Hospital Inpatient Services Modernization Act

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Bill ID: 119/hr/4313
Last Updated: July 12, 2026

Sponsored by

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

ID: B001260

Follow the money

The bill

Hospital Inpatient Services Modernization Act

HR. 4313, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

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

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

The money

$66,000 raised

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

The alignment

62% match to Project 2025

This bill's text tracks the "Introduction" section, p. 497-499 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

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

December 1, 2025

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 exercise in legislative theater, courtesy of the esteemed members of Congress. Let's dissect this farce, shall we?

**Main Purpose & Objectives:** The Hospital Inpatient Services Modernization Act (HR 4313) claims to "modernize" hospital care by extending waiver flexibilities for acute hospital care at home and requiring an additional study on these flexibilities. How quaint. The real purpose is to perpetuate the status quo, lining the pockets of healthcare lobbyists and special interest groups.

**Key Provisions & Changes to Existing Law:** The bill extends the waiver flexibilities until September 30, 2030, allowing hospitals to continue providing care at home without adhering to traditional inpatient settings. It also requires a new study on these flexibilities, because, of course, we need more bureaucratic red tape and "research" to justify the existing system.

**Affected Parties & Stakeholders:** Hospitals, healthcare providers, insurance companies, and patients (or rather, their wallets) will be affected by this bill. But let's not forget the real stakeholders: the lobbyists, special interest groups, and politicians who will reap the benefits of this "modernization" effort.

**Potential Impact & Implications:** This bill is a Band-Aid on a bullet wound. It does nothing to address the systemic issues plaguing our healthcare system, such as rising costs, inadequate access, and inefficient care delivery. Instead, it perpetuates the existing power dynamics, ensuring that hospitals and insurance companies maintain their grip on the system.

The "study" provision is a joke, designed to create more bureaucratic hurdles and justify further inaction. It's a classic case of "analysis paralysis," where politicians can claim they're taking action while doing nothing meaningful.

In conclusion, HR 4313 is a masterclass in legislative obfuscation, designed to confuse, mislead, and maintain the status quo. It's a testament to the boundless creativity of politicians in crafting legislation that sounds good but accomplishes little. Bravo, Congress. You've done it again.

Related Topics

Healthcare & Insurance Reform
Generated using Llama 3.1 70B (Dr. Haus personality)

💰 Campaign Finance Network

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

Congress 119 • 2024 Election Cycle

Total Contributions
$66,000
15 donors
PACs
$0
Organizations
$0
Committees
$0
Individuals
$66,000

No PAC contributions found

No organization contributions found

No committee contributions found

1
GARCIA, MARIO
2 transactions
$6,600
2
GARCIA, IVIS
2 transactions
$6,600
3
COPELAND, GERRET
2 transactions
$6,600
4
ARISON, MICKY
2 transactions
$6,600
5
ARISON, MADELEINE
2 transactions
$6,600
6
RICHARDS, CHRISTINE
1 transaction
$3,300
7
RICHARDS, DANIEL
1 transaction
$3,300
8
BENJAMIN, STEPHEN
1 transaction
$3,300
9
JOHNSON, TRAVIS
1 transaction
$3,300
10
COPELAND, KYM
1 transaction
$3,300
11
MURRAY, R. CHARLES
1 transaction
$3,300
12
MCGILLICUDDY, DENNIS
1 transaction
$3,300
13
MCGILLICUDDY, GRACI
1 transaction
$3,300
14
ELLER, SCOTT
1 transaction
$3,300
15
RYAN, JOSEPH H
1 transaction
$3,300

Cosponsors & Their Campaign Finance

This bill has 8 cosponsors. Below are their top campaign contributors.

Rep. Smucker, Lloyd [R-PA-11]

