Press Briefing by Press Secretary Karine Jean-Pierre 8/29/23 Transcript

Good afternoon. It’s usually very quiet in here. You guys are chatting about. Okay. Good afternoon. As you know, we have two guests today. Neera Tanden is here and we’ll have the FEMA administrator with us here shortly. She’s currently in the Oval Office briefing the president, so as soon as she gets out, she’ll join us. A couple of things at the top and then we’ll get going. In today’s bilateral meeting, President Biden and President Chavez of Costa Rica, will continue to deepen the strong relationship between our two countries. Costa Rica has been a regional leader. They are a strong democracy with a thriving economy and leading by example on migration management. Costa Rica is an endorsing country on the Los Angeles Declaration on Migration and Protection and has led the way in offering protections and legal pathways to vulnerable populations.

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During their meeting, President Biden and President Chavez will discuss how we can continue to expand and strengthen these legal pathways as an alternative to irregular migration. The two leaders will also discuss how they can continue to work together to strengthen economic ties and build inclusive and resilient economies by developing supply chains and creating good family sustaining jobs for our people.

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We’ll have a readout after the meeting, as we normally do, but one thing you’ll see is an even closer partnership between the two countries coming out of today’s bilat. Also, today, the Biden-Harris administration is announcing a new package of security assistance for Ukraine to meet Ukraine’s critical security and defense needs. It includes additional mine clearing equipment, missiles for air defense, ammunition for artillery and HIMAR systems, and over three million rounds of small arms ammunition. This package will help Ukrainian forces on the battlefield and support its air defenses as Russia continues to launch brutal strikes against the people of Ukraine, including attacks this past week that have taken the lives of innocent Ukrainian civilians. The Kremlin could end this war. They can end it today, anytime, by withdrawing its forces from Ukraine and stopping its brutal attacks. Until it does, the United States and our allies and partners will stand with Ukraine for as long as it takes. Now, today, as you’ve all been reporting and you’ve heard from us already, we are taking another important step in bringing the President’s historic Inflation Reduction Act to life for the American people. This morning, Medicare announced the first 10 drugs selected for price negotiation, for the first time ever, which will reduce healthcare costs for American families and lower the deficit as well. With more on the President’s plan, as I mentioned at the top, I’ll turn it over to the present domestic policy advisor Neera Tanden, who’s back, a second time, in just less than two weeks or something like that. The floor is yours.

Thanks, Karine. Good afternoon, everyone. Millions of Americans struggle to afford prescription drugs. We understand that. Far too many Americans have to ration prescriptions, cutting a pill in half or taking a lower dose than they need, because their drugs are simply too expensive. One in five seniors struggle to pay for prescription drugs. In fact, Americans pay two to three times more for prescription drugs than citizens in other developed countries.

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Meanwhile, pharma has spent hundreds of millions of dollars to stop Medicare from negotiating lower costs. In fact, years ago, they got a special carve out, that prohibited drug negotiation, that allowed pharma to charge whatever they can. For decades, we’ve been talking about giving Medicare the power to negotiate lower drug prices. President Biden actually got it done. Under the Inflation Reduction Act, finally, Medicare will be able to negotiate lower prescription drug costs for seniors and other beneficiaries.

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This is a historic victory. In fact, over 80% of the public supports giving Medicare the power to negotiate lower prescription drug costs. Today, as Karine pointed out, the Centers for Medicare and Medicaid services announced the first 10 drugs selected for Medicare price negotiation. These 10 drugs are taken by nine million seniors. They cover chronic conditions like cancer, heart disease, arthritis, and diabetes. They can cost up to $14,000 per month.

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For example, over half a million Medicare beneficiaries rely on one of these drugs, Entresto, to treat their heart disease. This drug costs less than $150 in Australia and over $300 here in the US. Imbruvica, one of the selected drugs that treats cancer, costs $6,000 a month in France. In the United States, it’s almost $14,000 a month. More than double. Last year, about nine million Medicare beneficiaries spent over $3.4 billion in these 10 drugs.

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An additional 15 drugs will be selected for negotiation each of the next two years and then 20 drugs a year going forward. Allowing Medicare to negotiate lower prices will bring more cost savings to American families, will give them breathing room and peace of mind. It’ll make a real difference for millions of Americans. And, with that, I’m happy to take your questions.

Okay. Who has the first question?

This is obviously a major step forward in the Inflation Reduction Act. The lower prices won’t take effect until 2026. The President sometimes said the American people need to be patient to see the benefits of this program. Is that too long for people to wait, and are you worried that Americans may not see those benefits in connection to the Inflation Reduction Act?

First and foremost, the Inflation Reduction Act is already delivering benefits. Already, there’s $35 insulin for seniors and I would note that many providers have replicated that for the private sector. There are also lower costs from people who are trying to get healthcare from the Affordable Care Act. That’s $800 a year for 15 million people. That’s increased savings for them. And the inflation rebate aspect of the drug bill, which basically provides that pharmaceutical companies that are charging higher than inflation, the prices are going higher than inflation, they have to pay a rebate back to the Medicare system. Those are all creating savings for Americans now.

