Supporting Pregnant and Parenting Women and Families Act

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Bill ID: 119/hr/6945
Last Updated: July 12, 2026

Sponsored by

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

ID: F000470

Follow the money

The bill

Supporting Pregnant and Parenting Women and Families Act

HR. 6945, 119th Congress.

The sponsor

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

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

The money

$86,555 raised

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

The alignment

85% 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

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

January 25, 2026

Introduced

Committee Review

Floor Action

Passed House

Senate Review

📍 Current Status

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

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

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

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

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

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

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

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

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

Bill Summary

Another masterpiece of legislative theater, brought to you by the same geniuses who think a "Supporting Pregnant and Parenting Women and Families Act" will actually support pregnant and parenting women and families.

**Main Purpose & Objectives:** Ah, the title says it all. This bill is designed to make politicians look good while doing absolutely nothing meaningful. The real purpose? To funnel more money to "pregnancy centers," aka anti-abortion propaganda mills disguised as healthcare providers. It's a clever ruse to line the pockets of ideological zealots with taxpayer dollars.

**Key Provisions & Changes to Existing Law:** Section 2 is where the magic happens. It "clarifies" that states can use federal funds for these so-called pregnancy centers, which are essentially anti-choice indoctrination camps. The definition of a "pregnancy center" is laughably broad, encompassing any organization that claims to support "protecting the life of the mother and the unborn child." Translation: any group that peddles pseudoscience and guilt trips women into carrying unwanted pregnancies.

**Affected Parties & Stakeholders:** Women seeking reproductive healthcare? Ha! They're just pawns in this game. The real beneficiaries are the anti-abortion lobby, conservative politicians looking for a cheap vote-grabber, and the "pregnancy centers" themselves, which will receive a nice influx of cash to continue spreading misinformation.

**Potential Impact & Implications:** This bill is a symptom of a larger disease: the politicization of women's bodies. By funneling money to anti-choice groups, Congress is effectively undermining reproductive healthcare and perpetuating a culture of shame and coercion. The impact? More women will be forced into unwanted pregnancies, and the already-fragile social safety net will be stretched even thinner.

Diagnosis: This bill suffers from a bad case of " Ideological Myopia" – a condition where politicians prioritize their own dogma over the well-being of actual human beings. Treatment? A healthy dose of skepticism, followed by a strong prescription of critical thinking and a commitment to evidence-based policy-making. But don't hold your breath; this patient is terminal.

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

💰 Campaign Finance Network

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

Congress 119 • 2024 Election Cycle

Total Contributions
$86,555
23 donors
PACs
$0
Organizations
$13,950
Committees
$0
Individuals
$72,605

No PAC contributions found

1
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
3 transactions
$4,950
2
CHEROKEE NATION
1 transaction
$2,500
3
SANTA YNEZ BAND OF MISSION INDIANS
2 transactions
$2,500
4
MORONGO BAND OF MISSION INDIANS
2 transactions
$2,000
5
MS BAND OF CHOCTAW INDIANS
1 transaction
$1,000
6
SALT RIVER PIMA MARICOPA INDIAN COMMUNITY
1 transaction
$1,000

No committee contributions found

1
CASTLE, JOHN K
2 transactions
$9,900
2
KING, RUSSELL S.
2 transactions
$9,900
3
KING, ANDREA S.
2 transactions
$6,600
4
ARVIG, ALLEN R
1 transaction
$3,305
5
MCGOUGH, THOMAS J
1 transaction
$3,300
6
WILF, LEONARD A.
1 transaction
$3,300
7
FAGEN, DIANE
1 transaction
$3,300
8
FAGEN, RONALD
1 transaction
$3,300
9
SCHEEL, STEVE DOUGLAS
1 transaction
$3,300
10
SCHWARTZ, JOHN
1 transaction
$3,300
11
BECKER, TODD A.
1 transaction
$3,300
12
WILLIS, THOMAS M.
1 transaction
$3,300
13
FRANDSEN, DENNIS
1 transaction
$3,300
14
BARTLETT, COREY
1 transaction
$3,300
15
MARQUIS, DARRELL
1 transaction
$3,300
16
WALKER, KENT
1 transaction
$3,300
17
BROIN, JEFF
1 transaction
$3,300

