In record State of the Union, Trump spars with Dems, touts economy and immigration

The speech was a chance for Trump to make his case ahead of the midterms.

Last Updated: February 24, 2026, 11:57 PM EST

President Donald Trump delivered his State of the Union Tuesday night in Washington, as a majority of Americans disapprove of how he is handling inflation, tariffs, relations with other countries, immigration and the economy, according to an ABC News/Washington Post/Ipsos poll.

For Trump, the speech was a chance to make the case directly to millions of Americans ahead of November's midterm elections where control of Congress is at stake. Dozens of Democrats, meanwhile, skipped the speech in protest.

Key Headlines

Here's how the news developed:
Feb 24, 2026, 10:02 PM EST

Trump talks plan for health care -- a key 2026 issue

President Trump is using his speech to talk about health care, which is considered a key issue heading into November's elections.

Trump reiterated his desire to pay Americans directly to buy health insurance. He also called on Republicans, specifically House Speaker Mike Johnson and Senate Majority Leader John Thune, to codify his "most favored nation" policies -- which aim to ensure the U.S. isn't paying more than other countries for prescription drugs.

Feb 24, 2026, 10:05 PM EST

FACT CHECK: Prescription drug prices

TRUMP CLAIM: "I took prescription drugs, a very big part of health care, from the highest price in the entire world to the lowest."

FACT CHECK: Needs more context

Trump has pointed to lower prescription drug prices, citing discount arrangements such as his new website, which provides manufacturer discount prices, TrumpRX and direct negotiations with manufacturers. Some targeted reductions have occurred for people paying the cash price without any insurance, but overall drug prices in the United States remain high, and many patients still face significant out-of-pocket costs.

The administration secured lower cash prices for certain high-profile medications, including weight-loss drugs such as Wegovy and Zepmound, largely for uninsured patients or those paying outside of traditional insurance coverage. Ben Jolley, the senior fellow for healthcare at the American Economic Liberties Project, noted that manufacturers were already under competitive and political pressure to reduce prices in that category as more products enter the market. In addition, those discounts applied to specific purchasing channels and did not necessarily translate into broad reductions in insured patients’ costs or overall list prices.
Meanwhile, some of the most substantial recent price cuts are the result of policies enacted before Trump returned to office.

For example, at the start of this year, Bristol Myers Squibb reduced the price of the popular blood thinner Eliquis by more than 50%; Eli Lilly and their manufacturing partners dropped the price of diabetes drug Jardiance by 66%. Jolley said that those changes largely reflect the Medicare drug price negotiation.

-ABC News' Liz Neporent

Feb 24, 2026, 9:59 PM EST

Flooding hero recognized

A Coast Guard rescue swimmer who is credited with saving 165 people during the deadly July 4th flooding in the Texas Hill Country was awarded the Legion of Merit for "extraordinary heroism," President Trump said.

The awardee, Petty Officer Scott Ruskan, was reunited in the chamber with an 11-year-old girl he saved, Trump said.

U.S. Coast Guard Petty Officer 3rd Class Scott Ruskan is honored as U.S. President Donald Trump delivers his State of the Union address during a Joint Session of Congress at the U.S. Capitol on Feb. 24, 2026, in Washington, D.C.
Win McNamee/Getty Images
Feb 24, 2026, 9:51 PM EST

Trump criticizes Supreme Court tariff ruling with justices seated in front row

With four Supreme Court justices seated in the front row, Trump criticized the Supreme Court's recent ruling striking down most of his global tariffs as illegal. The justices did not appear to react as Trump spoke.

PHOTO: Supreme Court Chief Justice John Roberts, Associate Justice Elena Kagan, Associate Justice Brent Kavanaugh and Associate Justice Mary Coney Barrett attend the State of the Union at the U.S. Capitol on Feb. 24, 2026, in Washington, D.C.
Supreme Court Chief Justice John Roberts, Associate Justice Elena Kagan, Associate Justice Brent Kavanaugh and Associate Justice Mary Coney Barrett attend the State of the Union address during a Joint Session of Congress at the U.S. Capitol on Feb. 24, 2026, in Washington, D.C.
Chip Somodevilla/Getty Images

Trump called the decision "unfortunate" and "disappointing," but said he'll move the policy forward under different legal authorities. The president also notably said he'll move forward with tariffs without action from Congress, despite Republican majorities in both chambers.

Democrats in the chambers applauded as Trump spoke about the Supreme Court rebuke.

With four Supreme Court justices seated in the front row, President Trump criticized the Supreme Court's recent ruling striking down most of his global tariffs as illegal.
2:34
Trump criticizes Supreme Court tariff ruling with justices seated in front rowWith four Supreme Court justices seated in the front row, President Trump criticized the Supreme Court's recent ruling striking down most of his global tariffs as illegal.
ABCNews.com

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