Thanks, Karine. Quick follow up on that. Obviously, consumers don’t see the benefits until 2026. How concerned is the administration that Republicans could potentially derail the process by then and roll back these negotiations after the next election?

I would say, first and foremost, this Medicare’s ability to negotiate drug prices is hugely popular. 80% of Americans support the ability to negotiate drug prices. I do think it’s important to point out that many Republicans oppose the Inflation Reduction Act and, obviously, oppose the ability to negotiate drug prices. They have been on the side of allowing pharmaceutical companies to charge whatever they can. That’s what the American people really oppose. As I’ve said at other times, I was part of the team that negotiated the Affordable Care Act. I was arguing for the Affordable Care Act when Republicans were trying to repeal the Affordable Care Act, during the Trump administration. They fought tooth and nail to do so. But, because the Affordable Care Act had delivered lower prices, or basically delivered healthcare to 20 million Americans, they found it hard to do so.

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And I think, given the insulin reduction, the $35 insulin costs that people are bearing now, the fact that that people will see that these 10 drugs are being negotiated, a price will be provided in September of 2024, that will be public, I think it’ll be hard to repeal the Inflation Reduction Act and it’s specifically hard to take away, basically claw back, these benefits, these lower prices. I think people will really rise up against that kind of thing because they know they are paying too much for prescription drugs in the United States and they are paying more than in any other country.

Go ahead, Selena. Welcome to the Briefing Room.

Thank you so much. The CBO estimates that the government will save around $98.5 billion over a decade with this new program, so how much of those savings will go directly to seniors on Medicare?

There is significant savings to the Medicare program but seniors pay out of pocket costs for prescription drugs. In fact, the person who will be introducing the President pays significant out-of-pocket costs. People who have out-of-pocket costs, this will deliver lower prices for them. We don’t know what the negotiated price will be. This is a subject of negotiation, so we can’t tell you the specific amount that people will save, but there will be savings to people both paying out of pocket and also to the Medicare program itself.

Go ahead.

Thanks. Hey, Neera. There are currently eight lawsuits challenging this Medicare drug negotiation program. Which of those lawsuits do you see as the biggest threat to this program and how confident are you that, between now and 2026, when all this kicks in, that one of these lawsuits won’t result in an injunction or preventing this program from actually going forward?

First and foremost, we should recognize that CMS, HHS negotiates prices for every other element of the healthcare system. Doctors rates, providers rates, hospital rates. The only reason why Medicare has not been negotiating drug prices is because pharma got a sweetheart deal decades ago to basically prohibit negotiations. Negotiations are part of market system. It’s very normal for that to happen.

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And so, we are very, very confident. Basically, it is because of the Inflation Reduction Act that we have negotiations. We are very confident in the law and we should recognize there is no part of the Constitution that prohibits Medicare drug negotiation. We are very confident in these cases and very confident that the law will deliver results. And just important to remember that, basically, what pharma is arguing in these court cases is that they should have no limit to be able to charge whatever they want and that is exactly why American support Medicare drug negotiation by 80%.

So you’re not especially concerned by any of these lawsuits?

I refer to the Department of Justice on the particularities of each litigation or each piece of litigation but I would say that, first and foremost, Medicare’s ability to negotiate drug prices is clear in the law and is well established.

Thanks. One of the main criteria for selecting these drugs was lack of competition but, for at least one of these 10 drugs, there is actually going to be a competitor coming into the market before 2026. Given that, why does the government still need to come in on top of that for that drug, and is that a waste of, effectively, a slot early on here that could be put toward a drug that actually doesn’t have competition?

The Inflation Reduction Act specifies the criteria for selection. That criteria is highest drug spend. Also, that the drugs need to be on the market for nine years or longer. There will be also additional drugs. As noted, this is the first 10. There will be 15 next year and 15 after that. Drugs that haven’t made it on this list may well be in the future and, for particularities about the specifications of selection, I would refer you to CMS.

Do you have any concerns that, given the lead time here, that the pharmaceutical industry will adjust its pricing to sort of compensate for an anticipated reduction? You talked about faster than inflation, in certain instances, but do you get a sense that broader price inflation will happen anticipating this?

The selection of the drugs are on current price, so that will be the source of the negotiation back and forth. If pharma looks at price negotiation and says, “we don’t want to be on the list, so we’re going to lower our prices,” that’s all to the better. That would be a way in which this law is actually having the important effect of lowering drug prices across the board.

Let me just take you back to what Chris was asking about first, and that is, again, the delay, as to why do we have to wait until 2026 to see these changes?

The Inflation Reduction Act specified that but I understand the frustration that can be out there on this topic. It’s been 30 years that people have been trying to get Medicare drug negotiation. I will say it is this President, President Joe Biden, that actually delivered it. There is a year long process. We will have the drug prices out by September of 2024, it takes time to implement, but Americans, today, are seeing lower drug prices from the Inflation Reduction Act from insulin and in other arenas and we look forward to the process being set by which we have lower and lower drug prices year to year.

Let me ask you, since it was set by the law, for those who weren’t paying attention when the law was being put together, was delaying it until 2026 a big sticking point for Republicans or others? Why didn’t the White House

Let’s push to have it happen sooner.