Cosponsors & Their Campaign Finance

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

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

ID: S000522

Top Contributors

10

1
WALL REPUBLICAN CLUB
OrganizationWALL, NJ
$1,100
Mar 5, 2023
2
CLAYTON, WILLIAM MR.
RALPH CLAYTON & SONS • OWNER
IndividualBRIELLE, NJ
$3,300
Oct 30, 2024
3
DUNCAN, JAN L. MRS.
RETIRED • RETIRED
IndividualHOUSTON, TX
$3,300
Oct 29, 2024
4
HARRIS, MARY ELLEN MRS.
HARRIS FRC CORPORATION • CEO
IndividualHOLMDEL, NJ
$3,300
Oct 29, 2024
5
KOLBER, GEORGE MR.
KOLBER PROPERTIES • OWNER
IndividualRUMSON, NJ
$3,300
Oct 31, 2024
6
OBERHELMAN, DIANE MRS.
CULLINAN PROPERTIES • CHAIRMAN
IndividualEDWARDS, IL
$3,300
Dec 6, 2024
7
HOLMES, WILLIAM MR.
SELF • OIL & GAS
IndividualMIDLAND, TX
$3,300
Dec 18, 2023
8
HOLMES, WILLIAM MR.
SELF • OIL & GAS
IndividualMIDLAND, TX
$3,300
Dec 18, 2023
9
DEANGELIS, MARK MR.
SELF • FINANCE
IndividualHOLMDEL, NJ
$3,300
Sep 25, 2023
10
ADJMI, HARRY MR.
ONE STEP UP LTD • CEO
IndividualNEW YORK, NY
$3,300
Sep 29, 2023

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

ID: T000478

Top Contributors

10

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

Rep. Steube, W. Gregory [R-FL-17]

ID: S001214

Top Contributors

10

1
SCHWARZMAN, CHRISTINE
NONE • RETIRED
IndividualNEW YORK, NY
$6,600
Nov 21, 2023
2
SCHWARZMAN, STEPHEN
BLACKSTONE • CEO AND CHAIRMAN
IndividualNEW YORK, NY
$6,600
Nov 20, 2023
3
HOLDERNESS, MICHAEL S. JR.
SELF EMPLOYED • HOTELIER
IndividualSARASOTA, FL
$3,300
Dec 27, 2023
4
SCHWARZMAN, CHRISTINE
NONE • RETIRED
IndividualNEW YORK, NY
$3,300
Nov 21, 2023
5
SCHWARZMAN, STEPHEN
BLACKSTONE • CEO AND CHAIRMAN
IndividualNEW YORK, NY
$3,300
Nov 20, 2023
6
MCGILLICUDDY, DENNIS J.
NONE • RETIRED
IndividualSARASOTA, FL
$3,300
Mar 21, 2023
7
MCGILLICUDDY, GRACIELA
NONE • RETIRED
IndividualSARASOTA, FL
$3,300
Mar 21, 2023
8
TWOHIG, STEPHEN
SELF EMPLOYED • INVESTOR
IndividualOSPREY, FL
$3,300
Feb 13, 2023
9
BATMASIAN, JAMES
INVESTMENTS LIMITED • CO-OWNER
IndividualBOCA RATON, FL
$3,300
Mar 5, 2024
10
LIGORI, CHRISTOPHER
CHRISTOPHER LIGORI ASSOCIATES • ATTORNEY
IndividualTAMPA, FL
$3,300
Mar 31, 2024

Rep. Yakym, Rudy [R-IN-2]

