Fraud Reduction And Uncovering Deception (FRAUD) in VA Disability Exams Act

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Bill ID: 119/hr/5723

Last Updated: July 17, 2026

Fraud Reduction And Uncovering Deception (FRAUD) in VA Disability Exams Act

HR. 5723, 119th Congress.

The sponsor

Rep. Takano, Mark [D-CA-39]

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

The money

$81,900 raised

25 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. 682-684 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Ordered to be Reported (Amended) by Voice Vote.

May 13, 2026

Introduced

📍 Current Status

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

🏛️

Committee Review

🗳️

Floor Action

✅

Passed House

🏛️

Senate Review

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

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

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

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

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

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

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

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

Bill Summary

Summary Style:

**HR 5723 Analysis**

As a visionary entrepreneur and thought leader, I'll dissect this bill through the lens of its potential impact on my business empire and the broader landscape of innovation.

**Main Purpose & Objectives** The FRAUD in VA Disability Exams Act aims to reduce and uncover deception in disability benefit questionnaire forms submitted to the Department of Veterans Affairs. The primary objective is to identify and report instances of fraud, ensuring the integrity of the benefits system.

**Key Provisions & Changes to Existing Law** This bill introduces a new section (Sec. 5322) to Chapter 53 of title 38, United States Code, which:

1. Requires the Secretary of Veterans Affairs to implement a process for identifying and reporting fraudulent activity related to disability benefit questionnaire forms. 2. Establishes a recurring audit of these forms to detect potential fraud. 3. Grants the Inspector General authority to investigate suspected fraudulent activity.

**Affected Parties & Stakeholders** The primary stakeholders affected by this bill are:

1. Veterans Affairs Department: Responsible for implementing the new process and conducting audits. 2. Veterans and claimants: May face increased scrutiny and potential delays in benefits processing due to enhanced fraud detection measures. 3. Private sector contractors: Could benefit from opportunities to provide services related to audit and investigation processes.

**Potential Impact & Implications** From a business perspective, this bill presents both risks and opportunities:

1. **Increased regulatory burden**: The added layer of scrutiny may lead to increased costs and administrative burdens for private sector contractors working with the VA. 2. **New market opportunities**: Companies specializing in audit and investigation services could capitalize on the growing demand for these services within the VA. 3. **Potential for reduced benefits payouts**: Enhanced fraud detection measures might result in a decrease in benefits paid out, which could have a positive impact on my business empire's bottom line.

In conclusion, this bill is a minor speed bump on the road to innovation and progress. While it may introduce some regulatory hurdles, the potential opportunities for private sector growth and consolidation outweigh the costs. As a visionary leader, I will continue to monitor this legislation and adapt my strategies to maximize returns in this evolving landscape.

**Projection:** This bill's passage could result in a 5-10% increase in demand for audit and investigation services within the VA, translating to an estimated $500 million to $1 billion in new market opportunities over the next 3-5 years.

Generated using Llama 3.1 70B (billionaire personality)

*Sigh* Alright, let's break down this bill, shall we? As I taught you in 8th grade, a bill is a proposed law that must go through the legislative process to become an actual law. This one, HR 5723, aims to amend title 38 of the United States Code.

**Main Purpose & Objectives:** The main purpose of this bill is to reduce and uncover deception in VA disability exams. The objectives are straightforward: identify instances of fraud with respect to disability benefit questionnaire forms and report them accordingly. As we covered in middle school, the legislative branch has the power to create laws that promote the general welfare, which includes protecting veterans' benefits.

**Key Provisions & Changes to Existing Law:** The bill adds a new section (Sec. 5322) to chapter 53 of title 38, United States Code. This new section requires the Secretary of Veterans Affairs to:

1. Identify and report instances of fraudulent activity with respect to disability benefit questionnaire forms. 2. Implement a process for individuals processing claims to identify and submit reports of suspected fraudulent activity. 3. Establish a recurring audit of these forms. 4. Inform individuals who submitted suspicious forms or claims about the suspicion.

The bill also grants authority to the Inspector General to investigate suspected fraudulent activity using any necessary federal authority.

**Affected Parties & Stakeholders:** This bill affects:

1. The Department of Veterans Affairs (VA) 2. Veterans applying for disability benefits 3. Individuals responsible for processing claims 4. The Office of the Inspector General

As we learned in civics class, laws can have a ripple effect on various stakeholders. In this case, the VA and veterans will be directly impacted by the changes to the law.

