Stripped down to the very basics, here are the 23 items

1. Issue a memo.

2. Address an issue relating to health insurance.

3. Pay the states some money.

4. Categorize people.

5. Propose rules.

6. Publish a letter.

7. Launch a campaign. (Been there, done that)

8. Review standards.

9. Issue a memo.

10. Release a report.

11. Make a nomination.

12. Provide some police training.

13. Maximize enforce efforts. (Sounds Orwellian.)

14. Issue a memo.

15. Direct the attorney general.

16. Hector doctors.  (to harass or urge by bullying)

17. Release a letter.

18. Incentivize schools.

19. Develop models.

20. Release a letter.

21. Regulate health benefits.

22. Finalize regulations.

23. Get Kathleen and Arne talking to people.