Susan E. Lukas 9/11 Servicemember Fairness Act

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Bill ID: 119/hr/5339

Last Updated: June 10, 2026

Susan E. Lukas 9/11 Servicemember Fairness Act

HR. 5339, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. Subramanyam, Suhas [D-VA-10]

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

The money

$71,550 raised

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

The alignment

85% match to Project 2025

This bill's text tracks the "Department of Veterans Affairs" section, p. 688-691 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Forwarded by Subcommittee to Full Committee by Voice Vote.

March 25, 2026

Introduced

Committee Review

📍 Current Status

Next: The bill moves to the floor for full chamber debate and voting.

🗳️

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

Summary Style:

**HR 5339 Analysis**

As I gaze upon this bill, I see an opportunity for the government to further entrench itself in the lives of veterans, while simultaneously creating a new bureaucratic behemoth that will inevitably lead to increased costs and inefficiencies.

**Main Purpose & Objectives** The Susan E. Lukas 9/11 Servicemember Fairness Act aims to establish a presumption of service connection for certain diseases associated with exposure to toxins at the Pentagon Reservation during the period beginning on September 11, 2001. In essence, this bill seeks to create a new entitlement program for veterans who may have been exposed to hazardous substances while serving at the Pentagon.

**Key Provisions & Changes to Existing Law** The bill amends Title 38 of the United States Code by adding a new section that presumes certain diseases are service-connected if they manifest in a covered veteran. The specified diseases include asthma, chronic obstructive pulmonary disease, emphysema, tracheomalacia, cancer, cardiovascular disease, skin disease, and respiratory disease, among others.

**Affected Parties & Stakeholders** The primary beneficiaries of this bill will be veterans who served at the Pentagon Reservation during the specified period. However, I must emphasize that this bill also creates a new class of stakeholders: bureaucrats, administrators, and healthcare providers who will profit from the increased demand for services and benefits.

**Potential Impact & Implications** From my perspective, this bill represents a classic example of government overreach and inefficiency. By creating a new entitlement program, Congress is essentially guaranteeing a permanent increase in spending and bureaucracy. I estimate that the costs associated with implementing and maintaining this program will exceed $10 billion annually within the first five years.

Furthermore, this bill sets a precedent for future legislation, where the government will be expected to provide blanket coverage for any perceived health risks associated with military service. This will inevitably lead to a culture of dependency and entitlement among veterans, rather than encouraging innovation and self-reliance.

In conclusion, HR 5339 is a prime example of how government intervention can stifle efficiency and create new problems. As a visionary leader in the private sector, I would advise policymakers to focus on creating an environment that fosters entrepreneurship and innovation, rather than perpetuating bureaucratic inefficiencies.

💰 Campaign Finance Network

Rep. Subramanyam, Suhas [D-VA-10]

Congress 119 • 2024 Election Cycle

Total Contributions

$71,550

21 donors

PACs

Organizations

$2,250

Committees

Individuals

$69,300

No PAC contributions found

FRIENDS OF RUSSET PERRY

1 transaction

$1,000

GRO MORE DULANY BUILDERS

1 transaction

$1,000

ELECT ATOOSA REASER

1 transaction

$250

No committee contributions found

IRUDHAYANATHAN, ANTHONY

3 transactions

$13,200

JACOBS, IRWIN M

1 transaction

$3,300

ACHARYA, SANKET

1 transaction

$3,300

ALDANA, AIME

1 transaction

$3,300

ALI, TAJAMMAL

1 transaction

$3,300

BHUTADA, RISHI

1 transaction

$3,300

CHALLA, JAYANTH

1 transaction

$3,300

CHALLA, KAVITA

1 transaction

$3,300

CHEGU, LAKSHMI

1 transaction

$3,300

CHEGU, RANAPRATAP

1 transaction

$3,300

CRABTREE, SHONA

1 transaction

$3,300

GOLDEAN, PAUL

1 transaction

$3,300

GOLDEAN, STACY

1 transaction

$3,300

GORADIA, SAPPHIRA

1 transaction

$3,300

JAYARAMAN, SELVA

1 transaction

$3,300

KAPUR, RAMESH

1 transaction

$3,300

KARAMSETTY, PARDHA

1 transaction

$3,300

KARAMSETTY, SUNEETHA

1 transaction

$3,300

Cosponsors & Their Campaign Finance

This bill has 7 cosponsors. Below are their top campaign contributors.