ID: S001199

Top Contributors

10

1
MASRY, LOUIS
LEM SETTLEMENT GROUPCEO-PRESIDENT
IndividualSOLANA BEACH, CA
$6,600
Jan 17, 2024
2
SCHWARZMAN, STEPHEN A.
BLACKSTONECEO AND CHAIRMAN
IndividualNEW YORK, NY
$6,600
Jul 13, 2023
3
SCHWARZMAN, CHRISTINE
NONERETIRED
IndividualNEW YORK, NY
$6,600
Jul 14, 2023
4
WALTERS, WILLIAM
SELECT MEDICALSVP
IndividualMCLEAN, VA
$5,000
Feb 5, 2024
5
REYNOLDS, GARY A.
RAYMOND JAMES FINANCIAL SERVICESFINANCIAL ADVISOR
IndividualLANCASTER, PA
$4,597
Mar 27, 2024
6
PARKER, ALEXANDRA MRS.
SELF EMPLOYEDPHILANTHROPY
IndividualPALO ALTO, CA
$3,300
Mar 21, 2024
7
PARKER, ALEXANDRA MRS.
SELF EMPLOYEDPHILANTHROPY
IndividualPALO ALTO, CA
$3,300
Mar 21, 2024
8
PARKER, SEAN MR.
SEAN N. PARKER FOUNDATIONCHAIRMAN
IndividualPALO ALTO, CA
$3,300
Mar 21, 2024
9
PARKER, SEAN MR.
SEAN N. PARKER FOUNDATIONCHAIRMAN
IndividualPALO ALTO, CA
$3,300
Mar 21, 2024
10
MASRY, LOUIS
LEM SETTLEMENT GROUPCEO-PRESIDENT
IndividualSOLANA BEACH, CA
$3,300
Jan 17, 2024

Rep. Evans, Dwight [D-PA-3]

ID: E000296

Top Contributors

10

1
UNIVERSITY PLACE ASSOCIATES 3.0
OrganizationPHILADELPHIA, PA
$1,000
Dec 28, 2023
2
BRIDGE ACROSS PA PAC
OrganizationBETHLEHEM, PA
$1,000
Jun 5, 2023
3
DILWORTH PAXSON LLP
OrganizationPHILADELPHIA, PA
$1,000
May 19, 2023
4
KLEINBARD LLC
OrganizationPHILADELPHIA, PA
$500
Dec 28, 2023
5
ALLIE, DONNA
TEAM CLEAN INC.OWNER
IndividualPHILADELPHIA, PA
$3,300
Dec 11, 2023
6
BURNS, PATRICK J.
METRO PHILLY MANAGEMENTPRESIDENT
IndividualDREXEL HILL, PA
$3,300
Dec 19, 2023
7
MEZZAROBA, ALBERT
SELFATTORNEY
IndividualMERION STATION, PA
$3,300
Dec 20, 2023
8
CORDARO, LAURA
EBRM CORPDEVELOPER
IndividualGLADWYNE, PA
$3,300
Dec 25, 2023
9
DEON SR, PASQUALE T
PROGRESSIVE MANAGEMENTREAL ESTATE
IndividualFAIRLESS HILLS, PA
$3,300
Dec 27, 2023
10
CRAWFORD, STEVEN M.
S.R. WOJDAK & ASSOCIATES, LPGOVERNMENT RELATIONS
IndividualPHILADELPHIA, PA
$3,300
Dec 22, 2023

Rep. Tenney, Claudia [R-NY-24]

ID: T000478

Top Contributors

10

1
WINRED EARMARKS
PACARLINGTON, VA
$27,879
Oct 22, 2024
2
WINRED EARMARKS
PACARLINGTON, VA
$21,566
Oct 29, 2024
3
WINRED EARMARKS
PACARLINGTON, VA
$10,970
Nov 25, 2024
4
WINRED EARMARKS
PACARLINGTON, VA
$5,493
Nov 19, 2024
5
SAN MANUEL BAND OF MISSION INDIANS
OrganizationLOS ANGELES, CA
$2,000
Nov 5, 2024
6
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$2,000
Jun 18, 2024
7
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$2,000
Jun 18, 2024
8
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$1,000
Mar 31, 2023
9
TEXTOR, DONALD
RETIREDRETIRED
IndividualLOCUST VALLEY, NY
$13,200
Apr 17, 2024
10
WINE, SCOTT
POLARISCEO
IndividualEXCELSIOR, MN
$6,600
Sep 30, 2024

