FDA Modernization Act 3.0

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Bill ID: 119/hr/2821
Last Updated: August 19, 2026

Sponsored by

Rep. Carter, Earl L. "Buddy" [R-GA-1]

ID: C001103

Follow the money

The bill

FDA Modernization Act 3.0

HR. 2821, 119th Congress — read as touching Pharmaceuticals.

The sponsor

Rep. Carter, Earl L. "Buddy" [R-GA-1]

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

The money

$71,565 raised

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

The alignment

55% match to Project 2025

This bill's text tracks the "Department of Health and Human Services" section, p. 488-490 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.

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 119th Congress. The FDA Modernization Act 3.0 - because who needs actual modernization when you can just slap a "3.0" on it and call it a day? This bill is a perfect example of how to create a regulatory Frankenstein's monster: take a bunch of existing rules, stitch them together with some new language, and voilà! You've got a "modernized" regulatory framework that's guaranteed to confuse and enrich the pharmaceutical industry.

Let's dissect this mess. The bill creates new regulations for nonclinical testing methods, because apparently, the FDA didn't have enough red tape to strangle innovation already. These new rules will affect the pharmaceutical, biotech, and medical device industries - you know, the ones that are already swimming in a sea of regulatory complexity. Compliance requirements include publishing an interim final rule within a year (because who needs public comment or good cause when you can just ram it through?) and amending various sections of title 21, Code of Federal Regulations.

The timelines are laughable - one year to implement these changes? That's like asking a patient with a terminal illness to cure themselves overnight. And what about enforcement mechanisms? Oh boy, get ready for some exciting new penalties! The bill doesn't explicitly state them, but I'm sure the FDA will find creative ways to fine and punish companies that don't comply with these Byzantine regulations.

The economic and operational impacts? Well, let's just say this bill is a gift to the pharmaceutical industry. More regulatory hurdles mean more opportunities for lawyers, consultants, and lobbyists to make bank. And who cares about the actual cost of developing new treatments or devices when you can just pass it on to consumers?

In conclusion, the FDA Modernization Act 3.0 is a textbook example of regulatory capture, where special interests dictate policy to further their own agendas. It's a disease, and the symptoms are clear: corruption, cowardice, stupidity, and greed. The diagnosis? Terminal regulatory sclerosis, with a side of bureaucratic incompetence. And the prognosis? More of the same - because in Washington, D.C., the only thing that gets modernized is the art of spinning lies into legislative gold.

Related Topics

Healthcare & Insurance ReformPublic Health & Pandemic Response
Generated using Llama 3.1 70B (Dr. Haus personality)

💰 Campaign Finance Network

Rep. Carter, Earl L. "Buddy" [R-GA-1]

Congress 119 • 2024 Election Cycle

Total Contributions
$71,565
20 donors
PACs
$0
Organizations
$2,500
Committees
$0
Individuals
$69,065

No PAC contributions found

1
SAVANNAH TOYOTA
2 transactions
$2,000
2
TYBEE MARKET
1 transaction
$500

No committee contributions found

1
SADOWSKI, GARY T.
2 transactions
$6,600
2
KIMBELL, JEFFREY
2 transactions
$6,600
3
SMITH, BYRON L.
1 transaction
$5,000
4
MUNOZ, DONALD
1 transaction
$4,665
5
RICKS, DAVID A.
1 transaction
$3,300
6
STEERE, WILLIAM C. JR.
1 transaction
$3,300
7
HENNESSY, MARK W.
1 transaction
$3,300
8
MCWANE, C. PHILLIP
1 transaction
$3,300
9
MILNER, STEPHEN DONALD
1 transaction
$3,300
10
BOERNER, CHRISTOPHER
1 transaction
$3,300
11
DAVIS, ROBERT M.
1 transaction
$3,300
12
GATES, WILLIAM H. III
1 transaction
$3,300
13
HEAD, KATHRYN
1 transaction
$3,300
14
MARTIN, JOHN
1 transaction
$3,300
15
O'DAY, DANIEL
1 transaction
$3,300
16
RABAH, TAREK
1 transaction
$3,300
17
HENNESSY, MARK W
1 transaction
$3,300
18
HENNESSY, PAULA B.
1 transaction
$3,300

Cosponsors & Their Campaign Finance

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

Rep. Barragán, Nanette Diaz [D-CA-44]

