The document summarizes the state of open access in the United States. It notes that while some progress has been made, like over 3 million open access articles on PubMed Central and an 80% compliance rate for articles resulting from NIH funding, more work remains. Specifically, only 1 of 21 required government agencies has released an open access policy, and only 45 of over 4,500 higher education institutions have open access policies. Additionally, less than 20% of over 1.5 million articles published annually are available through open access. However, the trends overall are pointing in a positive direction. Continued collective efforts are needed to further the goal of making open the default setting for scholarly literature.