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

ID: C001126

Top Contributors

10

1
KITTLE, JEFFREY
KITTLE PROPERTY GROUPCEO
IndividualINDIANAPOLIS, IN
$6,600
Oct 24, 2023
2
SCHWARZMAN, CHRISTINE
NONERETIRED
IndividualNEW YORK, NY
$6,600
Sep 28, 2023
3
SCHWARZMAN, STEPHEN
BLACKSTONECEO AND CHAIRMAN
IndividualNEW YORK, NY
$6,600
Sep 27, 2023
4
BAGAN, JOSEPH W.
STAQ PHARMACEO
IndividualCOLUMBUS, OH
$4,000
Oct 14, 2024
5
BAGAN, JOSEPH W.
IndividualCOLUMBUS, OH
$4,000
Oct 16, 2024
6
BORKOWSKI, BRIAN
HEARTLAND CHARGING SERVICESCOO
IndividualBELLEAIR BEACH, FL
$3,435
Oct 15, 2024
7
FISCHER, ALEX
SELF EMPLOYEDCONSULTING REAL ESTATE
IndividualCOLUMBUS, OH
$3,300
Oct 8, 2024
8
BARRERAS, LORI
STATE OF OHIOCOMMISSIONER, OCRC
IndividualCOLUMBUS, OH
$3,300
Nov 8, 2024
9
LAIRD, JAMES F.
DIAMOND HILLEXECUTIVE
IndividualDUBLIN, OH
$3,300
Nov 5, 2024
10
RICHARDSON, JOHN G.
SUGARCREEKCHAIRMAN
IndividualCINCINNATI, OH
$3,300
Dec 16, 2024

Rep. Simpson, Michael K. [R-ID-2]

ID: S001148

Top Contributors

10

1
MAPETSI POLICY GROUP LLC
OrganizationWASHINGTON, DC
$1,000
Aug 14, 2023
2
LARA HERWAY
OrganizationBOISE, ID
$713
Nov 29, 2023
3
EASTERN BAND OF, CHEROKEE INDIANS
NATIVE AMERICAN NATIONNATIVE AMERICAN NATION
IndividualCHEROKEE, NC
$3,300
Nov 5, 2024
4
EASTERN BAND OF, CHEROKEE INDIANS
NATIVE AMERICAN NATIONNATIVE AMERICAN NATION
IndividualCHEROKEE, NC
$3,300
Nov 22, 2024
5
NATION, CHEROKEE
NATIVE AMERICAN NATIONNATIVE AMERICAN NATION
IndividualTAHLEQUAH, OK
$3,300
Nov 5, 2024
6
VECCHIARELLI, DANIEL
LEPRINO FOODSVICE-CHAIRMAN
IndividualDENVER, CO
$3,300
Oct 30, 2024
7
ARNOLD, JOHN
RETIREDRETIRED
IndividualHOUSTON, TX
$3,300
Nov 28, 2023
8
ARNOLD, JOHN
RETIREDRETIRED
IndividualHOUSTON, TX
$3,300
Nov 28, 2023
9
BLUE, J. NEAL
GENERAL ATOMICS AERONAUTICALCEO
IndividualLA JOLLA, CA
$3,300
Dec 29, 2023
10
CHIPPEWA INDIAN TRIBE, SAGINAW
NATIVE AMERICAN TRIBENATIVE AMERICAN TRIBE
IndividualMT PLEASANT, MI
$3,300
Oct 25, 2023

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

ID: S001172

Top Contributors

10

1
PECHANGA BAND OF LUISENO INDIANS
OrganizationTEMECULA, CA
$3,300
Jul 25, 2024
2
PARKER, SEAN
SEAN N PARKER FOUNDATIONCHAIRMAN
IndividualPALO ALTO, CA
$13,200
Feb 28, 2024
3
ANDERSON, S MICKEY MR.
BAXTER AUTOMOTIVE GROUPPRESIDENT
IndividualOMAHA, NE
$13,200
Apr 6, 2023
4
STINSON, KENNETH E. MR.
PETER KIEWIT SONS INC.CHAIRMAN EMERITUS
IndividualOMAHA, NE
$13,200
Apr 6, 2023
5
CASSLING, MICHAEL MR.
CASSLING DIAGNOSTICPRESIDENT AND CEO
IndividualOMAHA, NE
$13,200
Aug 3, 2023
6
HAWKINS, FRED H. MR. JR.
HAWKINS CONSTRUCTION COMPANYCEO
IndividualOMAHA, NE
$6,600
Nov 5, 2023
7
KORALESKI, JACK MR.
RETIREDRETIRED
IndividualOMAHA, NE
$6,600
May 1, 2023
8
SCHWARZMAN, STEPHEN
BLACKSTONECEO/ CHAIRMAN
IndividualNEW YORK, NY
$6,600
Jun 20, 2023
9
SCHWARZMAN, CHRISTINE
RETIREDRETIRED
IndividualNEW YORK, NY
$6,600
Jun 21, 2023
10
DUGAN, VINCENT J. MR.
TREGO DUGAN AVIATION OF GRAND ISLANDPRESIDENT
IndividualNORTH PLATTE, NE
$6,600
Sep 28, 2023