ID: B001300

Top Contributors

26

1
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
Mar 5, 2024
2
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
Mar 5, 2024
3
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$2,500
Dec 14, 2023
4
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$2,000
Apr 22, 2024
5
BARONA BAND OF MISSION INDIANS
OrganizationLAKESIDE, CA
$1,500
May 19, 2023
6
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$1,000
Dec 14, 2023
7
FISHER, CYNTHIA
PATIENTRIGHTSADVOCATE.ORG • FOUNDER
IndividualPALM BEACH, FL
$3,300
Oct 22, 2024
8
GURAL, JEFFREY R.
GFP REAL ESTATE • CHAIRMAN
IndividualNEW YORK, NY
$3,300
Nov 4, 2024
9
MILLER, LOUIS
MILLER BARONDESS • ATTORNEY
IndividualLOS ANGELES, CA
$3,300
Dec 15, 2023
10
TUCHIN, MICHAEL
KTBS LAW LLP • ATTORNEY
IndividualLOS ANGELES, CA
$3,300
Dec 9, 2023

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. DeLauro, Rosa L. [D-CT-3]

ID: D000216

Top Contributors

24

1
MASHANTUCKET PEQUOT TRIBAL NATION
OrganizationMASHANTUCKET, CT
$3,300
Nov 5, 2024
2
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$2,500
Dec 26, 2023
3
CHOCTAW NATION OF OKLAHOMA
OrganizationDURANT, OK
$1,000
Oct 24, 2024
4
BGR GOVERNMENT AFFAIRS LLC
OrganizationWASHINGTON, DC
$1,000
Sep 18, 2023
5
MENNET, LISA
COOPER HOUSE • CLINICAL DIRECTOR
IndividualSEATTLE, WA
$6,600
Dec 6, 2023
6
SCHUSTERMAN, LYNN
NOT EMPLOYED • NOT EMPLOYED
IndividualTULSA, OK
$6,600
Dec 14, 2023
7
SCHUSTERMAN, STACY
SCHUSTERMAN INTERESTS LLC • EXECUTIVE
IndividualTULSA, OK
$6,600
Dec 13, 2023
8
BYELAS, LESLIE
NOT EMPLOYED • NOT EMPLOYED
IndividualFAIRFIELD, CT
$6,600
Mar 29, 2024
9
GREENBERG, SUSANNA
NOT EMPLOYED • NOT EMPLOYED
IndividualHILLSBOROUGH, CA
$6,600
Mar 20, 2024
10
LUBELL, ELLEN
SELF • ATTORNEY
IndividualFAIRFIELD, CT
$6,600
Mar 29, 2024

Rep. Harshbarger, Diana [R-TN-1]

ID: H001086

Top Contributors

20

1
BROWN, NANCY I.
RETIRED • RETIRED
IndividualPALM BEACH, FL
$6,600
Mar 7, 2024
2
NANCY, BROWN
RETIRED • RETIRED
IndividualPALM BEACH, FL
$6,600
Mar 31, 2024
3
GREGORY, LUCINDA
RETIRED • RETIRED
IndividualPINEY FLATS, TN
$6,600
May 21, 2024
4
BANKE, BARBARA R
IndividualGEYSERVILLE, CA
$6,600
Nov 30, 2023
5
MORRIS, GLENN
IndividualSTUART, FL
$6,600
Sep 30, 2024
6
TAYLOR, MARGARETTA J MISS
RETIRED • RETIRED
IndividualNEW YORK, NY
$6,600
Jul 16, 2024
7
EGER, MORDECHI
HLU SALES INC • OWNER
IndividualAIRMONT, NY
$5,000
Dec 28, 2023
8
BORDEAU, BRAD
BORDEAU METALS • CEO
IndividualDICKSON, TN
$5,000
Sep 11, 2024
9
BENTZ, KAREN
IndividualGATLINBURG, TN
$5,000
Sep 30, 2023
10
MOUNTAIN, MONICA
RETIRED • RETIRED
IndividualNEW TAZEWELL, TN
$3,600
Sep 30, 2024

Rep. Carter, Troy A. [D-LA-2]

ID: C001125

Top Contributors

31

1
TUNICA-BILOXI TRIBE OF LOUISIANA
OrganizationMARKSVILLE, LA
$3,400
Nov 25, 2024
2
TUNICA-BILOXI TRIBE OF LOUISIANA
OrganizationMARKSVILLE, LA
$3,400
Jun 20, 2023
3
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$3,300
Mar 30, 2023
4
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$3,300
Feb 28, 2024
5
TUNICA-BILOXI TRIBE OF LOUISIANA
OrganizationMARKSVILLE, LA
$3,300
Jun 20, 2023
6
TUNICA-BILOXI TRIBE OF LOUISIANA
OrganizationMARKSVILLE, LA
$3,300
Jun 20, 2023
7
AGUA CALIENTE BAND OF CAHUILLA INDIANS GENERAL FUND
OrganizationPALM SPRINGS, CA
$3,300
Jun 30, 2023
8
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$2,500
Jul 30, 2024
9
THE AUGUST GROUP
OrganizationBATON ROUGE, LA
$1,000
Jul 18, 2024
10
CAPITELLI & WICKER
OrganizationNEW ORLEANS, LA
$1,000
Mar 26, 2024

