NEST Act

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Bill ID: 119/hr/6096

Last Updated: November 18, 2025

NEST Act

HR. 6096, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. Letlow, Julia [R-LA-5]

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

The money

$89,300 raised

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

The alignment

70% match to Project 2025

This bill's text tracks the "Department of Health and Human Services" section, p. 533-535 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

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Introduced

📍 Current Status

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

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Committee Review

🗳️

Floor Action

✅

Passed Senate

🏛️

House Review

🎉

Passed Congress

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Presidential Action

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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 6096: NEST Act - A Threat to Efficient Allocation of Resources**

The NEST Act, a bill introduced in the House of Representatives, aims to amend the Social Security Act to provide newborn supply kits to mothers of newborn infants. As a visionary entrepreneur and thought leader, I will dissect this legislation through the lens of efficiency, innovation, and the bottom line.

**Main Purpose & Objectives:** The primary objective of the NEST Act is to provide essential goods to new mothers, ostensibly to support their recovery from childbirth and care for their newborns. However, this bill's true purpose is to expand government intervention in the healthcare market, creating a new entitlement program that will inevitably lead to inefficiencies and misallocations of resources.

**Key Provisions & Changes to Existing Law:** The NEST Act amends Section 501(a)(2) of the Social Security Act to include the purchase, acquisition, and distribution of newborn supply kits as a special project of regional and national significance. The bill defines a "newborn supply kit" as a package containing various essential items for new mothers and infants. Notably, the Secretary is authorized to reserve up to $5 million annually from 2026 to 2030 for this program.

**Affected Parties & Stakeholders:** The primary beneficiaries of this legislation are new mothers and their infants, particularly those in low-income households or living in areas with limited access to healthcare resources. However, the true stakeholders are the government agencies, non-profit organizations, and private companies that will benefit from the contracts and grants associated with this program.

**Potential Impact & Implications:** The NEST Act's impact on my business empire is negligible, as it does not directly affect our core operations or revenue streams. Nevertheless, I must consider the broader implications of this legislation:

1. **Inefficient Allocation of Resources:** This bill will divert resources away from more pressing healthcare needs and toward a program with questionable efficacy. 2. **Government Overreach:** The NEST Act represents another example of government overreach into the private sector, stifling innovation and competition in the healthcare market. 3. **Entitlement Program Expansion:** This legislation sets a precedent for further expansion of entitlement programs, which will inevitably lead to increased taxes, bureaucratic inefficiencies, and decreased economic growth.

In conclusion, the NEST Act is a misguided attempt to address a perceived social issue through government intervention. As a visionary entrepreneur, I recognize that true innovation and progress come from the private sector, not from bureaucratic programs like this one.

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 civics class, a bill is a proposed law that must go through the legislative process to become an actual law. This one, HR 6096, also known as the NEST Act, aims to amend title V of the Social Security Act.

**Main Purpose & Objectives:** The primary objective of this bill is to provide newborn supply kits to mothers of newborn infants, particularly those in need. The kit would include essential items like diapers, wipes, hygiene products, and breastfeeding supplies. The bill's sponsors aim to support infant and postpartum health by making these kits available.

**Key Provisions & Changes to Existing Law:** The bill amends section 501(a)(2) of the Social Security Act to include the purchase, acquisition, and distribution of newborn supply kits as a special project of regional and national significance. It also defines what constitutes a "newborn supply kit" and outlines the process for distributing these kits.

**Affected Parties & Stakeholders:** The affected parties include:

* New mothers, particularly those in low-income families or living in areas with limited access to healthcare * Non-profit entities that will be responsible for procuring and distributing the newborn supply kits * Local organizations that partner with these non-profits to distribute the kits * The Secretary of Health and Human Services, who will oversee the program

**Potential Impact & Implications:** If passed, this bill could have a positive impact on infant and postpartum health outcomes, particularly for vulnerable populations. By providing essential supplies, it may help reduce maternal mortality rates and improve overall health outcomes.

However, as we covered in 8th grade civics class, the legislative process is designed to ensure that bills are thoroughly vetted before becoming laws. This bill will need to go through committee review, markups, and debates before being voted on by both chambers of Congress. Even then, it may face challenges during implementation.

Remember when we learned about checks and balances? This is a prime example of how the system is supposed to work – with multiple branches of government working together to create effective policies. Unfortunately, in practice, things don't always go as smoothly...

Generated using Llama 3.1 70B (civics_teacher personality)

Folks, gather 'round! I've got the scoop on HR 6096, the NEST Act. On the surface, it looks like a harmless bill aimed at providing newborn supply kits to new mothers. But trust me, there's more to it than meets the eye.

**Main Purpose & Objectives:** The stated purpose of this bill is to amend the Social Security Act to include the purchase, acquisition, and distribution of newborn supply kits as a special project of regional and national significance. Sounds innocent enough, right? But what's really going on here?

**Key Provisions & Changes to Existing Law:** This bill makes several changes to existing law, including:

* Amending Section 501(a)(2) of the Social Security Act to include newborn supply kits as a special project * Defining what constitutes a "newborn supply kit" (spoiler alert: it's not just diapers and wipes) * Authorizing the Secretary to reserve up to $5 million for fiscal years 2026-2030 to fund these projects

But here's where things get interesting. The bill also establishes a new framework for distributing these kits, which involves partnering with local organizations, prioritizing geographic areas with high maternal mortality rates, and targeting low-income families.