Rep. Fischbach, Michelle [R-MN-7]

ID: F000470

Top Contributors

10

1
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$2,500
Dec 18, 2023
2
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
Nov 3, 2023
3
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
Jun 17, 2024
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
Jun 17, 2024
5
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$1,500
Mar 19, 2024
6
MS BAND OF CHOCTAW INDIANS
OrganizationCHOCTAW, MS
$1,000
Nov 5, 2024
7
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$1,000
Mar 27, 2023
8
SALT RIVER PIMA MARICOPA INDIAN COMMUNITY
OrganizationSCOTTSDALE, AZ
$1,000
Mar 31, 2023
9
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$1,000
Feb 27, 2024
10
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$1,000
Jun 28, 2023

Rep. Moore, Blake D. [R-UT-1]

ID: M001213

Top Contributors

10

1
JLS HOLDINGS LLC
OrganizationSALT LAKE CITY, UT
$9,900
Jul 13, 2023
2
THE CHICKASAW NATION
OrganizationADA, OK
$3,300
May 16, 2024
3
HEMMCO LLC
OrganizationOREM, UT
$2,500
Sep 15, 2023
4
R & O CONSTRUCTION
OrganizationOGDEN, UT
$2,500
Sep 13, 2023
5
PARKER, ALEXANDRA
APERCEN PARTNERS, LLC
IndividualPALO ALTO, CA
$6,600
Sep 20, 2024
6
PARKER, SEAN
APERCEN PARTNERS, LLC
IndividualPALO ALTO, CA
$6,600
Sep 20, 2024
7
KAUFMAN, TRENT
MGTEXECUTIVE
IndividualHOLLADAY, UT
$6,600
Sep 9, 2024
8
MOORE, BRENT
SOLTIS ADVISORSPARTNER
IndividualSALT LAKE CITY, UT
$6,000
Sep 26, 2024
9
MOORE, BRENT
SOLTIS ADVISORSPARTNER
IndividualSALT LAKE CITY, UT
$6,000
Sep 26, 2024
10
CHANG, JASON
IndividualMENLO PARK, CA
$3,300
Oct 30, 2024

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

PACs
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Total contributions: $174,028

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

Showing top 15 donors by contribution amount

15 Individuals

Industry Impact

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

  • Section 3(c) appropriates $2,500,000 for fiscal year 2026 to the CMS Program Management Account to carry out the subsequent study and report on acute hospital care at home, providing funding that supports hospitals participating in the initiative through data collection and analysis infrastructure.

Project 2025 Policy Matches

This bill shows semantic similarity to the following sections of the Project 2025 policy document.

Introduction

Moderate62.2%
Pages: 497-499

— 464 — Mandate for Leadership: The Conservative Promise l The Risk Adjustment Data Validation (RADV) rule; l The Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) demonstration; and l The Global and Professional Direct Contracting (GPDC, rebranded as the Accountable Care Organization Realizing Equity, Access, and Community Health or ACO REACH) model. Additionally, regulations should advance site neutrality by eliminating the inpa- tient-only list and expanding the ambulatory surgical center covered procedures list. Medicare generally pays more for inpatient hospital procedures and less for the same procedures performed in an outpatient setting. Whether a medical ser- vice is delivered in a physician’s office, a clinic, or a hospital setting, the Medicare payment for that service should be the same. CMS should expand the application of site-neutral payment options to more settings. Such a policy would level the playing field among providers and remove the financial disabilities for medical professionals who would compete with hospital systems.23 Finally, HHS needs to restore and enhance conscience protection regulations that allow medical practitioners to participate in federal health care programs without being compelled to provide sex changes or similar services. LEGISLATIVE PROPOSALS l Remove restrictions on physician-owned hospitals. The Affordable Care Act (ACA)24 imposed restrictions prohibiting Medicare from reimbursing physician-owned and specialty hospitals. The current restrictions do little more than serve the special interests of large hospital systems and undercut consumer choice of high-quality, specialty care. These restrictions should be removed so that physician-owned hospitals can compete with other hospitals in serving Medicare patients.25 l Encourage more direct competition between Medicare Advantage and private plans. Medicare Advantage (MA), a system of competing private health plans, is the major alternative to traditional Medicare for America’s large and growing cohort of seniors. The program provides beneficiaries with a wide range of competitive health plan choices—a richer set of benefits than traditional Medicare provides and at a reasonable cost. Equally as important, the MA program has been registering consistently high marks for superior performance in delivering high-quality care. Critical reforms are still needed to strengthen and improve the program for the future. Specifically:

