Ensuring Community Access to Pharmacist Services Act

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Bill ID: 119/hr/3164
Last Updated: September 10, 2026

Sponsored by

Rep. Smith, Adrian [R-NE-3]

ID: S001172

Follow the money

The bill

Ensuring Community Access to Pharmacist Services Act

HR. 3164, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. Smith, Adrian [R-NE-3]

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

The money

$128,800 raised

21 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. 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

Ordered to be Reported in the Nature of a Substitute by Voice Vote.

May 20, 2026

Introduced

📍 Current Status

Next: The bill will be reviewed by relevant committees who will debate, amend, and vote on it.

🏛️

Committee Review

🗳️

Floor Action

✅

Passed House

🏛️

Senate Review

🎉

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

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 3164 Introduced in House (IH)]

<DOC>

119th CONGRESS 1st Session H. R. 3164

To amend title XVIII of the Social Security Act to provide pharmacy payment of certain services.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

May 1, 2025

...

Related Topics

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

💰 Campaign Finance Network

Rep. Smith, Adrian [R-NE-3]

Congress 119 • 2024 Election Cycle

Total Contributions
$128,800
19 donors
PACs
$0
Organizations
$3,300
Committees
$0
Individuals
$125,500

No PAC contributions found

1
PECHANGA BAND OF LUISENO INDIANS
1 transaction
$3,300

No committee contributions found

1
PARKER, SEAN
1 transaction
$13,200
2
ANDERSON, S MICKEY MR.
1 transaction
$13,200
3
STINSON, KENNETH E. MR.
1 transaction
$13,200
4
CASSLING, MICHAEL MR.
1 transaction
$13,200
5
HAWKINS, FRED H. MR. JR.
1 transaction
$6,600
6
KORALESKI, JACK MR.
1 transaction
$6,600
7
SCHWARZMAN, STEPHEN
1 transaction
$6,600
8
SCHWARZMAN, CHRISTINE
1 transaction
$6,600
9
DUGAN, VINCENT J. MR.
1 transaction
$6,600
10
PEED, RHONDA MRS.
2 transactions
$6,600
11
PEED, TOM MR.
2 transactions
$6,600
12
HAUSMANN, JOEY MR.
1 transaction
$5,000
13
DUHAMEL, WILLIAM
1 transaction
$5,000
14
RICKETTS, MARLENE MRS.
1 transaction
$3,300
15
VECCHIARELLI, DANIEL
1 transaction
$3,300
16
LEGERE, SYLVIE
1 transaction
$3,300
17
FRITZ, LANCE
1 transaction
$3,300
18
DITTMAN, JOHN F. MR.
1 transaction
$3,300

Cosponsors & Their Campaign Finance

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

Rep. Schneider, Bradley Scott [D-IL-10]

ID: S001190

Top Contributors

20

1
WEITMAN, AARON
CASTLE KNIGHT • FINANCE
IndividualHOBOKEN, NJ
$5,000
Mar 18, 2024
2
SHWACHMAN, KIMBERLY
RETIRED • RETIRED
IndividualNORTHBROOK, IL
$3,700
Feb 27, 2024
3
SHWACHMAN, PERRY J
SIDLEY AUSTIN LLP • LAWYER
IndividualNORTHBROOK, IL
$3,700
Mar 19, 2024
4
POWELL, JESSE
RETIRED • RETIRED
IndividualSAN FRANCISCO, CA
$3,300
Nov 5, 2024
5
RAYMAN, STEVE
SELF EMPLOYED • HOTEL BUSINESS
IndividualBIG ROCK, IL
$3,300
Oct 22, 2024
6
CHUDACOFF, MARK R
RETIRED • RETIRED
IndividualPALM BEACH GARDENS, FL
$3,300
Oct 28, 2024
7
KADEN, DAVID
BLACKSTONE • SENIOR MANAGING DIRECTOR
IndividualNEW YORK, NY
$3,300
Oct 30, 2024
8
CUSHMAN, LINDA
RETIRED • RETIRED
IndividualCHICAGO, IL
$3,300
Oct 24, 2024
9
HECKTMAN, JEFFREY B.
HILCO GLOBAL • CEO
IndividualHIGHLAND PARK, IL
$3,300
Oct 28, 2024
10
GRAY, JON
BLACKSTONE • PRESIDENT
IndividualNEW YORK, NY
$3,300
Nov 1, 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. Matsui, Doris O. [D-CA-7]