Well, we are excited by the fact that we are beginning this process and that we will have these 10 drugs and then 15 drugs after that and then 15 drugs after that and 20 drugs year to year. So we think it is important that this negotiation will take place over this year and that in September of 2024 people will see this price. I will also note that when this price is public, other insurers can look at that price. In many arenas, private insurance has looked at CMS and Medicare as a leader in how to determine prices. So it may well be that insurers use the price negotiated as prices that they use in their own insurance models to affect the private sector.

Thank you so much. Trying again, I understand you don’t want to comment what specific prices you’re trying to achieve, but can you give us a sense of what the broader objective is here? You said seniors paid more than $3 billion out of pocket for these drugs. So in terms of bringing it down, minus 10%, 25%, half less?

Well, I’ll say a few things. First of all, the VA negotiates drug prices. It has always had the power to negotiate drug prices. Its drug prices are 50% what American consumers pay, but this is all subject to a negotiation. So we do not and cannot determine the price that Americans will see because this is a true negotiation and that will be a subject for this year long conversation between CMS and pharmaceutical companies that put out these specific drugs. But we do expect that negotiations will drive prices significantly lower as they have done for VA and DOD. And just as a reminder, VA and DOD have been negotiating drug prices for decades and pharmaceutical companies have not successfully sued them. In fact, they all stay on the formulary.

All right. Thank you so much, [inaudible 00:16:12].

Thank you. Thank you so much.

Thank you so much, [inaudible 00:16:14]. Come back again.

Great. It was so much fun the first time.

I know. [inaudible 00:16:18].

Thank you.

Thank you. Thank you so much. Okay. Very quickly, you all, as you know, are going to hear from the FEMA Administrator who’s here with us to my right here. And as you all know, at the President’s direction, FEMA has been leading a whole of government effort to prepare and respond to Hurricane Idalia. Yesterday the President approved an emergency declaration and since then hundreds of FEMA personnel have pre-deployed ahead of Idalia making landfall in Florida. And with that, I know that you’re coming from the Oval Office [inaudible 00:16:55].

Thank you very much, Karine, and good afternoon everybody. I know it hasn’t been very long since I have been up here briefing all of you, but I think that this really is indicative of the pace of the major disasters that we are seeing across the nation. And the reality is we are just now approaching peak hurricane season. In addition to responding to the current storms as well as other incidents, we have to remain focused on making sure that we are also preparing people across the nation for these types of extreme weather events. I did just come from the Oval Office where I briefed the President on the trajectory of Hurricane Idalia and what the impacts are projected to be. And I want to just give a quick update on the preparations that we are making in preparation for the response in Florida as well as other states that are in the path of Hurricane Idalia.

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Yesterday I had an opportunity to speak with Governor DeSantis. I also had an opportunity to connect with South Carolina Governor McMaster and Georgia Governor Kemp to help understand what their concerns were and to identify any unmet needs that they may foresee and will remain in close contact with all of them in the hours and the days to come as Hurricane Idalia makes landfall and moves across these states. As the President said to Governor DeSantis in his own conversations yesterday, FEMA and the entire federal family are activated to support the people of Florida. The President also quickly approved an emergency declaration in advance of the storm in Florida, turning on the many tools that are available at my disposal to provide the governor any support or resources he may need in advance of landfall and then after.

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This allows me to pre-stage people, equipment and resources in Florida, Georgia, and the Carolinas and I have done just that. We have pre-positioned different types of resources across all three states to include several incident management assistance teams, our urban search and rescue teams, our disaster survivor assistance teams. And they’re all ready to pivot to the most impacted areas immediately after the storm passes. We also have warehouses filled with commodities like food, water, blankets, and medical supplies that are ready to rapidly move into the impacted area at the state’s request.

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But we are not in this alone. We have an entire federal family that is postured to support. Our National Response Coordination Center here in Washington, DC is fully activated. And this means that there are several hundred staff from across the federal family that are working together to support any requests for federal assistance. We have our partners from the US Army Corps of Engineers who are pre-positioned to support any power restoration needs. Health and Human Services is assisting with evacuations from hospitals and assisted living centers. And the Red Cross has 50,000 meals to support the immediate needs as requested and has pre-staged shelter support to supplement the 19 shelters that are already opened by the state.

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And this is a really important point that I want to talk about next, it’s Unpreparedness. And again, I really ask for all of your help to help me ensure the people in the storm’s path get this message. While we are engaged with our states to prepare for the path of this storm, it’s critical that the people that are in the path of this storm are also prepared. And I know that the people of Florida are no stranger to storms, and I encourage all Floridians to take this storm seriously. This storm is very strong and is expected to strengthen to a major hurricane by the time it makes landfall due to high surface temperatures in the Gulf of Mexico.

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This means heavy winds, high winds, heavy rain, and a forecasted 12 foot storm surge in some of the areas along the western coast. This storm surge, this is one of the highest risk parts of a hurricane and is especially problematic along the west coast of Florida due to the underwater geography. The coastal shelf gets shallow very quickly, which increases the amount of the storm surge, putting more people at risk. Very few people can survive being in the path of major storm surge, And this storm will be deadly if we don’t get out of harm’s way and take it seriously.

