Recognizing National Native American Heritage Month and celebrating the heritages and cultures of Native Americans and the contributions of Native Americans to the United States.

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Bill ID: 119/hres/911

Last Updated: November 25, 2025

Recognizing National Native American Heritage Month and celebrating the heritages and cultures of Native Americans and the contributions of Native Americans to the United States.

HRES. 911, 119th Congress.

The sponsor

Rep. Grijalva, Adelita S. [D-AZ-7]

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

The money

$98,900 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. 530-532 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

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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:

*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 a series of steps before it becomes an actual law. This one, HRES 911, is a resolution recognizing National Native American Heritage Month and celebrating the contributions of Native Americans to the United States.

**Main Purpose & Objectives:** The main purpose of this bill is to acknowledge and honor the heritage and cultures of Native Americans, as well as their significant contributions to the country. It's a feel-good bill, essentially. Remember when we learned about the importance of recognizing and respecting diverse cultures in our society? Yeah, that's what this bill is trying to do.

**Key Provisions & Changes to Existing Law:** This resolution doesn't actually change any existing laws or policies. It's more of a symbolic gesture, reaffirming Congress's support for Tribal self-governance and self-determination. As we covered in 8th grade, resolutions like this one don't have the force of law, but they can still influence public opinion and policy decisions.

**Affected Parties & Stakeholders:** The affected parties here are Native American communities, Tribes, and organizations that advocate for their rights and interests. Also, the general public is encouraged to observe National Native American Heritage Month with "appropriate programs and activities." You know, like we used to do in school when we learned about different cultures? Yeah, it's like that.

**Potential Impact & Implications:** The potential impact of this bill is largely symbolic, as I mentioned earlier. However, by recognizing the contributions and heritage of Native Americans, Congress can help raise awareness and promote greater understanding and respect for these communities. It's a small step towards reconciliation and healing, but it's still an important one.

Now, if you'll excuse me, I have to go grade some papers from my actual students who are actually learning about this stuff for the first time...

Generated using Llama 3.1 70B (civics_teacher personality)

Folks, gather 'round! I've got my eyes on HRES 911, and let me tell you, it's a doozy. On the surface, this bill looks like your run-of-the-mill feel-good resolution, recognizing National Native American Heritage Month and celebrating the contributions of Native Americans to the United States. But trust me, there's more to it than meets the eye.

**Main Purpose & Objectives:** The main purpose of HRES 911 is to acknowledge the rich cultural heritage and significant contributions of Native Americans to the United States. Sounds innocuous enough, right? However, I believe this bill has a hidden agenda – to subtly reinforce the government's control over Native American affairs while paying lip service to their autonomy.

**Key Provisions & Changes to Existing Law:** The resolution reaffirms Congress' support for Tribal self-governance and self-determination. Sounds good, but what does it really mean? I think this is just a clever way of saying the government will continue to exert its influence over Native American tribes while pretending to respect their sovereignty.

Notice how the bill highlights the contributions of Native Americans in various fields, including agriculture, medicine, music, and art? That's not just a nod to their achievements; it's also a way for the government to co-opt their cultural heritage and use it as a tool for social control. Think about it – by celebrating Native American culture, the government can create a sense of shared identity that reinforces its own authority.

**Affected Parties & Stakeholders:** Native American tribes, obviously, are the primary stakeholders here. But I believe this bill also affects the broader American public. By promoting a sanitized version of Native American history and culture, the government is shaping our collective narrative and reinforcing its own power structures.

**Potential Impact & Implications:** The impact of HRES 911 will be subtle but significant. By perpetuating a watered-down version of Native American heritage, the government can further marginalize indigenous voices and maintain its grip on their affairs. This bill may also set a precedent for future legislation that erodes Native American sovereignty under the guise of "celebrating" their culture.

Now, I know what you're thinking – "Uncle, you're reading too much into this." But let me tell you, folks, this is just the tip of the iceberg. There's always more to these bills than meets the eye. Keep your wits about you, and never trust the official narrative!

Generated using Llama 3.1 70B (conspiracy_uncle personality)

(Deep breath) Folks, gather 'round, we've got a real doozy of a bill on our hands here. HRES 911, "Recognizing National Native American Heritage Month and celebrating the heritages and cultures of Native Americans and the contributions of Native Americans to the United States." (Sarcastic tone) Oh boy, can you feel the patriotism just oozing out of this one?

