To reauthorize the Kay Hagan Tick Act, and for other purposes.

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Bill ID: 119/hr/4348
Last Updated: August 19, 2026

Sponsored by

Rep. Smith, Christopher H. [R-NJ-4]

ID: S000522

Follow the money

The bill

To reauthorize the Kay Hagan Tick Act, and for other purposes.

HR. 4348, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. Smith, Christopher H. [R-NJ-4]

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

The money

$67,100 raised

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

The alignment

70% match to Project 2025

This bill's text tracks the "14" section, p. 485-487 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. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 463.

July 20, 2026

Introduced

Committee Review

Floor Action

Passed House

Senate Review

📍 Current Status

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

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

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

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

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

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

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

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

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

Bill Summary

Another masterpiece of legislative theater, courtesy of the geniuses in Congress. Let's dissect this farce, shall we?

**Main Purpose & Objectives:** The main purpose of HR 4348 is to reauthorize the Kay Hagan Tick Act, because, apparently, ticks are a pressing national concern that requires constant attention and funding. I mean, who needs to address actual problems like healthcare, education, or infrastructure when you can spend millions on tick-borne disease research? The objectives, of course, are to make it seem like Congress is doing something useful while actually just throwing money at special interest groups.

**Key Provisions & Changes to Existing Law:** Oh boy, this bill is a real thrill-ride. It amends the Public Health Service Act to... wait for it... extend funding for tick-borne disease research and regional centers of excellence from 2021-2025 to 2026-2030. Wow, I bet the suspense was killing you. It also inserts some vague language about increasing capacity to identify, report, prevent, and respond to vector-borne diseases. Because, clearly, the current system is working so well that we just need to tweak it a bit more.

**Affected Parties & Stakeholders:** The affected parties are, of course, the tick-borne disease research community, which will receive a nice influx of cash to continue their vital work. I'm sure the lobbyists for these groups are already popping champagne corks. The stakeholders include health departments, which will supposedly benefit from "enhanced support" to address vector-borne diseases. Yeah, because that's exactly what they need – more bureaucratic red tape and funding that will inevitably get siphoned off into administrative costs.

**Potential Impact & Implications:** The potential impact of this bill is precisely zero. It's a Band-Aid on a bullet wound, a token gesture to make it seem like Congress cares about public health. In reality, it's just a way to funnel money to special interest groups and keep the gravy train rolling. The implications are that we'll continue to waste taxpayer dollars on feel-good legislation that doesn't actually address any real problems.

Diagnosis: This bill is a classic case of " Legislative Laryngitis" – a condition where politicians pretend to care about an issue but actually just want to look good while doing nothing substantive. Symptoms include vague language, unnecessary funding extensions, and a complete lack of meaningful reform. Treatment: a healthy dose of skepticism, a strong stomach, and a willingness to call out the blatant hypocrisy. Prognosis: we'll be seeing more of this nonsense in the future, because, sadly, it's just business as usual in Washington.

Related Topics

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

💰 Campaign Finance Network

Rep. Smith, Christopher H. [R-NJ-4]

Congress 119 • 2024 Election Cycle

Total Contributions
$67,100
17 donors
PACs
$0
Organizations
$1,100
Committees
$0
Individuals
$66,000

No PAC contributions found

1
WALL REPUBLICAN CLUB
1 transaction
$1,100

No committee contributions found

1
HOLMES, WILLIAM MR.
2 transactions
$6,600
2
FRANKEL, KEITH MR.
2 transactions
$6,600
3
CROWLEY-DEANGELIS, DENISE MRS.
2 transactions
$6,600
4
SAKER, RICHARD MR.
2 transactions
$6,600
5
CLAYTON, WILLIAM MR.
1 transaction
$3,300
6
DUNCAN, JAN L. MRS.
1 transaction
$3,300
7
HARRIS, MARY ELLEN MRS.
1 transaction
$3,300
8
KOLBER, GEORGE MR.
1 transaction
$3,300
9
OBERHELMAN, DIANE MRS.
1 transaction
$3,300
10
DEANGELIS, MARK MR.
1 transaction
$3,300
11
ADJMI, HARRY MR.
1 transaction
$3,300
12
ROHAN GREEN, D'ARCY MRS.
1 transaction
$3,300
13
FRANKEL, TAMMY MRS.
1 transaction
$3,300
14
HILL, VERNON
1 transaction
$3,300
15
SAKER, LAURA MRS.
1 transaction
$3,300
16
SUN, ROBERT X. MR.
1 transaction
$3,300