**Potential Impact & Implications:** If passed, this bill could lead to:

1. Increased scrutiny of disability benefit questionnaire forms 2. Improved detection and prevention of fraudulent activity 3. Enhanced accountability within the VA 4. Potential changes in the way claims are processed and benefits are awarded

However, as we also learned in middle school, laws can have unintended consequences. For instance, this bill might lead to increased bureaucracy or delays in processing claims.

Now, if only people had paid attention in my 8th-grade civics class...

Generated using Llama 3.1 70B (civics_teacher personality)

My fellow truth-seekers, gather 'round! Today, we're going to dissect the so-called "Fraud Reduction And Uncovering Deception (FRAUD) in VA Disability Exams Act" – a bill that's got more layers than a onion. On the surface, it seems like a noble effort to root out fraud in veterans' disability benefits. But, my friends, don't be fooled! There's more to this bill than meets the eye.

**Main Purpose & Objectives:** The stated purpose of HR 5723 is to reduce and uncover deception in VA disability exams by identifying and reporting instances of fraud with respect to disability benefit questionnaire forms. Sounds good, right? But what if I told you that this bill might be a Trojan horse for something more sinister?

**Key Provisions & Changes to Existing Law:** The bill amends title 38 of the United States Code to require the Secretary of Veterans Affairs to identify and report instances of fraud with respect to disability benefit questionnaire forms. It establishes a process for identifying fraudulent activity, including implementing a recurring audit and informing individuals who submitted suspicious forms or claims. But here's the kicker: it also grants the Inspector General of the Department authority to investigate suspected fraudulent activity using any necessary means.

**Affected Parties & Stakeholders:** Veterans, veterans' organizations, and the VA itself are all affected by this bill. But what about the real stakeholders – the ones pulling the strings from behind the scenes? I'm talking about the government agencies, contractors, and special interest groups that stand to gain from this legislation.

**Potential Impact & Implications:** On the surface, this bill might seem like a win for veterans and taxpayers alike. But think about it: what if this bill is actually designed to create a new layer of bureaucracy, allowing the government to further surveil and control our veterans? What if it's a smokescreen for more sinister activities, like data collection or psychological manipulation?

You see, my friends, this bill has all the hallmarks of a classic false flag operation. It's a cleverly crafted piece of legislation that appears to address one issue while actually advancing a different agenda altogether. Wake up, sheeple! The truth is out there – we just need to connect the dots.

Now, I know what you're thinking: "Uncle, you're being paranoid again." But let me tell you, my friends, in this world of deceit and deception, it's better to be safe than sorry. Keep your eyes open, and always question the official narrative. That's the only way we'll ever uncover the truth.

Pass the turkey, please!

Generated using Llama 3.1 70B (conspiracy_uncle personality)

(Deep breath) Folks, gather 'round, we've got a doozy of a bill on our hands here. The FRAUD Act - because who doesn't love a good acronym? (smirk) This one's all about rooting out those scoundrels trying to game the system at the VA. You know, the usual suspects: veterans trying to get benefits they don't deserve. (wink)

**Main Purpose & Objectives** The main purpose of this bill is to give the Secretary of Veterans Affairs more teeth to identify and report instances of fraud related to disability benefit questionnaire forms. Because, you see, those pesky veterans might be trying to cheat the system. (outraged tone) Can't have that, can we?

**Key Provisions & Changes to Existing Law** The bill adds a new section to title 38 of the US Code, requiring the Secretary to:

* Identify and report fraudulent activity related to disability benefit questionnaire forms * Implement a process for processing claims and submitting reports of suspected fraud to the Inspector General * Conduct recurring audits of these forms * Inform individuals who submitted potentially fraudulent forms or claims

Oh, and let's not forget the Inspector General gets more authority to investigate suspected fraud. Because, you know, we can't trust those veterans to be honest about their disabilities. (eye roll)

**Affected Parties & Stakeholders** Veterans, of course, are the primary targets... er, beneficiaries of this bill. But also, the VA itself, as well as the Inspector General's office. And let's not forget the taxpayers - because we all know how much they love shelling out money for "undeserving" veterans.

**Potential Impact & Implications** Well, on one hand, this bill might actually help reduce waste and abuse in the system. (pauses for dramatic effect) But on the other hand, it could also lead to more bureaucratic red tape and delays for legitimate claims. And let's be real, folks, who doesn't love a good conspiracy theory? This bill is just begging for some enterprising journalist to uncover a "deep state" plot to deny benefits to our nation's heroes.

