Choices for Increased Mobility Act of 2026

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Bill ID: 119/hr/1703
Last Updated: August 19, 2026

Sponsored by

Rep. Joyce, John [R-PA-13]

ID: J000302

Follow the money

The bill

Choices for Increased Mobility Act of 2026

HR. 1703, 119th Congress — read as touching Medical Devices.

The sponsor

Rep. Joyce, John [R-PA-13]

Every bill has someone who introduced it. That name is where the paper trail starts.

The money

$66,400 raised

20 itemised contributions to this sponsor, pulled from FEC filings.

The alignment

85% match to Project 2025

This bill's text tracks the "Department of Health and Human Services" section, p. 533-535 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Received in the Senate and Read twice and referred to the Committee on Finance.

July 20, 2026

Introduced

Committee Review

Floor Action

Passed House

Senate Review

📍 Current Status

Next: Both chambers must agree on the same version of the bill.

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

1. Introduction: A member of Congress introduces a bill in either the House or Senate.

2. Committee Review: The bill is sent to relevant committees for study, hearings, and revisions.

3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.

4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.

5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.

6. Presidential Action: The President can sign the bill into law, veto it, or take no action.

7. Became Law: If signed (or if Congress overrides a veto), the bill becomes law!

Bill Summary

Another masterpiece of legislative theater, courtesy of the geniuses in Congress. The "Choices for Increased Mobility Act of 2026" - because who doesn't love a good euphemism? Let's dissect this farce and expose the underlying disease.

The bill amends the Social Security Act to create new payment rules for manual wheelchairs under Medicare Part B. Because, you know, the current system was just too simple and efficient. Now, we'll have separate HCPCS codes for ultralightweight manual wheelchairs based on construction materials (titanium or carbon fiber). Oh joy, more bureaucratic red tape to strangle innovation.

The affected industries? Wheelchair manufacturers, suppliers, and Medicare beneficiaries - all of whom will be delighted by the increased complexity and potential financial burdens. Compliance requirements include establishing new HCPCS codes, issuing notices to beneficiaries about potential financial liabilities, and navigating the joys of reimbursement rates. Timelines? January 1, 2028, is the magic date when this mess takes effect.

Enforcement mechanisms? Ha! The Secretary of Health and Human Services gets to "determine" what's appropriate, because who needs clear guidelines or accountability? Penalties? Don't worry, they'll be "determined" too - probably after a few rounds of golf with industry lobbyists.

The economic impact? A nice windfall for wheelchair manufacturers who can now charge more for their fancy titanium and carbon fiber models. Medicare beneficiaries might enjoy the thrill of surprise medical bills, courtesy of the "beneficiary charges" provision. Operational impacts? Just more administrative headaches for healthcare providers and suppliers trying to navigate this regulatory quagmire.

Diagnosis: This bill is a classic case of "Regulatory Creep," where special interests (in this case, wheelchair manufacturers) infect the legislative process with their influence, resulting in unnecessary complexity and costs. The symptoms include redundant bureaucracy, increased financial burdens on beneficiaries, and a healthy dose of crony capitalism. Treatment? A strong dose of skepticism, followed by a thorough examination of the bill's real motivations - which, no doubt, have nothing to do with "increasing mobility" and everything to do with lining the pockets of industry insiders. Next patient, please!

Generated using Llama 3.1 70B (Dr. Haus personality)

💰 Campaign Finance Network

Rep. Joyce, John [R-PA-13]

Congress 119 • 2024 Election Cycle

Total Contributions
$66,400
16 donors
PACs
$0
Organizations
$0
Committees
$0
Individuals
$66,400

No PAC contributions found

No organization contributions found

No committee contributions found

1
SPELL, JOE
2 transactions
$7,000
2
EDATTEL, PAUL
2 transactions
$6,600
3
KIMBELL, JEFFREY
2 transactions
$6,600
4
FAISON, JAY W.
2 transactions
$6,600
5
SHOAP, VICKI
1 transaction
$3,300
6
WALKER, KENT
1 transaction
$3,300
7
ALAM, MURAD
1 transaction
$3,300
8
RAYDER, MARK
1 transaction
$3,300
9
REDL, DAVID J.
1 transaction
$3,300
10
WILLCOX, DARREN
1 transaction
$3,300
11
FISHER, KENNETH
1 transaction
$3,300
12
FISHER, SHERRILYN
1 transaction
$3,300
13
STEERE, WILLIAM C. JR.
1 transaction
$3,300
14
COPELAND, JR, GERRET
1 transaction
$3,300
15
MARTIN, ANNE E.
1 transaction
$3,300
16
MARTIN, DONNA F
1 transaction
$3,300

Cosponsors & Their Campaign Finance

This bill has 10 cosponsors. Below are their top campaign contributors.

Rep. Buchanan, Vern [R-FL-16]

ID: B001260

Top Contributors

20

1
RICHARDS, CHRISTINE
CVP • CUST/BUS TRANS
IndividualBARTLETT, TN
$3,300
Oct 28, 2024
2
RICHARDS, DANIEL
DR. CONSULTING • CPA
IndividualBARTLETT, TN
$3,300
Oct 28, 2024
3
GARCIA, MARIO
EMSI - TAMPA • PRESIDENT/CEO
IndividualTAMPA, FL
$3,300
Nov 28, 2023
4
BENJAMIN, STEPHEN
VALIDUS SENIOR LIVING • CEO
IndividualODESSA, FL
$3,300
Nov 10, 2023
5
GARCIA, IVIS
HOMEMAKER • HOMEMAKER
IndividualTAMPA, FL
$3,300
Nov 28, 2023
6
GARCIA, MARIO
EMSI - TAMPA • PRESIDENT/CEO
IndividualTAMPA, FL
$3,300
Nov 28, 2023
7
GARCIA, IVIS
HOMEMAKER • HOMEMAKER
IndividualTAMPA, FL
$3,300
Nov 28, 2023
8
JOHNSON, TRAVIS
1607 STRATEGIES • FOUNDER
IndividualARLINGTON, VA
$3,300
Dec 6, 2023
9
COPELAND, GERRET
TERREG MANAGEMENT LLC • CEO
IndividualSARASOTA, FL
$3,300
Feb 7, 2023
10
COPELAND, KYM
HOMEMAKER • HOMEMAKER
IndividualSARASOTA, FL
$3,300
Feb 7, 2023