Cosponsors & Their Campaign Finance

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

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. Kean, Thomas H. [R-NJ-7]

ID: K000398

Top Contributors

22

1
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Oct 24, 2024
2
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Dec 27, 2024
3
LOEB, JOHN
RETIRED • RETIRED
IndividualPURCHASE, NY
$6,600
Nov 4, 2024
4
LOEB, JOHN
IndividualPURCHASE, NY
$6,600
Nov 4, 2024
5
VOCCOLA, FREDERICK
KASEYA • CEO
IndividualMIAMI, FL
$6,600
Mar 1, 2024
6
PISANO, JOHN
IndividualWEST PALM BEACH, FL
$3,700
Jan 22, 2024
7
VOCCOLA, FREDERICK
IndividualMIAMI, FL
$3,500
Mar 12, 2024
8
NIEMIEC, DAVID
SELF • INVESTMENTS
IndividualNEW YORK, NY
$3,300
Oct 11, 2024
9
TAYLOR, ALEXANDER
MATRIX DEV GRP • REAL ESTATE
IndividualBELMAR, NJ
$3,300
Oct 1, 2024
10
BRUECKNER, RICHARD F.
RETIRED • RETIRED
IndividualBEDMINSTER, NJ
$3,300
Oct 4, 2024

Rep. Tonko, Paul [D-NY-20]

ID: T000469

Top Contributors

20

1
KHAN, FARAZ A.
SELF-EMPLOYED • REAL ESTATE
IndividualALBANY, NY
$3,300
Nov 3, 2024
2
GATES, WILLIAM H. III
BILL & MELINDA GATES FOUNDATION • CO-CHAIR
IndividualREDMOND, WA
$3,300
Oct 19, 2023
3
ARNOLD, LAURA
NOT EMPLOYED • RETIRED
IndividualHOUSTON, TX
$3,300
May 8, 2024
4
ARPEY, MICHAEL W.
HUNTER POINT CAPITAL • PRESIDENT
IndividualSARATOGA SPRINGS, NY
$3,300
Mar 29, 2023
5
ARPEY, MICHAEL W.
HUNTER POINT CAPITAL • PRESIDENT
IndividualSARATOGA SPRINGS, NY
$3,300
Mar 29, 2023
6
ARPEY, STACIE
NOT EMPLOYED • HOMEMAKER
IndividualSARATOGA SPRINGS, NY
$3,300
Mar 29, 2023
7
ARPEY, STACIE
NOT EMPLOYED • HOMEMAKER
IndividualSARATOGA SPRINGS, NY
$3,300
Mar 29, 2023
8
BLOOD, DAVID W.
GENERATION INVESTMENT MANAGEMENT • INVESTMENT MANAGER
IndividualASPEN, CO
$3,300
Mar 8, 2023
9
BLOOD, DAVID W.
GENERATION INVESTMENT MANAGEMENT • INVESTMENT MANAGER
IndividualASPEN, CO
$3,300
Mar 8, 2023
10
DECHMAN, DAVID
SUMMIT ROCK ADVISORS • INVESTMENTS
IndividualNEW YORK, NY
$3,300
Mar 6, 2023

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

ID: F000466

Top Contributors

22

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

Del. Moylan, James C. [R-GU-At Large]

ID: M001219

Top Contributors

23

1
EYE OF THE TIGER PAC
PACARLINGTON, VA
$5,000
Sep 20, 2024
2
JOHNSON FOR LOUISIANA
CCMMETARIE, LA
$2,000
Oct 18, 2024
3
ROBERT J. TORRES TRUST
OrganizationTAMUNING, GU
$250
Feb 19, 2024
4
MOYLAN, JUDITH A.
MOYLAN'S INSURANCE • PRESIDENT
IndividualBARRIGADA HEIGHTS, GU
$3,300
Oct 21, 2024
5
ANDERSON, KIM FELL
SECURITY TITLE • VICE PRESIDENT
IndividualTAMUNING, GU
$3,300
Sep 20, 2024
6
HABECK, TERRY W
AVIATION CONCEPTS INC. • CEO
IndividualBARRIGADA, GU
$3,300
Aug 20, 2024
7
YSRAEL, MICHAEL
YTANO TA PARTNERS • CEO
IndividualTUMON, GU
$3,300
Aug 20, 2024
8
YSRAEL, THERESA
Y TANO TA PARTNERS • VICE PRESIDENT
IndividualTAMUNING, GU
$3,300
Aug 20, 2024
9
FLORES, PHILIP J.
BANK PACIFIC • PRESIDENT
IndividualHAGATNA, GU
$3,000
Jun 13, 2024
10
SGRO, ANTHONY P
PARADISE FITNESS • PRESIDENT
IndividualHAGATNA, GU
$3,000
Jun 20, 2024