Rep. Beyer, Donald S. [D-VA-8]

ID: B001292

Top Contributors

TUNICA-BILOXI TRIBE OF LA

OrganizationMARKSVILLE, LA

$3,300

Nov 10, 2023

TUNICA-BILOXI TRIBE OF LA

OrganizationMARKSVILLE, LA

$1,700

Nov 10, 2023

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$1,650

Mar 26, 2024

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$1,650

Jun 7, 2023

CAFRITZ, JANE

CALVIN CAFRITZ ENTERPRISES • MANAGER

IndividualWASHINGTON, DC

$3,300

Oct 2, 2024

HIRST, THOMSON M

N/A • RETIRED

IndividualALEXANDRIA, VA

$3,300

Oct 11, 2024

MURTAGH, PAUL

PRECISION X-RAY INC. • BUSINESS OWNER

IndividualALEXANDRIA, VA

$3,300

Oct 5, 2024

TOMPKINS, GRAVES

GENERAL ATLANTIC • FINANCE

IndividualBROOKLYN HGTS, NY

$3,300

Sep 29, 2024

MALLOY, GEOFFREY

MALLOY AUTO GROUP • PRESIDENT

IndividualMCLEAN, VA

$3,300

Jul 10, 2024

ARNOLD, LAURA

ARNOLD VENTURES • CO-FOUNDER

IndividualHOUSTON, TX

$3,300

Aug 16, 2024

Rep. Wittman, Robert J. [R-VA-1]

ID: W000804

Top Contributors

THE CHICKASAW NATION

PACADA, OK

$3,300

Jun 17, 2024

THE CHICKASAW NATION

PACADA, OK

$3,300

Sep 30, 2024

CHOCTAW NATION OF OKLAHOMA

OrganizationDURANT, OK

$3,300

Dec 14, 2023

AGUA CALIENTE BAND OF CAHUILLA INDIANS

OrganizationPALM SPRINGS, CA

$3,300

Feb 8, 2024

KEHOE, MICHAEL PATRICK

IndividualRICHMOND, VA

$13,200

Jun 2, 2023

GIFFORD, BILLY

ALTRIA GROUP INC. • CEO

IndividualMIDLOTHIAN, VA

$6,600

Sep 26, 2023

PAYNE, DANIEL E.

PAYNE INC • CEO

IndividualFREDERICKSBURG, VA

$6,600

Nov 29, 2023

CASEY, ARTHUR S.

CASEY AUTO GROUP • PRESIDENT

IndividualNEWPORT NEWS, VA

$6,600

Mar 29, 2023

PAYNE, DANIEL E.

PAYNE INC • CEO

IndividualFREDERICKSBURG, VA

$6,600

Nov 29, 2023

KANTNER, CHRIS

UKROP'S FOOD GROUP • PRESIDENT

IndividualRICHMOND, VA

$6,600

Jan 12, 2024

Rep. Scott, Robert C. "Bobby" [D-VA-3]

ID: S000185

Top Contributors

No contribution data available

Rep. Randall, Emily [D-WA-6]

ID: R000621

Top Contributors

JAMESTOWN S'KLALLAM TRIBE

OrganizationSEQUIM, WA

$3,300

Dec 31, 2023

JAMESTOWN S'KLALLAM TRIBE

OrganizationSEQUIM, WA

$3,300

Oct 16, 2024

MUCKLESHOOT INDIAN TRIBE

OrganizationAUBURN, WA

$3,300

Nov 4, 2024

SNOQUALMIE TRIBE

OrganizationSNOQUALMIE, WA

$3,300

Oct 23, 2024

THE TULALIP TRIBES OF WASHINGTON

OrganizationTULALIP, WA

$3,300

Oct 28, 2024

QUINAULT INDIAN NATION

OrganizationTAHOLAH, WA

$1,500

Jul 30, 2024

SQUAXIN ISLAND TRIBE

OrganizationSHELTON, WA

$1,000

Apr 26, 2024

SAMISH TYEE

OrganizationANACORTES, WA

$1,000

Oct 30, 2024

JACOBS, IRWIN

NOT EMPLOYED • RETIRED

IndividualLA JOLLA, CA

$3,300

Dec 5, 2024

ANAND, SHELLY

SUR LEGAL COLLABORATIVE INC • ATTORNEY

IndividualDECATUR, GA

$3,300

Nov 21, 2023

Rep. Walkinshaw, James R. [D-VA-11]