Rep. Doggett, Lloyd [D-TX-37]

ID: D000399

Top Contributors

21

1
ALABAMA-COUSHATTA TRIBE OF TEXAS
OrganizationLIVINGSTON, TX
$1,000
Oct 1, 2024
2
DENNISON, ROBERT A. III
SELF-EMPLOYED • ATTORNEY
IndividualAUSTIN, TX
$3,300
Jun 28, 2024
3
WEBER, THOMAS M
MCELROY, SULLIVAN, MILLER, & WEBER LLP • ATTORNEY
IndividualWEST LAKE HILLS, TX
$3,300
Apr 19, 2024
4
CONYNGHAM, JIM
N/A • NOT EMPLOYED
IndividualAUSTIN, TX
$3,300
Jun 28, 2024
5
BARNES, BEN F.
BEN BARNES GROUP • CONSULTANT
IndividualAUSTIN, TX
$3,300
Apr 24, 2024
6
LOOK JAMESON, MARION
N/A • RETIRED
IndividualAUSTIN, TX
$3,300
Sep 1, 2023
7
MOK, AMY WONG
ASIAN AMERICAN CULTURAL CENTER • EDUCATION
IndividualAUSTIN, TX
$3,300
Aug 29, 2023
8
LINEBARGER, DALE
N/A • RETIRED
IndividualAUSTIN, TX
$3,300
Sep 18, 2023
9
VARNEY, LANA K.
KING & SPALDING • ATTORNEY
IndividualAUSTIN, TX
$3,300
Sep 17, 2023
10
YANCY, HOWARD CHARLES
ZYDECO DEVELOPMENT • REAL ESTATE DEVELOPER
IndividualAUSTIN, TX
$3,300
Aug 28, 2023

Rep. Nadler, Jerrold [D-NY-12]

ID: N000002

Top Contributors

25

1
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$3,300
Nov 5, 2024
2
KRAMER DILLOF LIVINGSTON & MOORE
OrganizationNEW YORK, NY
$3,300
Aug 3, 2023
3
SHAKOPEE MDEWAKANTON DAKOTA POLITICAL COMMITTEE
OrganizationPRIOR LAKE, MN
$1,650
Jun 6, 2023
4
TONIO BURGOS & ASSOCIATES
OrganizationTRINITY, NY
$1,000
Aug 1, 2023
5
VILLAGE INDEPENDENT DEMOCRATS
OrganizationNEW YORK, NY
$300
Sep 21, 2023
6
JOSEPHSON, JOHN H
SESAC MUSIC GROUP • CEO
IndividualNEW YORK, NY
$3,300
Oct 23, 2024
7
LAWRENCE, DOUGLAS
NOT EMPLOYED • NOT EMPLOYED
IndividualNEW YORK, NY
$3,300
Oct 28, 2024
8
RECHLER, DEBBY
HOMEMAKER
IndividualGLEN HEAD, NY
$3,300
Oct 28, 2024
9
RUBIN, JUDY
NOT EMPLOYED • NOT EMPLOYED
IndividualNEW YORK, NY
$3,300
Oct 17, 2024
10
ALIX, JAY
JAY ALIX & ASSOCIATES • EXECUTIVE
IndividualBIRMINGHAM, MI
$3,300
Sep 4, 2023

Rep. Carey, Mike [R-OH-15]

ID: C001126

Top Contributors

20

1
KITTLE, JEFFREY
KITTLE PROPERTY GROUP • CEO
IndividualINDIANAPOLIS, IN
$6,600
Oct 24, 2023
2
SCHWARZMAN, CHRISTINE
NONE • RETIRED
IndividualNEW YORK, NY
$6,600
Sep 28, 2023
3
SCHWARZMAN, STEPHEN
BLACKSTONE • CEO AND CHAIRMAN
IndividualNEW YORK, NY
$6,600
Sep 27, 2023
4
BAGAN, JOSEPH W.
STAQ PHARMA • CEO
IndividualCOLUMBUS, OH
$4,000
Oct 14, 2024
5
BAGAN, JOSEPH W.
IndividualCOLUMBUS, OH
$4,000
Oct 16, 2024
6
BORKOWSKI, BRIAN
HEARTLAND CHARGING SERVICES • COO
IndividualBELLEAIR BEACH, FL
$3,435
Oct 15, 2024
7
FISCHER, ALEX
SELF EMPLOYED • CONSULTING REAL ESTATE
IndividualCOLUMBUS, OH
$3,300
Oct 8, 2024
8
BARRERAS, LORI
STATE OF OHIO • COMMISSIONER, OCRC
IndividualCOLUMBUS, OH
$3,300
Nov 8, 2024
9
LAIRD, JAMES F.
DIAMOND HILL • EXECUTIVE
IndividualDUBLIN, OH
$3,300
Nov 5, 2024
10
RICHARDSON, JOHN G.
SUGARCREEK • CHAIRMAN
IndividualCINCINNATI, OH
$3,300
Dec 16, 2024