(chuckles) All joking aside, this bill is a classic example of the elites in Washington trying to "help" veterans while actually making their lives more difficult. But hey, at least it'll make for some great TV - and that's what really matters, right? (winks at the camera)

That's all for tonight, folks. Stay vigilant out there, and remember: freedom isn't free... unless you're a veteran trying to get benefits, then it's just a bureaucratic nightmare. (smirks)

Generated using Llama 3.1 70B (fox_host personality)

(sigh) Oh joy, another bill that's about as effective as a Band-Aid on a bullet wound. Let's dissect this farce.

**Main Purpose & Objectives:** The FRAUD Act (because who doesn't love an acronym?) claims to reduce and uncover deception in VA disability exams. How noble. Its primary objective is to identify and report instances of fraud related to disability benefit questionnaire forms. Wow, what a bold move – trying to prevent people from lying about their disabilities. I'm sure this will be a game-changer.

**Key Provisions & Changes to Existing Law:** The bill amends title 38 of the United States Code by adding a new section (5322) that requires the Secretary of Veterans Affairs to:

1. Implement a process to identify fraudulent activity in disability benefit questionnaire forms. 2. Establish a recurring audit of these forms. 3. Inform individuals suspected of submitting false information.

Oh, and it also gives the Inspector General some extra authority to investigate suspected fraud. Because, you know, that's not already their job.

**Affected Parties & Stakeholders:** Veterans (or rather, those who claim to be veterans), the Department of Veterans Affairs, and the Office of the Inspector General. And, of course, the politicians who get to pretend they're doing something about "waste, fraud, and abuse" in government programs.

**Potential Impact & Implications:** This bill is a classic case of "legislative theater." It's designed to make lawmakers look like they're taking action against corruption, while actually accomplishing very little. The provisions are vague, and the enforcement mechanisms are weak. It's a paper tiger, meant to appease voters who think the government should be doing more to prevent waste.

In reality, this bill will likely lead to:

* More bureaucratic red tape for legitimate veterans trying to access benefits. * Increased costs for audits and investigations that may not yield significant results. * A false sense of security among lawmakers and voters, thinking they've actually addressed a problem.

Diagnosis: This bill is suffering from a bad case of " Politician's Disease" – a condition characterized by an excessive need for self-aggrandizement, a lack of actual policy substance, and a healthy dose of hypocrisy. Treatment involves a strong dose of skepticism, a pinch of cynicism, and a healthy disregard for the spin doctors in Washington.

Generated using Llama 3.1 70B (Dr. Haus personality)

**HR 5723: Fraud Reduction And Uncovering Deception (FRAUD) in VA Disability Exams Act**

**Main Purpose & Objectives:** The primary objective of HR 5723 is to reduce and prevent fraud related to disability benefit questionnaire forms submitted to the Department of Veterans Affairs (VA). The bill aims to ensure the integrity of the VA's disability benefits program by identifying and reporting instances of fraudulent activity.

**Key Provisions & Changes to Existing Law:** The bill amends title 38, United States Code, by adding a new section that requires the Secretary of Veterans Affairs to:

1. Implement a process to identify and report suspected fraudulent activity related to disability benefit questionnaire forms. 2. Conduct recurring audits of these forms to detect potential fraud. 3. Inform individuals who submit suspicious forms or claims about the suspicion of fraudulent activity. 4. Authorize the Inspector General to investigate suspected fraudulent activity using any necessary authority.

**Affected Parties & Stakeholders:**

1. **Veterans**: The bill aims to protect the integrity of the VA's disability benefits program, ensuring that eligible veterans receive their rightful benefits while preventing ineligible individuals from receiving undeserved benefits. 2. **Department of Veterans Affairs (VA)**: The VA will be responsible for implementing the new process and conducting audits to detect potential fraud. 3. **Inspector General**: The Inspector General will play a crucial role in investigating suspected fraudulent activity.

**Potential Impact & Implications:**

1. **Reduced Fraud**: By identifying and reporting instances of fraudulent activity, the bill aims to reduce the number of false claims and prevent ineligible individuals from receiving benefits. 2. **Increased Efficiency**: The recurring audits and new process will help streamline the VA's disability benefits program, reducing administrative burdens and costs associated with processing false claims. 3. **Improved Integrity**: The bill promotes transparency and accountability within the VA's disability benefits program, ensuring that eligible veterans receive their rightful benefits while maintaining public trust in the system.