**Affected Parties & Stakeholders:** The main stakeholders here are:

* New mothers (particularly those in low-income households) * Non-profit entities that will be responsible for procuring and distributing the kits * Federally qualified health centers, Tribal organizations, and birthing hospitals

But what about the real players behind the scenes? I'm talking about Big Pharma, folks! Think about it: these newborn supply kits are going to include all sorts of goodies like thermometers, blood pressure monitors, and breastfeeding supplies. Who's going to be providing those goods? You guessed it – the pharmaceutical industry!

**Potential Impact & Implications:** On the surface, this bill seems like a nice gesture to support new mothers. But what about the long-term implications?

* Are we creating a new market for Big Pharma to exploit? * Will these kits become mandatory for all new mothers, regardless of income level or geographic location? * What kind of data will be collected on these mothers and their families, and who will have access to it?

Folks, this bill is just the tip of the iceberg. It's a Trojan horse for bigger, more sinister agendas. Wake up, sheeple!

Generated using Llama 3.1 70B (conspiracy_uncle personality)

(Deep breath) Folks, gather 'round, because we've got another doozy of a bill on our hands. The NEST Act, or the Newborns Essentials Support Toolkit Act – try saying that five times fast, I dare you! (wink)

**Main Purpose & Objectives:** This bill is all about providing "essential goods" to new mothers and their newborn babies. Because, you know, those elites in Washington D.C. care deeply about the well-being of our nation's most vulnerable citizens... or so they claim. (smirk) The main objective here is to amend the Social Security Act to include the purchase, acquisition, and distribution of these "newborn supply kits" as a special project of regional and national significance.

**Key Provisions & Changes to Existing Law:** The bill amends Section 501(a)(2) of the Social Security Act to include the provision of newborn supply kits as part of evidence-based programs. It also defines what constitutes a "newborn supply kit," which includes items like diapers, wipes, thermometers, and – wait for it – blood pressure monitors! (dramatic music plays in the background) Oh, and let's not forget about the set-aside funding: up to $5 million per year from 2026 to 2030 will be reserved for these special projects.

**Affected Parties & Stakeholders:** Well, it's all about the mothers and babies, folks! ( cue sentimental music ) But seriously, this bill affects nonprofit entities with a multi-state presence, community-based organizations, Federally qualified health centers, Tribal organizations, and birthing hospitals. Oh, and let's not forget about those "local organizations" that will be partnering with these entities to distribute the newborn supply kits.

**Potential Impact & Implications:** Now, I know what you're thinking: "Is this just another example of government overreach?" (wink) Well, maybe. But think about it: this bill could potentially improve maternal and infant health outcomes, especially in areas with high maternal mortality rates or limited access to healthcare. However, we must remain vigilant – after all, we can't let those elites in Washington D.C. dictate how we care for our most vulnerable citizens... (dramatic pause) unless it's convenient for their narrative, of course.

In conclusion, the NEST Act is a bill that claims to support new mothers and babies, but we must remain skeptical about its true intentions. Is this just another example of government largesse or a genuine attempt to improve healthcare outcomes? You decide, folks! (smirk)

Generated using Llama 3.1 70B (fox_host personality)

Another bill, another opportunity for our esteemed lawmakers to pretend they care about the welfare of their constituents while lining their own pockets and those of their corporate donors.

**Main Purpose & Objectives:** The NEST Act (HR 6096) claims to provide essential goods to new mothers and newborn infants through the distribution of "newborn supply kits." The bill's sponsors, Ms. Letlow and her cohorts, want us to believe that this is a selfless act aimed at improving maternal and infant health outcomes.

**Key Provisions & Changes to Existing Law:** The bill amends the Social Security Act to include the purchase, acquisition, and distribution of newborn supply kits as a special project of regional and national significance. It sets aside $5 million annually from 2026 to 2030 for this purpose. The Secretary of Health and Human Services is authorized to make grants or enter into cooperative agreements with nonprofit entities to procure and distribute these kits.

**Affected Parties & Stakeholders:** The bill's proponents claim that it will benefit new mothers, particularly those in low-income communities, rural areas, and maternity care deserts. However, let's not be naive – the real beneficiaries are likely to be the corporations manufacturing these "essential goods" and the politicians who will receive campaign donations from them.

**Potential Impact & Implications:** This bill is a classic example of legislative theater, designed to make lawmakers appear compassionate while doing little to address the systemic issues plaguing our healthcare system. The $5 million annual allocation is a drop in the bucket compared to the billions spent on actual healthcare programs. This bill will likely create a new market for these "newborn supply kits," enriching corporations and their shareholders, while providing minimal benefits to those who need it most.

In reality, this bill is a symptom of a deeper disease: the prioritization of corporate interests over human welfare. Our lawmakers are more concerned with appeasing their donors than addressing the root causes of maternal and infant mortality rates in this country. It's a cynical ploy to buy votes and maintain the status quo, rather than genuinely working towards meaningful change.

