Hillary Clinton served as the first lady of the United States from 1993 until 2001, during the presidency of her husband Bill Clinton.

As the first lady of the U.S., Clinton advocated for healthcare reform. In 1994, her health care plan failed to gain approval from Congress. In 1997 and 1999, Clinton played a leading role in promoting the creation of the State Children's Health Insurance Program, the Adoption and Safe Families Act, and the Foster Care Independence Act. She also advocated for gender equality at the 1995 World Conference on Women. In 1998, Clinton's marital relationship came under public scrutiny during the Clinton-Lewinsky scandal, which led her to issue a statement that reaffirmed her commitment to the marriage.

General overview

When Bill Clinton took office as president in January 1993, Hillary Clinton became the first lady. Her press secretary reiterated she would be using her married name rather than her maiden name Hillary Rodham. She was the first in this role to have a postgraduate degree and her own professional career up to the time of entering the White House. Clinton had the first postgraduate degree through regular study and scholarly work. Eleanor Roosevelt had previously been awarded a postgraduate honorary degree. Clinton's successor Laura Bush became the second first lady with a postgraduate degree. She was also the first to have an office in the West Wing of the White House in addition to the usual first lady offices in the East Wing.Troy 2006, p. 71. During the presidential transition, she was part of the innermost circle vetting appointments to the new administration. Her choices filled at least eleven top-level positions and dozens more lower-level ones.Troy 2006, p. 68. After Eleanor Roosevelt, Clinton was regarded as the most openly empowered presidential wife in American history.Troy 2006, p. xii.

Some critics called it inappropriate for the first lady to play a central role in public policy matters. Supporters pointed out that Clinton's role in policy was no different from that of other White House advisors, and that voters had been well aware she would play an active role in her husband's presidency. Bill Clinton's campaign promise of "two for the price of one" led opponents to refer derisively to the Clintons as "co-presidents" or sometimes use the Arkansas label "Billary". The pressures of conflicting ideas about the role of a first lady were enough to send Hillary Clinton into "imaginary discussions" with the also-politically active Eleanor Roosevelt. From the time she came to Washington, Hillary also found refuge in a prayer group of the Fellowship that featured many wives of conservative Washington figures. Triggered in part by the death of her father in April 1993, she publicly sought to find a synthesis of Methodist teachings, liberal religious political philosophy and Tikkun editor Michael Lerner's "politics of meaning" to overcome what she saw as America's "sleeping sickness of the soul"; that would lead to a willingness "to remold society by redefining what it means to be a human being in the twentieth century, moving into a new millennium".

Health care and other policy initiatives

In January 1993, President Clinton named Hillary to chair a task force on National Health Care Reform, hoping to replicate the success she had in leading the effort for Arkansas education reform when she was the first lady of Arkansas. Unconvinced regarding the merits of the North American Free Trade Agreement (NAFTA), she privately urged that passage of health care reform be given higher priority. The recommendation of the task force became known as the Clinton health care plan. This was a comprehensive proposal that would require employers to provide health coverage to their employees through individual health maintenance organizations. Its opponents quickly derided the plan as "Hillarycare" and it even faced opposition from some Democrats in Congress. Some protesters against the proposed plan became vitriolic and during a July 1994 bus tour to rally support for the plan, Clinton wore a bulletproof vest at times.

Failing to gather enough support for a floor vote in either the House or the Senate (although Democrats controlled both chambers), the proposal was abandoned in September 1994. Clinton later acknowledged in her memoir that her political inexperience partly contributed to the defeat but cited many other factors. The first lady's approval ratings, which had generally been in the high-50 percent range during her first year, fell to 44 percent in April 1994 and 35 percent by September 1994.Bernstein 2007, pp. 240, 380, 530. The Whitewater investigations were also a factor in her declining rating.

Republicans made the Clinton health care plan a major campaign issue of the 1994 midterm elections. They saw a net gain of 54 seats in the House election and eight in the Senate election, winning control of both; many analysts and pollsters found the plan to be a major factor in the Democrats' defeat, especially among independent voters. The White House subsequently sought to downplay Clinton's role in shaping policy.Burns 2008, p. 141. Opponents of universal health care would continue to use "Hillarycare" as a pejorative label for similar plans by others.

Along with senators Ted Kennedy and Orrin Hatch, Clinton was a force behind the passage of the State Children's Health Insurance Program in 1997. This federal bill gave state support to children whose parents could not provide them health coverage. She conducted outreach efforts on behalf of enrolling children in the program once it became law. She promoted nationwide immunization against childhood diseases and encouraged older women to get a mammogram for breast cancer screening, with coverage provided by Medicare. She successfully sought to increase research funding for prostate cancer and childhood asthma at the National Institutes of Health. She worked to investigate reports of an illness that affected veterans of the Gulf War, which became known as the Gulf War syndrome.