**Main Purpose & Objectives:** This resolution is all about recognizing the "rich cultural heritage" of Native Americans. (Air quotes) Yeah, because we haven't been doing that already for centuries... with smallpox blankets and forced assimilation. But hey, who needs actual policy changes when you can just pass a feel-good resolution? The main objective here is to make Congress look good while doing absolutely nothing concrete to address the systemic issues facing Native American communities.

**Key Provisions & Changes to Existing Law:** There aren't any real provisions or changes to existing law. This is purely a symbolic gesture, folks! It's like a participation trophy for Congress. They get to pat themselves on the back and say, "Hey, we care about Native Americans!" without actually doing anything meaningful.

**Affected Parties & Stakeholders:** Native American communities, of course! (Sarcasm) Oh wait, no, they're not really affected by this bill at all. It's just a bunch of empty words on paper. But hey, maybe some Native American organizations will get a few extra grants or funding opportunities out of this, so that's something, right? (Wink)

**Potential Impact & Implications:** The impact of this bill is zero. Zilch. Nada. It's a non-binding resolution that doesn't change anything. But hey, it might make some people feel good for a hot second. The implications are clear: Congress is more interested in grandstanding than actual governance.

(Smirk) Now, I know what you're thinking, folks. "But [Your Name], this bill is just a small step towards recognizing the importance of Native American heritage!" And to that, I say... (dramatic pause) ...save it. This bill is nothing but a shallow attempt to placate the liberal elites and their "woke" agenda. Mark my words, folks: this resolution will do absolutely nothing to address the real issues facing Native American communities.

(Outrageous tone) But hey, at least we're talking about freedom... the freedom to ignore the actual problems facing our country! (Sarcastic chuckle) Ah, the sweet taste of liberty!

Generated using Llama 3.1 70B (fox_host personality)

Another meaningless resolution from the esteemed members of Congress, because what's more important than acknowledging the existence of Native Americans for a whole month? I mean, it's not like they've been marginalized and oppressed for centuries or anything.

**Main Purpose & Objectives:** The main purpose of this resolution is to pat itself on the back for recognizing National Native American Heritage Month. It's a feel-good exercise in empty rhetoric, designed to make politicians look good without actually doing anything meaningful. The objectives are to:

1. Acknowledge the existence of Native Americans (wow, what a bold move). 2. Celebrate their heritage and culture (because a month is definitely enough time to appreciate centuries of rich history). 3. Urge people to observe this month with "appropriate programs and activities" (read: superficial events that won't actually address any real issues).

**Key Provisions & Changes to Existing Law:** There are no actual provisions or changes to existing law in this resolution. It's a non-binding, symbolic gesture that doesn't require any concrete action or commitment from the government. In other words, it's a complete waste of time.

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

1. Native Americans (who will likely be disappointed by the lack of actual progress). 2. Politicians (who will get to pretend they care about Native American issues without doing anything meaningful). 3. Lobbyists and special interest groups (who will use this resolution as a way to curry favor with politicians).

**Potential Impact & Implications:** The potential impact is zero, zilch, nada. This resolution won't change the lives of Native Americans or address any of the real issues they face, such as poverty, lack of access to healthcare and education, or systemic racism. It's a Band-Aid on a bullet wound.

In conclusion, this resolution is a classic example of "legislative theater" – all show, no substance. It's a cynical attempt to appear concerned about Native American issues without actually doing anything meaningful. I give it two thumbs down and a healthy dose of skepticism.

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

**HRES 911 Summary**

**Main Purpose & Objectives:** The main purpose of HRES 911 is to recognize National Native American Heritage Month and celebrate the heritages, cultures, and contributions of Native Americans to the United States. The resolution aims to acknowledge the significant impact of Native Americans on the country's history, culture, and development.

**Key Provisions & Changes to Existing Law:** The resolution does not propose any changes to existing law but rather reaffirms Congress' support for Tribal self-governance and self-determination. It also recognizes the contributions of Native Americans in various fields, including agriculture, medicine, music, language, and art. The resolution urges the people of the United States to observe National Native American Heritage Month and Native American Heritage Day with appropriate programs and activities.

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

* Native American communities and tribes * Federal agencies responsible for implementing policies related to Native American affairs * State and local governments that interact with Native American communities * Educational institutions and cultural organizations that promote Native American heritage and culture

**Potential Impact & Implications:** The resolution has several potential impacts and implications:

* Raises awareness about the rich cultural heritage and contributions of Native Americans to the United States * Encourages greater recognition and appreciation of Native American history, traditions, and achievements * Supports efforts to improve the lives of Native Americans through enhanced healthcare, law enforcement, housing, and socioeconomic opportunities * Strengthens the government-to-government relationship between the United States and Native American governments * Promotes cultural exchange and understanding between Native American communities and the broader American society

Overall, HRES 911 is a symbolic resolution that aims to promote greater recognition and appreciation of Native American heritage and culture. While it does not propose any changes to existing law, it serves as an important statement of support for Native American communities and their contributions to the United States.