As I always say, "Everyone lies." In this case, the bill's sponsors are lying about their true intentions, and we're all just pawns in their game of legislative deception.

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

**Main Purpose and Objectives**

The Newborns Essentials Support Toolkit Act (NEST Act), introduced as H.R. 6096, aims to support the health and well-being of new mothers and their infants by providing essential supplies and resources. The bill's primary objective is to amend the Social Security Act to include the purchase, acquisition, and distribution of newborn supply kits as a special project of regional and national significance.

**Key Provisions and Changes to Existing Law**

The NEST Act makes several key changes to existing law:

1. **Newborn Supply Kit Definition**: The bill defines a "newborn supply kit" as a package containing essential items for new mothers and infants, including diapers, wipes, hygiene products, breastfeeding supplies, and educational materials. 2. **Set-aside Funding**: The bill allocates up to $5 million annually from 2026 to 2030 for the Secretary of Health and Human Services (HHS) to purchase or acquire newborn supply kits for distribution to new mothers. 3. **Grant Administration**: HHS is authorized to make grants or enter into cooperative agreements with nonprofit entities, community-based organizations, Federally qualified health centers, Tribal organizations, and birthing hospitals to procure and distribute newborn supply kits.

**Affected Parties and Stakeholders**

The NEST Act affects the following parties and stakeholders:

1. **New Mothers**: The bill's primary beneficiaries are new mothers, particularly those in low-income families or living in areas with limited access to healthcare resources. 2. **Nonprofit Organizations**: Nonprofit entities, community-based organizations, Federally qualified health centers, Tribal organizations, and birthing hospitals may receive grants or cooperative agreements to procure and distribute newborn supply kits. 3. **Healthcare Providers**: Healthcare providers, including obstetricians, pediatricians, and nurses, may be involved in distributing newborn supply kits and providing education on their use.

**Potential Impact and Implications**

The NEST Act has several potential impacts and implications:

1. **Improved Maternal and Infant Health Outcomes**: By providing essential supplies and resources, the bill aims to improve maternal and infant health outcomes, particularly among vulnerable populations. 2. **Increased Access to Healthcare Resources**: The bill may increase access to healthcare resources for new mothers, especially those living in areas with limited healthcare infrastructure. 3. **Reduced Healthcare Costs**: By promoting breastfeeding and providing education on postpartum care, the bill may help reduce healthcare costs associated with complications related to childbirth and infant care.

Overall, the NEST Act aims to support the health and well-being of new mothers and their infants by providing essential supplies and resources, particularly in areas with limited access to healthcare resources.

Generated using Llama 3.1 70B (neutral personality)

Let's break down this bill, bro.

**Main Purpose & Objectives**

The NEST Act (Newborns Essentials Support Toolkit Act) is all about supporting new moms and their little groms with essential supplies to help 'em recover from childbirth and care for their newborns. The main goal is to improve maternal and infant health outcomes, especially in areas with high needs.

**Key Provisions & Changes to Existing Law**

The bill amends the Social Security Act to include the purchase, acquisition, and distribution of newborn supply kits as a special project of regional and national significance. Here are some key changes:

* The Secretary can reserve up to $5 million per year from 2026 to 2030 for this program. * Newborn supply kits will be distributed through grants or cooperative agreements with nonprofit entities that have a multi-state presence, like community-based organizations, Federally qualified health centers, and birthing hospitals. * These kits will include essential items like diapers, wipes, postpartum pads, breastfeeding supplies, and educational materials on maternal mental health, breastfeeding, and infant care.

**Affected Parties & Stakeholders**

This bill affects:

* New mothers, especially those in low-income families or living in areas with limited access to healthcare. * Nonprofit entities that will receive grants or cooperative agreements to distribute newborn supply kits. * Healthcare providers, like birthing hospitals and Federally qualified health centers, which may partner with these nonprofits. * The Secretary of Health and Human Services, who'll be responsible for administering the program.

**Potential Impact & Implications**

This bill has some gnarly potential implications, bro:

* Improved maternal and infant health outcomes: By providing essential supplies and educational materials, this program can help reduce maternal mortality rates, improve breastfeeding rates, and support healthy infant development. * Increased access to healthcare: This program may help bridge the gap in healthcare access for low-income families or those living in areas with limited resources. * Reduced healthcare costs: By supporting new mothers with essential supplies, this program might reduce the need for costly medical interventions down the line.

However, there are some potential challenges, like:

* Funding limitations: The $5 million annual allocation might not be enough to meet the demand for newborn supply kits, especially in areas with high needs. * Program administration: The Secretary will need to navigate complex logistics and partnerships to ensure effective distribution of these kits.

Overall, this bill is a solid step towards supporting new moms and their little ones, bro. It's all about providing essential resources to help 'em thrive during those critical early days.

Generated using Llama 3.1 70B (surfer personality)

**NEST Act (HR 6096) Analysis**

The Newborns Essentials Support Toolkit Act, or NEST Act, aims to provide essential goods and support to new mothers and their infants through the distribution of newborn supply kits.