Rep. Schrier, Kim [D-WA-8]

ID: S001216

Top Contributors

45

1
CHICKASAW NATION
PACADA, OK
$1,000
Sep 23, 2024
2
SNOQUALMIE TRIBE
OrganizationSNOQUALMIE, WA
$3,300
Nov 3, 2023
3
THE CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
OrganizationNESPELEM, WA
$3,300
Nov 3, 2023
4
JAMESTOWN S'KLALLAM TRIBE
OrganizationSEQUIM, WA
$3,300
Jun 30, 2023
5
JAMESTOWN S'KLALLAM TRIBE
OrganizationSEQUIM, WA
$3,300
Jun 30, 2023
6
MUCKLESHOOT INDIAN TRIBE
OrganizationAUBURN, WA
$3,300
May 10, 2023
7
NISQUALLY INDIAN TRIBE
OrganizationOLYMPIA, WA
$3,300
Jun 29, 2023
8
THE TULALIP TRIBES OF WASHINGTON
OrganizationTULALIP, WA
$3,300
May 2, 2023
9
MUCKLESHOOT INDIAN TRIBE
OrganizationAUBURN, WA
$3,300
Jun 28, 2024
10
PUYALLUP TRIBE OF INDIANS
OrganizationTACOMA, WA
$3,300
Jun 30, 2024

Rep. Meuser, Daniel [R-PA-9]

ID: M001204

Top Contributors

22

1
PRIDE MOBILITY PRODUCTS CORP
OrganizationDURYEA, PA
$2,500
Sep 18, 2024
2
COTLER, YUDACUFSKI, HUEBNER
OrganizationSAINT CLAIR, PA
$1,000
Apr 23, 2024
3
DOWD, JOHN J
SUNDANCE VACATIONS • PRESIDENT
IndividualLEHIGHTON, PA
$6,600
Mar 25, 2024
4
PEYKOFF, ANDY
NIAGARA BOTTLING, LLC • CEO
IndividualLAS VEGAS, NV
$6,600
Mar 22, 2024
5
DOWD, JOHN J
SUNDANCE VACATIONS • PRESIDENT
IndividualLEHIGHTON, PA
$6,600
Sep 18, 2024
6
ROWAN, MARC J
APOLLO MANAGEMENT • MANAGEMENT
IndividualGREENWICH, CT
$6,600
Aug 23, 2023
7
ROWAN, CAROLYN
CAROLYN ROWAN COLLECTION • OWNER
IndividualGREENWICH, CT
$6,600
Aug 23, 2023
8
RICH, BRIAN R MR. JR
GILBERTON COAL CO. • EXECUTIVE SALES
IndividualCONSHOHOCKEN, PA
$6,600
Oct 24, 2024
9
VOLPE, ELLEN M
SELF • HOMEMAKER
IndividualWAVERLY TOWNSHIP, PA
$5,800
May 31, 2023
10
VOLPE, CHARLES J
EXCALIBUR INSURANCE MGMT • PRESIDENT
IndividualWAVERLY TOWNSHIP, PA
$5,800
May 31, 2023

Rep. Thompson, Glenn [R-PA-15]

ID: T000467

Top Contributors

38

1
BUTLER MACHINE
OrganizationTULELAKE, CA
$3,300
Oct 15, 2024
2
CHOCTAW NATION OF OKLAHOMA
OrganizationDURANT, OK
$3,300
Oct 15, 2024
3
BUTLER MACHINE
OrganizationTULELAKE, CA
$3,300
Nov 13, 2024
4
CORTINA HULLING & SHELLING GROUP
OrganizationWILLIAMS, CA
$3,300
Nov 13, 2024
5
AG VENTURES
OrganizationELIZABETHTOWN, PA
$2,500
May 1, 2023
6
ROESLEIN ALTERNATIVE ENERGY, LLC
OrganizationST. LOUIS, MO
$2,000
May 18, 2023
7
RANCH 440
OrganizationMECCA, CA
$1,500
May 22, 2023
8
KOHL REAL ESTATE
OrganizationKITTANNING, PA
$1,000
Mar 11, 2024
9
DWIGHT STANSEL FARM & NURSERY
OrganizationWELLBORN, FL
$1,000
May 30, 2023
10
HIGHLINE GRAIN GROWERS INC
OrganizationDAVENPORT, WA
$1,000
Jun 13, 2023

Rep. Moulton, Seth [D-MA-6]

ID: M001196

Top Contributors

21

1
KARLA'S MARKET
OrganizationREVERE, MA
$500
Jul 25, 2023
2
BLOOM, BRADLEY
N/A • NOT EMPLOYED
IndividualWELLESLEY, MA
$6,600
Nov 15, 2024
3
BREDENBERG, DIANE M.
N/A • NOT EMPLOYED
IndividualSOUTHLAKE, TX
$6,600
Nov 15, 2024
4
SHAH, NIRAJ
WAYFAIR • RETAIL
IndividualBOSTON, MA
$6,600
Nov 17, 2024
5
CORCORAN, JAMES
AREX CAPITAL MANAGEMENT LP • INVESTOR
IndividualNEW YORK, NY
$6,600
Nov 20, 2024
6
D'AMICO, ALEXANDER
MCKINSEY & COMPANY • CONSULTANT
IndividualNEW CANAAN, CT
$6,600
Nov 18, 2024
7
HASTINGS, MARK
PSG EQUITY • INVESTOR
IndividualBOSTON, MA
$6,600
Nov 20, 2024
8
LEDLEY, CHARLES H.
LIMINALITY CAPITAL LP • INVESTOR
IndividualBOSTON, MA
$6,600
Nov 21, 2024
9
PEELER, DAVID RANDY
BERKSHIRE PARTNERS • MANAGING DIRECTOR
IndividualCAMBRIDGE, MA
$6,600
Nov 18, 2024
10
SHORTSLEEVE, BRIAN
M33 GROWTH • VENTURE CAPITAL
IndividualWELLESLEY, MA
$6,600
Nov 21, 2024