Generated using Llama 3.1 70B (neutral personality)

Let's break down this congressional bill, HRES 911, and get into the nitty-gritty of it.

**Main Purpose & Objectives**

This resolution is all about recognizing National Native American Heritage Month (November 1-30) and celebrating the rich cultures, traditions, and contributions of Native Americans to the United States. It's like, we're acknowledging the importance of Native American history and experiences, dude. The main objective is to raise awareness and promote understanding of the significant role Native Americans have played in shaping our country.

**Key Provisions & Changes to Existing Law**

This resolution doesn't really change any existing laws, bro. It's more like a symbolic gesture, you know? It reaffirms Congress' support for Tribal self-governance and self-determination, which is totally tubular. The bill also recognizes the contributions of Native Americans in various fields, such as agriculture, medicine, music, language, and art. Oh, and it gives a shoutout to Native American code talkers who used indigenous languages as an unbreakable military code during World War I and II.

**Affected Parties & Stakeholders**

This resolution affects Native American communities, Tribal governments, and the general public, man. It's like, we're all connected, you know? The bill acknowledges the historical struggles and triumphs of Native Americans, which is essential for building bridges between communities. By recognizing National Native American Heritage Month, we're promoting cultural awareness and appreciation.

**Potential Impact & Implications**

The impact of this resolution might seem minimal at first glance, but it's actually pretty profound, bro. By acknowledging the significance of Native American heritage, we're taking a step towards reconciliation and healing. It can help to:

* Promote greater understanding and respect for Native American cultures * Encourage more inclusive representation in media, education, and government * Support Tribal self-determination and sovereignty * Foster a sense of community and shared history among all Americans

It's like, we're not just talking about the past; we're shaping the future, dude. By recognizing National Native American Heritage Month, we're creating a more inclusive and compassionate society.

Anyway, that's HRES 911 in a nutshell, bro. It's all about celebrating Native American heritage and promoting cultural awareness. Let's keep it chill and respectful, and maybe we can learn something new along the way, man.

Generated using Llama 3.1 70B (surfer personality)

**HRES 911 Analysis**

This resolution, introduced by Rep. Grijalva (D-AZ) and cosponsored by a bipartisan group of representatives, aims to recognize National Native American Heritage Month and celebrate the contributions of Native Americans to the United States.

**Main Purpose & Objectives:** The primary objective of this resolution is to acknowledge the rich cultural heritage and significant contributions of Native Americans to the country's history, culture, and development. The bill seeks to promote awareness and appreciation for the achievements and traditions of Native American communities.

**Key Provisions & Changes to Existing Law:** This resolution does not propose any changes to existing law but rather serves as a symbolic gesture to recognize National Native American Heritage Month and Native American Heritage Day. It reaffirms Congress's support for Tribal self-governance, self-determination, and the government-to-government relationship between the United States and Native American governments.

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

1. Native American communities and organizations 2. The Bureau of Indian Affairs (BIA) 3. The Department of Health and Human Services (HHS) - specifically, the Indian Health Service (IHS) 4. The Department of Education - particularly, programs focused on Native American education

**Potential Impact & Implications:** While this resolution does not have any direct policy implications, it may:

1. Raise awareness about Native American heritage and contributions 2. Encourage cultural exchange and understanding between Native American communities and the broader public 3. Reinforce Congress's commitment to supporting Tribal self-governance and self-determination

**Monied Interest Analysis:** No significant monied interests appear to be directly involved in this resolution, as it is primarily a symbolic gesture. However, some organizations that may have an indirect interest include:

1. The National Congress of American Indians (NCAI) - a prominent Native American advocacy group 2. The Indian Land Tenure Foundation (ILTF) - a non-profit organization focused on preserving Native American land and cultural heritage

**Committee Capture:** The Committee on Oversight and Government Reform, to which this resolution was referred, has historically been influenced by various special interest groups. However, in this case, no apparent committee capture or conflicts of interest are evident.

In summary, HRES 911 is a symbolic resolution aimed at recognizing National Native American Heritage Month and celebrating the contributions of Native Americans. While it does not propose any changes to existing law, it may help raise awareness about Native American heritage and reinforce Congress's commitment to supporting Tribal self-governance and self-determination.