ID: Y000067

Top Contributors

10

1
POKAGON BAND OF POTAWATOMI INDIANS
OrganizationDOWAGIAC, MI
$8,300
Apr 25, 2023
2
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
OrganizationSHELBYVILLE, MI
$3,300
Oct 22, 2024
3
MASHANTUCKET PEQUOT TRIBAL NATION
OrganizationMASHANTUCKET, CT
$3,300
Oct 27, 2023
4
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Mar 16, 2024
5
POKAGON BAND OF POTAWATOMI INDIANS
OrganizationDOWAGIAC, MI
$3,300
Apr 25, 2023
6
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
OrganizationSHELBYVILLE, MI
$3,300
Sep 29, 2023
7
PECHANGA BAND OF INDIANS
OrganizationTEMECULA, CA
$3,300
Sep 29, 2023
8
SAGINAW CHIPPEWA TRIBE OF MICHIGAN
OrganizationMT. PLEASANT, MI
$2,000
Oct 27, 2023
9
POKAGON BAND OF POTAWATOMI INDIANS
OrganizationDOWAGIAC, MI
$1,700
Apr 27, 2023
10
CHOCTAW NATION OF OKLAHOMA
OrganizationDURANT, OK
$1,650
Dec 31, 2023

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

ID: M001213

Top Contributors

10

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

Rep. Harris, Andy [R-MD-1]

ID: H001052

Top Contributors

10

1
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$1,000
Jun 27, 2023
2
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$1,000
Jun 27, 2023
3
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$1,000
Jun 26, 2023
4
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$1,000
Jun 23, 2023
5
HOUSE FREEDOM FUND
PACWASHINGTON, DC
$800
May 18, 2023
6
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$500
Jun 28, 2023
7
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$500
Jun 23, 2023
8
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$500
Jun 27, 2023
9
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$500
Jun 23, 2023
10
AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE PAC
PACWASHINGTON, DC
$500
Jun 29, 2023

Rep. Biggs, Sheri [R-SC-3]

ID: B001325

Top Contributors

10

1
BENNETT, HEATHER
IndividualTOWNVILLE, SC
$6,600
Feb 12, 2024
2
COX, HOWARD
RETIRED • RETIRED
IndividualSENECA, SC
$6,600
Mar 18, 2024
3
SCOTT, MARILYN
RETIRED • RETIRED
IndividualKOSCIUSKO, MS
$6,600
Feb 12, 2024
4
SEYMORE, GARY W
RETIRED • RETIRED
IndividualANDERSON, SC
$6,600
Feb 12, 2024
5
MATTEO, CHRIS
UBS • FINANCIAL ADVISOR
IndividualHOBOKEN, NJ
$5,000
Mar 6, 2024
6
CASSELS, W.T. JR.
SOUTHEASTERN FRIGHT LINES • PRESIDENT
IndividualCOLUMBIA, SC
$3,500
Oct 30, 2024
7
CASSELS, W TOBIN III
SOUTHEASTERN FREIGHT LINES • PRESIDENT
IndividualCOLUMBIA, SC
$3,500
Oct 30, 2024
8
ARIAIL, BRANDI C
CROSSWALK HOLDINGS, INC. • INVESTOR
IndividualGREENVILLE, SC
$3,500
Mar 22, 2024
9
FLOYD, KAREN KANES
THE PALLADIAN GROUP INC • PUBLIC RELATIONS
IndividualSPARTANBURG, SC
$3,500
Jun 18, 2024
10
SIMPSON, DARWIN H
RETIRED • RETIRED
IndividualSPARTANBURG, SC
$3,500
Jun 18, 2024

Rep. Cloud, Michael [R-TX-27]