Rep. Gottheimer, Josh [D-NJ-5]

ID: G000583

Top Contributors

29

1
AMERICAN EXPRESS
OrganizationNEWARK, NJ
$22,941
Apr 12, 2024
2
AMERICAN EXPRESS
OrganizationNEWARK, NJ
$10,621
May 10, 2024
3
PAYROLL DATA PROCESSING
OrganizationTAMPA, FL
$6,337
May 15, 2024
4
PAYROLL DATA PROCESSING
OrganizationTAMPA, FL
$6,337
Apr 15, 2024
5
PAYROLL DATA PROCESSING
OrganizationTAMPA, FL
$6,337
Apr 30, 2024
6
PAYROLL DATA PROCESSING
OrganizationTAMPA, FL
$5,751
Apr 1, 2024
7
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Oct 22, 2024
8
SEKAS LAW GROUP LLC
OrganizationENGLEWOOD CLIFFS, NJ
$1,500
Apr 12, 2024
9
SANDOR F. GENET & ASSOCIATES, P.A.
OrganizationNORTH MIAMI BEACH, FL
$250
Apr 12, 2024
10
FIRESTONE MILKEN, SARAH
NOT EMPLOYED • NOT EMPLOYED
IndividualPACIFIC PALISADES, CA
$13,200
Jul 2, 2024

Rep. Davis, Donald G. [D-NC-1]

ID: D000230

Top Contributors

26

1
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
Mar 5, 2024
2
TUNICA-BILOXI TRIBE OF LA
OrganizationMARKSVILLE, LA
$2,000
Dec 31, 2023
3
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
Jun 6, 2023
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
May 13, 2024
5
BARONA BAND OF MISSION INDIANS
OrganizationLAKESIDE, CA
$1,500
May 31, 2023
6
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$1,000
Dec 28, 2023
7
FISHER, DEBORAH
NOT EMPLOYED • NOT EMPLOYED
IndividualCOEUR D ALENE, ID
$4,000
Jul 29, 2024
8
BLOOM, BRADLEY
BERKSHIRE PARTNERS LLC • INVESTMENTS
IndividualWELLESLEY, MA
$3,300
Oct 31, 2024
9
BRAUFMAN, JILL
NOT EMPLOYED • RETIRED
IndividualSURFSIDE, FL
$3,300
Oct 18, 2024
10
CLAPP, STEPHEN
SELF EMPLOYED • RANCHER
IndividualSEQUIM, WA
$3,300
Oct 30, 2024

Rep. Moore, Gwen [D-WI-4]

ID: M001160

Top Contributors

49

1
FOREST COUNTY POTAWATOMI COMMUNITY
OrganizationCRANDON, WI
$3,300
Dec 23, 2024
2
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$3,300
Mar 31, 2023
3
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Mar 31, 2023
4
MUSCOGEE CREEK NATION
OrganizationOKMULGEE, OK
$3,300
Dec 15, 2023
5
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Mar 18, 2024
6
MUSCOGEE CREEK NATION
OrganizationOKMULGEE, OK
$3,300
Jun 14, 2024
7
ONEIDA NATION
OrganizationONEIDA, WI
$3,300
May 3, 2024
8
PUYALLUP TRIBE OF INDIANS
OrganizationTACOMA, WA
$3,300
May 3, 2024
9
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$3,300
Jun 6, 2024
10
AGUA CALIENTE BAND OF CAHUILLA INDIANS
OrganizationPALM SPRINGS, CA
$3,300
Jun 30, 2023

Rep. Budzinski, Nikki [D-IL-13]

ID: B001315

Top Contributors

26

1
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
Jun 13, 2023
2
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
Apr 30, 2024
3
LABORERS LOCAL 397 PAC
OrganizationEDWARDSVILLE, IL
$500
Jul 22, 2024
4
PLUMBERS & PIPEFITTERS LOCAL 553
OrganizationEAST ALTON, IL
$500
Jul 26, 2024
5
LABORERS LOCAL 397 PAC
OrganizationEDWARDSVILLE, IL
$500
Oct 8, 2024
6
PLUMBERS & PIPEFITTERS LOCAL 553
OrganizationEAST ALTON, IL
$500
Oct 8, 2024
7
FISHER, CYNTHIA
PATIENTRIGHTSADVOCATE.ORG • CHAIRMAN
IndividualPALM BEACH, FL
$3,300
Oct 22, 2024
8
MURPHY, JAMES
INVENERGY LLC • PRESIDENT
IndividualBARRINGTON, IL
$3,300
Oct 20, 2024
9
NELSON, REED C.
NELSON AND NELSON • ATTORNEY
IndividualCOLLINSVILLE, IL
$3,300
Oct 9, 2024
10
NI, PIN
WANXIANG AMERICA CORPORATION • PRESIDENT
IndividualSOUTH BARRINGTON, IL
$3,300
Oct 21, 2024

