, Biden released an executive order addressing the economic crisis due to COVID-19.

Biden voiced support for $600 extra weekly unemployment benefits, increasing Social Security checks by $200 monthly, federally funded COBRA insurance for those who have lost their jobs during the pandemic, paid sick leave, as well as free testing, treatment, and vaccinations. He began his term with an immediate goal of 100 million shots in his first 100 days in office, signing an executive order which included increasing supplies for vaccination. This goal was met on March 19, 2021. On March 25, 2021, President Biden announced he would set a new COVID-19 vaccine goal of 200 million shots being given within his first 100 days in office.

On August 26, 2021, the U.S. Supreme Court ruled against the federal eviction moratorium which was put in place by President Biden to prevent more home evictions during the COVID-19 pandemic and also ruled that the CDC had exceeded its authority by enforcing it.

On September 10, Biden outlined a new six-step plan for ending the pandemic. Although vaccines were now readily available to the public, vaccination rates had slowed, and the plan included mandates to target individuals who were refusing to receive a vaccine. Biden also planned to implement booster vaccine shots for additional strains of the virus, increased testing, full re-opening of schools, expansion of the Economic Injury Disaster Loan program for small businesses, and a doubling of the number of military health teams available from the Department of Defense.

In January 2022, the government launched COVIDtests.gov, a website for American residents to request free rapid tests from the government through the mail.

Neil Harrison and Jeffrey Sachs criticized the response of the NIH to SARS-CoV-2 under Biden in 2022, believing it did not do enough for public trust and transparency, and called for an independent inquiry into the origin of the virus.

On September 19, 2022, Biden stated in an interview that the pandemic was over in the U.S., although this did not indicate any policy changes by the administration. Public health officials disagreed with these comments. Over 400 deaths from the disease were still occurring each day at the time.

International response
On the first day of his presidency, Biden signed an executive order that reversed the United States' withdrawal from the WHO and made Dr. Anthony Fauci the head of the delegation to the WHO.

In February 2021, Biden said the funds for Gavi, the Vaccine Alliance, an organization that is leading the COVAX international vaccine allocation plan, would soon be released. Congress had already approved $4 billion for this purpose one month before Biden was inaugurated.

The U.S. initially did not export vaccines, while the European Union exported 77 million doses to the world in the months from December 2020 to March 2021. In March 2021, President Biden dismissed a request by the European Union to export unused vaccines from AstraZeneca out of the U.S., even though the manufacturer endorsed it and vowed to resupply the doses. The rationale for this decision – which contributed to low European vaccination rates – was that the U.S. had to be "over-supplied and over-prepared", according to White House press secretary Jen Psaki. The export ban also contributed to the delayed delivery of the vaccines from Johnson & Johnson to Europe. The vaccine was produced in Europe, but the "fill and finish" process was originally planned to be in the U.S., and thus, there was danger that it would be subject to the Defense Production Act. Eventually, the U.S. reversed course and began exporting vaccines to Mexico, Canada, and Japan by the end of March.

Biden reinstated the Trump administration's travel bans on several parts of the world, including the Schengen Area, the Republic of Ireland, the United Kingdom, and Brazil. He also added South Africa to the list of countries on January 25, 2021, just one day before the Trump-era bans were slated to expire on January 26. The bans on entry by mainland Chinese and Iranian nationals were not scheduled to expire by Trump, and they remained in place under the Biden administration until all vaccinated travelers were allowed to enter the United States in November 2021. Travel restrictions were briefly reimposed in December 2021, focused on countries in southern Africa that had initially been affected by the Omicron variant.

According to a report by Reuters, in 2021 the Biden administration ended a U.S. military-run propaganda campaign to spread disinformation about the Sinovac Chinese COVID-19 vaccine which had begun in 2020 during the Trump administration. The motives for the campaign was described as "payback" for COVID-19 disinformation by China directed against the U.S. and China's vaccine diplomacy. Primarily targeting people in the Philippines, the campaign used fake social media accounts to spread disinformation, including that the Sinovac vaccine contained pork-derived ingredients and was therefore haram under Islamic law.