Rep. Bresnahan, Robert P. [R-PA-8]

ID: B001327

Top Contributors

20

1
TAMBUR, ROBERT L.
TFP LIMITED • OWNER
IndividualSHAVERTOWN, PA
$13,200
Dec 31, 2023
2
BATMASIAN, JAMES
INVESTMENTS LIMITED • OWNER
IndividualBOCA RATON, FL
$7,906
Jun 30, 2024
3
BATMASIAN, JAMES
IndividualBOCA RATON, FL
$7,906
Jun 30, 2024
4
BRESNAHAN, DODIE
WYOMING ELECTRIC SIGNAL INC • VP
IndividualPITTSTON, PA
$6,600
Dec 27, 2023
5
CONFORTI, ANGELO
KUHARCHIK CONSTRUCTION LLC • MANAGER
IndividualDUPONT, PA
$6,600
Dec 31, 2023
6
KUHARCHIK, RHODA
NONE • RETIRED
IndividualWEST PITTSTON, PA
$6,600
Dec 30, 2023
7
CAMERON, RONALD
MOUNTAIRE CORP • CHAIRMAN
IndividualLITTLE ROCK, AR
$6,600
Feb 9, 2024
8
EMMET, RICHARD
NONE • RETIRED
IndividualLARCHMONT, NY
$6,600
Feb 22, 2024
9
GILLIAM, RICHARD
CUMBERLAND DEVELOPMENT • MANAGER
IndividualCHARLOTTESVILLE, VA
$6,600
Feb 8, 2024
10
GRIFFIN, KENNETH
CITADEL • CEO
IndividualMIAMI, FL
$6,600
Apr 1, 2024

Del. Norton, Eleanor Holmes [D-DC-At Large]

ID: N000147

Top Contributors

20

1
DONOHOE, BERT
THE DONOHOE COMPANIES INC. • EVP, REAL ESTATE
IndividualBETHESDA, MD
$3,300
May 2, 2024
2
OTONI, RAFAELA
HILTON CORPORATION • PRESIDENT & CEO
IndividualMC LEAN, VA
$3,300
May 3, 2024
3
REID, JACK
RAM CUSTOM SERVICES • PRESIDENT
IndividualCHESAPEAKE BEACH, MD
$3,300
May 6, 2024
4
LEWIS, JACQUELINE
NOT EMPLOYED • NOT EMPLOYED
IndividualWASHINGTON, DC
$3,300
Jul 10, 2023
5
LEWIS, JACQUELINE
NOT EMPLOYED • NOT EMPLOYED
IndividualWASHINGTON, DC
$3,300
Jul 10, 2023
6
BARRY, DAVID E. JR
NOT EMPLOYED • NOT EMPLOYED
IndividualBEALLSVILLE, MD
$2,500
May 12, 2024
7
POLASKI, MICHAEL
THE DONOHOE COMPANIES INC. • EXECUTIVE
IndividualBROADLANDS, VA
$2,500
May 13, 2024
8
GRUNLEY, KENNETH
GRUNLEY CONSTRUCTION • CEO
IndividualPOTOMAC, MD
$2,500
Jun 23, 2023
9
BRUCH, CHRIS
THE DONOHOE COMPANIES INC. • CEO
IndividualBETHESDA, MD
$2,300
Apr 30, 2024
10
EARNEST, JAMES M.
SELF-EMPLOYED • REAL ESTATE INVESTOR
IndividualBETHESDA, MD
$2,300
May 10, 2024

Rep. Gillen, Laura [D-NY-4]

ID: G000602

Top Contributors

24

1
RALLYE MOTORS
OrganizationROSLYN, NY
$6,000
Jul 18, 2023
2
RALLYE MOTORS
OrganizationROSLYN, NY
$6,000
Jun 5, 2023
3
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$1,000
Aug 1, 2024
4
STONE, JAMES M
PLYMOUTH ROCK COMPANY, INC. • EXECUTIVE
IndividualBOSTON, MA
$5,000
Oct 16, 2024
5
FAIVUS, HARRY E
SELF-EMPLOYED • OPHTHALMOLOGIST
IndividualNEW YORK, NY
$5,000
Nov 1, 2024
6
STONE, JAMES M
PLYMOUTH ROCK COMPANY, INC. • EXECUTIVE
IndividualBOSTON, MA
$5,000
Oct 16, 2024
7
HELFER, RICKI
N/A • NOT EMPLOYED
IndividualWASHINGTON, DC
$4,000
Sep 10, 2024
8
ANDEER, KYLE
APPLE INC • ATTORNEY
IndividualSAN FRANCISCO, CA
$3,300
Mar 27, 2024
9
BINDER, CHARLES
SELF-EMPLOYED • ATTORNEY
IndividualNEW YORK, NY
$3,300
Mar 21, 2024
10
BURNSTEIN, CLIFFORD
Q PRIME • MANAGER
IndividualNEW YORK, NY
$3,300
Mar 28, 2024

Rep. Van Orden, Derrick [R-WI-3]

