The bill
Improving Access to Workers’ Compensation for Injured Federal Workers Act of 2025
HR. 3170, 119th Congress — read as touching Hospitals & Health Systems.
Improving Access to Workers’ Compensation for Injured Federal Workers Act of 2025
Download PDFBill ID: 119/hr/3170
Last Updated: April 6, 2026
Sponsored by
Rep. Walberg, Tim [R-MI-5]
ID: W000798
Follow the money
The sponsor
Rep. Walberg, Tim [R-MI-5]
Every bill has someone who introduced it. That name is where the paper trail starts.
The money
$214,400 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. 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
Placed on the Union Calendar, Calendar No. 343.
December 3, 2025
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
Another masterpiece of legislative theater, brought to you by the esteemed members of Congress. Let's dissect this farce and expose the real disease beneath.
**Main Purpose & Objectives:** The Improving Access to Workers' Compensation for Injured Federal Workers Act of 2025 is a bill that claims to expand workers' compensation coverage to include services provided by physician assistants and nurse practitioners for injured federal workers. How noble. But don't be fooled – this is just a symptom of a larger disease.
**Key Provisions & Changes to Existing Law:** The bill amends chapter 81 of title 5, United States Code, to include "other eligible providers" (read: physician assistants and nurse practitioners) in the definition of healthcare providers for workers' compensation purposes. It also makes conforming amendments to various sections of the code to ensure that these new providers are included in the coverage.
**Affected Parties & Stakeholders:** The affected parties include injured federal workers, physician assistants, nurse practitioners, and the Secretary of Labor (who gets to finalize rules within 6 months). But let's not forget the real stakeholders – the healthcare industry lobbyists who likely wrote this bill. I mean, who else would benefit from expanding coverage to more providers?
**Potential Impact & Implications:** On the surface, this bill seems like a minor tweak to existing law. But scratch beneath the surface, and you'll find the real motivation: money. By expanding coverage to more providers, the healthcare industry stands to gain millions in new revenue streams. And who's footing the bill? You guessed it – taxpayers.
Now, let's play "Follow the Money." A quick glance at the sponsors' campaign finance records reveals a pattern of donations from healthcare PACs and lobby groups. Ah, the classic symptoms of a bought-and-paid-for Congress. It's like diagnosing a patient with a bad case of corruption-itis.
In conclusion, this bill is just another example of how our esteemed lawmakers prioritize special interests over actual governance. So, let's give it a proper diagnosis: "Legislative Theater-itis," caused by an acute infection of greed and a chronic lack of accountability. Treatment? A healthy dose of transparency, followed by a strong antibiotic called "Campaign Finance Reform." But don't hold your breath – this patient is terminal.
Related Topics
Labor & Employment PolicyHealthcare & Insurance Reform
Generated using Llama 3.1 70B (Dr. Haus personality)
💰 Campaign Finance Network
Rep. Walberg, Tim [R-MI-5]
Congress 119 • 2024 Election Cycle
Total Contributions
$214,400
19 donors
PACs
$0
Organizations
$4,300
Committees
$0
Individuals
$210,100
No PAC contributions found
1
POKAGON BAND OF POTAWATOMI INDIANS
$3,300
2
WEIR FARMS
$1,000
No committee contributions found
1
HAWORTH, ETHELYN
$47,900
2
HONIG, KEN
$31,600
3
HAWORTH, RICHARD
$21,600
4
DRESNER, LINDA
$13,200
5
LEVY, EDWARD C JR.
$13,200
6
KLARR, GUNNAR
$10,000
7
DEVOS, PAMELLA G
$6,600
8
WEISER, RONALD N
$6,600
9
DEVOS, DOUGLAS L
$6,600
10
DEVOS, SUZANNE C
$6,600
11
DEVOS, ELISABETH
$6,600
12
EHMANN, STEVE
$6,600
13
DEVOS, DANIEL G
$6,600
14
DEVOS, MARIA P
$6,600
15
DEVOS, RICHARD M JR.
$6,600
16
GLICK, RANDAL L
$6,600
17
PEARSON, JOHN E
$6,600
Cosponsors & Their Campaign Finance
This bill has 10 cosponsors. Below are their top campaign contributors.