Rep. Fitzpatrick, Brian K. [R-PA-1]

ID: F000466

Top Contributors

22

1
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$1,500
Dec 31, 2024
2
STATA FAMILY OFFICE
Organization
$500
Apr 26, 2024
3
ASHER, ROBERT B.
IndividualGWYNEDD VALLEY, PA
$10,000
Oct 9, 2024
4
ASHER, ROBERT B.
ASHER CHOCOLATES • CHAIRMAN
IndividualGWYNEDD VALLEY, PA
$10,000
Sep 30, 2024
5
LEVY, EDWARD JR
EDW C LEVY CO • CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Feb 26, 2024
6
CROTTY, THOMAS
RETIRED • RETIRED
IndividualSCOTTSDALE, AZ
$6,600
Feb 27, 2024
7
EVANS, ROGER
GREYLOCK PARTNERS • PARTNER EMERITUS
IndividualSAN FRANCISCO, CA
$6,600
Feb 27, 2024
8
LEACH, RONALD
NPX ONE • CHAIRMAN & CEO
IndividualGENEVA, IL
$6,600
Feb 28, 2024
9
MCCLAIN, MARK
SAILPOINT • CEO
IndividualAUSTIN, TX
$6,600
Mar 2, 2024
10
CROTTY, THOMAS
IndividualSCOTTSDALE, AZ
$6,600
Mar 8, 2024

Rep. Malliotakis, Nicole [R-NY-11]

ID: M000317

Top Contributors

22

1
M&T BANK
OrganizationMOUNT KISCO, NY
$118
Sep 21, 2024
2
M&T BANK
OrganizationMOUNT KISCO, NY
$101
Sep 21, 2024
3
SIDIROPOULOS, JIM MR.
DELPHI PH • CONTRACTOR
IndividualSTATEN ISLAND, NY
$5,600
Jul 23, 2024
4
BERGER, RICHARD MR.
RETIRED • RETIRED
IndividualHOBOKEN, NJ
$5,000
May 17, 2024
5
LOEB, JOHN L. MR. JR
RETIRED • RETIRED
IndividualPURCHASE, NY
$5,000
Apr 22, 2024
6
BAUMRIND, MARTIN M. MR.
SELF • LANDLORD
IndividualBROOKLYN, NY
$5,000
Sep 16, 2024
7
DUIT, JAMES A
CONTRIBUTION OF CONCEPTION LLC • EXEC
IndividualEDMOND, OK
$3,300
Nov 5, 2024
8
DUIT, PAMELA A
CONTRIBUTION OF CONCEPTION LLC • EXEC
IndividualEDMOND, OK
$3,300
Nov 5, 2024
9
LAUDER, RONALD S.
SELF EMPLOYED • BUSINESSMAN
IndividualNEW YORK, NY
$3,300
Oct 28, 2024
10
BANKE, BARBARA R. MS.
CHAIRMAN • JACKSON FAMILY WINES
IndividualGEYSERVILLE, CA
$3,300
Nov 17, 2023

Donor Network - Rep. Carter, Earl L. "Buddy" [R-GA-1]

PACs
Organizations
Individuals
Politicians

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

Loading...

Showing 40 nodes and 43 connections

Total contributions: $43

Top Donors - Rep. Carter, Earl L. "Buddy" [R-GA-1]

Showing top 20 donors by contribution amount

2 Orgs18 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 3 helped.

  • +Pharmaceuticalsconfidence 0.90

    Section 2(a)(1)(A) requires replacing references to 'animal' tests with 'nonclinical' tests in FDA regulations, which benefits pharmaceutical companies by allowing alternative testing methods that may reduce costs and accelerate drug development.

  • +Biotech & Researchconfidence 0.85

    Section 2(a)(1)(A) and (B) mandate updating regulations to replace animal test references with nonclinical test definitions, which benefits biotech firms engaged in drug development by enabling use of innovative non-animal testing approaches.

  • +Medical Devicesconfidence 0.80

    Section 2(a)(1)(B) adds the definition of 'nonclinical test' to sections 312.3, 314.3, 315.2, and 601.31 of title 21 CFR, which includes medical device regulations, potentially reducing testing burdens for device manufacturers.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Rep. Carter, Earl L. "Buddy" [R-GA-1])received from donors associated with that industry during the 2022–present cycles. Donations are not proof of intent — they are a record of who funds the people writing the law.