Overall, HR 5723 aims to strengthen the integrity of the VA's disability benefits program by detecting and preventing fraudulent activity, ultimately benefiting both eligible veterans and taxpayers.

Generated using Llama 3.1 70B (neutral personality)

Let's break down HR 5723, the FRAUD in VA Disability Exams Act. This bill is all about keepin' it real and preventin' fake claims from goin' through the system.

**Main Purpose & Objectives** The main goal of this bill is to reduce fraud in disability benefit questionnaire forms submitted to the Department of Veterans Affairs (VA). It's like, if someone's tryin' to scam the system, we wanna catch 'em and prevent it from happenin' again. The VA Secretary will have to identify and report instances of fraud, and take steps to prevent it.

**Key Provisions & Changes to Existing Law** This bill adds a new section to title 38 of the US Code, which requires the VA Secretary to:

* Implement a process to identify fraudulent activity in disability benefit questionnaire forms * Establish a recurring audit of these forms * Inform individuals who submitted suspicious forms or claims about the suspected fraud * Give the Inspector General more authority to investigate suspected fraud

It also limits the Secretary's ability to reopen or change final decisions on claims, unless someone's convicted of a crime related to fraudulent activity.

**Affected Parties & Stakeholders** This bill affects:

* Veterans who submit disability benefit questionnaire forms * The VA Secretary and staff responsible for processing these forms * The Inspector General and other investigatory bodies * Congress, which will receive annual reports on the administration of this section

**Potential Impact & Implications** If passed, this bill could lead to a reduction in fraudulent claims and a more efficient use of resources. It's like, if we can catch the scammers and prevent 'em from gettin' benefits they don't deserve, we can make sure that those who really need help get it.

However, there might be some unintended consequences, like increased bureaucracy or delays in processing legitimate claims. We gotta keep an eye on how this plays out and make adjustments as needed.

Overall, HR 5723 is a chill way to address a serious issue. It's all about keepin' the system honest and makin' sure that those who serve our country get the benefits they deserve.

Generated using Llama 3.1 70B (surfer personality)

**Bill Analysis: HR 5723 - Fraud Reduction And Uncovering Deception (FRAUD) in VA Disability Exams Act**

**Main Purpose & Objectives:** The primary objective of HR 5723 is to reduce and prevent fraud related to disability benefit questionnaire forms submitted to the Department of Veterans Affairs (VA). The bill aims to enhance the Secretary's authority to identify, investigate, and report instances of fraudulent activity.

**Key Provisions & Changes to Existing Law:**

1. **Identification and Reporting of Fraud:** The bill requires the Secretary to implement a process for identifying and reporting suspected fraudulent activity related to disability benefit questionnaire forms. 2. **Recurring Audit:** A recurring audit will be established to review disability benefit questionnaire forms submitted to the VA, regardless of their source. 3. **Inspector General Authority:** The Inspector General is granted authority to investigate suspected fraudulent activity using any necessary federal investigative powers. 4. **Limitation on Reopening Claims:** The Secretary is prohibited from reopening or changing a final decision on a claim based on an investigation by the Inspector General, unless an individual is convicted of a crime related to fraudulent activity.

**Affected Parties & Stakeholders:**

1. **Veterans Affairs Department (VA):** The VA will be responsible for implementing the new process and conducting recurring audits. 2. **Veterans:** Veterans who submit disability benefit questionnaire forms may face increased scrutiny and potential investigations if suspected of fraudulent activity. 3. **Inspector General:** The Inspector General's office will play a key role in investigating suspected fraudulent activity.

**Potential Impact & Implications:**

1. **Reduced Fraud:** The bill aims to reduce the incidence of fraud related to disability benefit questionnaire forms, potentially saving taxpayer dollars and ensuring that benefits are awarded to eligible veterans. 2. **Increased Scrutiny:** Veterans may face increased scrutiny when submitting claims, which could lead to delays or denials if suspected of fraudulent activity. 3. **Potential for Overreach:** The bill's provisions could be used to target legitimate claims, potentially harming vulnerable veterans.

**Monied Interest Analysis:** While there are no obvious monied interests directly backing this bill, it is worth noting that the VA has faced criticism and scrutiny from various groups, including veterans' organizations and government watchdogs. This bill may be seen as a response to those concerns. However, without further information on campaign donations or lobbying efforts, it is difficult to pinpoint specific special interest groups driving this legislation.