Enactment of welfare reform was a major goal of Bill Clinton's presidency. When the first two bills on the issue came from a Republican-controlled Congress lacking protections for people coming off welfare, however, Hillary urged him to veto the bills, which he did. A third version came up during his 1996 general election campaign that restored some of the protections but cut the scope of benefits in other areas; critics, including her past mentor Edelman, urged her to get the president to veto it again. But she decided to support the bill, which became the Welfare Reform Act of 1996, as the best political compromise available. This caused a rift with Edelman that Hillary later called "sad and painful".

Together with Attorney General Janet Reno, Clinton helped create the Office on Violence Against Women at the Department of Justice. In 1997, she initiated and shepherded the Adoption and Safe Families Act, which she regarded as her greatest accomplishment as the first lady. In 1999, she was instrumental in the passage of the Foster Care Independence Act, which doubled federal monies for teenagers aging out of foster care. As First Lady of the United States, Clinton was the host for various White House conferences. These included one on Child Care (1997), on Early Childhood Development and Learning (1997), and on Children and Adolescents (2000). She also hosted the first-ever White House Conference on Teenagers (2000), and the first-ever White House Conference on Philanthropy (1999).

International diplomacy and promotion of women's rights Clinton traveled to 79 countries during her time as first lady, breaking the record for most-traveled first lady previously held by Pat Nixon. She did not hold a security clearance or attend National Security Council meetings, but played a role in U.S. diplomacy attaining its objectives. A March 1995 five-nation trip to South Asia, on behest of the U.S. State Department, without her husband, sought to improve relations with India and Pakistan. Clinton was troubled by the plight of women she encountered, but found a warm response from the people of the countries she visited, and gained a better relationship with the American press corps. The trip was a transformative experience for her and presaged her eventual career in diplomacy.

In a September 1995 speech before the Fourth World Conference on Women in Beijing, Clinton argued forcefully against practices that abused women around the world and in the People's Republic of China itself. She declared, "it is no longer acceptable to discuss women's rights as separate from human rights". Delegates from over 180 countries heard her say: "If there is one message that echoes forth from this conference, let it be that human rights are women's rights and women's rights are human rights, once and for all." In doing so, she resisted both internal administration and Chinese pressure to soften her remarks. The speech became a key moment in the empowerment of women and years later women around the world would recite Clinton's key phrases.Hudson and Leidl 2015, pp. 7–8. During the late 1990s, she was one of the most prominent international figures to speak out against the treatment of Afghan women by the Taliban. pp. 70, 182. She helped create Vital Voices, an international initiative sponsored by the U.S. to encourage the participation of women in the political processes of their countries.Hudson and Leidl 2015, pp. 25–26. It and Clinton's own visits encouraged women to make themselves heard in the Northern Ireland peace process. In 1997, Clinton returned to Northern Ireland to deliver the inaugural Joyce McCartan lecture at the University of Ulster in honour of the community campaigner she had met during her visit in Belfast in 1995.

Scandals and investigations

Clinton was a subject of several investigations by the United States Office of the Independent Counsel, committees of the U.S. Congress, and the press.

The Whitewater controversy was the focus of media attention from its publication in a New York Times report during the 1992 presidential campaign and throughout her time as the first lady. The Clintons had lost their late-1970s investment in the Whitewater Development Corporation; at the same time, their partners in that investment, Jim and Susan McDougal operated Madison Guaranty, a savings and loan institution that retained the legal services of Rose Law Firm and may have been improperly subsidizing Whitewater losses. Madison Guaranty later failed, and Clinton's work at Rose was scrutinized for a possible conflict of interest in representing the bank before state regulators her husband had appointed. She said she had done minimal work for the bank. Independent counsels Robert Fiske and Kenneth Starr subpoenaed Clinton's legal billing records; she said she did not know where they were. After a two-year search, the records were found in the first lady's White House book room and delivered to investigators in early 1996. The delayed appearance of the records sparked intense interest and another investigation concerning how they surfaced and where they had been. Clinton's staff attributed the problem to continual changes in White House storage areas since the move from the Arkansas Governor's Mansion. On January 26, 1996, Clinton became the first spouse of a U.S. president to be subpoenaed to testify before a federal grand jury. After several Independent Counsels had investigated, a final report was issued in 2000 that stated there was insufficient evidence that either Clinton had engaged in criminal wrongdoing.