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So I ask all Floridians to be vigilant and heeded the warnings of your local officials. Have a plan to communicate with your family and your loved ones. Charge your cell phones, your batteries, any devices that you may have and ensure that you are receiving emergency alerts. And most important, please listen to the warnings of local officials, if they tell you to evacuate, please do so immediately. And remember, you don’t have to evacuate far. If you are in a storm surge warning area, it could mean just traveling 10 or 20 miles to get out of the most significant impact areas. It does not mean having to travel hundreds of miles to get out of the storm’s path. And finally, we are all in this together. I ask that you check on your neighbors, especially those who are older adults, people living with disabilities or may need additional assistance.

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But before I close, I want to provide an update on another topic that has been widely reported in recent days and asked by many of you, FEMA’s Disaster Relief Fund, which as of this morning has a balance of $3.4 billion. So today I am directing the implementation of immediate needs funding. This means that FEMA will prioritize available funding for critical response efforts to Iadlia, the Maui fires and any other extreme weather events that may come our way without interruption while continuing to meet the immediate needs of survivors through the remaining weeks of the fiscal year. I want to repeat, we are prioritizing funding for Idalia, for the Maui fires and any other extreme weather events that are coming our way without interruption.

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And I want to stress that while immediate needs funding will ensure we can continue to respond to disasters, it is not a permanent solution. Congress must work with us on the supplemental request that the administration has made on behalf of FEMA, and you are going to hear more from me on that soon. My primary responsibility at FEMA is to ensure that we are always postured to respond to any disaster and to provide the lifesaving and life sustaining support when needed. And with that, I’ll take any questions.

Okay.

Can you relate what your conversation, what you talked about with Governor DeSantis and add any details about what coordination you undertaking with Florida officials?

Yes. When I spoke with Governor DeSantis yesterday, my main question is always, what are your main concerns? What are the areas that you have the greatest concern about? And do you have any unmet needs or resources that we can bring in? He shared with me what his posture at the state is going to be and where he has some great concerns and we are working and embedded with his staff. And I assured him that we have teams working side by side with our colleagues, our emergency management colleagues there at the State Emergency Operations Center to be able to quickly respond as needed.

Yeah. Can I ask, following up real quick, what were those concerns that he had at that time?

He shared with me the concern again about people taking this seriously and being able to evacuate as a result of the storm surge. He has concerns about the vulnerable populations, right, and making sure that we are providing any assistance we can to help them get out of harm’s way.

You mentioned the supplemental request after getting a fuller idea of what has happened in Hawaii and with the storm threatening of a severe impact. Do you anticipate raising the level of that supplemental request as you start to negotiate with Congress?

Right now, the supplemental request that we have put in is $12 billion and that will be a bridge to get us through the end of the fiscal year. If we continue to see more storms, we’re going to continuously monitor very closely the health of the disaster relief fund to determine what more may be needed. But right now, as situation stands, the supplemental request will get us through the end of this fiscal year.

In some places there is a frustration with institutions and authorities, we’ve seen that in the wake of some other disasters. Do you have concern about people taking the warnings from public officials acting on them? And when we saw with hurricane there was a plan, the forecast indicated it was going in one place, it went farther south and some people did not get out of the way. So my question is, given what we don’t know, are you concerned that there is any weariness, mistrust, or fatigue about listening to officials in times of crisis like this?

I think the important thing to look at and when we look at Hurricane Ian, is it’s not just the path of the hurricane that we need to be concerned about. We have to be communicating what the entire risk is and the significant risk and the highest risk for loss of life is storm surge, and that storm surge right now shows impacts all along the western coast. And so I encourage people, and I really appreciate your help in getting that message out, that it’s not just the path of the storm and it will continue to change, but look at all of the risks that are associated with this storm. Storm surge being the most life-threatening, not just where the path is going to go or where the eye of the storm is going to make landfall.

And in terms of the credibility of authorities, do you sense that there is any erosion of that at a time when you’re trying to get that message out?

I don’t have any indications that there are. I think that what we are seeing right now in Florida is people are heating their advice of local officials and people are moving out of harm’s way.

Ebony.

Thank you. I’m going to go back to Hurricane Ian. When Hurricane Ian hit, you had many communities of color. You also had poor communities complaining that they were not prioritized during this time. And so they didn’t get necessary relief that they wanted and they felt like they were kind of put on the back burner. Many of these areas are in places that are more physically vulnerable. What is your message to those who have that concern that there may be a repeat in their community?

Yeah. So during Hurricane Ian, we had a large amount of people that were impacted by that storm and we had teams of personnel that went out into communities across the state. And as we heard of stories of maybe pockets

… the people that we had missed, we immediately sent our teams out into those areas to ensure that they were getting registered for assistance and we were bringing all of the resources that are available. And so, what I would say is: If you hear about groups of individuals and parts of the state that, after the storm passes, are in need and they aren’t getting that, let me know. I will send my teams out to those areas to make sure that they’re getting all of the assistance that they’re eligible for and that they need.

