prior to Trump these awards were given out once a year on the same day. to around 8 people Since Trump can’t do anything like other presidents he gives them out one at a time.
It’s because he’s such a stickler for following pandemic rules - only small gatherings allowed! 
And they’ve all been presented to sportsball figures, or people like Rush Limbaugh. At least that fucker Nixon invited Duke Ellington to the White House.