The administration has extended an opioid public health emergency issued by President Donald Trump days before it was set to expire. On January 19, HHS Acting Secretary Eric Hargan signed an extension for another 90 days, effective January 24. The declaration did not free up millions of dollars or include a request to Congress for more money. In 2016, Congress approved $1 billion over 2 years to combat the opioid epidemic. Advocates and Democrats say more is needed to make the public health emergency effective. When asked on January 18 if more money could come for the opioid epidemic in a larger spending package, Rep. Tom Cole (R-OK), who chairs the House's health appropriations subcommittee, said: "I think once they get the [budget] toplines, that will happen."