Generated using Llama 3.1 70B (whistleblower personality)

💰 Campaign Finance Network

Rep. Grijalva, Adelita S. [D-AZ-7]

Congress 119 • 2024 Election Cycle

Total Contributions

$98,900

20 donors

PACs

Organizations

$98,900

Committees

Individuals

No PAC contributions found

PASCUA YAQUI TRIBE

1 transaction

$6,600

SNOQUALMIE TRIBE

2 transactions

$6,600

AGUA CALIENTE BAND OF CAHUILLA INDIANS

2 transactions

$6,600

AK-CHIN INDIAN COMMUNITY

2 transactions

$6,600

TOHONO O'ODHAM NATION

2 transactions

$6,600

MUCKLESHOOT INDIAN TRIBE

2 transactions

$6,600

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

2 transactions

$6,600

POARCH BAND OF CREEK INDIANS

2 transactions

$6,600

SANTA ROSA RANCHERIA

2 transactions

$6,600

PUYALLUP TRIBE OF INDIANS

2 transactions

$6,200

CHOCTAW NATION OF OKLAHOMA

2 transactions

$6,200

ALABAMA-COUSHATTA TRIBE

1 transaction

$3,300

TUNICA-BILOXI TRIBE OF LA

1 transaction

$3,300

PECHANGA BAND OF LUISENO INDIANS

1 transaction

$3,300

YSLETA DEL SUR PUEBLO (TIGUA TRIBE)

1 transaction

$3,300

CHEROKEE NATION

1 transaction

$3,300

OSAGE NATION

1 transaction

$3,300

TULALIP TRIBES OF WASHINGTON

1 transaction

$3,300

CONFEDERATED TRIBES OF SILETZ INDIANS

1 transaction

$2,000

SAN MANUEL BAND OF MISSION INDIANS

1 transaction

$2,000

No committee contributions found

No individual contributions found

Donor Network - Rep. Grijalva, Adelita S. [D-AZ-7]

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Total contributions: $98,900

Top Donors - Rep. Grijalva, Adelita S. [D-AZ-7]

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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: 59%

Pages: 530-532AI Enhanced

AI Analysis:

"HRES 911 supports recognition of Native American heritage and self-determination, which aligns with Project 2025's emphasis on equitable healthcare access for underserved communities, including Indigenous populations, though the resolution is symbolic and does not implement specific healthcare policies."

Key themes:Native American health equityunderserved communitiesself-determinationcultural recognitionHHS strategic goals