ID: M001163

Top Contributors

22

1
SOCIETY OF INTERVENTIONAL RADIOLOGY POLITICAL ACTION COMMITTEE
PACFAIRFAX, VA
$2,500
Feb 7, 2023
2
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$2,000
Mar 10, 2023
3
KINNEY, MARY
MGK STYLE • STYLIST/CEO
IndividualSACRAMENTO, CA
$3,300
Oct 30, 2024
4
KONG, MINDY
N/A • HOMEMAKER
IndividualSACRAMENTO, CA
$3,300
Oct 25, 2024
5
TSAKOPOULOS, KATINA
SELF-EMPLOYED • SOMATIC EXPERIENCING PRACTITIONER
IndividualRANCHO SANTA FE, CA
$3,300
Nov 1, 2024
6
TSAKOPOULOS, SOFIA
N/A • HOMEMAKER
IndividualSACRAMENTO, CA
$3,300
Nov 1, 2024
7
VISMARA, LOUIS A.
IndividualSACRAMENTO, CA
$3,300
Nov 1, 2024
8
WAGNER, BELAN KIRK
WAGNER KIRKMAN BLAINE KLOMPARENS • ATTORNEY
IndividualMATHER, CA
$3,300
May 30, 2023
9
KELLEY, LARRY D.
MCCLELLAN PARK • REAL ESTATE
IndividualMCCLELLAN, CA
$3,300
May 11, 2023
10
FRIEDMAN, MARK L.
FULCRUM PROPERTY GROUP • REAL ESTATE DEVELOPER
IndividualSACRAMENTO, CA
$3,300
Jun 14, 2023

Rep. Kustoff, David [R-TN-8]

ID: K000392

Top Contributors

24

1
TENNESSEE SAFARI PARK
OrganizationALAMO, TN
$3,000
Aug 28, 2023
2
GERMAN FARMS
OrganizationSOMERVILLE, TN
$350
Aug 12, 2023
3
GROWING ACRES
OrganizationSAVANNAH, TN
$300
Aug 12, 2023
4
WALLY CHILDRESS FARMS
OrganizationBOGOTA, TN
$250
Aug 12, 2023
5
LONG, CHRISTOPHER MR.
SELF • ENTREPRENEUR
IndividualMEMPHIS, TN
$6,600
Nov 7, 2023
6
SMITH, STEFAN M. MR.
LEXUS OF MEMPHIS • AUTO DEALER
IndividualGERMANTOWN, TN
$6,600
Nov 7, 2023
7
AYERS, JANET MRS.
THE AYERS FOUNDATION • PRESIDENT
IndividualNASHVILLE, TN
$6,600
Jul 22, 2024
8
AYERS, JAMES W. MR.
FIRST BANK • CHAIRMAN
IndividualNASHVILLE, TN
$6,600
Jul 24, 2024
9
WEISS, CATHY MRS.
HOMEMAKER • HOMEMAKER
IndividualMEMPHIS, TN
$6,600
Mar 25, 2024
10
HASLAM, WILLIAM MR.
KNOXVILLE MUSEUM OF ART • MANAGER
IndividualKNOXVILLE, TN
$6,000
Oct 12, 2023

Rep. Sewell, Terri A. [D-AL-7]