Introduction

Moderate62.2%
Pages: 497-499

— 464 — Mandate for Leadership: The Conservative Promise l The Risk Adjustment Data Validation (RADV) rule; l The Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) demonstration; and l The Global and Professional Direct Contracting (GPDC, rebranded as the Accountable Care Organization Realizing Equity, Access, and Community Health or ACO REACH) model. Additionally, regulations should advance site neutrality by eliminating the inpa- tient-only list and expanding the ambulatory surgical center covered procedures list. Medicare generally pays more for inpatient hospital procedures and less for the same procedures performed in an outpatient setting. Whether a medical ser- vice is delivered in a physician’s office, a clinic, or a hospital setting, the Medicare payment for that service should be the same. CMS should expand the application of site-neutral payment options to more settings. Such a policy would level the playing field among providers and remove the financial disabilities for medical professionals who would compete with hospital systems.23 Finally, HHS needs to restore and enhance conscience protection regulations that allow medical practitioners to participate in federal health care programs without being compelled to provide sex changes or similar services. LEGISLATIVE PROPOSALS l Remove restrictions on physician-owned hospitals. The Affordable Care Act (ACA)24 imposed restrictions prohibiting Medicare from reimbursing physician-owned and specialty hospitals. The current restrictions do little more than serve the special interests of large hospital systems and undercut consumer choice of high-quality, specialty care. These restrictions should be removed so that physician-owned hospitals can compete with other hospitals in serving Medicare patients.25 l Encourage more direct competition between Medicare Advantage and private plans. Medicare Advantage (MA), a system of competing private health plans, is the major alternative to traditional Medicare for America’s large and growing cohort of seniors. The program provides beneficiaries with a wide range of competitive health plan choices—a richer set of benefits than traditional Medicare provides and at a reasonable cost. Equally as important, the MA program has been registering consistently high marks for superior performance in delivering high-quality care. Critical reforms are still needed to strengthen and improve the program for the future. Specifically: — 465 — Department of Health and Human Services 1. Make Medicare Advantage the default enrollment option. 2. Give beneficiaries direct control of how they spend Medicare dollars. 3. Remove burdensome policies that micromanage MA plans. 4. Replace the complex formula-based payment model with a competitive bidding model. 5. Reconfigure the current risk adjustment model. 6. Remove restrictions on key benefits and services, including those related to prescription drugs, hospice care, and medical savings account plans.26 Legacy Medicare Reform. Legislation reforming legacy (non-MA) Medicare should: l Base payments on the health status of the patient or intensity of the service rather than where the patient happens to receive that service. l Replace the bureaucrat-driven fee-for-service system with value- based payments to empower patients to find the care that best serves their needs. l Codify price transparency regulations. l Restructure 340B drug subsidies27 toward beneficiaries rather than hospitals. l Repeal harmful health policies enacted under the Obama and Biden Administrations such as the Medicare Shared Savings Program28 and Inflation Reduction Act.29 Medicare Part D Reform. The Inflation Reduction Act (IRA) created a drug price negotiation program in Medicare that replaced the existing private-sector negotiations in Part D with government price controls for prescription drugs. These government price controls will limit access to medications and reduce patient access to new medication. This “negotiation” program should be repealed, and reforms in Part D that will have meaningful impact for seniors should be pursued. Other reforms should include eliminating the coverage gap in Part D, reducing the government share in