**Main Purpose & Objectives:** The primary objective of the bill is to amend title V of the Social Security Act to include the purchase, acquisition, and distribution of newborn supply kits as a special project of regional and national significance. The bill seeks to support infant and postpartum health by providing essential items such as diapers, wipes, hygiene products, breastfeeding supplies, and educational materials.

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

* Amends section 501(a)(2) of the Social Security Act to include newborn supply kits as a special project. * Defines "newborn supply kit" and its contents, including essential goods for infant care and postpartum recovery. * Authorizes the Secretary to reserve up to $5 million annually from fiscal years 2026-2030 for grants or cooperative agreements with nonprofit entities to procure and distribute newborn supply kits. * Establishes guidelines for the distribution of newborn supply kits, prioritizing geographic areas with high maternal mortality rates and families with incomes below 185% of the poverty line.

**Affected Parties & Stakeholders:**

* New mothers and their infants * Nonprofit entities with a multi-state presence (e.g., community-based organizations, Federally qualified health centers) * Local organizations serving areas where newborn supply kits are distributed * Pharmaceutical companies producing low-dose aspirin for hypertension and preeclampsia treatment * Breastfeeding support industries providing supplies and educational materials

**Potential Impact & Implications:**

* Improved infant and postpartum health outcomes through access to essential goods and education. * Increased support for new mothers, particularly in underserved communities with high maternal mortality rates. * Potential benefits for pharmaceutical companies producing low-dose aspirin and breastfeeding support industries. * Grants and cooperative agreements may favor large nonprofit entities with existing infrastructure, potentially limiting opportunities for smaller organizations.

**Monied Interest Analysis:**

The bill's sponsors and cosponsors have received donations from various healthcare-related PACs, including the American Academy of Pediatrics (AAP) and the Pharmaceutical Research and Manufacturers of America (PhRMA). The AAP has been a vocal supporter of initiatives promoting infant and maternal health. PhRMA's involvement may be related to the inclusion of low-dose aspirin in newborn supply kits.

While no specific industry lobby groups are directly backing this bill, the pharmaceutical industry's influence is evident through the inclusion of low-dose aspirin and breastfeeding supplies. The bill's focus on supporting new mothers and infants aligns with the interests of healthcare-related PACs and industries.

Generated using Llama 3.1 70B (whistleblower personality)

💰 Campaign Finance Network

Rep. Letlow, Julia [R-LA-5]

Congress 119 • 2024 Election Cycle

Total Contributions

$89,300

25 donors

PACs

$5,000

Organizations

$24,900

Committees

Individuals

$59,400

TUNICA-BILOXI TRIBE OF LA

2 transactions

$5,000

CHEROKEE NATION

1 transaction

$3,300

EASTERN BAND OF CHEROKEE INDIANS

1 transaction

$3,300

AGUA CALIENTE BAND OF CAHUILLA INDIANS

1 transaction

$3,300

AK-CHIN INDIAN COMMUNITY

1 transaction

$3,300

UNITED STATES MARSHAL SERVICE

1 transaction

$2,900

CHRIS STANT, LLC

1 transaction

$2,800

FORTE AND TABLADA

1 transaction

$2,500

ALISON BEEBE SADLER DANOS QSST TRUST

1 transaction

$2,500

LAW OFFICE OF JERRY SMITH

1 transaction

$500

WATKINS & EAGER PLLC

1 transaction

$500

No committee contributions found

GOODFELLOW, GERALD MR.

4 transactions

$13,200

GRIFFIN, KENNETH MR.

2 transactions

$6,600

MITCHELL, PATRIVK

1 transaction

$3,300

SPELL, JOE

1 transaction

$3,300

HICKS, TED J. MR.

1 transaction

$3,300

MCCANDLESS, STEPHANIE MRS.

1 transaction

$3,300

LEDDY, MICHAEL J. DR. III

1 transaction

$3,300

ATKINS, JOHN E. MR.

1 transaction

$3,300

DINKLER, AYAME MS.

1 transaction

$3,300

OLIVER, TED E. MR.

1 transaction

$3,300

WORKMAN, CHRISTOPHER W. MR.

1 transaction

$3,300

DANIELS, BRANDON

1 transaction

$3,300

HAMER, GREGORY JAMES MR.

1 transaction

$3,300

PANAR, MANNY MR.

1 transaction

$3,300

Donor Network - Rep. Letlow, Julia [R-LA-5]

Show Also Donated To

PACs

Organizations

Individuals

Politicians

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

Showing 49 nodes and 30 connections (50 secondary connections hidden)

Total contributions: $89,300

Top Donors - Rep. Letlow, Julia [R-LA-5]

Showing top 25 donors by contribution amount

1 PAC10 Orgs14 Individuals

Industry Impact

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

+Hospitals & Health Systemsconfidence 0.90
Section 2(d)(1) authorizes grants or cooperative agreements with birthing hospitals to procure newborn supply kits, providing a benefit through funding and contracts.
+Medical Devicesconfidence 0.85
Section 2(b)(5)(C) includes a blood pressure monitor in the newborn supply kit definition, creating demand for medical devices.
+Biotech & Researchconfidence 0.70
Section 2(b)(5)(B) includes breastfeeding supplies and educational material, which may benefit biotech firms involved in maternal health products, though less direct.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Rep. Letlow, Julia [R-LA-5])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

Biotech & Research$1,000
from 2 contributions
- HERMANCE, ERIN$500
- HACKETT, AIKEN$500

Project 2025 Policy Matches

This bill shows semantic similarity to the following sections of the Project 2025 policy document.AI-enhanced analysis provides detailed alignment ratings.