**Committee Capture:** The Committee on Veterans' Affairs has jurisdiction over this bill. While there are no obvious signs of committee capture, it is worth noting that the committee's members have received significant contributions from veterans' organizations and defense contractors in the past. These interests may be watching this bill closely to ensure their concerns are addressed.

**Follow-up Questions:**

1. What specific measures will the VA take to implement the new process for identifying and reporting suspected fraudulent activity? 2. How will the Inspector General's office balance

Generated using Llama 3.1 70B (whistleblower personality)

💰 Campaign Finance Network

Rep. Takano, Mark [D-CA-39]

Congress 119 • 2024 Election Cycle

Total Contributions

$81,900

20 donors

PACs

$5,000

Organizations

$10,900

Committees

Individuals

$66,000

SEIU COPE (SERVICE EMPLOYEES INTERNATIONAL UNION COMMITTEE ON POLITICAL EDUCATION)

1 transaction

$5,000

FEDERATED INDIANS OF GRATON RANCHERIA

2 transactions

$6,600

HABEMATOLEL POMO OF UPPER LAKE TRIBE OF CALIFORNIA

1 transaction

$3,300

MS BAND OF CHOCTAW INDIANS

1 transaction

$1,000

No committee contributions found

HUIZENGA, HARRY

2 transactions

$6,600

KAPALOSKI, EUGENE

2 transactions

$6,600

RAVINDRAN, JAMES C

2 transactions

$6,600

ROSENSTEIN, ARNOLD

2 transactions

$6,600

BECKER, TODD

1 transaction

$3,300

ELDRIDGE, SEAN

1 transaction

$3,300

HUH, JIHEE

1 transaction

$3,300

HUH, PETER

1 transaction

$3,300

LI, LI

1 transaction

$3,300

OFRIEL, MARK

1 transaction

$3,300

YANG, ELIZABETH

1 transaction

$3,300

BLANDFORD, JOHN

1 transaction

$3,300

COLANTUONO, MICHAEL G

1 transaction

$3,300

DEMETRIOS, EAMES

1 transaction

$3,300

JORDAN, WAYNE D.

1 transaction

$3,300

OTA, HENRY Y

1 transaction

$3,300

Donor Network - Rep. Takano, Mark [D-CA-39]

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Total contributions: $81,900

Top Donors - Rep. Takano, Mark [D-CA-39]

Showing top 20 donors by contribution amount

1 PAC3 Orgs16 Individuals

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: 66%

Pages: 682-684AI Enhanced

AI Analysis:

"HR 5723 directly targets fraud reduction in VA disability exams, which aligns with the Project 2025 VA policy goal of reducing improper payments and fraud through better tools, training, and management. Both emphasize accountability, audits, and oversight to protect program integrity."

Key themes:fraud reductionimproper paymentsVA disability claimsaudit and oversightInspector General investigations