2020
On March 6, 2020, the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, provided $8.3 billion to fight the pandemic. The deal includes over $3 billion for vaccine research and development (as well as therapeutics and diagnostics), $2.2 billion for the CDC, and $950 million for state and local health agencies. Another bill, the Families First Coronavirus Response Act, was approved on March 18. It provided paid emergency leave and food assistance for affected employees, along with free testing.

With guidance from the White House, Senate Majority Leader Mitch McConnell proposed a third stimulus package amounting to over $1 trillion. After initially failing to pass in the Senate on March 22 and 23, the $1.4 trillion CARES Act was revised in the Senate, coming to $2 trillion, including $500 billion for loans to larger businesses such as airlines, $350 billion for small business loans, $250 billion for individuals (sent in $1,200 checks to individuals making less than $75,000 annually), $250 billion for unemployment insurance (including an extra weekly $600 for the unemployed), $150 billion for state and municipal governments, and $130 billion for hospitals. It passed unanimously in the Senate late the night of March 25 and became law on March 27. On April 24, a $484 billion bill was passed to help fund the CARES Act-created Paycheck Protection Program (PPP), provide $75 billion in funding to hospitals, and implement nationwide testing for the virus.

On May 12, the Republican-led Senate committee on Health, Education, Labor and Pensions heard testimony, delivered remotely, about the effectiveness of the Trump administration's response. The expert witnesses were Dr. Anthony Fauci of the National Institutes of Health, Dr. Robert Redfield of the CDC, Admiral Brett Giroir of the U.S. Public Health Service, and Dr. Stephen Hahn of the Food and Drug Administration (FDA). Fauci explained that he gives the president "advice and opinion based evidence-based scientific information" and warned that the country does not yet have "total control" over the pandemic, further saying that "serious" consequences could result from reopening too quickly. In July, Mitch McConnell stated that around 20 Senate Republicans "think that we've already done enough" regarding COVID-19, citing the national debt as a reason to avoid further spending.

In early August, as the deadline to reach an agreement in Congress before the scheduled recess passed, CNN reported that Steven Mnuchin and White House Chief of Staff Mark Meadows "were recommending Trump move ahead with a series of executive orders." On August 8, the president signed four such orders to fund $400 weekly unemployment insurance, eviction moratoriums, and both payroll tax and federal student loan deferment, forgiving interest on the latter. On August 21, U.S. Secretary of Education Betsy DeVos implemented a plan suspending federal student loans until 2021. Trump's payroll tax plan went into effect on August 28.

Between March and October, Republicans and Democrats proposed a series of prospective bills, with support mostly along party lines, and each side voicing criticism of the other party's inclusion of special interests. In May, the House passed the HEROES Act, a $3 Trillion stimulus package proposed by Representative Nita Lowey, but the bill was blocked in the Senate. In July and October, additional bills were passed by the House. Another proposal in the Senate was blocked by the Democratic minority in September.

Another $900 billion stimulus plan was included in the Consolidated Appropriations Act, 2021, which was passed on December 27. It provided $300–330 billion for PPP, $82 billion for education, $28 billion for vaccines, $25 billion in rental assistance for those whose source of income ceased during the pandemic, $20 billion for state virus testing, $10 billion for child care providers, $2.6 billion for the CDC, and $2 billion for intercity buses. It also funded $300 weekly unemployment insurance for 11 weeks, boosted the Supplemental Nutrition Assistance Program (SNAP) and provided $400 million to food banks, extended the eviction moratorium (previously set to expire January 1, 2021) by 30 days, and suspended student loan debt until April 2021. A direct payment of $600 per person was funded, with benefits phasing out for those who make more than $75,000 annually. It was expected to rescind over $429 billion in unused CARES Act funding.