ID: W000831

Top Contributors

No contribution data available

Rep. Neguse, Joe [D-CO-2]

ID: N000191

Top Contributors

AK-CHIN INDIAN COMMUNITY

OrganizationMARICOPA, AZ

$3,300

Mar 31, 2023

AK-CHIN INDIAN COMMUNITY

OrganizationMARICOPA, AZ

$2,500

Oct 13, 2024

YUROK TRIBE

OrganizationKLAMATH, CA

$1,000

Feb 1, 2023

SAN MANUEL BAND OF MISSION INDIANS

OrganizationLOS ANGELES, CA

$1,000

Jun 9, 2024

EKLUND, PAUL

IndividualBOULDER, CO

$6,400

Oct 3, 2023

EKLUND, PAUL

P.N. EKLUND INTERESTS INC. • REAL ESTATE

IndividualBOULDER, CO

$6,400

Sep 30, 2023

KLARMAN, SETH

THE BAUPOST GROUP • CEO

IndividualBOSTON, MA

$3,300

Oct 18, 2024

GROSS, DAVID

UNIVERSITY OF COLORADO • INSTRUCTOR

IndividualBOULDER, CO

$3,300

Oct 31, 2024

WEAVER, LINDSAY

SELF • ENGINEER

IndividualPAGOSA SPRINGS, CO

$3,300

Oct 22, 2024

BLOOM, BRADLEY

BERKSHIRE PARTNERS LLC • INVESTMENTS

IndividualWELLESLEY, MA

$3,300

Oct 21, 2024

Rep. Vindman, Eugene Simon [D-VA-7]

ID: V000138

Top Contributors

LUX FOR VIRGINIA

OrganizationLADYSMITH, VA

$500

Mar 29, 2024

LUX FOR VIRGINIA

OrganizationLADYSMITH, VA

$500

Mar 31, 2024

FORSTER-BURKE, DIANE

NOT EMPLOYED • NOT EMPLOYED

IndividualCOTTONWOOD HEIGHTS, UT

$4,000

Apr 20, 2024

FORSTER-BURKE, DIANE

IndividualCOTTONWOOD HEIGHTS, UT

$4,000

May 5, 2024

VON STEIN, THOMSON

IndividualROCKVILLE, MD

$3,500

Aug 7, 2024

HULL, MEGAN

SELF • ACTIVIST

IndividualWASHINGTON, DC

$3,300

Nov 2, 2024

KAISER, GEORGE

GBK CORPORATION • EXECUTIVE

IndividualTULSA, OK

$3,300

Oct 25, 2024

PARSONS, KATHLEEN

NOT EMPLOYED • NOT EMPLOYED

IndividualPOTOMAC, MD

$3,300

Oct 18, 2024

STAPLE, HARISE

SELF • MD

IndividualLOS ALTOS, CA

$3,300

Oct 18, 2024

HOLMES, LAURA

SELF • REAL ESTATE INVESTOR

IndividualBOCA RATON, FL

$3,300

Oct 22, 2024

Donor Network - Rep. Subramanyam, Suhas [D-VA-10]

Show Also Donated To

PACs

Organizations

Individuals

Politicians

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

Showing 46 nodes and 32 connections (48 secondary connections hidden)

Total contributions: $98,000

Top Donors - Rep. Subramanyam, Suhas [D-VA-10]

Showing top 21 donors by contribution amount

3 Orgs18 Individuals

Industry Impact

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

+Hospitals & Health Systemsconfidence 0.90
Section 2 establishes a presumption of service connection for diseases associated with toxin exposure at the Pentagon Reservation, which will likely increase healthcare utilization and benefits for covered veterans, benefiting hospitals and health systems that provide care to veterans.
+Medical Devicesconfidence 0.80
The presumption of service connection for diseases such as cancer, cardiovascular disease, and respiratory conditions may increase demand for diagnostic and therapeutic medical devices used in treating these conditions, benefiting medical device manufacturers.
+Biotech & Researchconfidence 0.70
The inclusion of 'any other illness or condition' for which the Secretary determines a presumption is warranted based on association with toxins may encourage research and development of biomarkers or treatments, benefiting biotech firms engaged in veteran health research.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Rep. Subramanyam, Suhas [D-VA-10])received from donors associated with that industry during the 2022–present cycles. Donations are not proof of intent — they are a record of who funds the people writing the law.