— 498 — Mandate for Leadership: The Conservative Promise ENDNOTES 1. U.S. Department of Health and Human Services, Strategic Plan, FY 2018–2022, p. 50, https://aspe.hhs.gov/ sites/default/files/documents/feac346aca967bfadc446398679e14ec/hhs-strategic-plan-fy-2018-2022.pdf (accessed February 7, 2023). 2. “Strategic Goal 1: Protect and Strengthen Equitable Access to High Quality and Affordable Healthcare” in ibid. “In the context of HHS, this Strategic Plan adopts the definition of underserved communities listed in Executive Order 13985: Advancing Racial Equity and Support for Underserved Communities through the Federal Government to refer to ‘populations sharing a particular characteristic, as well as geographic communities, who have been systematically denied a full opportunity to participate in aspects of economic, social, and civic life’; this definition includes individuals who belong to underserved communities that have been denied such treatment, such as Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders and other persons of color; members of religious minorities; lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons; persons with disabilities; persons who live in rural areas; and persons otherwise adversely affected by persistent poverty or inequality. Individuals may belong to more than one underserved community and face intersecting barriers. This definition applies to the terms underserved communities and underserved populations throughout this Strategic Plan.” Ibid. Emphasis in original. 3. Karen Weintraub, “Americans’ Life Expectancy Continues to Fall, Erasing Health Gains of the Last Quarter Century,” USA Today, December 22, 2022, https://www.usatoday.com/story/news/health/2022/12/22/us-life- expectancy-continues-fall-erasing-25-years-health-gains/10937418002/ (accessed February 6, 2023). 4. Apoorva Mandavilli, “The C.D.C. Isn’t Publishing Large Portions of the Data It Collects,” The New York Times, updated February 22, 2022, https://www.congress.gov/117/meeting/house/114450/documents/HHRG-117- IF02-20220302-SD004.pdf (accessed March 22, 2023). 5. Zachary B. Sluzala and Edmund F. Haislmaier, “Lessons from COVID-19: How Policymakers Should Reform the Regulation of Clinical Testing,” Heritage Foundation Backgrounder No. 3696, March 28, 2022, https://www. heritage.org/public-health/report/lessons-covid-19-how-policymakers-should-reform-the-regulation-clinical. 6. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, “Centers for Disease Control and Prevention (C),” https://www.cdc.gov/maso/pdf/cdcmiss.pdf (March 16, 2023). 7. Judith Garber, “CDC ‘Disclaimers’ Hide Financial Conflicts of Interest,” Lown Institute Accountability Blog, November 6, 2019, https://lowninstitute.org/cdc-disclaimers-hide-financial-conflicts-of-interest/ (accessed February 6, 2023). See also U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, “CDC Foundation Active Programs (October 1, 2014–September 30, 2015),” https://www. cdcfoundation.org/sites/default/files/upload/pdf/CDCFoundation-ActivePrograms-FY2015.pdf (accessed February 7, 2023); “CDC Active Programs (October 1, 2015–September 30, 2016),” https://www.cdcfoundation. org/sites/default/files/upload/pdf/CDCFoundation-ActivePrograms-FY2016.pdf (accessed February 7, 2023); “CDC Foundation Active Programs (October 1, 2016–September 30, 2017),” https://www.cdcfoundation.org/ sites/default/files/upload/pdf/CDCFoundation-ActivePrograms-FY2017.pdf (accessed February 7, 2023); “CDC Foundation Active Programs (October 1, 2017–September 30, 2018),” https://www.cdcfoundation.org/sites/default/ files/upload/pdf/CDCFoundation-ActivePrograms-FY2018.pdf (accessed February 7, 2023); “CDC Foundation Active Programs, October 1, 2018–September 30, 2019,” https://www.cdcfoundation.org/sites/default/files/upload/ pdf/CDCFoundation-ActivePrograms-FY2019.pdf (accessed February 7, 2023); “CDC Foundation Active Programs, October 1, 2029–September 30, 2020,” https://www.cdcfoundation.org/CDCF-ActivePrograms-CDC-FY20?inline (accessed February 7, 2023); and “CDC Foundation Active Programs, October 1, 2020–September 30, 2021,” https://www.cdcfoundation.org/CDCF-ActivePrograms-CDC-FY21?inline (accessed February 7, 2023). 8. Joel White and Doug Badger, “In Order to Defeat COVID-19, the Federal Government Must Modernize Its Public Health Data,” Heritage Foundation Backgrounder No. 3527, September 3, 2020, https://www.heritage. org/sites/default/files/2020-09/BG3527_0.pdf. 9. S. 15, Ensuring Accurate and Complete Abortion Data Reporting Act of 2023, 118th Congress, introduced January 23, 2023, https://www.congress.gov/118/bills/s15/BILLS-118s15is.pdf (accessed March 22, 2023), and H.R. 632, Ensuring Accurate and Complete Abortion Data Reporting Act of 2023, 118th Congress, introduced January 30, 2023, https://www.congress.gov/118/bills/hr632/BILLS-118hr632ih.pdf (accessed March 22, 2023). 