ID: S001185

Top Contributors

27

1
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$5,000
Oct 15, 2024
2
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Mar 26, 2024
3
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Sep 21, 2023
4
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$2,500
Sep 10, 2024
5
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$2,500
Sep 30, 2024
6
LAW OFFICES OF FREDERICK GRAEFE LLC
OrganizationWASHINGTON, DC
$500
Sep 30, 2023
7
CHIROPRACTIC CARE INC.
OrganizationGULF SHORES, AL
$250
Feb 26, 2024
8
BROWN, CANDACE P.
NONE • RETIRED
IndividualFLORENCE, SC
$4,500
Sep 6, 2024
9
BROWN, JAMES A.
SMS COMPANY • VICE PRESIDENT
IndividualFLORENCE, SC
$4,500
Sep 6, 2024
10
LEHMAN, WILLIAM
NOT EMPLOYED • NOT EMPLOYED
IndividualAVENTURA, FL
$3,300
Dec 9, 2024

Rep. Van Duyne, Beth [R-TX-24]

ID: V000134

Top Contributors

23

1
DEMOCRACY ENGINE (EARMARK)
OrganizationWASHINGTON, DC
$2,500
Aug 10, 2023
2
SYCUAN BAND OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$1,000
Aug 2, 2024
3
ALABAMA-COUSHATTA TRIBE
OrganizationLIVINGSTON, TX
$1,000
Oct 24, 2024
4
ALSH, DENNIS
RETIRED • RETIRED
IndividualSOUTHLAKE, TX
$6,600
Sep 30, 2024
5
SCHWARZMAN, CHRISTINE
RETIRED • RETIRED
IndividualNEW YORK, NY
$6,600
Dec 1, 2023
6
ADAIR, AARON
COPART INC. • CEO
IndividualDALLAS, TX
$6,600
Feb 12, 2024
7
ADAIR, AARON
COPART INC. • CEO
IndividualDALLAS, TX
$6,600
Feb 12, 2024
8
GRIFFIN, KENNETH C. MR.
CITADEL LLC • FOUNDER CEO
IndividualMIAMI BEACH, FL
$6,600
Apr 10, 2023
9
FISHER, KENNETH
FISHER INVESTMENTS • EXECUTIVE CHAIRMAN
IndividualPLANO, TX
$6,600
May 23, 2024
10
FISHER, SHERRILYN
PLANO 6500 LLC • MEMBER
IndividualPLANO, TX
$6,600
May 23, 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. 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

Rep. Ciscomani, Juan [R-AZ-6]

ID: C001133

Top Contributors

30

1
SALT RIVER PIMA MARICOPA INDIAN COMMUNITY
PACSCOTTSDALE, AZ
$1,000
Jun 14, 2024
2
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$3,300
Oct 31, 2024
3
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Nov 5, 2024
4
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Jun 30, 2024
5
DELTA AIRLINES
OrganizationATLANTA, GA
$2,500
Jul 30, 2024
6
THE CHICKASAW NATION
OrganizationADA, OK
$2,000
Oct 8, 2024
7
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$1,834
Jun 30, 2024
8
MS BAND OF CHOCTAW INDIANS
OrganizationCHOCTAW, MS
$1,000
Nov 5, 2024
9
COLORADO RIVER INDIAN TRIBES
OrganizationPARKER, AZ
$1,000
Jun 30, 2023
10
THE CHICKASAW NATION
OrganizationADA, OK
$1,000
Jun 30, 2023

Rep. Hern, Kevin [R-OK-1]

ID: H001082

Top Contributors

39

1
MORONGO BAND OF MISSION INDIANS
PACBANNING, CA
$2,000
Jun 15, 2024
2
MORONGO BAND OF MISSION INDIANS
PACBANNING, CA
$1,000
May 26, 2023
3
CHEROKEE NATION
OrganizationTABLEQUAIL, OK
$3,300
Nov 14, 2023
4
CHICKASAW NATION
OrganizationADA, OK
$3,300
Feb 10, 2023
5
CHICKASAW NATION
OrganizationADA, OK
$3,300
Jun 15, 2024
6
OSAGE NATION
OrganizationPAWHUSKA, OK
$3,300
Jun 18, 2024
7
UNITED KEETOOWAH BAND OF CHEROKEE INDIANS
OrganizationTAHLEQUAH, OK
$3,000
Sep 30, 2023
8
SYCUAN BAND OF THE KYMEYAAY NATION
OrganizationEL CAJON, CA
$2,500
Oct 13, 2023
9
SYCUAN BAN OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$2,500
Jul 15, 2024
10
MARSH POINTE MANAGEMENT LLC
OrganizationTAHLEOUAH, OK
$2,000
Aug 29, 2023