Industries this bill HELPS

  • from 10 contributions
    • O'DAY, DANIEL$4,000
    • RICKS, DAVID A.$3,300
    • DAVIS, ROBERT M.$3,300
    • LAGANGA, SCOTT$1,000
    • REILLY, LORI$1,000

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

Weak
Vector: 67%
Pages: 488-490AI Enhanced

AI Analysis:

"The FDA Modernization Act 3.0 focuses on replacing animal testing with nonclinical methods in drug development, while the Project 2025 HHS section emphasizes FDA reforms related to generic drug competition, laboratory-developed tests, drug shortages, and abortion pill restrictions—none of which are addressed in the bill."

Key themes:FDA regulationdrug approval processinnovation in testing

— 456 — Mandate for Leadership: The Conservative Promise abortion providers and whether better prenatal physical, mental, and social care improves infant outcomes and decreases abortion rates, especially among those who are most vulnerable. The Ensuring Accurate and Complete Abortion Data Reporting Act of 20239 would amend title XIX of the Social Security Act and Public Health Service Act to improve the CDC’s abortion reporting mechanisms by requiring states, as a condition of federal Medicaid payments for family planning services, to report streamlined variables in a timely manner. The CDC should immediately end its collection of data on gender identity, which legitimizes the unscientific notion that men can become women (and vice versa) and encourages the phenomenon of ever-multiplying subjective identities. FOOD AND DRUG ADMINISTRATION (FDA) The FDA’s mission includes ensuring the safety and efficacy of drugs, biological products, and medical devices. Federal Laws That Shield Big Pharma from Competition. Because generics generally cost far less than brand-name drugs, consumers begin to save money as soon as a generic product comes on the market. The vast majority are very afford- able with 93 percent of generic products costing $20 or less. Savings would be even higher under proposals that prevent brand-name man- ufacturers from slowing down or impeding the entrance of generic products into the marketplace. Specifically, the FDA should prohibit pharmaceutical companies from purposely sitting on their legally available right to be the first to sell generic versions of their drugs. Additionally, Congress should create legal remedies for generic companies to obtain samples of brand-name products for their generic development efforts and should prohibit meritless “citizen petitions” submitted by manufacturers to delay approval of a generic competitor.10 Approval Process for Laboratory-Developed or Modified Medical Tests. Learning from the failed early COVID-19 testing experience, Congress and the FDA should focus on reforming laws and regulations governing medical tests, especially with respect to laboratory-developed tests. Commercial tests are developed with the intention of being widely marketed, distributed, and used, while laboratory-developed tests are created with the intention of being used solely within one laboratory. A test developed by a lab in accordance with the protocols developed by another lab (non-commercial sharing) currently constitutes a “new” laboratory-developed test because the lab in which it will be used is different from the initial developing lab. To encourage interlab- oratory collaboration and discourage duplicative test creation (and associated regulatory and logistical burdens), the FDA should introduce mechanisms through which laboratory-developed tests can easily be shared with other laboratories with- out the current regulatory burdens.11 — 457 — Department of Health and Human Services The “laboratory-developed tests” category currently encompasses a range of possible tests, many of which would be characterized more appropriately as “lab- oratory-modified tests” because they are not truly novel tests but rather modified versions of existing tests. To avoid stifling innovation and access to medical care, the applicable statutes and regulations should be revised to facilitate greater access to such modified tests.12 Finally, the FDA has long held that it has regulatory authority over such tests, while others have argued that they should be considered clinical services regulated by the Centers for Medicare and Medicaid Services (CMS). The FDA currently has regulatory authority over in vitro diagnostics, and under the Clinical Lab- oratory Improvement Amendments (CLIA),13 the CMS ensures that labs meet analytical validity standards for test methods. Congress, the FDA, and the CMS need to clarify and disentangle overlapping authorities over tests to eliminate regulatory confusion.14 Drug Shortages. The very thin profit margins and the regulatory burdens associated with generic drug manufacturing discourage inventory and capacity investments by manufacturers and contribute to drug shortages. HHS and the FDA should encourage more dependable generic drug manufacturing. The FDA should expand its current pass/fail approach to drug facility inspec- tions into a graded system that recognizes manufacturers that exceed minimum standards by investing in improving production reliability. The FDA should also add facility codes to drug packaging and construct a searchable database that cross-references product codes and facility codes. That would enable wholesalers and pharmacy benefit managers to identify and preference drugs manufactured at more reliable facilities, thus encouraging generic drug manufacturers to compete on reliability as well as on price. For its part, HHS should exempt multi-source generic drugs from requirements to pay rebates to Medicaid and other federally funded health programs, as those provisions penalize new investments in expanding manufacturing capacity when supply is unable to meet demand.15 Additionally, FDA and NIH should promote efficacy trials of new applications for generic drugs, which might include NIH fund- ing such trials or conducting its own. Abortion Pills. Abortion pills pose the single greatest threat to unborn chil- dren in a post-Roe world. The rate of chemical abortion in the U.S. has increased by more than 150 percent in the past decade; more than half of annual abortions in the U.S. are chemical rather than surgical. The abortion pill regimen is typically a two-part process. The first pill, mifepris- tone, causes the death of the unborn child by cutting off the hormone progesterone, which is required to sustain a pregnancy. The second pill, misoprostol, causes con- tractions to induce a delivery of the dead child and uterine contents, usually into a toilet at home. The abortion-pill regimen is currently approved for up to 70 days