ID: V000135

Top Contributors

25

1
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Dec 9, 2024
2
HO CHUNK NATION
OrganizationBLACK RIVER FALLS, WI
$3,300
Nov 2, 2024
3
FOREST COUNTY POTAWATOMI COMMUNITY
OrganizationCRANDON, WI
$3,300
Sep 17, 2024
4
AIPAC PAC CONDUIT ACCOUNT
OrganizationWASHINGTON, DC
$500
Oct 23, 2024
5
ALLIANCE OF BANKERS FOR WISCONSIN
OrganizationMADISON, WI
$250
Apr 23, 2024
6
ANDERSON, JOHN R. MR.
ANDERSON ENTERPRISES LLC • OWNER
IndividualROCKFORD, IL
$10,000
Dec 19, 2023
7
BROIN, JEFF
POET LLC • CEO
IndividualSIOUX FALLS, SD
$6,600
Aug 24, 2023
8
UIHLEIN, RICHARD E. MR.
ULINE INC. • CEO
IndividualLAKE BLUFF, IL
$6,600
Feb 28, 2023
9
LEVY, EDWARD C.
EDW. C. LEVY CO. • CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Mar 28, 2024
10
LEVY, EDWARD C.
IndividualBIRMINGHAM, MI
$6,600
May 6, 2024

Rep. Van Drew, Jefferson [R-NJ-2]

ID: V000133

Top Contributors

27

1
WINRED
PACARLINGTON, VA
$6,781
Jan 26, 2024
2
WINRED
PACARLINGTON, VA
$868
Feb 16, 2024
3
ACE LISTENGER ENTERPRISES LLC
OrganizationLOUISVILLE, KY
$500
Sep 30, 2024
4
SPTWO LLC
OrganizationNORTH WILDWOOD, NJ
$500
Sep 30, 2024
5
TEC AEROSPACE, LLC
OrganizationCLAYTON, NJ
$500
Jun 30, 2024
6
FV REDEMPTION LLC
OrganizationCAPE MAY COURT HOUSE, NJ
$500
Jun 27, 2024
7
CHARLES MARANDINO LLC
OrganizationMILMAY, NJ
$105
May 15, 2024
8
FORMAN, RICHARD P
RETIRED • RETIRED
IndividualCHERRY HILL, NJ
$6,600
Nov 29, 2023
9
HOLLANDER, SCOTT
PULSE VASCULAR • PHYSICIAN
IndividualMULLICA HILL, NJ
$6,600
Feb 16, 2024
10
LAUDEMAN, KEITH MR
COLD SPRING FISH • FISH DEALER
IndividualCAPE MAY, NJ
$6,600
May 8, 2023

Donor Network - Rep. Joyce, John [R-PA-13]

PACs
Organizations
Individuals
Politicians

Hub layout: Politicians in center, donors arranged by type in rings around them.

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Showing 51 nodes and 53 connections

Total contributions: $53

Top Donors - Rep. Joyce, John [R-PA-13]

Showing top 16 donors by contribution amount

16 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 1 helped.

  • +Medical Devicesconfidence 0.90

    Section 2 amends the Social Security Act to establish separate HCPCS codes for ultralightweight manual wheelchairs with titanium or carbon fiber bases, allowing suppliers to charge beneficiaries the difference between Medicare payment and actual charge, which benefits manufacturers of such wheelchairs.

Project 2025 Policy Matches

This bill shows semantic similarity to the following sections of the Project 2025 policy document.AI-enhanced analysis provides detailed alignment ratings.

Department of Health and Human Services

Strong
Vector: 62%
Pages: 533-535AI Enhanced

AI Analysis:

"HR 1703 introduces separate HCPCS codes for ultralightweight wheelchairs and permits balance billing, increasing price transparency and beneficiary choice in Medicare Part B—goals that align with Project 2025's emphasis on price transparency, consumer-driven reforms, and market-based payment policies within HHS programs."

Key themes:price transparencyconsumer choiceMedicare payment reformHCPCS codingmarket-based pricing