John?

Thanks a lot. FEMA, of course, has been dealing with the aftermath of the wildfires in Maui, and now you’re preparing for a very powerful hurricane hitting Florida’s southwest coast. To what extent is FEMA overextended or stretched too thin in dealing with these two natural disasters?

We are certainly postured and have the staff that are available to support multiple large events at the same time. We do have several open recovery disasters that we can pull some personnel from if we needed to extend or increase the amount of personnel we have. We also have a very layered approach. We can also reach out into all members of the Department of Homeland Security through what we call the Surge Capacity Force for individuals that have volunteered to support during a disaster.

(29:13)
And so, I’m confident right now that with these two storms that we’re currently dealing with in Maui and this one, or even another one to come, that we have enough personnel to go in and support these immediate lifesaving efforts.

Last question. Alex.

You mentioned just extreme weather that we’ve seen all summer from Hawaii, storms in Southern California. Is this, in your view, the new normal, just summers where we’re seeing these kinds of events more frequently and maybe more intense events than before?

What I can say is that we don’t have a typical operational season like we’ve had in the past. We would normally prepare our staff to be on extra alert during the peak of hurricane season, which is where we find ourselves right now. But our operational tempo has been year round.

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We started with atmospheric rivers in California in January, extreme tornadoes in the spring, to the wildfires, and now we are in peak hurricane season. And we have had an unprecedented number of disaster requests from governors because of the extreme weather that they’re experiencing. This is our new normal. This is the operational tempo that we find ourselves in. And we have to continue to invest in mitigation, in resilience to help these communities reduce the impact from these storms so we don’t have such complicated recoveries afterward.

All right. Thank you so much. Good luck to you.

Thank you.

Thank you so much.

(30:44)
Okay, we have about 10 minutes before we have to move for the President’s event. Chris, you to-

Reverend Sharpton said he wanted to hold a summit on hate and hate crimes in Jacksonville and that he was going to invite the President and Vice President to attend. What was response their to that? Did he RSVP?

So, I believe the date for the summit is still being determined. As you know, and you’ve heard this from the President over the past couple of years, talking about the fact that we are in the battle for the soul of our nation. Matter of fact, that’s one of the reasons he decided to run back in 2019. So, we’ll continue to work with the civil rights leaders, including Reverend Sharpton, to combat the hate. As you know, he convened the civil rights leaders yesterday to thank them for the work that they have been doing and how critical it is right now for us to continue to fight for this battle.

And one more quick thing. Kim Jong Un called the leaders of the United States, South Korea and Japan “gang bosses” and has said his military will be prepared for action during the exercises that are underway. Any response to those comments?

So, that’s the first time I’ve heard those comments. Obviously, we have said many times the lines of communication with the DPRK remains open. That is something that we are certainly open and willing to have. I just don’t have anything to say specifically about those comments.

(32:08)
Go ahead.

On another foreign matter, the video of Paul Whelan that surfaced today, how does the White House assess it?

So, US officials have spoken with Paul within the last several months, I think, as you all know that. But it was reassuring to see that he remains, and this is to use his brother’s words, “unbowed.” Paul continues to show tremendous courage. That does not change that his circumstances are truly unacceptable, and we will continue to be very clear about that. Russia should release him immediately. And that is something that, again, we have been very consistent about.

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Go ahead.

Thank you, Karine. A couple of foreign policy questions. The Kremlin, as you’re aware, earlier today said Putin will not attend a Prigozhin’s funeral. And we’re just wondering if there is an update on whether the US thinks Putin is behind the Prigozhin plane crash.

So, I can’t speak to President Putin attending or not. That’s certainly for him to speak to. I’m not going to speak about that from here. But I don’t have any new assessment for you. But it seems pretty evident what happened here, that as the President said this recently, I believe as early as last week, that, and I quote, “There’s not much that happens in Russia that Putin is not behind.”

(33:32)
And if this is what it seems to be, this certainly was not just predictable, but it was predictable or predicted, I should say. We all know that the Kremlin has a long history of killing its opponents. That is the history of the Kremlin. And if we take a step back, if we look back for a second, all of this happened because of dysfunction inside Russia. A Russian warload himself, a cold-blooded killer, a cold-blooded murderer became so frustrated by the way that the Russian government was waging its unprovoked war against Ukraine that he criticized Russia’s failing policies. You heard that directly from him.

(34:13)
And so, he called out the war’s needlessness and marched on Moscow before reaching a deal with Mr. Putin. He made that very… We saw that. You all covered it for multiple hours. And so, now, two months later, after he struck that deal, he’s been killed. So, it’s very clear, it’s pretty evident what happened here. Don’t have anything else to say.

But when will we have an assessment from the administration on the record?

I just said, it’s very clear of what happened here. There is new assessment-

So you’re saying it, but you’re not saying it?

It is very clear. It is very clear. I just laid it out. I don’t have any new assessment for you on this.

And then one on China. Secretary Raimondo’s comments earlier today that US companies have complained to her that China has become, quote, “uninvestible.” Is that increasingly how this administration is thinking about China when it comes to US companies investing there, or was that really sort of an off-the-cuff, undiplomatic remark?