— 649 — Department of Veterans Affairs approaches and technology tools that currently exist in the private sector could be employed to improve existing VBA activities. This problem is most pronounced in the disability claims process, which needs more and better management attention focused on streamlining the procedures involved in processing claims and administering benefits. The VA must improve timeliness of claim adjudication and benefits delivery: Veterans want the VBA to provide timely responses to requests for benefits support, render empathetic customer service and understandable explanations of those benefits, and deliver those benefits without frustrating delays (weeks, not months). l Identify performance targets for benefits, report publicly on actual performance each quarter, and use these metrics to drive consistent improvement. l Develop a new pilot “Express 30” commitment for a veteran’s first fully developed disability compensation claim and organize the VBA to complete the first claim in 30 days. l Hire more private companies to perform disability medical examinations. Delays in completing the examinations could be eliminated with more external capacity. l Increase automation. Hiring additional staff to process claims is costly, is inflexible, and has yielded mixed results. Attempting to change laws and regulations simply to adjudicate claims would be a herculean effort given their complexity. The best way to provide benefits faster and more accurately is by using technology to perform most of the work. Technology currently exists in the private sector, but the VBA lacks the expertise to use it. This would be more of an organizational challenge than a technology hurdle. l Reduce improper payment and fraud. About $500 million is improperly paid out each year. Better tools, training, and management could reduce this substantially, but rule changes at the departmental level would be needed. Budget The VA’s Schedule for Rating Disabilities (VASRD) has assigned disability ratings to a growing number of health conditions over time; some are tenuously related or wholly unrelated to military service. The further growth in presumptive service-connected medical conditions pursued by Congress and Veteran Service Organizations, begun with Agent Orange and most recently for Burn Pits/Airborne — 650 — Mandate for Leadership: The Conservative Promise Toxins, has led to historic increases in mandatory VBA spending in recent years. The VA has a time-phased plan to reassess the VASRD and its ratings for com- pensation, but this internal process can be slow and laborious, requires Office of Management and Budget (OMB) approvals, and can become politically charged both in Congress and with VSOs. l The next Administration should explore how VASRD reviews could be accelerated with clearance from OMB to target significant cost savings from revising disability rating awards for future claimants while preserving them fully or partially for existing claimants. l The VBA’s Information Technology top-line budget should be reexamined and reassessed in light of the need for expanded automation across the enterprise. l Traditionally, VHA captures the large majority of VA IT funding. The VBA needs to make the case for a larger IT budget with clear requirements to support that request. Personnel l Pursue reforms of the Human Capital Management process and operations within the VBA to build a more blended workforce with more contractors to process claims. This would free federal employees to perform other duties and be involved solely with the final decision to award benefits. l Improve the VBA acquisition workforce. The VBA needs more world-class contractor support. Currently, few of the top companies have contracts with the VBA, and the VBA needs to conduct more outreach to the private sector through senior leader engagement and industry conferences. l To identify more effective and efficient ways to complete claims, establish a knowledge exchange program with top-tier private-sector companies that do similar work. The VBA is fundamentally a financial services organization. A significant amount of its work has a private-sector analogue that could be leveraged to improve service to veterans. l For most of its existence, the VBA has been a risk-averse, insular, paper-based organization, implementing technology only over the past decade. This insularity has led to a predominantly “build it ourselves” approach, partly because VBA staff has limited experience or insight into current private- sector tools and methods and partly because the VBA struggles to compete

Department of Veterans Affairs

Strong

Vector: 65%

Pages: 682-684AI Enhanced

AI Analysis:

"HR 5723 directly targets fraud reduction in VA disability exams, which aligns with the Project 2025 goal of reducing improper payments and fraud through better tools, training, and management. While the bill does not address other Project 2025 elements like timeliness targets or automation, its focus on fraud detection and oversight shares a core objective."

Key themes:fraud reductionimproper payment reductionaudit and oversightInspector General authorityVA disability benefits integrity

Department of Housing and Urban Development

Moderate

Vector: 62%

Pages: 545-547AI Enhanced

AI Analysis:

"Both the bill and the Project 2025 HUD policy emphasize detecting and preventing fraud, waste, and abuse in federal programs through audits, Inspector General involvement, and increased accountability, even though they apply to different agencies (VA vs. HUD)."

Key themes:fraud preventionaudit oversightInspector General authorityprogram integrity