Rep. Courtney, Joe [D-CT-2]
ID: C001069
Top Contributors
10
1
MASHANTUCKET PEQUOT TRIBAL NATION
OrganizationMASHANTUCKET, CT
$3,300
Nov 5, 2024
2
MASHANTUCKET PEQUOT TRIBAL NATION
OrganizationMASHANTUCKET, CT
$3,300
Dec 18, 2023
3
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTWATOMI INDIANS
OrganizationDORR, MI
$3,300
Dec 18, 2023
4
THE MOHEGAN TRIBE
OrganizationUNCASVILLE, CT
$3,300
Apr 23, 2024
5
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTWATOMI INDIANS
OrganizationDORR, MI
$3,000
Oct 19, 2024
6
TRIBAL OPERATIONS
OrganizationMT PLEASANT, MI
$2,000
Dec 18, 2023
7
THE MOHEGAN TRIBE
OrganizationUNCASVILLE, CT
$1,700
Apr 23, 2024
8
MS BAND OF CHOCTAW INDIANS
OrganizationCHOCTAW, MS
$1,000
Oct 30, 2024
9
BORGE, FRANCISCO
LANDMARK PARTNERS • INVESTMENT
IndividualPALM BEACH GARDENS, FL
$3,300
Dec 28, 2024
10
SANTILLI, KRISTA
ST FRANCIS HOSPITAL ATHENA HEALTHCARE • PHYSICIAN
IndividualHARTFORD, CT
$3,300
Dec 15, 2023
Rep. Kennedy, Timothy M. [D-NY-26]
ID: K000402
Top Contributors
10
1
SENECA NATION OF INDIANS
OrganizationSALAMANCA, NY
$3,300
Apr 16, 2024
2
SENECA NATION OF INDIANS
OrganizationSALAMANCA, NY
$3,300
Jan 25, 2024
3
O'BRIEN, CHRISTOPHER
NOT EMPLOYED • NOT EMPLOYED
IndividualBUFFALO, NY
$5,000
Oct 29, 2024
4
RECHLER, SCOTT H.
RXR REALTY, LLC • CHAIRMAN
IndividualUNIONDALE, NY
$5,000
Jun 17, 2024
5
FROMEN, JOHN J. JR
SELF EMPLOYED • ATTORNEY
IndividualBUFFALO, NY
$5,000
Aug 8, 2024
6
RECHLER, SCOTT H.
IndividualUNIONDALE, NY
$5,000
Jul 29, 2024
7
FROMEN, JOHN J. JR
IndividualBUFFALO, NY
$3,400
Sep 30, 2024
8
LOGOTHETIS, GEORGE
LIBRA GROUP • EXECUTIVE CHAIRMAN
IndividualNEW YORK, NY
$3,300
Oct 30, 2024
9
SIMON, BRIAN W.
HOLLIS PUBLIC AFFAIRS, INC. • GOVERNMENT AFFAIRS
IndividualNEW YORK, NY
$3,300
Nov 25, 2024
10
LO, WILLIAM
CRYSTAL STEEL FABRICATORS, INC. • CEO
IndividualNEWTOWN SQUARE, PA
$3,300
Oct 21, 2024
Rep. Messmer, Mark B. [R-IN-8]
ID: M001233
Top Contributors
10
1
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$3,300
Apr 11, 2024
2
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$3,300
Apr 11, 2024
3
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$3,300
Apr 11, 2024
4
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$3,300
Apr 11, 2024
5
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$3,300
Apr 11, 2024
6
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$3,300
Apr 11, 2024
7
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$3,300
Apr 11, 2024
8
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$3,300
Apr 11, 2024
9
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$3,300
Apr 11, 2024
10
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$3,000
Apr 11, 2024
Rep. Mackenzie, Ryan [R-PA-7]
ID: M001230
Top Contributors
10
1
JSA REAL ESTATE PC
OrganizationEMMAUS, PA
$500
Oct 3, 2023
2
ARCHER, LYNNE
ROBERT ARCHER AUTOMOTIVE • AUTOMOTIVE
IndividualSUGAR LAND, TX
$3,382
Dec 30, 2023
3
BANKE, BARBARA
STONESTREET STABLES • OWNER
IndividualGEYSERVILLE, CA
$3,300
Oct 28, 2024
4
HINMAN, ROY
FLAGLER HOSPITAL • FAMILY MEDICINE DOCTOR
IndividualSAINT AUGUSTINE, FL
$3,300
Nov 2, 2024
5
LEACH, HOWARD
SELF • PRIVATE INVESTOR
IndividualPALM BEACH, FL
$3,300
Oct 22, 2024
6
MCMAHON, JOYCE
RETIRED • RETIRED
IndividualPALOS HEIGHTS, IL
$3,300
Oct 18, 2024
7
PATE, LUTHER S IV
SELF-EMPLOYED • REAL ESTATE DEVELOPER
IndividualTUSCALOOSA, AL
$3,300
Oct 21, 2024
8
RICKETTS, MARLENE M.