Introduction

Moderate62.0%
Pages: 503-505

— 470 — Mandate for Leadership: The Conservative Promise from the subsidized market, giving the non-subsidized market regulatory relief from the costly ACA regulatory mandates.39 l Strengthen hospital price transparency. In 2020, CMS completed its rule to require hospitals to post the prices of common hospital procedures.40 Future updates of these rules should focus on including quality measures. Combined with the shared savings models and other consumer tools, these efforts could deliver considerable savings for consumers.41 Center for Consumer Information and Insurance Oversight (CCHO). CMS also plays an outsized role in overseeing the Obamacare exchanges, includ- ing managing Healthcare.gov, through the Center for Consumer Information and Insurance Oversight (CCIIO). While Obamacare limits plan options, CCIIO has been overly prescriptive in dictating what benefits and types of health plans may participate in the exchanges, thereby actually stifling market innovation and driv- ing up costs. Congress should build on the Trump Administration’s efforts to expand choices for small businesses and workers, both in and out of the exchanges, by codifying an expansion of association health plans, short-term health plans, and health reim- bursement arrangements (including individual coverage HRAs). CCIIO should also work with the Treasury Department and the Office of Management and Budget (OMB) to give consumers more flexibility with their health care dollars through expanded access to health savings accounts. EMERGENCY PREPAREDNESS l Expand the scope of practice of low-complexity and moderate- complexity clinical laboratories. During the COVID-19 pandemic, allowing laboratories greater regulatory flexibility regarding CLIA requirements increased access to testing. However, the need for regulatory flexibility is not limited to emergency situations. Ongoing innovations in medical care will continue to drive demand for clinical testing and new tests. One way that increasing demand for other medical services has been accommodated is by revising restrictions on scope of practice to enable providers to practice at the so-called top of their license. CMS should similarly revise CLIA rules regarding scope of practice for clinical laboratories and testing personnel.42 l Create CLIA-certification-equivalent pathways for non-clinical laboratories and researchers. The COVID-19 pandemic revealed that the U.S. needs to leverage the expertise of non-clinical laboratories and researchers in order to bolster clinical testing capacity. To accomplish this, — 471 — Department of Health and Human Services CMS should create pathways for granting non-clinical laboratories and their testing personnel CLIA certification equivalency. Non-clinical researchers already demonstrate their technical expertise through online training and certification programs. CMS should build on that existing framework so that those laboratories and personnel can similarly demonstrate their clinical testing capabilities.43 LIFE, CONSCIENCE, AND BODILY INTEGRITY l Prohibit abortion travel funding. Providing funding for abortions increases the number of abortions and violates the conscience and religious freedom rights of Americans who object to subsidizing the taking of life. The Hyde Amendment44 has long prohibited the use of HHS funds for elective abortions, but an August 2022 Biden executive order45 pressed the HHS Secretary to use his authority under Section 1115 demonstrations to waive certain provisions of the law in order to use taxpayer funds to achieve the Administration’s goal of helping women to travel out of state to obtain abortions. Moreover, the Department of Justice Office of Legal Counsel (DOJ OLC) issued a politicized legal opinion declaring, for the first time in the history of Hyde, that this action did not violate the Hyde Amendment and that Hyde applies only to the performance of the abortion itself in violation of the plainly broad language that Congress used. Two of the first actions of a pro-life Administration should be for HHS to withdraw the Medicaid guidance (and any Section 1115 waivers issued thereunder) and for DOJ OLC to withdraw and disavow its interpretation of the Hyde Amendment. l Prohibit Planned Parenthood from receiving Medicaid funds. During the 2020–2021 reporting period, Planned Parenthood performed more than 383,000 abortions.46 The national organization reported more than $133 million in excess revenue47 and more than $2.1 billion in net assets.48 During this same year, Planned Parenthood reports that its affiliates received more than $633 million in government funding and more than $579 million in private contributions.49 Planned Parenthood affiliates face accusations of waste, abuse and potential fraud with taxpayer dollars, failure to report the sexual abuse of minor girls, and allegations of profiting from the sale of organs from aborted babies. Policymakers should end taxpayer funding of Planned Parenthood and all other abortion providers and redirect funding to health centers that provide real health care for women. The bulk of federal funding for Planned

Showing 3 of 4 policy matches

About These Correlations

Policy matches are calculated using semantic similarity between bill summaries and Project 2025 policy text. A score of 60% or higher indicates meaningful thematic overlap. This does not imply direct causation or intent, but highlights areas where legislation aligns with Project 2025 policy objectives.

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