Department of Housing and Urban Development

Weak
Vector: 61%
Pages: 548-550AI Enhanced

AI Analysis:

"The bill focuses on FDA regulatory modernization for nonclinical testing, while the Project 2025 excerpt addresses HUD housing policies, DEI/CRT/ESG concerns, and housing market reforms. Both share a general theme of regulatory reform and reducing administrative burden, but they operate in unrelated policy domains."

Key themes:regulatory reformadministrative efficiencyreducing unnecessary costsmodernization

— 515 — Department of Housing and Urban Development 25. Process must prioritize where political leadership can implement administrative reforms through regulatory action and subregulatory guidance reforms. 26. China and other foreign nations should not be able to disrupt our nation’s housing markets, including by artificially driving up prices and reducing affordability and access to housing for Americans who are crowded out of the market by such market participation. 27. These initiatives are maintained under such designations as diversity, equity, and inclusion (DEI); critical race theory (CRT); black, indigenous, Pacific Islander, and other people of color (BIPOC); and environmental, social, and governance (ESG). 28. At a minimum, these efforts duplicate what the federal government already collects and assesses; at worst, they institute arbitrary procedures in real estate appraisal practices that undermine integrity and perversely introduce arbitrary biases into what should be an unbiased system for determining financial value. 29. Revise regulatory and subregulatory guidance, where applicable within statutory authorities, that adds unnecessary delay and costs to the construction and development of new housing and has been estimated to account for about 40 percent of new housing unit costs in multifamily housing. 30. The Biden Administration has issued a proposed rule to replace the Trump Administration’s “Preserving Community and Neighborhood Choice” rule that had repealed earlier rules expanding AFFH enforcement. See U.S. Department of Housing and Urban Development, Office of Fair Housing, “Preserving Community and Neighborhood Choice,” Final Rule, Federal Register, Vol. 85, No. 153 (August 7, 2020), pp. 47899–47912, https://www.govinfo.gov/content/pkg/FR-2020-08-07/pdf/2020-16320.pdf (accessed March 5, 2023), and U.S. Department of Housing and Urban Development, Office of the Secretary, “Affirmatively Furthering Fair Housing,” Proposed Rule, Federal Register, Vol. 88, No. 27 (February 9, 2023), pp. 8516–8590, https://www. govinfo.gov/content/pkg/FR-2015-07-16/pdf/2015-17032.pdf (accessed March 5, 2023). 31. Certain pilot initiatives may encourage greater take-up of loan products designed for faster equity accumulation, including loans with shorter terms and accelerated amortization schedules. In concept, the FHA’s Home Equity Accelerator Loan (HEAL) and Good Neighbor Next Door (GNND) pilot initiatives might lead to meaningful wealth generation for first-time buyers, but they should be available to all eligible households only when they do not arbitrarily discriminate based on race or other characteristics. 32. Housing supply does remain a problem in the U.S., but constructing more units at the low end of the market will not solve the problem. Investors and developers can deliver at more efficient cost new units that will allow for greater upward mobility of rental and ownership housing stock and better target increased construction of mid-tier rental units. Further, and more fundamental to the housing supply challenge in markets across the U.S., localities can consider revising land use, zoning, and building regulations that constrict new housing development, adding time delays and costs that impede construction. Federal housing policy should get out of the way where possible and minimize the distortive impact that stimulating greater demand through loose lending can have in driving up housing prices for households that are looking for affordable entry into the housing market. 33. U.S. Department of Housing and Urban Development, Office of the Secretary, “Housing and Community Development Act of 1980: Verification of Eligible Status,” Proposed Rule, Federal Register, Vol. 84, No. 91 (May 10, 2019), pp. 20589–20595, https://www.govinfo.gov/content/pkg/FR-2019-05-10/pdf/2019-09566.pdf (accessed March 5, 2023). 34. Reforms should contemplate rent payment flexibilities, allow escrow savings, and set maximum term limits that can reduce implicit penalties for increasing household incomes over eligibility terms for housing assistance and reweight waiting-list prioritization for two-parent households. 35. Some PHAs have been able to implement work requirements and term limit policies in various congressionally authorized demonstration programs, notably the Moving to Work (MTW) demonstration program established in 1996 for 39 PHAs (Congress has since authorized another 100 PHAs) in which participating MTW PHAs were given authority to implement rent reforms, work requirements and other experimental policies in rental assistance programs along with flexibilities in the use of capital and operating appropriations. 