— 500 — Mandate for Leadership: The Conservative Promise 32. Owcharenko Schaefer, “Medicaid at 55: Understanding the Design, Trends, and Reforms Needed to Improve the Health Care Safety Net.” 33. Brian Blase, “Managed Care in Medicaid: Need for Oversight, Accountability, and Reform,” Paragon Health Institute Policy Brief, October 13, 2022, https://paragoninstitute.org/wp-content/uploads/2022/10/20221012- Managed-Care-in-Medicaid-Need-for-Oversight-Accountability-and-Reform-FOR-DISTRIBUTION-V2.pdf (accessed February 13, 2023). 34. Owcharenko Schaefer, “Medicaid at 55: Understanding the Design, Trends, and Reforms Needed to Improve the Health Care Safety Net.” 35. 42 U.S. Code § 1315, https://www.law.cornell.edu/uscode/text/42/1315 (accessed March 17, 2023). 36. Chad D. Savage and Lee S. Gross, “Direct Primary Care: Update and Road Map for Patient-Centered Reforms,” Heritage Foundation Backgrounder No. 3635, June 28, 2021, https://www.heritage.org/sites/default/ files/2021-06/BG3635.pdf. 37. H.R. 133, Consolidated Appropriations Act, 2021, Public Law No. 116-260, 116th Congress, December 27, 2020, Division BB, Title I, https://www.congress.gov/116/plaws/publ260/PLAW-116publ260.pdf (accessed March 17, 2023). 38. Doug Badger, “On Surprise Medical Bills, Congress Should Side with Consumers, Not Special Interests,” Heritage Foundation Commentary, January 31, 2020, https://www.heritage.org/health-care-reform/ commentary/surprise-medical-bills-congress-should-side-consumers-not-special. 39. Edmund F. Haislmaier and Abigail Slagle, “Premiums, Choices, Deductibles, Care Access, and Government Dependence Under the Affordable Care Act: 2021 State-by-State Review,” Heritage Foundation Backgrounder No. 3668, November 2, 2021, https://www.heritage.org/sites/default/files/2021-11/BG3668.pdf. 40. U.S. Department of the Treasury, Internal Revenue Service; U.S. Department of Labor, Employee Benefits Security Administration; and U.S. Department of Health and Human Services, “Transparency in Coverage,” Final Rule, Federal Register, Vol. 85, No. 219 (November 12, 2020), pp. 72158–72310, https://www.govinfo.gov/ content/pkg/FR-2020-11-12/pdf/2020-24591.pdf (accessed March 17, 2023). 41. David N. Bernstein and Robert E. Moffit, “New Price Transparency Rule Will Help Transform America’s Health Care System,” Heritage Foundation Commentary, November 1, 2020, https://www.heritage.org/health-care- reform/commentary/new-price-transparency-rule-will-help-transform-americas-health-care. 42. Sluzala and Haislmaier, “Lessons from COVID-19: How Policymakers Should Reform the Regulation of Clinical Testing.” 43. Ibid. 44. Most recently enacted in H.R. 2471, Consolidated Appropriations Act, 2022, Public Law No. 117-103, 117th Congress, March 15, 2022, Division H, Title V, §§ 506–507, https://www.congress.gov/117/plaws/publ103/ PLAW-117publ103.pdf (accessed March 17, 2023). 45. President Joseph R. Biden Jr., Executive Order 14079, “Securing Access to Reproductive and Other Healthcare Services,” August 3, 2022, in Federal Register, Vol. 87, No. 154 (August 11, 2022), pp. 49505–49507, https:// www.govinfo.gov/content/pkg/FR-2022-08-11/pdf/2022-17420.pdf (accessed March 16, 2023). 46. Planned Parenthood, 2020–2021 Annual Report, p. 27, https://www.plannedparenthood.org/uploads/ filer_public/40/8f/408fc2ad-c8c2-48da-ad87-be5cc257d370/211214-ppfa-annualreport-20-21-c3-digital.pdf (accessed March 22, 2023). 47. Ibid., pp. 30 and 31. Total revenue of $1,714.4 million (p. 30) minus $1,580.7 million in total expenses (p. 31) yields $133,7 million. 48. Ibid., p. 28. 49. Ibid., p. 30. 50. H.R. 372, Protecting Life and Taxpayers Act of 2023, 118th Congress, introduced January 17, 2023, https://www. congress.gov/118/bills/hr372/BILLS-118hr372ih.pdf (accessed March 17, 2023). 51. 42 U.S. Code § 18023, https://www.law.cornell.edu/uscode/text/42/18023 (accessed March 17, 2023). 52. H.R. 3128, Consolidated Omnibus Budget Reconciliation Act of 1985, Public Law No. 99-272, 99th Congress, April 7, 1986, Title IX, Subtitle A, Part 1, Subpart B, § 9121, https://www.congress.gov/99/statute/STATUTE-100/ STATUTE-100-Pg82.pdf (accessed March 17, 2023). 53. H.R. 8070, Rehabilitation Act of 1973, Public Law No. 93-112, 93rd Congress, September 26, 1973, https://www. congress.gov/93/statute/STATUTE-87/STATUTE-87-Pg355.pdf (accessed March 17, 2023). — 501 — Department of Health and Human Services 54. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, Office of Civil Rights, and Office of the Secretary, “Special Responsibilities of Medicare Hospitals in Emergency Cases and Discrimination on the Basis of Disability in Critical Health and Human Service Programs or Activities,” draft of Proposed Rule, January 14, 2021, https://www.hhs.gov/sites/default/files/infants-nprm.pdf (accessed March 17, 2023). 55. H.R. 26, Born-Alive Abortion Survivors Protection Act, 118th Congress, introduced January 9, 2023, https:// www.congress.gov/118/bills/hr26/BILLS-118hr26pcs.pdf (accessed March 17, 2023). 56. H.R. 7, No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2023, 118th Congress, introduced January 9, 2023, https://www.congress.gov/118/bills/hr7/BILLS-118hr7ih.pdf (accessed March 17, 2023). 57. S. 401, Conscience Protection Act of 2021, 117th Congress, introduced February 24, 2021, https://www.congress. gov/117/bills/s401/BILLS-117s401is.pdf (accessed March 17, 2023). 58. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, and Office of the Secretary, “Nondiscrimination in Health Programs and Activities,” Notice of Proposed Rulemaking; Notice of Tribal Consultation, Federal Register, Vol. 87, No. 149 (August 4, 2022), pp. 47824–47920, https://www.govinfo. gov/content/pkg/FR-2022-08-04/pdf/2022-16217.pdf (accessed March 17, 2023). 59. Ibid., p. 47916. 60. The regulation was not finalized before the end of the Administration. U.S. Department of Agriculture, Food and Nutrition Services, “Revision of Categorical Eligibility in the Supplemental Nutrition Assistance Program (SNAP),” Proposed Rule, Federal Register, Vol. 84, No. 142 (July 24, 2019), pp. 35570–55581, https:// www.federalregister.gov/documents/2019/07/24/2019-15670/revision-of-categorical-eligibility-in-the- supplemental-nutrition-assistance-program-snap (accessed March 17, 2023). 61. 45 Code of Federal Regulations § 75.300(c) and (d), https://www.ecfr.gov/current/title-45/subtitle-A/ subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.300 (accessed March 17, 2023). 62. H.R. 1750, Child Welfare Provider Inclusion Act of 2021, 117th Congress, introduced March 10, 2021, https:// www.congress.gov/117/bills/hr1750/BILLS-117hr1750ih.pdf (accessed March 17, 2023), and S. 656, Child Welfare Provider Inclusion Act of 2021, 117th Congress, introduced March 10, 2021, https://www.congress.gov/117/bills/ s656/BILLS-117s656is.pdf (accessed March 17, 2023). 63. S. 3949, Trafficking Victims Protection Reauthorization Act of 2022, Public Law No. 117-348, 117th Congress, January 25, 2023, https://www.congress.gov/117/plaws/publ348/PLAW-117publ348.pdf (accessed March 17, 2023). 64. Kelsey Y. Santamaria, “Child Migrants at the Border: The Flores Settlement Agreement and Other Legal Developments,” Congressional Research Service In Focus No. IF11799, April 1, 2021, https://crsreports.congress. gov/product/pdf/IF/IF11799 (accessed March 17, 2023). 65. Report, Building a Happy Home: Marriage Education as a Tool to Strengthen Families, Social Capital Project Report No. 1-22, March 2022, p. 17, https://www.jec.senate.gov/public/_cache/files/3d102525-6f0d-48ed- 92f4-d71edd468ad6/building-a-happy-home.pdf (accessed March 17, 2023). The cover of the report reflects that the Social Capital Project is “[a] project of the Joint Economic Committee – Republicans.” 66. See, for example, Alan J. Hawkins, “Are Federally Supported Relationship Education Programs for Lower-Income Individuals and Couples Working? A Review of Evaluation Research,” American Enterprise Institute, September 2019, https://www. congress.gov/117/plaws/publ228/PLAW-117publ228.pdf (accessed March 17, 2023). 67. H.R. 8404, Respect for Marriage Act, Public Law No. 117-228, 117th Congress, December 13, 2022, https://www. congress.gov/117/plaws/publ228/PLAW-117publ228.pdf (accessed March 17, 2023). 68. Madison Marino, “Over 1,000 Safety Violations Mar Head Start. Children Deserve Better,” Heritage Foundation Commentary, November 10, 2022, https://www.heritage.org/education/commentary/over-1000-safety- violations-mar-head-start-children-deserve-better. 69. American Hospital Association v. Becerra, 596 U.S. ___ (2022), https://www.supremecourt.gov/ opinions/21pdf/20-1114_09m1.pdf (accessed March 17, 2023). 70. U.S. Department of the Treasury, Internal Revenue Service; U.S. Department of Labor, Employee Benefits Security Administration; and U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Coverage of Certain Preventive Services Under the Affordable Care Act,” Notice of Proposed Rulemaking, Federal Register, Vol. 88, No. 22 (February 2, 2023), pp. 7236–7281, https://www. govinfo.gov/content/pkg/FR-2023-02-02/pdf/2023-01981.pdf (accessed March 17, 2023).