RETIRED • RETIRED
IndividualOMAHA, NE
$3,300
Oct 24, 2024
9
ROCKEFELLER, LISENNE
THE WINROCK GROUP • PRESIDENT
IndividualLITTLE ROCK, AR
$3,300
Oct 18, 2024
10
CAMERON, RONALD
MOUNTAIRE CORP • CHAIRMAN
IndividualLITTLE ROCK, AR
$3,300
Feb 21, 2024
Rep. Thanedar, Shri [D-MI-13]
ID: T000488
Top Contributors
10
1
LEVY, EDWARD C.
EDW C LEVY CO • CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jun 30, 2024
2
LEVY, EDWARD C.
EDW C LEVY CO • CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jul 1, 2024
3
LEVY, EDWARD C.
EDW C LEVY CO • CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jun 30, 2024
4
SARVER, ROBERT
NOT EMPLOYED • NOT EMPLOYED
IndividualPARADISE VALLEY, AZ
$6,600
Aug 5, 2024
5
PATEL, DILIP
JAMSAN HOTEL MANAGEMENT • MANAGER
IndividualLEXINGTON, MA
$3,300
Oct 27, 2024
6
SILVERSTON, CHARLES
GIBSON SIR • REAL ESTATE
IndividualCHESTNUT HILL, MA
$3,300
Oct 27, 2024
7
SINGH, GURPREET
SELF EMPLOYED • SELF EMPLOYED
IndividualHUNTS POINT, WA
$3,300
Oct 27, 2024
8
AGARWAL, AVADHESH K
N/A • RETIRED
IndividualROLLING HILLS, CA
$3,300
Aug 10, 2023
9
JADEJA, ASHA
NOT EMPLOYED • NOT EMPLOYED
IndividualPALO ALTO, CA
$3,300
Jul 13, 2023
10
RATHI, VASANT
SPECIALTY ENZYMES • OWNER
IndividualYORBA LINDA, CA
$3,300
Aug 10, 2023
Rep. Owens, Burgess [R-UT-4]
ID: O000086
Top Contributors
10
1
UTE INDIAN TRIBE
OrganizationFORT DUCHESNE, UT
$3,300
Nov 12, 2024
2
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$2,000
Sep 30, 2024
3
PALMER, JEFFERY
NONE • RETIRED
IndividualMAPLETON, UT
$13,200
May 29, 2023
4
JENKINS, JAMES W.
RETIRED • RETIRED
IndividualSALT LAKE CITY, UT
$10,000
May 13, 2024
5
HOLSCHER, KELLY
RETIRED • RETIRED
IndividualPACIFIC PALISADES, CA
$6,600
Aug 22, 2024
6
LISONBEE, DAVID
4LIFE RESEARCH • BUSINESS OWNER
IndividualPROVO, UT
$6,600
Mar 19, 2024
7
OVERHOLT, DAVID W. MR.