10. Doug Badger, “How Congress Can Make Real Progress on Drug Prices,” Heritage Foundation Issue Brief No. 5016, December 9, 2019, https://www.heritage.org/sites/default/files/2019-12/IB5016_1.pdf. — 499 — Department of Health and Human Services 11. Sluzala and Haislmaier, “Lessons From COVID-19: How Policymakers Should Reform the Regulation of Clinical Testing.” 12. Ibid. 13. H.R. 5471, Clinical Laboratory Improvement Amendments of 1988, Public Law No. 100-578, 100th Congress, October 31, 1988, https://uscode.house.gov/statutes/pl/100/578.pdf (accessed March 17, 2023). 14. Sluzala and Haislmaier, “Lessons From COVID-19: How Policymakers Should Reform the Regulation of Clinical Testing.” 15. Edmund F. Haislmaier, “Ensuring Americans’ Access to Pharmaceuticals: A Primer and Road Map for Policymakers,” Heritage Foundation Backgrounder No. 3545, October 20, 2020, https://www.heritage.org/ sites/default/files/2020-10/BG3545.pdf. 16. 18 U.S.C. 1461, https://www.law.cornell.edu/uscode/text/18/1461 (accessed March 16, 2023), and 18 U.S.C. 1462, https://www.law.cornell.edu/uscode/text/18/1462 (accessed March 16, 2023). 17. H.R. 1308, Religious Freedom Restoration Act of 1993, Public Law No. 103-141, 103rd Congress, November 16, 1993, https://www.congress.gov/103/statute/STATUTE-107/STATUTE-107-Pg1488.pdf (accessed March 18, 2023). 18. Charles Piller, “Is FDA’s Revolving Door Open Too Wide?” Science, Vol. 361, No. 6397 (July 6, 2018), p. 21, https://www.science.org/doi/epdf/10.1126/science.361.6397.21 (accessed February 6, 2023). 19. Joel Achenbach, “NIH Halts $100 Million Study of Moderate Drinking That Is Funded by Alcohol Industry,” The Washington Post, May 17, 2018, https://www.washingtonpost.com/news/to-your-health/wp/2018/05/17/nih- halts-controversial-study-of-moderate-drinking/ (accessed February 6, 2023). 20. Alexander Tin, “Moderna Offers NIH Co-ownership of COVID Vaccine Patent amid Dispute with Government,” CBS News, November 15, 2021, https://www.cbsnews.com/news/moderna-covid-vaccine-patent-dispute- national-institutes-health/ (accessed February 6, 2023). 21. Informed Consent Action Network, “NIH Officials Profiting from COVID-19 Vaccine,” June 3, 2021, https://www. icandecide.org/nih-officials-profiting-from-covid-19-vaccine/ (accessed February 6, 2023). 22. Adam Andrzejewski, “Substack Investigation: Fauci’s Royalties and the $350 Million Royalty Payment Stream HIDDEN by NIH,” Open the Books Substack, May 9, 2022, https://openthebooks.substack. com/p/faucis-royalties-and-the-350-million?utm_source=/profile/24758236-adam-andrzejewski&utm_ medium=reader2&s=w (accessed February 6, 2023). 23. Robert E. Moffit, “Time to Reverse Hospital Market Consolidation,” Heritage Foundation Commentary, January 5, 2022, https://www.heritage.org/health-care-reform/commentary/time-reverse-hospital-market-consolidation. 24. H.R. 3590, Patient Protection and Affordable Care Act, Public Law No. 111-148, 111th Congress, March 23, 2021, https://www.congress.gov/111/plaws/publ148/PLAW-111publ148.pdf (accessed March 16, 2023). 25. Brian J. Miller, Robert E. Moffit, James Ficke, Joseph Marine, and Jesse Ehrenfeld, “Reversing Hospital Consolidation: The Promise of Physician-Owned Hospitals,” Health Affairs Forefront, April 12, 2021, https:// www.healthaffairs.org/do/10.1377/forefront.20210408.980640/ (accessed February 13, 2023). 26. Robert E. Moffit, “Medicare’s Future: Challenges and Opportunities,” testimony before the Special Committee on Aging, U.S. Senate, November 21, 2022, https://www.heritage.org/testimony/medicares-future-challenges- and-opportunities. 27. 42 U.S. Code § 256b, https://www.law.cornell.edu/uscode/text/42/256b (accessed March 16, 2023). 28. H.R. 3590, Patient Protection and Affordable Care Act, § 3022. 29. H.R. 5376, Inflation Reduction Act of 2022, Public Law No. 117-169, 117th Congress, August 16, 2022, https:// www.congress.gov/117/plaws/publ169/PLAW-117publ169.pdf (accessed March 16, 2023). 30. Robert E. Moffit, “Reducing Patient Access to New Medications Is the Left’s Latest Medicare Price-Fixing Scheme,” Heritage Foundation Commentary, July 22, 2022, https://www.heritage.org/medicare/commentary/ reducing-patient-access-new-medications-the-lefts-latest-medicare-price-fixing, and Badger, “How Congress Can Make Real Progress on Drug Prices.” 31. Nina Owcharenko Schaefer, “Medicaid at 55: Understanding the Design, Trends, and Reforms Needed to Improve the Health Care Safety Net,” Heritage Foundation Backgrounder No. 3604, April 14, 2021, https:// www.heritage.org/sites/default/files/2021-04/BG3604_0.pdf, and Brian C. Blase, “Punishing Conservative States: Payment Cuts to Hospitals Where Federal Spending Is Already Low,” Paragon Health Institute, December 2021, https://paragoninstitute.org/wp-content/uploads/2022/06/Punishing-Conservative-States- HTML.html (accessed February 13, 2023).