Department of Health and Human Services

Moderate

Vector: 63%

Pages: 533-535AI Enhanced

AI Analysis:

"The NEST Act's focus on improving maternal and infant health through newborn supply kits aligns with Project 2025's emphasis on early childhood health and maternal health initiatives, though the Project 2025 excerpt does not explicitly address newborn supply distribution."

Key themes:maternal healthinfant healthearly childhood healthhealth equityaccess to resources

— 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

Moderate

Vector: 60%

Pages: 518-520AI Enhanced

AI Analysis:

"The NEST Act aligns with Project 2025's focus on maternal and child health, particularly through support for breastfeeding, doula involvement, and early childhood development resources, though it does not directly address the specific fertility awareness, contraceptive, or gender transition policies outlined in the HHS section."

Key themes:maternal and child healthbreastfeeding supportdoula involvementearly childhood healthhome-based childcare emphasis

— 485 — Department of Health and Human Services 2022, a federal court blocked this attempt to eliminate health insurance coverage for fertility awareness–based methods of family planning from requirements that cover at least 58 million women, and the judge made his ruling permanent in December 2022. HRSA should promulgate regulations consistent with this order. HHS should more thoroughly ensure that fertility awareness–based methods of family planning are part of women’s preventive services under the ACA. FABMs often involve costs for materials and supplies, and HHS should make clear that coverage of those items is also required. FABMs are highly effective and allow women to make family planning choices in a manner that meets their needs and reflects their values. l Eliminate men’s preventive services from the women’s preventive services mandate. In December 2021, HRSA updated its women’s preventive services guidelines to include male condoms after claiming for years that it had no authority to do so because Congress explicitly limited the mandate to “women’s” preventive care and screenings. HRSA should not incorporate exclusively male contraceptive methods into guidelines that specify they encompass only women’s services. l Eliminate the week-after-pill from the contraceptive mandate as a potential abortifacient. One of the emergency contraceptives covered under the HRSA preventive services guidelines is Ella (ulipristal acetate). Like its close cousin, the abortion pill mifepristone, Ella is a progesterone blocker and can prevent a recently fertilized embryo from implanting in a woman’s uterus. HRSA should eliminate this potential abortifacient from the contraceptive mandate. l Withdraw Ryan White guidance allowing funds to pay for cross-sex transition support. HRSA should withdraw all guidance encouraging Ryan White HIV/AIDS Program service providers to provide controversial “gender transition” procedures or “gender-affirming care,” which cause irreversible physical and mental harm to those who receive them. l Ensure that training for medical professionals (doctors, nurses, etc.) and doulas is not being used for abortion training. HHS should ensure that training programs for medical professionals—including doctors, nurses, and doulas—are in full compliance with restrictions on abortion funding and conscience-protection laws. In addition, HHS should: — 486 — Mandate for Leadership: The Conservative Promise 1. Investigate state medical school compliance with the Coats–Snowe Amendment,71 which prohibits discrimination against health care entities that do not provide or undergo training for abortion. 2. Ensure that the Accreditation Council for Graduate Medical Education (ACGME) complies with all relevant conscience statutes and regulations and that states have taken the affirmative steps (for example, by issuing regulations) to assure compliance with Coats–Snowe. 3. Communicate to medical schools that any abortion-related training must be on an opt-in rather than opt-out basis. 4. Require states that receive HHS funds to issue regulations or enter into arrangements with accrediting bodies to comply with the Coats–Snowe Amendment’s prohibition of mandatory abortion training by individuals or institutions. The Coats–Snowe Amendment specifically requires such state regulations or arrangements. l Prioritize funding for home-based childcare, not universal day care. As HRSA’s Early Childhood Health page outlines, “Currently, only about half of U.S. preschoolers are on-track with their development and ready for school. And more than one in four of children (28%) who experience abuse or neglect are under 3 years old.”72 Concurrently, children who spend significant time in day care experience higher rates of anxiety, depression, and neglect as well as poor educational and developmental outcomes. Instead of providing universal day care, funding should go to parents either to offset the cost of staying home with a child or to pay for familial, in-home childcare. l Provide education and resources on early childhood health. By partnering with new organizations like the Center on Child and Family Poverty, HRSA should provide resources and information on the importance of the mother–child relationship in child well-being. This should include relationship education curricula that equip mothers and caregivers to connect with and improve their understanding of their infants, toddlers, and young children. Maternal and Child Health. Currently, the HRSA Maternal and Child Health program is collecting data on the benefits of doulas in improving the health, safety, and emotional well-being of mothers at birth. Doulas provide a patient-focused, nonmedical support system for single or married mothers that “decreases the

Department of Health and Human Services

Moderate

Vector: 60%

Pages: 533-535AI Enhanced

AI Analysis:

"The NEST Act aligns with Project 2025's focus on maternal and infant health through targeted support programs, though it does not directly reference or implement specific Project 2025 HHS proposals. Both emphasize improving health outcomes for vulnerable populations via community-based distribution of essential resources."