Department of Health and Human Services

Weak
Vector: 61%
Pages: 497-499AI Enhanced

AI Analysis:

"The bill focuses on clarifying Medicare payment rules for specific wheelchair types, which does not directly align with Project 2025's broader Medicare reform goals such as making Medicare Advantage the default, implementing competitive bidding, or restructuring payment models. The alignment is weak and limited to general Medicare policy without addressing core Project 2025 objectives."

Key themes:Medicare reformpayment policybeneficiary costs

— 465 — Department of Health and Human Services 1. Make Medicare Advantage the default enrollment option. 2. Give beneficiaries direct control of how they spend Medicare dollars. 3. Remove burdensome policies that micromanage MA plans. 4. Replace the complex formula-based payment model with a competitive bidding model. 5. Reconfigure the current risk adjustment model. 6. Remove restrictions on key benefits and services, including those related to prescription drugs, hospice care, and medical savings account plans.26 Legacy Medicare Reform. Legislation reforming legacy (non-MA) Medicare should: l Base payments on the health status of the patient or intensity of the service rather than where the patient happens to receive that service. l Replace the bureaucrat-driven fee-for-service system with value- based payments to empower patients to find the care that best serves their needs. l Codify price transparency regulations. l Restructure 340B drug subsidies27 toward beneficiaries rather than hospitals. l Repeal harmful health policies enacted under the Obama and Biden Administrations such as the Medicare Shared Savings Program28 and Inflation Reduction Act.29 Medicare Part D Reform. The Inflation Reduction Act (IRA) created a drug price negotiation program in Medicare that replaced the existing private-sector negotiations in Part D with government price controls for prescription drugs. These government price controls will limit access to medications and reduce patient access to new medication. This “negotiation” program should be repealed, and reforms in Part D that will have meaningful impact for seniors should be pursued. Other reforms should include eliminating the coverage gap in Part D, reducing the government share in — 466 — Mandate for Leadership: The Conservative Promise the catastrophic tier, and requiring manufacturers to bear a larger share. Until the IRA is repealed, an Administration that is required to implement it must do so in a way that is prudent with its authority, minimizing the harmful effects of the law’s policies and avoiding even worse unintended consequences.30 Medicaid. Over the past 45 years, Medicaid and the health safety net have evolved into a cumbersome, complicated, and unaffordable burden on nearly every state. The program is failing some of the most vulnerable patients; is a prime target for waste, fraud, and abuse; and is consuming more of state and federal budgets. The dramatic increase in Medicaid expenditures is due in large part to the ACA (Obamacare), which mandates that states must expand their Medicaid eligibility standards to include all individuals at or below 138 percent of the federal poverty level (FPL), and the public health emergency, which has prohibited states from performing basic eligibility reviews. The overlap of available benefits among the various health agencies has led to a complex, confusing system that is nearly impossible to navigate—even for recipients. Recipients are often faced with a “welfare cliff” of benefit losses as they earn above a certain amount, which is contrary to the fundamental purpose of empowering individuals to achieve economic independence. Benefits increasingly involve nonmedical services such as air conditioning and housing, many of which are already handled by departments other than HHS. Improper payments within Medicaid are higher than those of any other federal program. These payments are evidence of the inappropriateness of Medicaid’s expansion, which, stemming largely from public health emergency maintenance of effort (MOE) requirements and the Affordable Care Act, has crowded out the primary targets of these programs: those who are most in need. True health care reform cannot be accomplished in a bureaucratic silo or only through Medicaid and health safety net programs. Reform of the tax code is also essential to genuine, effective reform of our health care system. All components of the health care system should be part of the reform efforts, and it is imperative that the system be modified to assist states with their current programs. Therefore, the next Administration should: l Reform financing. Allow states to have a more flexible, accountable, predictable, transparent, and efficient financing mechanism to deliver medical services. This system should include a more balanced or blended match rate, block grants, aggregate caps, or per capita caps. Any financial system should be designed to encourage and incentivize innovation and the efficient delivery of health care services. Federal and state financial participation in the Medicaid program should be rational, predictable, and reasonable. It should also incentivize states to save money and improve the quality of health care.