Donor Network - Rep. Smith, Adrian [R-NE-3]

PACs
Organizations
Individuals
Politicians

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

Loading...

Showing 41 nodes and 38 connections

Total contributions: $38

Top Donors - Rep. Smith, Adrian [R-NE-3]

Showing top 19 donors by contribution amount

1 Org18 Individuals

Industry Impact

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

  • Section 2(a) adds pharmacist services to Medicare Part B coverage, and Section 2(b) sets payment rates for such services, which could increase utilization of pharmacy-based care and potentially reduce burden on hospitals for certain services like testing/treatment for COVID-19, flu, RSV, or strep throat.

  • +Pharmaceuticalsconfidence 0.85

    Section 2 defines pharmacist services to include testing and treatment for COVID-19, influenza, RSV, and streptococcal pharyngitis, and Section 2(b) establishes Medicare payment for these services at 80-100% of physician fee schedule amounts, which could increase demand for related pharmaceuticals administered or prescribed by pharmacists.

  • +Medical Devicesconfidence 0.70

    Section 2(a)(1)(B)(ii) includes testing or treatment services addressing public health needs from emergencies declared under PHS Act section 319, which may involve use of diagnostic tests (medical devices) that pharmacists could administer, increasing device utilization.

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: 64%
Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on pharmacy payment for certain services under Medicare, which is unrelated to the Project 2025 policy excerpts that center on civil rights, reproductive healthcare access, conscience protections, and nondiscrimination rules. There is no clear thematic or policy connection between pharmacy reimbursement and the listed HHS initiatives."