2021
On January 14, 2021, President-elect Joe Biden introduced a $1.9 trillion relief plan which would include $1,400 direct payments, weekly federal unemployment benefits, amongst other measures. The plan tentatively included an increase to the federal minimum wage to $15 an hour by 2025, but Senate Parliamentarian Elizabeth MacDonough ruled on February 25 that it did not comply with the Byrd Rule, which governs reconciliation. The Democrats used the procedure of reconciliation to circumvent a filibuster—expediting the approval of the bill's cost, while leaving room to negotiate amendments.

On January 31, 2021, ten Senate Republicans announced a $600 billion counterproposal to Biden's proposed $1.9 trillion bill.

On February 2, the Senate passed a budget resolution along party lines. On February 5, both houses of Congress passed the budget plan in party-line votes. The House Budget Committee combined separate aid bills into one piece of legislation on February 19. The bill was passed by the House on February 27 and (after being amended) the Senate on March 6. It was passed again by the House on March 10, and signed by Biden on March 11.

2023
In April 2023, Congress passed a bipartisan resolution ending the original national emergency related to the pandemic which had been declared by Alex Azar. Biden signed the resolution on April 10.

Intelligence response
On May 26, 2021, Joe Biden tasked the US intelligence community with investigating the origins of the pandemic. By August 2021, the intelligence probe assessed that the Chinese government did not have foreknowledge of the outbreak. Overall, the probe did not render conclusive results on the origins. Of eight assembled teams, one (the Federal Bureau of Investigation) leaned towards a lab leak theory, four others (and the National Intelligence Council) were inclined to uphold a zoonotic origin, and three were unable to reach a conclusion. In February 2023, the U.S. Department of Energy revised its previous estimate of the origin from "undecided" to "low confidence" in favor of a laboratory leak.

Federal Reserve
On March 3, 2020, the Federal Reserve lowered target interest rates from 1.75% to 1.25%, the largest emergency rate cut since the 2008 global financial crisis, in an attempt to counteract the outbreak's effect on the American economy.

On March 15, the Federal Reserve cut their target interest rate again to a range of 0.0% to 0.25% and announced a $700 billion quantitative easing program similar to the one initiated during the financial crisis of 2007–08. Despite the moves, stock index futures plunged, triggering trading limits to prevent panic selling. The Dow Jones Industrial Average lost nearly 13% the next day, the third-largest one-day decline in the 124-year history of the index. That day, the CBOE Volatility Index closed at the highest level since its inception in 1990.

On March 17, the Federal Reserve announced a program to buy as much as $1 trillion in corporate commercial paper to ensure credit continued flowing in the economy. The measure was backed by $10 billion in Treasury funds.

On March 23, the Federal Reserve announced large-scale expansion of quantitative easing, with no specific upper limit, and reactivation of the Term Asset-Backed Securities Loan Facility. This injects newly created money into a variety of financial markets including corporate bonds, exchange-traded funds, small business loans, mortgage-backed securities, student loans, auto loans, and credit card loans. The Fed also lowered its repurchase agreement interest rate from 0.1% to 0.0%.

On April 9, the Federal Reserve announced $2.3 trillion in loans to small businesses and local and state governments.

On November 19, Mnuchin asked the Federal Reserve to release $455 billion in unspent funding from the CARES Act, following proposals by himself, Meadows, and Trump in the months before. The next day, Federal Reserve chair Jerome Powell agreed to return $455 billion to the Treasury Department after December 31, when certain CARES Act programs expired.

The Federal Reserve did not raise the target interest rate from the 0.0% to 0.25% range until March 2022. A rapid increase in interest rates was then planned to combat rising inflation. Eleven successive rate increases were approved, and rates peaked at 5.25% to 5.5% in the summer of 2023. Economists at the Federal Reserve attributed the inflation to pandemic-era stimulus spending as well as supply chain shortages.