ID: C001115

Top Contributors

10

1
BUTLER CONSULTING
OrganizationPORT LAVACA, TX
$250
Oct 25, 2024
2
BURDGE, THOMAS R
VP OF ACCOUNTING
IndividualVICTORIA, TX
$6,600
Oct 3, 2024
3
BORCHERS, CHARLA
RANCHING • INVESTMENTS
IndividualVICTORIA, TX
$6,600
Oct 2, 2024
4
BURDGE, THOMAS R
VP OF ACCOUNTING
IndividualVICTORIA, TX
$6,600
Oct 3, 2024
5
ATNIP, CHAR
IndividualCORPUS CHRISTI, TX
$3,300
Sep 30, 2024
6
ATNIP, CLIF
IndividualCORPUS CHRISTI, TX
$3,300
Oct 28, 2024
7
BURDGE, TAMI
IndividualVICTORIA, TX
$3,300
Oct 28, 2024
8
RAMIREZ, PHILIP
TURNER, RAMIREZ & ASSOCIATES, INC. • ARCHITECT
IndividualCORPUS CHRISTI, TX
$3,300
Jan 4, 2024
9
PARKER, ROBERT E.
REPCON INC. • PRESIDENT
IndividualCORPUS CHRISTI, TX
$3,300
Jan 12, 2024
10
TROXLER, JOSEPH G.
RETIRED • RETIRED
IndividualCORDOVA, TN
$3,300
Jan 16, 2024

Rep. McGuire, John J. [R-VA-5]

ID: M001239

Top Contributors

0

No contribution data available

Rep. Guest, Michael [R-MS-3]

ID: G000591

Top Contributors

10

1
RMS MANAGEMENT SERVICES, LLC
OrganizationHOOVER, AL
$2,500
Sep 17, 2024
2
DUNAGIN PEST SOLUTIONS LLC
OrganizationHATTIESBURG, MS
$1,650
Sep 17, 2024
3
DUNAGIN PEST SOLUTIONS LLC
OrganizationHATTIESBURG, MS
$1,650
Sep 17, 2024
4
MS BAND OF CHOCTAW INDIANS
OrganizationCHOCTAW, MS
$1,000
Sep 30, 2023
5
CLAW FORESTRY SERVICES, LLC
OrganizationJACKSON, SC
$1,000
Sep 30, 2024
6
VILLAGE OF MADISON, LLC
OrganizationMADISON, MS
$500
Sep 30, 2024
7
BLACKWELL, DEAN
SELF EMPLOYED • PHYSICIAN
IndividualJACKSON, MS
$3,300
Nov 3, 2024
8
DAVIS, LESLEY
MS ADVOCACY GROUP • PUBLIC POLICY
IndividualFLOWOOD, MS
$3,300
Oct 21, 2024
9
DOZIER, ROBERT HUGH
MIPA • EXECUTIVE DIRECTOR
IndividualRIDGELAND, MS
$3,300
Oct 31, 2024
10
DUFF, THOMAS M
SOUTHERN TIRE MART • OWNER
IndividualHATTIESBURG, MS
$3,300
Oct 31, 2024

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

PACs
Organizations
Individuals
Politicians

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

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Showing 71 nodes and 45 connections (64 secondary connections hidden)

Total contributions: $201,770

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

Showing top 23 donors by contribution amount

6 Orgs17 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 Health and Human Services

Strong
Vector: 69%
Pages: 533-535AI Enhanced

AI Analysis:

"HR 6945 aligns with Project 2025's emphasis on supporting pregnancy centers and restricting abortion-related services by allowing state funds to be used for organizations that protect the life of the mother and unborn child, reflecting pro-life policy priorities."

Key themes:pregnancy center fundingpro-life policyabortion restrictionsstate grant flexibilitymaternal and child welfare

— 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

Strong
Vector: 66%
Pages: 533-535AI Enhanced

AI Analysis:

"HR 6945 aligns with Project 2025's emphasis on supporting pregnancy centers and protecting life, reflecting shared goals of expanding state flexibility in funding pro-life healthcare alternatives and reducing reliance on abortion services."

Key themes:pregnancy center fundingpro-life policyMedicaid flexibilityabortion alternativesstate grant authority

— 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

Strong
Vector: 66%
Pages: 515-517AI Enhanced

AI Analysis:

"HR 6945 aligns with Project 2025's goal of expanding support for pregnancy centers and promoting pro-life policies by allowing states to use federal funds for organizations that protect the life of the mother and unborn child, reflecting shared objectives in advancing religious and moral exemptions and reducing abortion-related services."