I’m not going to go beyond what the Secretary said. She’s there. She’s the Secretary of Commerce. Obviously, she works with the businesses across the country on a regular basis. I’m just not going to go beyond what she stated.

(34:38)
Go ahead, Zolan.

Just to follow up on that, on your last answer. Understand the context is clear there, but is the administration concluding that Putin was behind just the death of Prigozhin?

It is very clear. I literally just laid out what the Kremlin-

Sure, but is-

Wait. I just literally laid out what the Kremlin history has been. I don’t have any new assessment. I’m just going to leave it to the words that I just gave you.

Okay. So, the administration has no conclusion at this point?

I just laid out what the history of the Kremlin, what Mr. Putin tends to do. I just laid that out. So, it’s very clear what happened here.

(34:40)
Go ahead.

Thanks, Karine. Going back to Paul Whelan, does the US have any idea when that video was filmed? I’ve seen that it was filmed in May. But do you think that it was actually filmed in May or is it older?

So, I don’t have any additional comments to the video. Like I said, I clearly quoted his brother and how he said he seemed unbowed and how courageous Paul has been, especially over the last several months, and how we have been in touch with him. I just don’t have anything to say specifically to the video.

(36:32)
Go ahead, Karen.

Tomorrow, the President is going to get the briefing on the Maui wildfires. Will that also turn into a briefing on hurricane latest?

So, just a couple of things on-

[inaudible 00:36:43] officially become a dual briefing?

Well, so, as you just stated, the President tomorrow is going to convene his cabinet and agency officials who are involved in the administration’s whole of government response that we have seen in the recovery efforts on Maui in Hawaii. And so, he called this meeting, obviously, to get his administration’s ongoing efforts on the ground and the work underway to support the people of Maui. Clearly, he’ll also get an update on the current hurricane that we all are keeping an eye on, Hurricane Idalia. And so, that’ll be part of the conversation, obviously, tomorrow as well.

(37:18)
Go ahead, Jeremy.

Thanks, Karine. The President yesterday told me that he believed that victims of, sorry, the families of two out of the three victims of the Jacksonville shooting might be open to receiving a call from him. Has he reached out yet? Has he spoken with them yet?

So, I don’t have any calls to lay out for you at this time or to share.

Okay. And then, Congressman Scalise announced today that he’s been diagnosed with a form of cancer. Do you guys have any reaction to that? And does the President plan to reach out to him?

Obviously, that’s devastating news. Our hearts and prayers go out to the Congressman and his family. Clearly, he’s gone through a lot over the past couple of years. I don’t have a call to lay out or to announce at this time. But that is very sad news. And, clearly, we are hoping for a speedy recovery for him.

Any updates on if the President’s traveling to Jacksonville to meet with families of victims?

No, no travel to announce at this time.

And then on the drug crisis announcement, how is the President planning to message this? Do we expect travel in the next couple weeks talking about this specifically? How is he planning to take this message to voters?

Well, you’re going to hear from the president in 20 minutes to talk specifically about this new announcement on the first 10 drugs. Look, this is an important announcement. When we’re talking about Medicare being able to negotiate, we’re laying out these 10 drugs. This is something, as Neera was saying when she was here moments ago, that folks have been trying to do for 33 years, for decades. And this is a President that’s been able to do that via, obviously, a provision through the Inflation Reduction Act, which, I may add, was only voted by Democrats. This is something that we wanted to make sure that we were able to do: lower costs, lower healthcare costs for Americans across the country.

(39:09)
So, it is an important, I think an important day, important beginning, if you will, of how we’re going to move forward with the Inflation Reduction Act as it relates to the Medicare being able to negotiate. So, you’re going to hear from the President. Obviously, the president travels across the country pretty regularly to talk about how he’s investing in America, how he’s lowering costs for Americans. That is one of the, as he speaks about Bidenomics, lowering costs for Americans is clearly one of his top priorities. So, you’ll continue to hear it from the President about this particular issue and other ways that Bidenomics is working for American families and the economy as well.

(39:50)
Go ahead, Justin.

Thanks, Karine. President Putin said he’s going to go to China in October, I believe. Obviously, one of his first trips recently. Do you guys have any reaction? And is there any concern that this might in some ways suggest that China and Russia are growing closer or growing closer on Ukraine, specifically?

So, look, I am not going to get ahead of potential travel that another country is going to do with another country. So, I’m not going to get ahead of that. We’ve been very clear about Ukraine. Our allies have been, our partners. The President has been able to bring together more than 50 countries to help Ukraine as they fight, as we’ve seen, in a very brave way for their freedom, for their democracy. And that’s something that the President’s going to continue to do. As I mentioned at the top, as long as it takes. I’m just not going to get ahead of a potential meeting that Putin and President Xi may have.

And then, just schedule-wise, I think you were asked about Philadelphia yesterday. I was wondering if you have an update on that or on Labor Day, if the President will be in Rehoboth or somewhere else?

Yeah. So, don’t have any update on Philadelphia or Labor Day. But certainly, we’ll share any of the potential travel that the President may have.