36. The FSS program has a general five-year term with a possible two-year extension, which could be applied at the term limit for overall benefits, and certain PHAs have imposed five-year to seven-year term limits. Families in these programs build escrow savings during their term eligibility that helps to facilitate successful transitions to family self-sufficiency and unassisted housing. — 516 — Mandate for Leadership: The Conservative Promise 37. HUD should implement administrative changes in regulation and guidance and seek statutory authority to end all Housing First directives of Continuum of Care (CoC) grantees and contract homelessness providers in addition to establishing restrictions on local Housing First policies where HUD grant funds are used. 38. The U.S. Interagency Council on Homelessness (USICH) was established in the 1990s, and numerous Administrations have devoted enormous resources to the Housing First model, experimenting with various ways to provide federally financed rapid rehousing and permanent housing opportunities. Housing First is a far-left idea premised on the belief that homelessness is primarily circumstantial rather than behavioral. The Housing First answer to homelessness is to give someone a house instead of attempting to understand the underlying causes of homelessness. Federal intervention centered on Housing First has failed to acknowledge that resolving the issue of homelessness is often a matter of resolving mental health and substance abuse challenges. Instead of the permanent supportive housing proffered by Housing First, a conservative Administration should shift to transitional housing with a focus on addressing the underlying issues that cause homelessness in the first place. 39. The Senate Low-Income First-Time Homebuyers (LIFT) Act would address this policy goal. See S. 2797, Low-Income First-Time Homebuyers Act of 2021 (LIFT Homebuyers Act of 2021), 117th Congress, introduced September 22, 2021, https://www.congress.gov/117/bills/s2797/BILLS-117s2797is.pdf (accessed March 5, 2023). 40. FHA did not facilitate the widespread use of 30-year mortgages until the 1950s when, interacting with Federal Reserve policies, federal agencies began broader adoption of the mortgages, which, despite lowering the monthly repayment terms, result in slow equity accumulation and wealth-building opportunities. 41. The Housing and Economic Recovery Act of 2008 fundamentally revised the scope of federal regulation in the nation’s housing finance system, placing Fannie Mae and Freddie Mac under the purview of a newly established Federal Housing Finance Agency (FHFA) and establishing a Housing Trust Fund (HTF) that is administered in the HUD Office of Community Planning and Development. See H.R. 3221, Housing and Economic Recovery Act of 2008, Public Law No. 110-289, 110th Congress, July 30, 2008, https://www.congress. gov/110/plaws/publ289/PLAW-110publ289.pdf (accessed March 5, 2023). 42. Guiding questions: What reforms should be proposed that could be accomplished within five years? What reforms can be done administratively, and what reforms would need legislative authorization? Are there functions that HUD administers that could be achieved more effectively at another department or agency? What big-picture reforms should be proposed that might take more than five years that would reorganize HUD and its programs to meet the objectives in the vision or mission? What would occur in the absence of these public finance subsidies? How much crowd-out do these subsidies create in the market? Would America be a seriously underhoused nation without these subsidies? Who are the policies intended to benefit? What organizational changes must be made? 43. The Faircloth Amendment (Quality Housing and Work Responsibility Act of 1998) amended the Housing Act of 1937 to maintain public housing units at 1999 levels, preventing housing authorities from maintaining more public housing than they did then. H.R. 4194, Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 1999, Public Law No. 105-276, 105th Congress, October 21, 1998, Title V, https://www.congress.gov/105/plaws/publ276/PLAW-105publ276.pdf (accessed March 5, 2023). In recent years, the statutory restriction on new construction of public housing units has been circumvented through some narrow uses of preservation programs such as the Rental Assistance Demonstration (RAD) program, initially authorized in 2012 and reauthorized several times since under higher program unit conversion caps. Congress also provided paths for renewal and continuation of a portion of existing public housing; project/site-based housing stock (refinancing with long-term HAP contract commitments); and Section 8 units through the Multifamily Assisted Housing Reform and Affordability Act of 1997 (MAHRA). H.R. 2158, Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 1998, Public Law No. 105-65, 105th Congress, October 27, 1997, Title V, https://www.congress.gov/105/plaws/publ65/PLAW-105publ65.pdf (accessed March 5, 2023). 44. As the evolution of HUD rental assistance transitions away from the public housing model toward housing choice vouchers, there should be adequate landlord participation to ensure that the supply of housing units for rent in these programs meets the demand for rent among eligible tenants. This issue has been addressed in various ways, including by a task force instituted at the department during the Trump Administration, but could likely remain a challenge in the administration of the program.

Department of Health and Human Services

Minimal
Vector: 63%
Pages: 488-490AI Enhanced

AI Analysis:

"The FDA Modernization Act 3.0 focuses on replacing animal testing with nonclinical methods in drug development, which is unrelated to Project 2025's HHS objectives concerning abortion data reporting, opposition to abortion-related research, and fertility awareness promotion. There is no thematic or policy overlap between the bill and the specified Project 2025 section."