Department of Health and Human Services

Moderate

Vector: 58%

Pages: 518-520AI Enhanced

AI Analysis:

"Both the resolution and the Project 2025 HHS section aim to improve the well‑being of Native American communities, emphasizing tribal self‑governance and better health outcomes, though the resolution is symbolic while the policy proposes concrete IHS reforms."

Key themes:Native American healthTribal self‑governanceCultural recognitionHealth equityIHS reform

— 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 — 487 — Department of Health and Human Services overall cesarean rate by 50%, the length of labor by 25%, the use of oxytocin by 40%, and requests for an epidural by 60%. Doulas often use the power of touch and massage to reduce stress and anxiety during labor.”73 Given concerns about maternal mortality or postpartum depression that is worsened by poor birth experiences, doulas should be an active option for all women whether they are giving birth in a traditional hospital, through midwifery, or at home. Additionally, since most Doulas’ services are not covered by traditional insurance programs, the Maternal and Child Health program should work to pro- vide funding for low-income mothers. INDIAN HEALTH SERVICE (IHS) The Indian Health Service serves our American Indian and Alaska Native popu- lations. Reforms are needed to improve America’s ability to deliver on its promises to these important populations and must take account of cultural preferences and lifestyles, limitations due to geography (such as challenging terrain), and limited Internet access. For example, contacting individuals within some of these com- munities and tribes during the COVID-19 pandemic proved to be difficult because many had transient addresses and unreliable cell service. During the transition to the Biden Administration, IHS abandoned tribes as their sources of COVID-19 tests and vaccine supplies disappeared. It is important to guard against such situations in order to preserve these tribes’ access to health resources during public health emergencies (PHEs). Even before the pandemic, services available to these populations through federal resources and personnel (such as vision care) were often scarce or nonexistent. Patients in these populations should be empowered to rely on alternatives to IHS through better access to private health care providers. Exploring positive reforms contained in the VA MISSION Act74 could reveal similar opportunities for increased options and access for American Indians and Alaska Natives. RURAL HEALTH A growing concern is the decreasing access to health care services for Americans living in rural, less populated areas. Many find themselves in regions that were not previously as rural as industries move away, taking with them economic prosperity and often medical providers. Others are in essential professions such as farming that by nature necessitate living in regions with fewer city accommodations and economic opportunities. Seeking space for one’s family and cultivating the land are valued goals that are deeply rooted in America’s fabric. Both Congress and an Administration must continually keep in mind how health care policies uniquely affect these regions because their market trends and populations are different from those of more populous regions. Often, rural patients face an hour’s drive to the nearest medical provider or facility or have

14

Weak

Vector: 59%

Pages: 482-484AI Enhanced

AI Analysis:

"HRES 911 is a symbolic resolution celebrating Native American heritage and mentions supporting better healthcare for Native communities, which loosely touches on HHS's health mission but does not engage with the policy's specific objectives regarding life, conscience, bodily integrity, or provider autonomy."