(41:03)
Go ahead.

Thank you. I have a question about Guatemala. But first, on the meeting this afternoon with President Chaves of Costa Rica. He has expressed the interest of joining the North American trade pact between the United States, Mexico, and Canada, the USMCA. I was curious to know if that’s something that the United States would support.

So, I’m not going to get ahead of the discussion that they might have today. So, I want to be really careful as that’s going to happen later today. We’re going to have a readout after the meeting concludes.

(41:35)
I will say this: that President Biden values Costa Rica’s close collaboration on building out of America’s partnership for economic prosperity. So, the two leaders certainly are going to discuss how they can continue to work together to strengthen our economic ties and inclusive and resilient economies, which includes developing a resilient regional semiconductor supply chain. So obviously, that will

… be part of the conversation. I’m just not going to get into any specifics on your question about USMCA. Again, we’ll have a readout once the conversation concludes or the by-elect concludes.

Thank you. Do you have any reaction to the decision that the elector registry took yesterday to suspend the political party of the president-elect on this movement?

So, we’ve congratulated Arévalo on his election as the next president of Guatemala. As confirmed by the certified vote results, the United States remains deeply concerned with continued actions by those who seek to undermine Guatemala’s democracy. These efforts undercut the clear will of the Guatemalan people, so we stand with our partners in the international community, with the Guatemalan people against these unacceptable efforts, but obviously we congratulate the new elected president.

Karine, question on the big election topic, transgender rights. Former governor Nikki Haley and presidential candidate says, quote, “The idea that we have biological boys playing in girls sports, it is the women’s issue of our time.” Does the president agree that this is a women’s rights issue?

So we’ve talked about this many times. This is the Title IX specifically. Look, and again, we’ve talked about this multiple times, it’s a complicated issue and there are a wide range of views on this. The Department of Education proposed a rule, as you know, that gives schools the flexibility to establish their own athletics policies. So while establishing guardrails to prevent discrimination against transgender kids, and that is something that is incredibly important that the president wants to make sure that we also do that as well. So I’m just not going to get ahead of that. As I said, there’s a proposed rule on Title IX that the Department of Education has laid out, so I’m just not going to get ahead of that as it relates to the Department of Education.

The president has granddaughters, does he care that girls are allowed to compete in sports without fear of injury?

I just-

Does he think it’s fair for girls to have to compete against biological males?

I just answered the question. It is a complicated issue. It is truly a complicated issue with a wide range of views, a wide range of views. There is no yes or no answer to this. It is complicated. There’s a rule that the Department of Education has put forward, and we’re going to let that process move forward. It is, again, we want to make sure that while we establish guardrails with this rule that we also prevent discrimination as well against transgender kids. But again, a complicated issue with a wide range of views and we respect that. Go ahead.

Thank you so much. I have a Latin America question and then an Asia question. Starting with Latin America and Costa Rica, the U.S. and Costa Rica signed a migration agreement I think in June. Just wondering if it’s worked, if it’s slowing the flow of migrants to the southern border of the United States, and what are the legal pathways for people who might be waiting in Costa Rica and trying to claim asylum in the U.S.?

So look, I talked about how they were part of the signing the LA declaration that we did just last year, which is they’ve been a partner in the region with us. So we certainly appreciate that partnership and the collaboration that we’ve had with Costa Rica. I don’t have any updates on the specific migration or any data to share with you at this time, but certainly Costa Rica has been a partner with us as it relates to regional migration, and so we appreciate their partnership. They’re going to have a conversation, they’re going to check in, as you know, in a couple of hours, and we certainly will have a readout on that.

Moving on to Asia, why does President Biden believe it’s a better use of his time to go to Vietnam instead of to the ASEAN Summit in Indonesia, which he’s sending the vice president to?

Yeah, so look, as it relates to Vietnam and our relationships, look, since day one, we focused on rebuilding, right? The president has been very clear on rebuilding and investing in our allies. That is something that the president takes really that seriously, not just our allies, but our partners throughout the world and especially in the Indo-Pacific. You saw that very recently as he had the trilateral very recently at Camp David. So as the United States looks to deepen our ties with the region, Vietnam is a key partner in doing that. So the deliverables that will be announced as part of this visit will reflect both the depth and the breadth of that relationship that the president certainly takes very seriously. The visit will be a culmination of shared journey of peace and reconciliation as our two countries look forward to facing the future as our partners together as it relates to ASEAN.

(46:50)
Look, he has tremendous respect for ASEAN. He has tremendous respect for ASEAN and was honored to participate in the three U.S. ASEAN Summits, including hosting an unprecedented U.S. ASEAN leaders meeting right here at the White House, as you know. He had the opportunity to demonstrate his personal support for ASEAN, certainly. Look, the vice president is deeply committed to Southeast Asia and also ASEAN and so will be her third trip in the region. So we believe having the vice president represent the president as they are partners in this is also incredibly important. You can see from the last two years the president’s commitment to ASEAN.