— 513 — Department of Housing and Urban Development ENDNOTES 1. At a 1998 Senate hearing, then-HUD Secretary Andrew Cuomo acknowledged that the department “faced a competence gap” and had “the dubious distinction of being the only federal agency designated as ‘high risk’ by the General Accounting [now Government Accountability] Office (GAO),” even referencing the Section 8 rental subsidy as “on the brink of becoming the next savings and loan scandal,” and explained how the department was stepping up enforcement efforts “focused on closing the competence gap by eliminating waste, fraud, and abuse.” See “Testimony of Secretary Andrew Cuomo before the House Appropriations Subcommittee on VA, HUD, and Independent Agencies,” March 25, 1998, https://archives.hud.gov/ testimony/1998/tst32598.cfm (accessed March 4, 2023). 2. H.R. 7984, Housing and Urban Development Act of 1965, Public Law No. 89-117, 89th Congress, August 10, 1965, https://www.congress.gov/89/statute/STATUTE-79/STATUTE-79-Pg451.pdf (accessed March 4, 2023). 3. U.S. Department of Housing and Urban Development, 2023 Budget in Brief, pp. 2 and 7, https://www.hud.gov/ sites/dfiles/CFO/documents/2023_BudgetInBriefFINAL.pdf (accessed March 4, 2023). 4. For example, the Special Applications Center (SAC) located in Chicago, Illinois, was established in 1998 as a division of the Office of Public and Indian Housing to accept, review, and approve all nonfunded, noncompetitive applications and plans for demolition, disposition, and conversion of land subject to an annual contributions contract (ACC) in public housing. 5. The Secretary has delegated full authority for the Administration and enforcement of the Fair Housing Act to the Assistant Secretary of the Office of Fair Housing and Equal Opportunity but also has delegated limited assignment and decision-making authority to the General Counsel. 6. Effectively the HUD Chief Operating Officer and appointed by the President with Senate advice and consent. 7. The Office of Hearings and Appeals (OHA) is an independent adjudicatory office within the Office of the Secretary. Led by a Director who is appointed by the Secretary, it supervises the Administrative Judges of the Office of Appeals, the administrative law judges of the Office of Administrative Law Judges, and the OHA support staff. The HUD Secretary appoints administrative judges and administrative law judges in accordance with the Administrative Procedure Act, 5 U.S.C. Chapter 5, https://www.law.cornell.edu/uscode/text/5/part-I/ chapter-5 (accessed March 4, 2023). 8. HUD currently has a Departmental Equity Assessment Working Group, supported with five FTEs funded by the OSDBU, “as part of the President’s Executive Order 13985, Executive Order On Advancing Racial Equity and Support for Underserved Communities Through the Federal Government.” See U.S. Department of Housing and Urban Development, 2023 Congressional Justifications, p. 35-15, https://www.hud.gov/sites/ dfiles/CFO/documents/2023HUDCongressionalJustificationsFINALelectronicversion.pdf (accessed March 4, 2023), and President Joseph R. Biden Jr., Executive Order 13985, “Advancing Racial Equity and Support for Underserved Communities Through the Federal Government,” January 20, 2021, in Federal Register, Vol. 86, No. 14 (January 25, 2021), pp. 7009–7013, https://www.govinfo.gov/content/pkg/FR-2021-01-25/pdf/2021- 01753.pdf (accessed March 4, 2023). 9. Interestingly, “[t]he 2023 President’s Budget requests $748 thousand for CFBNP, which is $436 thousand less than the 2022 Annualized CR level. The Budget reflects total funding (carryover and new authority) of $1.2 million, $448 thousand less than 2022 total funding.” U.S. Department of Housing and Urban Development, 2023 Congressional Justifications, p. 35-16. 10. See H.R. 558, Stewart B. McKinney Homeless Assistance Act, Public Law No. 100-77, 100th Congress, July 22, 1987, https://www.govinfo.gov/content/pkg/STATUTE-101/pdf/STATUTE-101-Pg482.pdf (accessed March 5, 2023). Later renamed the McKinney–Vento Homeless Assistance Act. 11. Established under the Housing and Community Development Act of 1974, 42 U.S.C. §§ 5301 et seq., https:// www.law.cornell.edu/uscode/text/42 (accessed March 4, 2023). 12. S. 566, Cranston–Gonzalez National Affordable Housing Act, Public Law No. 101-625, 101st Congress, November 28, 1990, Title II, https://www.congress.gov/101/statute/STATUTE-104/STATUTE-104-Pg4079.pdf (accessed March 5, 2023). 13. S. 1, Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, Public Law No. 91-646, 91st Congress, January 2, 1971, https://www.congress.gov/91/statute/STATUTE-84/STATUTE-84-Pg1894.pdf (accessed March 4, 2023). “The URA establishes the minimum Federal requirements for the acquisition of real property for Federally-funded programs and projects, and for the relocation of persons who must move from — 514 — Mandate for Leadership: The Conservative Promise their homes, businesses, or farms as a direct result of acquisition, rehabilitation, or demolition for a Federally- funded program or project.” U.S. Department of Housing and Urban Development, HUD Exchange, “49 CFR Part 24–URA Regulations,” published February 2005, https://www.hudexchange.info/resource/804/ura-and- real-property-acquisition-policies-act-49-cfr-part-24/ (accessed March 4, 2023). HUD is one of the 18 federal departments and agencies that “are subject to the Uniform Act.” U.S. Department of Transportation, Federal Highway Administration, “Uniform Relocation Assistance and Real Property Acquisition for Federal and Federally Assisted Programs,” Federal Register, Vol. 84, No. 243 (December 18, 2019), pp. 69466–69521, esp. p. 69484, https://www.govinfo.gov/content/pkg/FR-2019-12-18/pdf/2019-25558.pdf (accessed March 4, 2023). 