Small Business Administration

Weak
Vector: 61%
Pages: 795-797AI Enhanced

AI Analysis:

"The bill mainly amends Medicare payment rules for wheelchairs, which only indirectly affects small business suppliers; the Project 2025 SBA section focuses on SBA management, loan programs, religious eligibility, and regulatory reform, with no direct connection to Medicare or medical equipment policy."

Key themes:small business suppliersregulatory burdenadministrative clarity

— 763 — Small Business Administration 40. U.S. Small Business Administration, Office of Inspector General, Top Management and Performance Challenges Facing the Small Business Administration in Fiscal Year 2023, p. iv. 41. H.R. 748, CARES (Coronavirus Aid, Relief, and Economic Security) Act, Public Law No. 116-136, 116th Congress, March 27, 2020, https://www.congress.gov/116/plaws/publ136/PLAW-116publ136.pdf (accessed February 19, 2023). 42. Sarah McCammon, “Planned Parenthood Asked to Return Funds from Paycheck Protection Program,” NPR, May 21, 2020, https://www.npr.org/2020/05/21/859991359/planned-parenthood-asked-to-return-funds- from-paycheck-protection-program (accessed February 18, 2023). 43. Letter from William Manger, Associate Administrator, U.S. Small Business Administration, to Laura Meyers, Planned Parenthood of Metropolitan Washington, “Re: Notice of Investigation and Request for Records,” May 19, 2020, https://s3.documentcloud.org/documents/6922122/SBA-Letter-Planned-Parenthood-DC.pdf (accessed February 18, 2023). 44. Press release, “Lankford, HSGAC Republicans Demand Details on Illegal PPP Loans to Planned Parenthood Affiliates,” Office of U.S. Senator James Lankford, April 28, 2022, https://www.lankford.senate.gov/news/press- releases/lankford-hsgac-republicans-demand-details-on-illegal-ppp-loans-to-planned-parenthood-affiliates (accessed February 18, 2023). 45. Press release, “Romney, Colleagues Request Information from SBA Administrator Guzman on Illegal PPP Loans Given to Planned Parenthood Affiliates,” Office of U.S. Senator Mitt Romney, April 28, 2022, https:// www.romney.senate.gov/romney-colleagues-request-information-from-sba-administrator-guzman-on- illegal-ppp-loans-given-to-planned-parenthood-affiliates/ (accessed February 18, 2023). 46. 13 C.F.R. §§ 109.400(b)(11), https://www.law.cornell.edu/cfr/text/13/109.400; 123.301(g), https://www.law. cornell.edu/cfr/text/13/123.301; 123.502(n), https://www.law.cornell.edu/cfr/text/13/123.502; and 123.702(b)(6), https://www.law.cornell.edu/cfr/text/13/123.702 (all accessed February 19, 2023). 47. U.S. Small Business Administration, “Religious Eligibility Worksheet for all 7(a) and 504 Loan Programs” SBA Form 1971, http://www.sba.gov/sites/default/files/2020-11/sba-form-1971.pdf (accessed February 18, 2023). 48. U.S. Small Business Administration, “Ensuring Equal Treatment for Faith-Based Organizations in SBA’s Loan and Disaster Assistance Program.” 49. See, for example, Carson v. Makin, 596 U.S. ___ (2022), https://www.supremecourt.gov/ opinions/21pdf/20-1088_dbfi.pdf (accessed February 19, 2023). 50. 28 U.S. Code § 530d, https://www.law.cornell.edu/uscode/text/28/530D (accessed February 19, 2023). 51. U.S. Small Business Administration, “Ensuring Equal Treatment for Faith-Based Organizations in SBA’s Loan and Disaster Assistance Program.” 52. 13 CFR 120.110(k), https://www.law.cornell.edu/cfr/text/13/120.110 (accessed February 19, 2023). 53. U.S. Small Business Administration, “Regulatory Reform Initiative: Streamlining and Modernizing the 7(a), Microloan, and 504 Loan Programs to Reduce Regulatory Burden,” Final Rule, Federal Register, Vol. 87, No. 125 (June 30, 2022), pp. 38900–38910, https://www.federalregister.gov/documents/2022/06/30/2022-13483/ regulatory-reform-initiative-streamlining-and-modernizing-the-7a-microloan-and-504-loan-programs-to (accessed February 18, 2023). 54. Ibid. 55. U.S. Department of Justice, Office of Legal Counsel “Religious Restrictions on Capital Financing for Historically Black Colleges and Universities,” Memorandum Opinion for the Acting General Counsel, Department of Education, August 15, 2019, https://www.justice.gov/sites/default/files/opinions/ attachments/2021/01/01/2019-08-15-hbcu-capfin-2.pdf. (accessed February 18, 2023). 56. U.S. Small Business Administration, Office of Investment and Innovation, SBIR and STTR Annual Report, Fiscal Year 2019, p. 8, https://www.sbir.gov/sites/default/files/SBA_Final_FY19_SBIR_STTR_Annual_Report.pdf (accessed February 18, 2023). 57. S. 4900, SBIR and STTR Extension Act of 2022, Public Law No. 117–183, 117th Congress, September 30, 2022, https://www.congress.gov/117/plaws/publ183/PLAW-117publ183.pdf (accessed February 18, 2023). 