During the president’s first year in office, he directed 90 agencies across federal government to create the equity action plans, he also gave them… to address discrimination and barriers in communities. But he also directed them to submit those plans in September to the White House Steering Committee on equity. So can we expect anything toward the beginning of the month in that? Will those plans be released? Any update that you have?

So it’s a very good question. As you just stated, when the president walked into this administration, he wanted to make sure at the federal level we were dealing with an issue that was a crisis across the country, which is dealing with racial inequality. He wanted to do what he can from the federal government, obviously asking the different agencies to figure out a way, how do we make sure that there is equity in the agencies on the federal level? You’re right, they’re supposed to be reporting back. I don’t have any information for you at this time. Certainly, I will touch base with the team and see if there’s anything that we can share with all of you. But again, as we just saw yesterday with the 60th anniversary on the March in Washington, you saw the president bring the civil rights leaders. He talked about what happened in Jacksonville and that a hate crime happening in that community. He has been very clear, it is time that all of us step in and do something and really deal with an issue that’s affecting all of our communities across the country. Go ahead.

Thanks, Karine. The president, while he was in Lake Tahoe, said that he was not interested in dividing the FEMA supplemental assistance from the Ukraine supplemental assistance and the foreign aid piece of the puzzle. What would he do if Congress were to present him with a disaster-only supplemental?

So look, I’m not going to get into hypotheticals from here. The president has made it very clear what he is asking from Congress as it relates to the supplemental ask that he is asking Congress of for Ukraine. Let’s not forget that has been a bipartisan process, and he appreciates the bipartisanship that we have seen over the last two years to make sure that the brave people in Ukraine who is fighting for their freedom, fighting for their democracy gets the assistance not just from the U.S., but from our partners and allies. That is something that we are looking forward towards and are going to work towards. As it relates to FEMA, the FEMA administrator just laid out what’s ahead and why the $12 billion was asked. Clearly, we are in a different period, right?

(50:13)
As we look at climate change, as we look at extreme weather, as we look at what we’ve been dealing with, now we’re stepping into hurricane season, all of these things are incredibly important. I’m just not going to get into hypotheticals or what the Congress might present, will present. Our administration, including the OMB director as well as the Leg Affairs Office, has been in constant communication with congressional members. We’re going to continue to have those conversations. Again, this is what we have asked for is incredibly important, and so we’re going to continue to have those conversations.

Thanks, Karine. The White House announced, you announced yesterday that the president will mark 9/11 in Alaska on the way back from Vietnam. Can you explain the decision and does this reflect any kind of a new phase and how we want to memorialize that? Did you look at potentially going to Vietnam on the way there instead of the way back?

So look, we’ll have more on 9/11 in Alaska. As you just mentioned, I laid out and announced that. Look, the president wanted to make sure that he as the president did something to commemorate 9/11, and that’s what you’re seeing. That’s what you’re seeing the president do. We’ll certainly have more details to share. I just don’t have anything more outside of that. [inaudible 00:51:23]. Oh.

Thank you. Karine, how is it possible that an ISIS sympathizer is sneaking people into this country?

I’m assuming you’re speaking to the CNN story, right?

Mm-hmm.

Okay. So I just want to make sure that folks who are watching understand the question. So I just want to be really clear here. So the intelligence alerted us to a human smuggling network. We moved fast and successfully to disrupt it, so I just want to be very clear of that, and we are-

When you say that you disrupted it, are you saying that you know where all of the people this ISIS sympathizer snuck into the country are?

If I can answer the question, I’m sure I’ll touch on everything that you want to ask me. So again, intelligence alerted us of this human smuggling network. We believe and we moved fastly and we successfully disrupted it. So let’s be very clear about that, and we are grateful. We are very grateful to the law enforcement for their quick work and their vigilance on this. Now to your other part of the question, smugglers have been detained overseas, including one link to the foreign terrorist organization. No sign, there is no sign that anyone moved by the smuggling network has terrorism connection, so want to be clear there as well. What we were able to do as precaution, people brought here by smuggling network are being subject to extra vetting and are all in removal proceeding. In addition to that, in addition to that, anyone coming across the border outside of the network who matches the profile of those in the smuggling network is subject to extra vetting, detained and put in expedited removal proceedings as well.

You said that there’s no sign of plot, but isn’t it true that the U.S. Has to be right with preventing terrorist attacks 100% of the time? They only have to be right once.

So let’s be very clear, I want to be really clear here. We are committed, this is a White House that is committed to making sure that we are protecting our homeland and also protecting the American people. That is our commitment. We will continue to be vigilant on that, and so want to be incredibly clear on this, and we are thankful. We are grateful for our law enforcement who acted very quickly here and they are disrupted. They successfully disrupted the smuggling network.

We’ve seen human smuggling networks operated by the cartels for years. Why the sudden urgency with this one?

We have always and will be and have been vigilant here when it comes to making sure that we are protecting our homeland. That is something that this president is committed to. That is something that this administration is committed to. We will always be and we will continue to be. Let’s not forget that this was successfully disrupted and it was because of the quick act of our law enforcement that we are incredibly grateful to it. We have to go because the president’s going to be starting his event in a couple of minutes. Thanks, everybody. I’ll see you tomorrow. [inaudible 00:54:34]