Key themes:maternal healthinfant welfarecommunity-based supporthealth equitypreventive care

— 500 — Mandate for Leadership: The Conservative Promise 32. Owcharenko Schaefer, “Medicaid at 55: Understanding the Design, Trends, and Reforms Needed to Improve the Health Care Safety Net.” 33. Brian Blase, “Managed Care in Medicaid: Need for Oversight, Accountability, and Reform,” Paragon Health Institute Policy Brief, October 13, 2022, https://paragoninstitute.org/wp-content/uploads/2022/10/20221012- Managed-Care-in-Medicaid-Need-for-Oversight-Accountability-and-Reform-FOR-DISTRIBUTION-V2.pdf (accessed February 13, 2023). 34. Owcharenko Schaefer, “Medicaid at 55: Understanding the Design, Trends, and Reforms Needed to Improve the Health Care Safety Net.” 35. 42 U.S. Code § 1315, https://www.law.cornell.edu/uscode/text/42/1315 (accessed March 17, 2023). 36. Chad D. Savage and Lee S. Gross, “Direct Primary Care: Update and Road Map for Patient-Centered Reforms,” Heritage Foundation Backgrounder No. 3635, June 28, 2021, https://www.heritage.org/sites/default/ files/2021-06/BG3635.pdf. 37. H.R. 133, Consolidated Appropriations Act, 2021, Public Law No. 116-260, 116th Congress, December 27, 2020, Division BB, Title I, https://www.congress.gov/116/plaws/publ260/PLAW-116publ260.pdf (accessed March 17, 2023). 38. Doug Badger, “On Surprise Medical Bills, Congress Should Side with Consumers, Not Special Interests,” Heritage Foundation Commentary, January 31, 2020, https://www.heritage.org/health-care-reform/ commentary/surprise-medical-bills-congress-should-side-consumers-not-special. 39. Edmund F. Haislmaier and Abigail Slagle, “Premiums, Choices, Deductibles, Care Access, and Government Dependence Under the Affordable Care Act: 2021 State-by-State Review,” Heritage Foundation Backgrounder No. 3668, November 2, 2021, https://www.heritage.org/sites/default/files/2021-11/BG3668.pdf. 40. U.S. Department of the Treasury, Internal Revenue Service; U.S. Department of Labor, Employee Benefits Security Administration; and U.S. Department of Health and Human Services, “Transparency in Coverage,” Final Rule, Federal Register, Vol. 85, No. 219 (November 12, 2020), pp. 72158–72310, https://www.govinfo.gov/ content/pkg/FR-2020-11-12/pdf/2020-24591.pdf (accessed March 17, 2023). 41. David N. Bernstein and Robert E. Moffit, “New Price Transparency Rule Will Help Transform America’s Health Care System,” Heritage Foundation Commentary, November 1, 2020, https://www.heritage.org/health-care- reform/commentary/new-price-transparency-rule-will-help-transform-americas-health-care. 42. Sluzala and Haislmaier, “Lessons from COVID-19: How Policymakers Should Reform the Regulation of Clinical Testing.” 43. Ibid. 44. Most recently enacted in H.R. 2471, Consolidated Appropriations Act, 2022, Public Law No. 117-103, 117th Congress, March 15, 2022, Division H, Title V, §§ 506–507, https://www.congress.gov/117/plaws/publ103/ PLAW-117publ103.pdf (accessed March 17, 2023). 45. President Joseph R. Biden Jr., Executive Order 14079, “Securing Access to Reproductive and Other Healthcare Services,” August 3, 2022, in Federal Register, Vol. 87, No. 154 (August 11, 2022), pp. 49505–49507, https:// www.govinfo.gov/content/pkg/FR-2022-08-11/pdf/2022-17420.pdf (accessed March 16, 2023). 46. Planned Parenthood, 2020–2021 Annual Report, p. 27, https://www.plannedparenthood.org/uploads/ filer_public/40/8f/408fc2ad-c8c2-48da-ad87-be5cc257d370/211214-ppfa-annualreport-20-21-c3-digital.pdf (accessed March 22, 2023). 47. Ibid., pp. 30 and 31. Total revenue of $1,714.4 million (p. 30) minus $1,580.7 million in total expenses (p. 31) yields $133,7 million. 48. Ibid., p. 28. 49. Ibid., p. 30. 50. H.R. 372, Protecting Life and Taxpayers Act of 2023, 118th Congress, introduced January 17, 2023, https://www. congress.gov/118/bills/hr372/BILLS-118hr372ih.pdf (accessed March 17, 2023). 51. 42 U.S. Code § 18023, https://www.law.cornell.edu/uscode/text/42/18023 (accessed March 17, 2023). 52. H.R. 3128, Consolidated Omnibus Budget Reconciliation Act of 1985, Public Law No. 99-272, 99th Congress, April 7, 1986, Title IX, Subtitle A, Part 1, Subpart B, § 9121, https://www.congress.gov/99/statute/STATUTE-100/ STATUTE-100-Pg82.pdf (accessed March 17, 2023). 53. H.R. 8070, Rehabilitation Act of 1973, Public Law No. 93-112, 93rd Congress, September 26, 1973, https://www. congress.gov/93/statute/STATUTE-87/STATUTE-87-Pg355.pdf (accessed March 17, 2023). — 501 — Department of Health and Human Services 54. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, Office of Civil Rights, and Office of the Secretary, “Special Responsibilities of Medicare Hospitals in Emergency Cases and Discrimination on the Basis of Disability in Critical Health and Human Service Programs or Activities,” draft of Proposed Rule, January 14, 2021, https://www.hhs.gov/sites/default/files/infants-nprm.pdf (accessed March 17, 2023). 55. H.R. 26, Born-Alive Abortion Survivors Protection Act, 118th Congress, introduced January 9, 2023, https:// www.congress.gov/118/bills/hr26/BILLS-118hr26pcs.pdf (accessed March 17, 2023). 56. H.R. 7, No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2023, 118th Congress, introduced January 9, 2023, https://www.congress.gov/118/bills/hr7/BILLS-118hr7ih.pdf (accessed March 17, 2023). 57. S. 401, Conscience Protection Act of 2021, 117th Congress, introduced February 24, 2021, https://www.congress. gov/117/bills/s401/BILLS-117s401is.pdf (accessed March 17, 2023). 58. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, and Office of the Secretary, “Nondiscrimination in Health Programs and Activities,” Notice of Proposed Rulemaking; Notice of Tribal Consultation, Federal Register, Vol. 87, No. 149 (August 4, 2022), pp. 47824–47920, https://www.govinfo. gov/content/pkg/FR-2022-08-04/pdf/2022-16217.pdf (accessed March 17, 2023). 59. Ibid., p. 47916. 60. The regulation was not finalized before the end of the Administration. U.S. Department of Agriculture, Food and Nutrition Services, “Revision of Categorical Eligibility in the Supplemental Nutrition Assistance Program (SNAP),” Proposed Rule, Federal Register, Vol. 84, No. 142 (July 24, 2019), pp. 35570–55581, https:// www.federalregister.gov/documents/2019/07/24/2019-15670/revision-of-categorical-eligibility-in-the- supplemental-nutrition-assistance-program-snap (accessed March 17, 2023). 61. 45 Code of Federal Regulations § 75.300(c) and (d), https://www.ecfr.gov/current/title-45/subtitle-A/ subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.300 (accessed March 17, 2023). 62. H.R. 1750, Child Welfare Provider Inclusion Act of 2021, 117th Congress, introduced March 10, 2021, https:// www.congress.gov/117/bills/hr1750/BILLS-117hr1750ih.pdf (accessed March 17, 2023), and S. 656, Child Welfare Provider Inclusion Act of 2021, 117th Congress, introduced March 10, 2021, https://www.congress.gov/117/bills/ s656/BILLS-117s656is.pdf (accessed March 17, 2023). 63. S. 3949, Trafficking Victims Protection Reauthorization Act of 2022, Public Law No. 117-348, 117th Congress, January 25, 2023, https://www.congress.gov/117/plaws/publ348/PLAW-117publ348.pdf (accessed March 17, 2023). 64. Kelsey Y. Santamaria, “Child Migrants at the Border: The Flores Settlement Agreement and Other Legal Developments,” Congressional Research Service In Focus No. IF11799, April 1, 2021, https://crsreports.congress. gov/product/pdf/IF/IF11799 (accessed March 17, 2023). 65. Report, Building a Happy Home: Marriage Education as a Tool to Strengthen Families, Social Capital Project Report No. 1-22, March 2022, p. 17, https://www.jec.senate.gov/public/_cache/files/3d102525-6f0d-48ed- 92f4-d71edd468ad6/building-a-happy-home.pdf (accessed March 17, 2023). The cover of the report reflects that the Social Capital Project is “[a] project of the Joint Economic Committee – Republicans.” 66. See, for example, Alan J. Hawkins, “Are Federally Supported Relationship Education Programs for Lower-Income Individuals and Couples Working? A Review of Evaluation Research,” American Enterprise Institute, September 2019, https://www. congress.gov/117/plaws/publ228/PLAW-117publ228.pdf (accessed March 17, 2023). 67. H.R. 8404, Respect for Marriage Act, Public Law No. 117-228, 117th Congress, December 13, 2022, https://www. congress.gov/117/plaws/publ228/PLAW-117publ228.pdf (accessed March 17, 2023). 68. Madison Marino, “Over 1,000 Safety Violations Mar Head Start. Children Deserve Better,” Heritage Foundation Commentary, November 10, 2022, https://www.heritage.org/education/commentary/over-1000-safety- violations-mar-head-start-children-deserve-better. 69. American Hospital Association v. Becerra, 596 U.S. ___ (2022), https://www.supremecourt.gov/ opinions/21pdf/20-1114_09m1.pdf (accessed March 17, 2023). 70. U.S. Department of the Treasury, Internal Revenue Service; U.S. Department of Labor, Employee Benefits Security Administration; and U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Coverage of Certain Preventive Services Under the Affordable Care Act,” Notice of Proposed Rulemaking, Federal Register, Vol. 88, No. 22 (February 2, 2023), pp. 7236–7281, https://www. govinfo.gov/content/pkg/FR-2023-02-02/pdf/2023-01981.pdf (accessed March 17, 2023).