Rep. Sykes, Emilia Strong [D-OH-13]

ID: S001223

Top Contributors

27

1
EMILYS LIST
CONDUIT TOTAL LISTED IN AGG. FIELD
PACWASHINGTON, DC
$300
Nov 16, 2023
2
EMILYS LIST
CONDUIT TOTAL LISTED IN AGG. FIELD
PACWASHINGTON, DC
$250
Nov 8, 2023
3
EMILYS LIST
CONDUIT TOTAL LISTED IN AGG. FIELD
PACWASHINGTON, DC
$200
Nov 8, 2023
4
EMILY'S LIST
CONDUIT TOTAL LISTED IN AGG. FIELD
PACWASHINGTON, DC
$100
Oct 30, 2024
5
EMILYS LIST
CONDUIT TOTAL LISTED IN AGG. FIELD
PACWASHINGTON, DC
$100
Nov 3, 2023
6
EMILY'S LIST
CONDUIT TOTAL LISTED IN AGG. FIELD
PACWASHINGTON, DC
$30
Oct 23, 2024
7
TUNICA BILOXI TRIBE OF LA
OrganizationMARKSVILLE, LA
$3,300
Dec 29, 2023
8
BEDNYAK, JERRY
SKYBOX CAPITAL • OWNER
IndividualGLENCOE, IL
$3,300
Oct 14, 2024
9
BLOOM, BRADLEY
BERKSHIRE PARTNERS LLC • INVESTMENTS
IndividualWELLESLEY, MA
$3,300
Oct 31, 2024
10
HELLMAN, FRANCES
UC BERKELEY • PROFESSOR
IndividualBERKELEY, CA
$3,300
Oct 29, 2024

Donor Network - Rep. Smith, Christopher H. [R-NJ-4]

PACs
Organizations
Individuals
Politicians

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

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Showing 19 nodes and 22 connections

Total contributions: $22

Top Donors - Rep. Smith, Christopher H. [R-NJ-4]

Showing top 17 donors by contribution amount

1 Org16 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 2 helped.

  • Section 1(a)(2) amends subsection (c)(4) of Section 317U of the Public Health Service Act to increase capacity to identify, report, prevent, and respond to vector-borne diseases, which benefits hospitals and health systems by enhancing their ability to manage such diseases.

  • +Biotech & Researchconfidence 0.85

    Section 1(a)(2) supports increased capacity to identify, report, prevent, and respond to vector-borne diseases, which can benefit biotech firms involved in diagnostics, vaccines, and therapeutics for diseases like Lyme and other tick-borne illnesses.

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.

14

Moderate
Vector: 59%
Pages: 485-487AI Enhanced

AI Analysis:

"Both the bill and the Project 2025 section emphasize improving public health surveillance and data capacity, but the bill focuses narrowly on tick-borne disease programs while the policy calls for broad CDC structural reforms, resulting in only moderate thematic overlap."

Key themes:disease surveillancepublic health fundingdata collectionhealth department supportvector-borne disease prevention