58. U.S. Small Business Administration, Office of Investment and Innovation, SBIR and STTR Annual Report, Fiscal Year 2019, pp. 6, 40, and 108. — 764 — Mandate for Leadership: The Conservative Promise 59. Peter L. Singer, “Federally Supported Innovations: 22 Examples of Major Technology Advances that Stem from Federal Support,” Information Technology and Innovation Foundation, February 2014, https://wrnjradio.com/ bipartisan-call-to-crack-down-on-covid-19-ppp-eidl-fraud-prosecute-fraudsters-to-the-fullest-extent-of-the- law/ (accessed March 21, 2023). 60. Wells King, “Uncle Sam’s Top-Performing Venture Fund,” American Compass Case Study, November 2022, https://americancompass.org/wp-content/uploads/2022/11/AC-Case-Study_SBIR_final2.pdf (accessed February 18, 2023). 61. Elisabeth B. Reynolds, Hiram M. Samel, and Joyce Lawrence, “Learning by Building: Complementary Assets and the Migration of Capabilities in U.S. Innovative Firms,” MIT Industrial Performance Center Working Paper No. MIT-IPC-13-001, March 2013, https://ipc.mit.edu/sites/default/files/2019-01/13-001.pdf (accessed February 18, 2023). 62. American Compass, “Where’s The Growth? Assessing the Results of the Globalization Experiment,” March 2022, pp. 3–5, https://americancompass.org/wp-content/uploads/2022/10/AC-Atlas-Wheres-the-Growth.pdf (accessed February 18, 2023). 63. Sridhar Kota and Tom Mahoney, “Innovation Should Be Made in the U.S.A.,” The Wall Street Journal, November 15, 2019, https://www.wsj.com/articles/innovation-should-be-made-in-the-u-s-a-11573833987 (accessed February 18, 2023). 64. S. ___, SBA Reauthorization and Improvement Act of 2019, 116th Congress, 1st Session, Title III, § 303, https://www.rubio.senate.gov/public/_cache/files/80533629-2905-433f-a588-7c4e032f7347/ C096ED9C1EBA68E041CFDA143E01C66C.mir19891.pdf (accessed February 18, 2023). 65. David Adler, “Financing Advanced Manufacturing: Why VCs Aren’t the Answer,” American Affairs, Vol. III, No. 2 (Summer 2019), https://americanaffairsjournal.org/2019/05/financing-advanced-manufacturing-why-vcs- arent-the-answer/ (accessed February 18, 2023). 66. National Association of Manufacturers, “Overview of the Senate HEALS Act,” July 28, 2020, https://documents. nam.org/comm/HEALSActInfo.pdf (accessed February 19, 2023). See also remarks by Senator Mitch McConnell, “HEALS Act,” Congressional Record, Vol. 166, No. 132 (July 27, 2020), pp. S4491–S4492, https:// www.congress.gov/116/crec/2020/07/27/CREC-2020-07-27-pt1-PgS4491-7.pdf (accessed February 20, 2023). 67. S. 1059, American Innovation and Manufacturing Act, 117th Congress, introduced March 25, 2021, https:// www.crfb.org/blogs/whats-11-trillion-heals-act https://www.congress.gov/117/bills/s1059/BILLS-117s1059is.pdf (accessed February 18, 2023). 68. H.R. 7628, IMPROVE (Improve Management, Programs, Resources, and Oversight for Vital Entrepreneurs) the SBA Act, 117th Congress, introduced April 28, 2022, https://www.congress.gov/117/bills/hr7628/BILLS- 117hr7628ih.pdf (accessed February 19, 2023). 69. S. 1120, Small Business Regulatory Flexibility Improvements Act, 116th Congress, introduced April 10, 2019, https://www.congress.gov/116/bills/s1120/BILLS-116s1120is.pdf (accessed February 19, 2023). 70. H.R. 3136, Contract with America Advancement Act of 1996, Public Law No. 104-121, 104th Congress, March 29, 1996, Title II, https://www.congress.gov/104/plaws/publ121/PLAW-104publ121.pdf (accessed February 19, 2023). 71. S. 403, Fair and Open Competition Act, 117th Congress, introduced February 24, 2021, https://www. congress.gov/117/bills/s403/BILLS-117s403is.pdf (accessed February 19, 2023), and H.R. 1284, Fair and Open Competition Act, 117th Congress, introduced February 24, 2021, https://www.congress.gov/117/bills/hr1284/ BILLS-117hr1284ih.pdf (accessed February 19, 2023. 72. President Joseph R. Biden Jr., Executive Order 14063, “Use of Project Labor Agreements for Federal Construction Projects,” February 4, 2022, in Federal Register, Vol. 87, No. 27 (February 9, 2022), pp. 7363–7366, https://www.govinfo.gov/content/pkg/FR-2022-02-09/pdf/2022-02869.pdf (accessed February 19, 2023). 73. “The JOBS Act 4.0: Section-by-Section,” Committee on Banking, Housing, and Urban Affairs, U.S. Senate, https://www.banking.senate.gov/imo/media/doc/the_jobs_act_4.0sectionbysection.pdf (accessed February 19, 2023). 74. Press release, “Luetkeymeyer: SBA Lacks Infrastructure and Expertise to Expand Number of Small Business Lending Companies,” Committee on Small Business, U.S. House of Representatives, November 7, 2022, https:// smallbusiness.house.gov/news/documentsingle.aspx?DocumentID=404376 (accessed February 18, 2023).

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About These Correlations

Policy matches are calculated using a hybrid approach: initial candidates are found using semantic similarity between bill summaries and Project 2025 policy text, then an AI model (Llama 3.1 70B) provides detailed alignment ratings and analysis. Ratings range from 1 (minimal alignment) to 5 (very strong alignment). This analysis does not imply direct causation or intent.

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