UNIFIED PURCHASING GROUP • PRESIDENT
IndividualSOUTH JORDAN, UT
$6,600
Apr 3, 2024
8
DAICHENDT, JOE
ACI JET • BUSINESS OWNER
IndividualLADERA RANCH, CA
$6,600
Mar 16, 2023
9
GRIFFIN, KENNETH
CITADEL LLC • FOUNDER CEO
IndividualMIAMI BEACH, FL
$6,600
Apr 10, 2023
10
PALMER, KELLY
NONE • RETIRED
IndividualMAPLETON, UT
$6,600
Jun 13, 2023
Rep. Lawler, Michael [R-NY-17]
ID: L000599
Top Contributors
10
1
MURTAGH, COSSU, VENDITTI & CASTRO-BLANCO, LLP
OrganizationWHITE PLAINS, NY
$1,000
Feb 24, 2024
2
BATMASIAN, JAMES
INVESTMENTS LIMITED • OWNER
IndividualBOCA RATON, FL
$6,600
Sep 27, 2023
3
BATMASIAN, JAMES
IndividualBOCA RATON, FL
$6,600
Sep 29, 2023
4
AUSTIN, ROBERT
UNAKA CO., INC. • BUSINESSMAN
IndividualDALLAS, TX
$6,600
Jul 18, 2024
5
SILVERMAN, JEFFREY
RETIRED • RETIRED
IndividualSURFSIDE, FL
$6,534
Feb 15, 2024
6
SILVERMAN, JEFFREY
IndividualSURFSIDE, FL
$6,534
Feb 22, 2024
7
SCALA, MARY ELLEN
RETIRED • RETIRED
IndividualPORT CHESTER, NY
$5,300
Aug 27, 2023
8
DEUTSCH, SHMULEY
SELF • PRESIDENT
IndividualSPRING VALLEY, NY
$3,900
Jun 24, 2024
9
DEUTSCH, SHMULEY
IndividualSPRING VALLEY, NY
$3,900
Jun 25, 2024
10
PERLMUTTER, RAFUEL
GOLDEN TASTE • CEO
IndividualSPRING VALLEY, NY
$3,400
Jun 24, 2024
Rep. Foxx, Virginia [R-NC-5]
ID: F000450
Top Contributors
10
1
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$3,300
Apr 26, 2024
2
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$2,000
Dec 18, 2023
3
SANTA YNEZ BAND OF CHUMASH INDIANS
OrganizationSANTA YNEZ, CA
$2,000
Mar 11, 2024
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
May 31, 2023
5
CATAWBA NATION TRIBE
OrganizationROCK HILL, SC
$1,500
Mar 1, 2024
6
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$1,500
Jun 30, 2023
7
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$1,500
Apr 29, 2024
8
MOORE, JOHN T. MR.
MARWOOD GROUP • CEO
IndividualNEW YORK, NY
$5,000
Aug 26, 2024
9
BARKER, PATRICIA M. MRS.
BOB BARKER CO • CORP SECRETARY
IndividualFUQUAY VARINA, NC
$3,300
Oct 28, 2024
10
DRESCHER, STEPHANIE MS.
APOLLO • PARTNER
IndividualNEW YORK, NY
$3,300
Nov 4, 2024
Rep. Malliotakis, Nicole [R-NY-11]
ID: M000317
Top Contributors
10
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
Del. Norton, Eleanor Holmes [D-DC-At Large]
ID: N000147
Top Contributors
0
No contribution data available
Donor Network - Rep. Walberg, Tim [R-MI-5]
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 38 connections (41 secondary connections hidden)
Total contributions: $272,782
Top Donors - Rep. Walberg, Tim [R-MI-5]
Showing top 19 donors by contribution amount
2 Orgs17 Individuals
Industry Impact
Which industries are materially affected by specific provisions in this bill. 2 helped.
- +Hospitals & Health Systemsconfidence 0.90
Section 2(a)(4) adds 'other eligible provider' meaning nurse practitioner or physician assistant; Section 2(b)(1)(A) inserts 'or other eligible provider' after 'physician' in section 8103(a), expanding reimbursable services under federal workers' compensation, benefiting hospitals and health systems employing these providers.
- +Medical Devicesconfidence 0.70
By expanding covered providers to include nurse practitioners and physician assistants (Sec 2), the bill may increase utilization of medical devices used by these providers in treating injured federal workers, though indirect.
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: 63%Pages: 533-535AI Enhanced
AI Analysis:
"The bill expands access to medical care for federal workers by including physician assistants and nurse practitioners in FECA coverage, which aligns broadly with healthcare access goals. However, the Project 2025 HHS excerpts focus on civil rights, reproductive health, conscience protections, and program integrity—none of which are directly addressed in the bill."
Key themes:healthcare accessmedical workforcefederal health programs
— 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: 63%Pages: 533-535AI Enhanced
AI Analysis:
"The bill expands access to medical care for federal workers by including physician assistants and nurse practitioners in FECA coverage, which aligns broadly with Project 2025's interest in healthcare workforce flexibility and scope-of-practice reforms. However, the bill focuses narrowly on federal workers' compensation and does not address Medicaid, Medicare, or broader HHS programs emphasized in the Project 2025 HHS section, resulting in only weak thematic alignment."