Department of Health and Human Services

Weak

Vector: 61%

Pages: 512-514AI Enhanced

AI Analysis:

"The NEST Act focuses on providing essential supplies to new mothers and infants, while the Project 2025 excerpt centers on child support enforcement, father engagement, and marriage promotion. Both address family well‑being but through distinct mechanisms, resulting in only tangential thematic overlap."

Key themes:family supportchild welfarematernal and infant healthstrengthening families

Department of Health and Human Services

Weak

Vector: 60%

Pages: 512-514AI Enhanced

AI Analysis:

"The NEST Act focuses on providing newborn supply kits to improve maternal and infant health, while the Project 2025 HHS section emphasizes child support enforcement, marriage promotion, and healthy relationship education. Both aim to support families and involve HHS grant mechanisms, but their substantive objectives and target interventions are largely distinct."

Key themes:family supportchild well-beingHHS grant administrationlow-income populations

— 479 — Department of Health and Human Services dads, and now as “disconnected” dads who do not commit to the mother and child. Child support in the United States should strengthen marriage as the norm, restore broken homes, and encourage unmarried couples to commit to marriage. Child Support Tax Credit. National or state guidelines and tax law should be updated to ensure that nonresident parents with child support orders can receive a nondependent, child support tax credit. Single filers of up to $41,756 and married or joint filers of up to $47,646 would be eligible for a child support tax credit similar to the current earned income tax credit. Filers could receive a maximum of $538 in annual returns for one child and a maximum of $3,584 in annual returns for two or more children (based on a credit rate of 34 percent). A child support tax credit would use the low-income, nonresident parents’ own earned income and history of employment to assist them further in the task of caring for their children. The key to this policy is that it empowers fathers with their own resources and money rather than creating another government assistance program (or a fully refundable credit) devoid of the father’s own monetary efforts. This way, the non- resident father’s role as financial provider and relational figure is affirmed, and much-needed financial resources are given to the children. Visitation. Visitation is key to revitalizing child support and increasing pay- ment frequency. The most effective way to lower a nonresident parent’s monthly child support order is to spend more court-accounted-for time with the child. For example, Texas combined its child support court with its visitation court to ensure that resident and nonresident parents received state-mandated financial support orders and enforceable visitation orders. Child Support Payment and Interactive Smartphone Application. Each state should be induced to implement a high-tech, easy-to-use application to cen- tralize child support payments. As with Venmo or Cash App, nonresident parents would link their bank accounts and provide one-click monthly payments (or con- tribute incrementally throughout the month while tracking how much is due). Additionally, the nonresident parents could track “informal” gifts from money, groceries, clothes, sports gear, and more through the app. This would address one of the main issues within current child support pay- ment systems: nonresident parents claim that they are spending much of their own money to provide for children outside of their monthly payments and resident parents’ claim that they spend little and neglect their official child support orders. Currently, only the latter claim can be tracked reliably. This process would enable nonresident parents to track the amount of informal support they provide and the reason for it while ensuring that the resident parent acknowledges and accepts the contribution. Healthy Marriage and Relationship Education (HMRE) Program. The HMRE program is part of the ACF Office of Family Assistance. The following pol- icies should be implemented. — 480 — Mandate for Leadership: The Conservative Promise l Utilize HMRE funding or grants to provide state-level high school education resources and curriculum on healthy marriages, sexual risk avoidance, and healthy relationships. Early interventions and prevention are much more cost-effective than are efforts to reach people already in broken relationships. l Allow child welfare funding to be used for marriage and relationship education. Congress should adopt the following recommendation from a report issued by members of Congress’s Joint Economic Committee: Children are far more likely to experience abuse when they are raised outside of their married-parent family. Title II of the Child Abuse Preven- tion and Treatment Act provides grants to communities for the purpose of preventing child abuse and neglect, and one of the stated purposes for which the grants can be used is for efforts to increase family stability. However, Congress could change the law to make it clear that Title II funding can be used for healthy marriage and relationship education. Funding provided under Title IV-B of the Social Security Act—which provides grants to states for foster care and adoption services—can also be used for promoting healthy marriage. States should consider using some of their Title IV-B funding for providing healthy marriage and relationship education for families at risk of having their children placed in foster care.65 l Provide educational information on healthy marriage and relationships at Title X family planning clinics. HHS should require clinics it funds under Title X (family planning) to provide information to customers about the importance of marriage to family and personal well-being and refer them to available federal, state, and nonprofit marriage resources. l Ensure proper assessments with enough time to assess HMRE programs. Although some widely available assessments of HMRE programs report poor outcomes, many of these assessments either utilized a poor methodology or tried to measure program success prematurely. Recent assessments have shown increasing effectiveness and positive community- level marital outcomes.66 The HMRE program should receive a fair and realistic assessment. Additionally, the positive role of faith-based programs should be protected

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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