President Joe Biden touted his administration’s accomplishments in well being care in a wide-ranging State of the Union handle on Thursday night that touched on topics similar to immigration, the financial system, crime, job development, infrastructure, and the Israel-Hamas struggle. 

With Biden and former President Donald Trump now the presumptive Democratic and Republican nominees, Biden used the roughly 68-minute speech to counter his lackluster public approval rankings and draw clear contrasts between his administration’s insurance policies and people of Trump and a few congressional Republicans. However he by no means talked about Trump by identify, as an alternative referring to him as his “predecessor.”

Biden got here out swinging, talking about freedom and democracy, and assist for Ukraine and NATO. And he reminded lawmakers that historical past is watching.

Our PolitiFact companions fact-checked the talk in actual time. Learn the full protection right here.

Early within the speech, Biden pointed to the latest Alabama Supreme Courtroom resolution that successfully shut down in vitro fertilization therapies throughout the state, though its governor signed a invoice into legislation March 6 to defend sufferers and suppliers from potential authorized legal responsibility.

Biden challenged his “associates throughout the aisle” to “assure the fitting to IVF nationwide,” and related this situation on to the 2022 Supreme Courtroom resolution overturning Roe v. Wade.

White Home company for the speech included Latorya Beasley of Birmingham, Alabama, whose IVF therapies have been canceled due to her state’s court docket resolution; and Kate Cox, who was denied an emergency abortion by the Texas Supreme Courtroom. Members of the Democratic Ladies’s Caucus sat en bloc, sporting white to point out solidarity for reproductive rights. 

“Like most People, I imagine Roe v. Wade bought it proper,” Biden mentioned, including that his “predecessor” got here to workplace “decided” to see it overturned and has bragged about its undoing. “Clearly, these bragging about overturning Roe v. Wade haven’t any clue concerning the energy of girls in America.”

Biden’s different well being care hits included the primary steps in implementing Medicare drug value negotiations, one thing on Democrats’ longtime coverage want listing that grew to become legislation as a part of the Inflation Discount Act he signed in August 2022. He famous that the federal medical insurance program for seniors is now — for the primary time — negotiating decrease costs for a number of the costliest medication available on the market. He pointed not solely to the financial savings it might carry seniors, but in addition to the federal finances. At the moment, 10 medication may be added to the listing yearly. Biden known as for an growth of this system: “Now it’s time to go additional and provides Medicare the facility to barter decrease costs for 500 medication over the subsequent decade.”

He additionally claimed victory with different Medicare-related adjustments in that legislation — together with a $35 insulin value cap and a $2,000 value cap on Medicare out-of-pocket drug bills. In every of case, he challenged Congress to behave with him to develop these steps to incorporate everybody.

When it got here to the Reasonably priced Care Act, he mentioned it’s “nonetheless a really large deal” and pledged not solely to guard it, but in addition to develop it by working to make everlasting the tax subsidies first superior on the peak of the covid-19 pandemic to make medical insurance extra reasonably priced.

“My predecessor and lots of on this chamber need to take that safety away by repealing the Reasonably priced Care Act; I received’t let that occur,” he mentioned, drawing heckles from opponents within the viewers.

Afterward, some Republicans, together with Home Speaker Mike Johnson (R-La.), mentioned the handle was overly partisan. Trump slammed it, telling Fox Information that Biden “suffers from a terminal case of Trump derangement syndrome.” And Sen. Katie Britt (R-Ala.) gave the GOP response.  

Listed here are well being care highlights from PolitiFact:

“The Alabama Supreme Courtroom shut down IVF therapies throughout the state, unleashed by a Supreme Courtroom resolution overturning Roe v. Wade.”

On Feb. 16, the Alabama Supreme Courtroom issued a ruling that mentioned frozen embryos needs to be thought of kids.

The choice lacks the facility to close down in vitro fertilization therapies statewide. But it surely induced a number of clinics within the state to pause IVF therapies as they reviewed the choice and potential liabilities.

Since then, Alabama lawmakers handed laws to defend IVF suppliers from civil or legal legal responsibility in a rush to guard fertility therapies after backlash grew. Two clinics introduced they have been resuming operations after Republican Gov. Kay Ivey signed the legislation.

Sen. Tammy Duckworth (D-In poor health.) — who had two daughters utilizing in vitro fertilization — launched a related federal invoice aimed toward defending IVF. However Sen. Cindy Hyde-Smith (R-Miss.) blocked it Feb. 28, saying it was a “huge overreach that is filled with poison tablets that go method too far — far past guaranteeing authorized entry to IVF.”

“In case you, the American folks, ship me a Congress that helps the fitting to decide on, I promise you: I’ll restore Roe v. Wade because the legislation of the land once more.”

PolitiFact continues to fee Biden’s promise to codify Roe v. Wade as “Stalled.”

Biden known as on Congress to assist him obtain his 2020 marketing campaign promise to codify Roe v. Wade.

He can’t do it alone.

The Supreme Courtroom dominated in 2022 to overturn Roe, ending almost 50 years of federally protected abortion entry.

Sen. Tammy Baldwin (D-Wis.) launched the Ladies’s Well being Safety Act of 2023, which might prohibit governmental restrictions on entry to abortion. But it surely has no Republican co-sponsors and didn’t advance.

PolitiFact has been monitoring Biden’s marketing campaign promise to codify Roe v. Wade, considered one of about 100 guarantees on the Biden Promise Tracker. The dearth of 10 Republicans wanted to beat an anticipated filibuster has stalled Biden’s efforts on codification. That impediment remained even after Democrats saved slender management of the Senate within the midterms.

“People pay extra for prescribed drugs than anyplace on the planet.”

PolitiFact rated the same declare by Biden as “Principally True.”

U.S. per capita spending on prescribed drugs is sort of 3 times the common of different superior, industrialized international locations that comprise the Group for Financial Co-operation and Growth. A examine by the Rand Corp., a nonpartisan analysis group, discovered that, throughout all medication, U.S. costs have been 2.78 occasions as excessive because the mixed costs in 33 OECD international locations.

The hole was even bigger for brand-name medication, with U.S. costs averaging 4.22 occasions as a lot as these compared nations. The U.S. pays lower than comparable nations for unbranded, generic medication, which account for about 90% of stuffed prescriptions within the nation but make up solely one-fifth of prescription drug spending.

Researchers say components together with country-specific pricing, confidential rebates, and different reductions can obscure precise costs, making comparisons more durable.