— 455 — Department of Health and Human Services family formation. It should ensure that it is not promoting abortion as health care. It should fund studies into the risks and complications of abortion and ensure that it corrects and does not promote misinformation regarding the comparative health and psychological benefits of childbirth versus the health and psychological risks of intentionally taking a human life through abortion. The CDC oversaw and funded the development and testing of the COVID-19 vaccines with aborted fetal cell lines, insensitive to the consciences of tens of thousands to hundreds of thousands of people who objected to taking a vac- cine with such a link to abortion. As evidenced by litigation across the country, it is likely that thousands were fired unjustly because of the exercise of their consciences or faith on this question, which could have been avoided with a modicum of concern for this issue from CDC. There is never any justification for ending a child’s life as part of research, and the research benefits from splicing or growing aborted fetal cells and aborted baby body parts can easily be provided by alternative sources. All such research should be prohibited as a matter of law and policy. CDC should update its public messaging about the unsurpassed effectiveness of modern fertility awareness–based methods (FABMs) of family planning and stop publishing communications that conflate such methods with the long-eclipsed “rhythm” or “calendar” methods. CDC should fund studies exploring the evi- dence-based methods used in cutting-edge fertility awareness. Data Collection. The CDC’s abortion surveillance and maternity mortality reporting systems are woefully inadequate. CDC abortion data are reported by states on a voluntary basis, and California, Maryland, and New Hampshire do not submit abortion data at all. Accurate and reliable statistical data about abortion, abortion survivors, and abortion-related maternal deaths are essential to timely, reliable public health and policy analysis. Because liberal states have now become sanctuaries for abortion tourism, HHS should use every available tool, including the cutting of funds, to ensure that every state reports exactly how many abortions take place within its borders, at what gestational age of the child, for what reason, the mother’s state of residence, and by what method. It should also ensure that statistics are separated by category: spontaneous miscarriage; treatments that incidentally result in the death of a child (such as chemotherapy); stillbirths; and induced abortion. In addition, CDC should require monitoring and reporting for complications due to abortion and every instance of children being born alive after an abortion. Moreover, abortion should be clearly defined as only those procedures that intentionally end an unborn child’s life. Miscarriage management or standard ectopic pregnancy treatments should never be conflated with abortion. Comparisons between live births and abortion should be tracked across vari- ous demographic indicators to assess whether certain populations are targeted by — 456 — Mandate for Leadership: The Conservative Promise abortion providers and whether better prenatal physical, mental, and social care improves infant outcomes and decreases abortion rates, especially among those who are most vulnerable. The Ensuring Accurate and Complete Abortion Data Reporting Act of 20239 would amend title XIX of the Social Security Act and Public Health Service Act to improve the CDC’s abortion reporting mechanisms by requiring states, as a condition of federal Medicaid payments for family planning services, to report streamlined variables in a timely manner. The CDC should immediately end its collection of data on gender identity, which legitimizes the unscientific notion that men can become women (and vice versa) and encourages the phenomenon of ever-multiplying subjective identities. FOOD AND DRUG ADMINISTRATION (FDA) The FDA’s mission includes ensuring the safety and efficacy of drugs, biological products, and medical devices. Federal Laws That Shield Big Pharma from Competition. Because generics generally cost far less than brand-name drugs, consumers begin to save money as soon as a generic product comes on the market. The vast majority are very afford- able with 93 percent of generic products costing $20 or less. Savings would be even higher under proposals that prevent brand-name man- ufacturers from slowing down or impeding the entrance of generic products into the marketplace. Specifically, the FDA should prohibit pharmaceutical companies from purposely sitting on their legally available right to be the first to sell generic versions of their drugs. Additionally, Congress should create legal remedies for generic companies to obtain samples of brand-name products for their generic development efforts and should prohibit meritless “citizen petitions” submitted by manufacturers to delay approval of a generic competitor.10 Approval Process for Laboratory-Developed or Modified Medical Tests. Learning from the failed early COVID-19 testing experience, Congress and the FDA should focus on reforming laws and regulations governing medical tests, especially with respect to laboratory-developed tests. Commercial tests are developed with the intention of being widely marketed, distributed, and used, while laboratory-developed tests are created with the intention of being used solely within one laboratory. A test developed by a lab in accordance with the protocols developed by another lab (non-commercial sharing) currently constitutes a “new” laboratory-developed test because the lab in which it will be used is different from the initial developing lab. To encourage interlab- oratory collaboration and discourage duplicative test creation (and associated regulatory and logistical burdens), the FDA should introduce mechanisms through which laboratory-developed tests can easily be shared with other laboratories with- out the current regulatory burdens.11

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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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