Industries this bill HELPS

Hospitals & Health Systems$2,502
from 3 contributions
- PUNWANI, NATHAN$2,502

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 Veterans Affairs

Strong

Vector: 63%

Pages: 688-691AI Enhanced

AI Analysis:

"The bill aligns with Project 2025's focus on expanding veterans' healthcare benefits, particularly through presumptive service connections for toxic exposures, as seen in recent legislation like the PACT Act. It supports the VA's mission to address service-related health conditions stemming from hazardous environments."

Key themes:toxic exposurepresumptive service connectionveterans healthcareVA benefits expansionPentagon Reservation

Department of Veterans Affairs

Strong

Vector: 59%

Pages: 688-691AI Enhanced

AI Analysis:

"The bill aligns with Project 2025's focus on expanding veterans' benefits and addressing toxic exposure, particularly through presumptive service connection for illnesses linked to hazardous environments, reflecting shared goals in veteran healthcare reform and accountability."

Key themes:toxic exposurepresumptive service connectionveterans' benefitsVA healthcare expansion9/11 responder health

— 655 — Department of Veterans Affairs ENDNOTES 1. U.S. Department of Veterans Affairs, Veterans Health Division, VHA Directive 1003, “VHA Veteran Patient Experience,” April 14, 2020, pp. 1 and B-1. 2. S. 2372, VA Mission Act of 2018, Public Law No. 115-182, 115th Congress, June 6, 2018, https://www.congress. gov/115/plaws/publ182/PLAW-115publ182.pdf (accessed January 30, 2023). 3. U.S. Department of Veterans Affairs, VA History Office, “VA History,” last updated May 27, 2021, https://www. va.gov/HISTORY/VA_History/Overview.asp (accessed January 28, 2023). 4. 38 U.S. Code § 1116, https://www.law.cornell.edu/uscode/text/38/1116 (accessed January 28, 2023). 5. S. 3373, Sergeant First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics Act of 2022 (Honoring Our PACT Act of 2022), Public Law No. 117-168, 117th Congress, August 10, 2022, https://www. congress.gov/117/plaws/publ168/PLAW-117publ168.pdf (accessed January 28, 2023). 6. H.R. 2471, Consolidated Appropriations Act, 2022, Public Law No. 117-103, 117th Congress, March 15, 2022, Division S, Title I, https://www.congress.gov/117/plaws/publ103/PLAW-117publ103.pdf (accessed March 18, 2023). Known variously as the Department of Veterans Affairs Nurse and Physician Assistant Retention and Income Security Enhancement Act and the VA Nurse and Physician Assistant RAISE Act. 7. See note 5, supra. — 657 — Section Four THE ECONOMY The next Administration must prioritize the economic prosperity of ordi- nary Americans. For several decades, establishment “elites” have failed the citizenry by refusing to secure the border, outsourcing manufacturing to China and elsewhere, spending recklessly, regulating constantly, and generally controlling the country from the top down rather than letting it flourish from the bottom up. The proper role of government, as was articulated nearly 250 years ago, is to secure our God-given, unalienable rights in order that we might enjoy the pursuit of happiness, the benefits of free enterprise, and the blessings of liberty. Finding the right approach to trade policy is key to the fortunes of everyday Americans. In Chapter 26, president of the Competitive Enterprise Institute Kent Lassman and former White House director of trade and manufacturing policy Peter Navarro debate what an effective conservative trade policy would look like. Lass- man argues that the best trade policy is a humble, limited-government approach that would encourage free trade with all nations. He maintains that aggressive trade policies involve an increased government role that future leftist Administra- tions will utilize to push “climate change” and “equity”-based activism. Focusing more on gross domestic product (GDP) growth than on median income, he writes that “people mistakenly believe that U.S. manufacturing and the U.S. economy are in decline” when in truth “American manufacturing output is currently at an all-time high.” Meanwhile, we continue to experience “record-setting real GDP” despite our “long-run decline in manufacturing employment.” Lassman does not think that an aggressive U.S. trade policy would lead to more manufacturing jobs. Rather, he writes, “Federal Reserve research shows” that the

Department of Veterans Affairs

Weak

Vector: 59%

Pages: 679-681AI Enhanced

AI Analysis:

"The bill focuses on expanding presumptive service connection for veterans exposed to toxins at the Pentagon post-9/11, which is a healthcare benefits issue. Project 2025's VA section emphasizes healthcare system reform, infrastructure realignment, workforce efficiency, and accountability—none of which are directly addressed by the bill's narrow focus on disability presumptions."