— 453 — Department of Health and Human Services and publishing epidemiological data from the individual states—a scientific data-gathering function. This information is crucial for medical and public health researchers around the country. On the other hand, the CDC is also responsible for making public health recommendations and policies—an inescapably political function. At times, these two functions are in tension or clear conflict. In February 2022, for example, it was reported that “[t]wo full years into the pandemic, the agency leading the country’s response to the public health emergency has pub- lished only a tiny fraction of the data it has collected,” much of which “could [have helped] state and local health officials better target their efforts to bring the virus under control.” A CDC spokesman said that one of the reasons was “fear that the information might be misinterpreted.”4 These distinct functions should be separated into two entirely separate agen- cies with a firewall between them. We need a national epidemiological agency responsible only for publishing data and required by law to publish all of the data gathered from states and other sources. A separate agency should be responsible for public health with a severely confined ability to make policy recommendations. The CDC can and should make assessments as to the health costs and benefits of health interventions, but it has limited to no capacity to measure the social costs or benefits they may entail. For example, how much risk mitigation is worth the price of shutting down churches on the holiest day of the Christian calendar and far beyond as happened in 2020? What is the proper balance of lives saved versus souls saved? The CDC has no business making such inherently political (and often unconstitutional) assessments and should be required by law to stay in its lane. The CDC’s initial COVID-19 testing failures were largely the result of that agen- cy’s prioritizing its own development and production of tests using its internal staff and facilities. The private sector is much better positioned to tackle the chal- lenges inherent in developing and manufacturing novel products, as illustrated by the relative success of the alternative approach to facilitating the development of COVID-19 vaccines and therapeutics by private companies that was adopted by the Food and Drug Administration (FDA). When it comes to testing, the CDC’s role should similarly be to facilitate rather than supplant the efforts of private test developers, academic laboratories, state public health laboratories, and clinical testing providers. When responding to a novel pathogen, the CDC should focus on gathering and disseminating information, including specimens needed for development of positive controls and reference panels, and ensuring that test developers can develop and validate diagnostic tests. These changes will require a shift in priorities and culture at the CDC—and throughout HHS more broadly.5 Most problematically, the CDC presented itself as a kind of “super-doctor” for the entire nation. The CDC is a public health institution, not a medical institution. According to its mission statement, the agency focuses on “disease prevention and — 454 — Mandate for Leadership: The Conservative Promise control, environmental health, and health promotion and health education activi- ties.”6 It is not qualified to offer (and usually does not purport to offer) professional medical opinions applicable to specific patients. From time to time, the CDC offers findings and recommendations that compe- tent medical practitioners often will consider in arriving at a professional medical judgment for a particular patient. In this respect, CDC guidelines are analogous to guidelines from other public health associations or medical societies: They are informative, not prescriptive. By statute or regulation, CDC guidance must be prohibited from taking on a prescriptive character. For example, never again should CDC officials be allowed to say in their official capacity that school children “should be” masked or vaccinated (through a schedule or otherwise) or prohibited from learning in a school building. Such decisions should be left to parents and medical providers. We have learned that when CDC says what people “should” do, it readily becomes a “must” backed by severe punishments, including criminal penalties. CDC should report on the risks and effectiveness of all infectious disease-mitigation measures dispassionately and leave the “should” and “must” policy calls to politically accountable parties. Conflicts of Interest. There was a time when the CDC could not take money from the pharmaceutical industry, but in 1992, the agency discovered a loophole in federal law that allowed it to accept pharma contributions through the nonprofit CDC Foundation. The money started flowing immediately: From 2014 through 2018, the CDC Foundation received $79.6 million from pharmaceutical corpo- rations like Pfizer, Biogen, and Merck.7 This practice presents a stark conflict of interest that should be banned. Data Systems. The COVID-19 pandemic has revealed the disastrous public health consequences of the CDC’s failure to follow multiple congressional mandates to modernize its data infrastructure. Current reporting methods are burdensome for frontline medical workers, yet they result only in fragmented data that are not available in real time or usable across systems. Congress should require HHS to prioritize the electronic collection and dis- semination of robust, privacy-protected data that better leverages existing systems while reducing burdens on clinicians. HHS should also enter into a public–private partnership with a data-management expert to develop a system that makes crit- ical information available to health care workers and policymakers in real time.8 The CDC operates several programs related to vaccine safety including the Vac- cine Adverse Event Reporting System (VAERS); Vaccine Safety Datalink (VSD); and Clinical Immunization Safety Assessment (CISA) Project. Those functions and their associated funding should be transferred to the FDA, which is responsible for post-market surveillance and evaluation of all other drugs and biological products. Respect for Life and Conscience. The CDC should eliminate programs and projects that do not respect human life and conscience rights and that undermine

Department of Health and Human Services

Weak
Vector: 58%
Pages: 533-535AI Enhanced

AI Analysis:

"Both the bill and the Project 2025 HHS section fall under broader health policy, but the bill focuses on tick-borne disease surveillance and prevention while Project 2025 emphasizes Medicaid reform, abortion policy, price transparency, and related conservative health priorities, resulting only tangential overlap."

Key themes:public healthDepartment of Health and Human Servicesdisease prevention

— 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

Minimal
Vector: 60%
Pages: 533-535AI Enhanced

AI Analysis:

"HR 4348 focuses on reauthorizing the Kay Hagan Tick Act to combat tick-borne diseases through public health funding and strategy, while the Project 2025 HHS section primarily addresses abortion-related policies, civil rights in healthcare, and conscience protections—there is no substantive thematic or policy overlap."

— 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).

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About These Correlations

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

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