Key themes:Healthcare policyMedicare

— 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). — 502 — Mandate for Leadership: The Conservative Promise 71. 42 U.S. Code § 238n, https://www.law.cornell.edu/uscode/text/42/238n (accessed March 17, 2023). 72. U.S. Department of Health and Human Services, Health Resources and Services Administration, “Early Childhood Health,” last reviewed October 2022, https://mchb.hrsa.gov/programs-impact/focus-areas/early- childhood-health (accessed March 17, 2023). 73. American Pregnancy Association, “Having a Doula—What Are the Benefits?” https://americanpregnancy. org/healthy-pregnancy/labor-and-birth/having-a-doula/#:~:text=Other%20studies%20have%20shown%20 that%20having%20a%20doula,massage%20to%20reduce%20stress%20and%20anxiety%20during%20labor (accessed March 17, 2023). 74. S. 2372, VA MISSION [Maintaining Internal Systems and Strengthening Integrated Outside Networks] Act of 2018, Public Law No. 115-182, 115th Congress, June 6, 2018, https://www.congress.gov/115/plaws/publ182/ PLAW-115publ182.pdf (accessed March 17, 2023). 75. U.S. Department of Health and Human Services, “Securing Updated and Necessary Statutory Evaluations Timely,” Final Rule, Federal Register, Vol. 86, No. 11 (January 19, 2021), pp. 5694–5764, https://www.govinfo. gov/content/pkg/FR-2021-01-19/pdf/2021-00597.pdf (accessed March 22, 2023). 76. U.S. Department of Health and Human Services, Office of the Secretary, Office of the Assistant Secretary for Health, “Compliance with Statutory Program Integrity Requirements,” Final Rule, Federal Register, Vol. 84, No. 42 (March 4, 2029), pp. 7714–7791, https://www.govinfo.gov/content/pkg/FR-2019-03-04/pdf/2019-03461.pdf (accessed March 18, 2023). 77. U.S. Department of Health and Human Services, Office of the Secretary, Office of the Assistant Secretary for Health, “Ensuring Access to Equitable, Affordable, Client-Centered, Quality Family Planning Services,” Final Rule, Federal Register, Vol. 86, No. 192 (October 7, 2021), pp. 56144–56180, https://www.govinfo.gov/content/ pkg/FR-2021-10-07/pdf/2021-21542.pdf (accessed March 18, 2023). 78. S. 624, Title X Abortion Provider Prohibition Act, 118th Congress, introduced March 2, 2023, https://www. congress.gov/118/bills/s624/BILLS-118s624is.pdf (accessed March 18, 2023). 79. 50 U.S. Code Chapter 55, https://www.law.cornell.edu/uscode/text/50/chapter-55 (accessed March 22, 2023). 80. 18 U.S. Code § 13, https://www.law.cornell.edu/uscode/text/18/13 (accessed March 18, 2023). 81. Bowen v. American Hospital Association, 476 U.S. 610 (1986), https://tile.loc.gov/storage-services/service/ll/ usrep/usrep476/usrep476610/usrep476610.pdf (accessed 22, 2023). 82. U.S. Department of Health and Human Services, Office of the Secretary, “Notification of Interpretation and Enforcement of Section 1557 of the Affordable Care Act and Title IX of the Education Amendments of 1972,” Federal Register, Vol. 86, No. 99 (May 25, 2021), pp. 27984–27985, https://www.govinfo.gov/content/pkg/FR- 2021-05-25/pdf/2021-10477.pdf (accessed March 18, 2023). 83. U.S. Department of Health and Human Services, Office for Civil Rights, “HHS Notice and Guidance on Gender Affirming Care, Civil Rights, and Patient Privacy,” March 2, 2022, https://www.hhs.gov/sites/default/files/hhs- ocr-notice-and-guidance-gender-affirming-care.pdf (accessed March 18, 2023). 84. Heckler v. Chaney, 420 U.S. 821 (1985), https://caselaw.findlaw.com/us-supreme-court/470/821.html (accessed March 18, 2022). 85. U.S. Department of Health and Human Services, Office for Civil Rights, “Guidance to Nation’s Retail Pharmacies: Obligations Under Federal Civil Rights Laws to Ensure Access to Comprehensive Reproductive Health Care Services,” content last reviewed July 14, 2022, https://www.hhs.gov/civil-rights/for-individuals/ special-topics/reproductive-healthcare/pharmacies-guidance/index.html (accessed March 18, 2023). 86. H.R. 3103, “Health Insurance and Portability and Accountability Act of 1996, Public Law No. 104-191, 104th Congress, August 21, 1996, https://www.congress.gov/104/plaws/publ191/PLAW-104publ191.pdf (accessed March 18, 2023). 87. U.S. Department of Human Services, “HIPAA Privacy Rule and Disclosures of Information Relating to Reproductive Health Care,” content last reviewed June 29, 2022, (accessed March 18, 2023). See also “Protecting the Privacy and Security of Your Health Information When Using Your Personal Cell Phone or Tablet,” content last reviewed June 29, 2022, https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/ cell-phone-hipaa/index.html (accessed March 18, 2023).

Department of Health and Human Services

Weak
Vector: 64%
Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on Medicare pharmacy payment reforms under Title XVIII, while the Project 2025 HHS section emphasizes Medicaid reform, managed care oversight, and safety net improvements—showing only tangential overlap in healthcare delivery but differing program focus and policy mechanisms."

Key themes:healthcare deliveryMedicare/Medicaidprovider paymentshealthcare access

— 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: 62%
Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on Medicare pharmacy payment adjustments, whereas the Project 2025 HHS policy emphasizes Medicaid reform, managed care oversight, direct primary care, surprise medical billing, and price transparency. Only a tangential connection exists through broader payment reform themes."

Key themes:payment reformprice transparencyhealthcare financing

— 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).

Showing 3 of 5 policy matches

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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