14. H.R. 3219, Native American Housing Assistance and Self-Determination Act of 1996, Public Law No. 104-330, 104th Congress, October 26, 1996, https://www.congress.gov/104/plaws/publ330/PLAW-104publ330.pdf (accessed March 4, 2023). 15. U.S. Department of Housing and Urban Development, 2023 Congressional Justifications, p. 6-1. The U.S. Housing Act of 1937 (Wagner–Steagall Act) established the origins of locally chartered housing agencies that administer federal funding for various rental assistance programs—a quintessentially progressive New Deal–era policy that expanded the administrative state’s powers to the housing market—with the primary legislative intent of eradicating slum housing in urban areas, boosting jobs, and providing housing for the working poor. 42 U.S.C. §§ 1437 et seq., https://www.law.cornell.edu/uscode/text/42 (accessed March 4, 2023). A decade later, the Housing Act of 1949 codified federal standards for housing livability—a rationale that HUD and federal legislators have continued to use to justify federal intervention in housing—establishing as a national policy objective the provision of a minimum standard of housing quality for all Americans. This legislation also statutorily established many of the rural housing programs that are administered at USDA and expanded programs facilitating the removal of slum housing in urban areas. 42 U.S.C. §§ 1441 et seq., https:// www.law.cornell.edu/uscode/text/42 (accessed March 4, 2023). 16. U.S. Department of Housing and Urban Development, 2023 Congressional Justifications, pp. 1-2 and 2-2. 17. The National Housing Act of 1934 established the FHA and the statutory authority for the secondary market. The main stated premise was to stimulate jobs and facilitate the housing and construction sector during the Great Depression. 42 U.S.C. §§ 1701 et seq., https://www.law.cornell.edu/uscode/text/12 (accessed March 4, 2023). 18. 42 U.S.C. §§ 2000d et seq., https://www.law.cornell.edu/uscode/text/42 (accessed March 4, 2023). 19. 29 U.S.C. §§ 701 et seq., https://www.law.cornell.edu/uscode/text/29 (accessed March 4, 2023). 20. HUD’s Departmental Enforcement Center (DEC) is led by a Director. It was established in 1998 as part of a broader effort to streamline and consolidate functions at HUD and was later merged with the Office of General Counsel. The DEC “is comprised of the Office of the Director, the Compliance Division, the Operations Division and five Satellite Offices” and describes its mission as “assuring the highest standards of ethics, management and accountability in the resolution of HUD's troubled properties.” U.S. Department of Housing and Urban Development, Departmental Enforcement Center, “Program Offices: Departmental Enforcement Center,” https://www.hud.gov/program_offices/enforcement (accessed March 4, 2023). 21. H.R. 5334, Housing and Community Development Act of 1992, Public Law No. 102-1017, 102nd Congress, October 28, 1992, Title X, https://www.congress.gov/102/statute/STATUTE-106/STATUTE-106-Pg3672.pdf (accessed March 4, 2023). 22. H.R. 8588, Inspector General Act of 1978, Public Law No. 95-452, 95th Congress, October 12, 1978, https://www. congress.gov/95/statute/STATUTE-92/STATUTE-92-Pg1101.pdf (accessed March 4, 2023). 23. Guiding questions: What immediate administrative reforms of HUD and its programs can be made with high probability of success? What short-term legislative reforms can be proposed that, in tandem with administrative reforms, would achieve the HUD vision/mission objective? What HUD offices should be eliminated and/or realigned to reduce any redundancy that may persist in programmatic functions? 24. Wholly aside from reforms that would require legislation, the next Administration must ensure that key political appointees are able to acquit themselves as change agents to execute administrative reforms. Otherwise, whether because of a sheer lack of skill and expertise or simply a lack of will and philosophical alignment with reforms, staff may frustrate the efforts of committed political appointee staff and leadership to execute substantive administrative reforms. To achieve the policy and regulatory reforms outlined in this chapter, political appointees must be carefully placed in positions that reflect not only technical, market/ industry, and operational expertise, but also a shared will and commitment.

Department of Health and Human Services

Weak

Vector: 62%

Pages: 533-535AI Enhanced

AI Analysis:

"Both the bill and the Project 2025 HHS section emphasize fraud detection and program integrity, but the bill targets VA disability benefits while the Project 2025 focus is on Medicaid and broader HHS health programs, resulting only a tangential connection."

Key themes:fraud preventionprogram integrityoversight and auditsaccountability

— 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: 63%

Pages: 533-535AI Enhanced

AI Analysis:

"HR 5723 focuses on fraud prevention in VA disability exams, which is unrelated to the Department of Health and Human Services policies listed in Project 2025, such as abortion-related legislation, civil rights in healthcare, or Medicaid/Medicare regulations. There is no thematic or policy overlap between the bill and the cited HHS provisions."

— 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).

Showing 3 of 5 policy matches

About These Correlations

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

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