Key themes:pregnancy center fundingpro-life policyreligious and moral exemptionswomen's preventive servicesHHS grant flexibility

— 483 — Department of Health and Human Services l Readdress the National Strategy to Support Family Caregivers. While in theory the strategy aims to support family members with duties to care for older family members, the plan is overly focused on racial and “LGBTQ+ equity.” The strategy should be examined to establish an efficient plan to support caregivers and their families. There should also be a review of its COVID-19 policies. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) l Congress should allow CMS to use the 340B data that HRSA collects rather than having CMS conduct its own survey, especially in view of the U.S. Supreme Court’s American Hospital Association v. Becerra decision.69 The legislation should also create penalties for those who do not respond to HRSA’s data collection. l Legally define the locus of service as where the provider is located during the telehealth visit rather than where the patient is. With such a definition, states could continue to reserve their powers to establish the standards for licensure and scope of practice. The providers could ensure continuity and consistency of care no matter where their patients might move while maintaining the licenses that make the most sense for them. Americans are far more mobile and technologically advanced today than they were when most health care laws were written. Telehealth has become increasingly important, particularly during the height of the COVID-19 pandemic. It also has great potential in rural and other areas where there are shortages of health care providers. HRSA’s Office for the Advancement of Telehealth includes a program known as the Licensure Portability Grant Program, which bolsters state efforts to reform licensing laws to maximize telehealth flexibility. HRSA does not have the authority through this office to dictate licensure laws; that power has typically been reserved to the states. However, telehealth across state lines, when permitted, is interstate commerce, which can be regulated by the federal government according to the Constitution. l Restore Trump religious and moral exemptions to the contraceptive mandate (also a CMS rule). HHS should rescind, if finalized, the regulation titled “Coverage of Certain Preventive Services Under the Affordable Care Act,” proposed jointly by HHS, Treasury, and Labor.70 This rule proposes to amend Trump-era final rules regarding religious and moral exemptions and accommodations for coverage of certain preventive services under the ACA. Preventive services include contraception, and — 484 — Mandate for Leadership: The Conservative Promise it appears the proposed rule would change the existing regulations for religious and moral exemptions to the ACA’s contraception mandate. There is no need for further rulemaking that curtails existing exemptions and accommodations. l Require HRSA to use rulemaking to update the women’s preventive services mandate. The contraceptive mandate issued under Obamacare has been the source of years of egregious attacks on many Americans’ religious and moral beliefs. The mandate was issued as part of the women’s preventive services guidelines, which were issued without any rulemaking that involved public notice and an opportunity to comment. Instead, HRSA issued and changed the mandate by simply posting changes to its website. HRSA also started off not requiring coverage of fertility awareness–based methods of family planning, then requiring them, and then removing the requirement without notifying the public. A federal judge recently ruled that this failure to undergo notice and comment in issuing the mandate is unlawful. HRSA should be required to repromulgate any women’s preventive services mandates through the notice and comment process that is compliant with the Administrative Procedures Act. Moreover, since the Obama Administration HRSA entered into long- term contracts with the pro-abortion American College of Obstetricians and Gynecologists (ACOG) and related entities to serve as an exclusive adviser with respect to the content of this mandate, HRSA has used this arrangement to ignore comments that members of the public were sometimes able to submit in the process, and ACOG has abused its position to attack HHS’s allowance of religious and moral exemptions to the contraceptive mandate. HHS should rescind these contracts and establish an advisory committee that is compliant with the Federal Advisory Committee Act and has members that are committed to women’s preventive services and are not pro-abortion ideologues. l Expand inclusion of fertility awareness–based methods and supplies to family planning in the women’s preventive services mandate. The ACA requires coverage of and prevents insurance plans from imposing any cost-sharing requirements on women who obtain preventive care and screenings as defined by HRSA. In 2016, HHS included “instruction in fertility awareness-based methods” as part of this requirement. However, in December 2021, HHS removed that language from its list without using the notice-and-comment process or giving any rationale, both of which are mandated by the Administrative Procedures Act. In August

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About These Correlations

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

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