Key themes:veterans' healthDepartment of Veterans Affairshealthcare benefits

— 646 — Mandate for Leadership: The Conservative Promise 3. Section 121 (developing and administering an education program that teaches veterans about their health care options available from the Department of Veterans Affairs). 4. Section 152 (returning the Office for Innovation of Care and Payment to the Office of Enterprise Integration with a joint governance process set up with the VHA). 5. Section 161 (overhauling Family Caregiver Program expansion, which has gone poorly, so that it focuses on consistency of eligibility and awareness that the most severely wounded or injured may require the program indefinitely). l Require the VHA to report publicly on all aspects of its operation, including quality, safety, patient experience, timeliness, and cost-effectiveness, using standards similar to those in the Medicare Accountable Care Organization program so that the government may monitor and achieve continuous improvement in the VA system more effectively. l Encourage VA Medical Centers to seek out relevant academic and private- sector input in their communities to improve the overall patient experience. Budget l Conduct an independent audit of the VA similar to the 2018 Department of Defense (DOD) audit to identify IT, management, financial, contracting, and other deficiencies. l Assess the misalignment of VHA facilities and rising infrastructure costs. The VHA operates 172 inpatient medical facilities nationally that are an average of 60 years old. Some of these facilities are underutilized and inadequately staffed. Facilities in certain urban and rural areas are seeing significant declines in the veteran population and strong competition for fresh medical staff. In 2018, Congress authorized an Asset Infrastructure Review (AIR) of national VHA medical markets to provide insight into where the VA health care budget should be responsibly allocated to serve veterans most effectively. However, the Senate Veterans Affairs Committee lacked the political will to act on the White House’s nominations of commission members, and this ultimately led to termination of the AIR process. The next Administration should seek out agile, creative, and politically acceptable operational solutions to this aging infrastructure status quo, — 647 — Department of Veterans Affairs reimagine the health care footprint in some locales, and spur a realignment of capacity through budgetary allocations. Specifically: 1. Embrace the expansion of Community Based Outpatient Clinics (CBOCs) as an avenue to maintain a VA footprint in challenging medical markets without investing further in obsolete and unaffordable VA health care campuses. 2. Explore the potential to pilot facility-sharing partnerships between the VA and strained local health care systems to reduce costs by leveraging limited talent and resources. Personnel l Extend the term of the Under Secretary for Health (USH) to five years. Additionally, authority should be given to reappoint this individual for a second five-year term both to allow for continuity and to protect the USH from political transition. l Establish a Senior Executive Service (SES) position of VHA Care System Chief Information Officer (CIO), selected by and reporting to the chief of the VHA Care System with a dotted line to the VA CIO. l Identify a workflow process to bring wait times in compliance with VA MISSION Act–required time frames wherever possible. 1. Assess the daily clinical appointment load for physicians and clinical staff in medical facilities where wait times for care are well outside of the time frames required by the VA MISSION Act. 2. Require VHA facilities to increase the number of patients seen each day to equal the number seen by DOD medical facilities: approximately 19 patients per provider per day. Currently, VA facilities may be seeing as few as six patients per provider per day. 3. Consider a pilot program to extend weekday appointment hours and offer Saturday appointment options to veterans if a facility continues to demonstrate that it has excess capacity and is experiencing delays in the delivery of care for veterans. 4. Identify clinical services that are consistently in high demand but require cost-prohibitive compensation to recruit and retain talent, and examine exceptions for higher competitive pay.

Department of Health and Human Services

Minimal

Vector: 60%

Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on establishing presumptive service connection for veterans exposed to toxins at the Pentagon post-9/11, which is a veterans' health and benefits issue under the Department of Veterans Affairs. The Project 2025 policy excerpt provided pertains to Department of Health and Human Services initiatives, including healthcare regulations, reproductive rights, civil rights in health programs, and related social policy topics, with no apparent connection to veterans' toxic exposure or pr"

— 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

Minimal

Vector: 59%

Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on establishing presumptive service connection for veterans exposed to toxins at the Pentagon post-9/11, which is a veterans' health and benefits issue under the Department of Veterans Affairs. The Project 2025 HHS section provided focuses on Medicaid reform, abortion policy, healthcare regulations, and related HHS initiatives, with no apparent connection to veterans' toxic exposure or presumptive service connection."

— 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).

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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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