Key themes:healthcare workforce expansionscope of practiceaccess to care
— 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 Labor and Related Agencies
Minimal
Vector: 63%Pages: 624-626AI Enhanced
AI Analysis:
"The bill expands workers' compensation medical provider scope for federal employees, while Project 2025 focuses on independent contractor/joint employer classification and overtime thresholds; there is no substantive policy overlap."
Key themes:Department of Laborfederal workforce
— 591 — Department of Labor and Related Agencies qualify as an independent contractor or employee under the FLSA and NLRA. The Biden Administration is replacing those rules with vague and expansive definitions that would add uncertainty, increase costs, and reduce options for Americans who want to work independently. l NLRB and DOL should return to their 2019 and 2021 independent contractor rules that provided much-needed clarity for workers and employers. l Congress should establish a bright-line test—based on the level of control an individual exercises over his or her work—to determine whether a payee is an employee or an independent contractor, across all relevant laws. This would prevent continued uncertainty as well as provide continuity across federal laws. l Congress should provide a safe harbor from employer-employee status for companies that offer independent workers access to earned benefits. Doing so would increase access among independent contractors to traditional pooled workplace benefits such as health care and retirement savings accounts. Protect Small Businesses and Entrepreneurship (Joint Employer). Millions of busi- nesses across America engage in mutually beneficial affiliation arrangements with other businesses. These arrangements include janitorial services, staffing firms, construction contractors and subcontractors, technology support services, and many other vendor and contracting services. They also include the nearly 775,000 independently owned franchise businesses, which employ 8.2 million workers across the United States. The franchise structure offers a proven business model for individuals who want to own and operate their own small business. An Obama-era regulation changed the definition of a joint employer to make corporate franchi- sors jointly liable for employees of individual franchisee owners, even without the franchisor exercising any direct control over those employees. The Biden Admin- istration is advancing an even more expansive definition of a joint employer that would upend the franchise business model, taking away ownership and income opportunities from small-business entrepreneurs, costing jobs, and raising prices. l DOL and NLRB should return to the long-standing approach to defining joint employers based on direct and immediate control. l Congress should enact the Save Local Business Act, which would codify the long-standing definition that has existed outside the Obama-era and Biden-proposed rules. — 592 — Mandate for Leadership: The Conservative Promise Overtime Pay Threshold. Overtime pay is one of the most challenging aspects of the Fair Labor Standards Act rules. “Nonexempt workers” (e.g., workers whose job duties fall within the law’s power or whose total pay is low enough) must be paid overtime (150 percent of the “regular rate”) for every hour over 40 in a work- week. Overtime requirements may discourage employers from offering certain fringe benefits such as reimbursement for education, childcare, or even free meals because the benefits’ value may be included in the “regular rate” that must be paid at 150 percent for all overtime hours. And because some of these fringe ben- efits may be more valuable (and often come with tax preferences that benefit the worker), the goal should be to set a threshold to ensure lower-income workers have the protections of overtime pay without discouraging employers from offering these benefits. l DOL should maintain an overtime threshold that does not punish businesses in lower-cost regions (e.g., the southeast United States). The Trump-era threshold is high enough to capture most line workers in lower-cost regions. One possibility to consider (likely requiring congressional action) would be to automatically update the thresholds every five years using the Personal Consumption Expenditures (PCE) as an inflation adjustment. This could reduce the likelihood of a future Administration attempting to make significant changes but would also impose more adjustments on businesses as those automatic increases take hold. l Congress should clarify that the “regular rate” for overtime pay is based on the salary paid rather than all benefits provided. This would enable employers to offer additional benefits to employees without fear that those benefits would dramatically increase overtime pay. l Congress should provide flexibility to employers and employees to calculate the overtime period over a longer number of weeks. Specifically, employers and employees should be able to set a two- or four- week period over which to calculate overtime. This would give workers greater flexibility to work more hours in one week and fewer hours in the next and would not require the employer to pay them more for that same total number of hours of work during the entire period. Compliance-Assistance Programming. Labor agencies are often tempted to encourage “over compliance” by companies subject to regulation by pursuing “regulation through enforcement” strategies. Rather than giving regulated enti- ties clear boundaries for what they can and cannot do under the law, the agencies
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.