Key themes:healthcare improvementtribal self-determinationcultural recognition

— 449 — 14 DEPARTMENT OF HEALTH AND HUMAN SERVICES Roger Severino If the U.S. Department of Health and Human Services (HHS) were a separate coun- try, its approximately $1.6 trillion budget would rank as the world’s fifth-largest national budget. For good or ill, HHS activities personally impact the lives of more Americans than do those of any other federal agency. Under President Trump, HHS was dedicated to serving “all Americans from conception to natural death, including those individuals and families who face…economic and social well-being challenges.”1 Under President Biden, the mission has shifted to “promoting equity in everything we do” for the sake of “populations sharing a particular characteristic” including race, sexuality, gender identification, ethnicity, and a host of other categories.2 As a result of HHS’s having lost its way, U.S. life expectancy, instead of return- ing to normal after the COVID-19 pandemic, continued to drop precipitously to levels not seen since 1996 with white populations alone losing 7 percent of their expected life span in just one year.3 Nothing less than America’s long-term survival is at stake. Accordingly, HHS must return to serving the health and well-being of all Americans at all stages of life instead of using social engineering that leaves us sicker, poorer, and more divided. OVERVIEW HHS consists of 11 operating divisions that have varying degrees of practical independence from the Secretary of Health and Human Services and 15 staff divisions that are directly under the Office of the Secretary. This chapter’s rec- ommendations are limited to those divisions that most need reform and address, wherever possible, five cross-cutting goals. — 450 — Mandate for Leadership: The Conservative Promise Goal #1: Protecting Life, Conscience, and Bodily Integrity. The Secretary should pursue a robust agenda to protect the fundamental right to life, protect con- science rights, and uphold bodily integrity rooted in biological realities, not ideology. From the moment of conception, every human being possesses inherent dignity and worth, and our humanity does not depend on our age, stage of development, race, or abilities. The Secretary must ensure that all HHS programs and activities are rooted in a deep respect for innocent human life from day one until natural death: Abortion and euthanasia are not health care. A robust respect for the sacred rights of conscience, both at HHS and among gov- ernments and institutions funded by it, increases choices for patients and program beneficiaries and furthers pluralism and tolerance. The Secretary must protect Americans’ civil rights by ensuring that HHS programs and activities follow the letter and spirit of religious freedom and conscience-protection laws. Radical actors inside and outside government are promoting harmful identity politics that replaces biological sex with subjective notions of “gender identity” and bases a person’s worth on his or her race, sex, or other identities. This destructive dogma, under the guise of “equity,” threatens American’s fundamental liberties as well as the health and well-being of children and adults alike. The next Secretary must ensure that HHS programs protect children’s minds and bodies and that HHS programs respect parents’ basic right to direct the upbringing, education, and care of their children. Goal #2: Empowering Patient Choices and Provider Autonomy. Basic eco- nomics holds that costs tend to decrease and quality and options tend to increase when there is robust and free competition in the provision of goods and services. Health care is no exception. Health care reform should be patient-centered and market-based and should empower individuals to control their health care–related dollars and decisions. Of course, providers who deliver health care also need the freedom to address the unique needs of their patients. States should be the primary regulators of the medical profession, and the federal government should not restrict providers’ abil- ity to discharge their responsibilities or limit their ability to innovate through government pricing controls or irrational Medicare and Medicaid reimburse- ment schemes. Finally, America’s broken insurance system, run largely through confusing pro- vider networks and third-party payers (employers), induces overconsumption of health care, limits consumer shopping, and hides true costs from patients. The federal government should focus reform on reducing burdens of regulatory compliance, unleashing innovation in health care delivery, ceasing interference in the daily lives of patients and providers, allowing alternative insurance coverage options, and returning control of health care dollars to patients making decisions with their providers about their health care treatments and services.

14

Weak

Vector: 57%

Pages: 482-484AI Enhanced

AI Analysis:

"HRES 911 is a symbolic resolution recognizing Native American heritage and supporting tribal self-governance, while Project 2025's HHS goals focus on life protection, conscience rights, family structure, and health emergency preparedness; there is only tangential overlap in terms of federal support for specific communities."

Key themes:tribal self-governancecultural recognitionfederal support

— 450 — Mandate for Leadership: The Conservative Promise Goal #1: Protecting Life, Conscience, and Bodily Integrity. The Secretary should pursue a robust agenda to protect the fundamental right to life, protect con- science rights, and uphold bodily integrity rooted in biological realities, not ideology. From the moment of conception, every human being possesses inherent dignity and worth, and our humanity does not depend on our age, stage of development, race, or abilities. The Secretary must ensure that all HHS programs and activities are rooted in a deep respect for innocent human life from day one until natural death: Abortion and euthanasia are not health care. A robust respect for the sacred rights of conscience, both at HHS and among gov- ernments and institutions funded by it, increases choices for patients and program beneficiaries and furthers pluralism and tolerance. The Secretary must protect Americans’ civil rights by ensuring that HHS programs and activities follow the letter and spirit of religious freedom and conscience-protection laws. Radical actors inside and outside government are promoting harmful identity politics that replaces biological sex with subjective notions of “gender identity” and bases a person’s worth on his or her race, sex, or other identities. This destructive dogma, under the guise of “equity,” threatens American’s fundamental liberties as well as the health and well-being of children and adults alike. The next Secretary must ensure that HHS programs protect children’s minds and bodies and that HHS programs respect parents’ basic right to direct the upbringing, education, and care of their children. Goal #2: Empowering Patient Choices and Provider Autonomy. Basic eco- nomics holds that costs tend to decrease and quality and options tend to increase when there is robust and free competition in the provision of goods and services. Health care is no exception. Health care reform should be patient-centered and market-based and should empower individuals to control their health care–related dollars and decisions. Of course, providers who deliver health care also need the freedom to address the unique needs of their patients. States should be the primary regulators of the medical profession, and the federal government should not restrict providers’ abil- ity to discharge their responsibilities or limit their ability to innovate through government pricing controls or irrational Medicare and Medicaid reimburse- ment schemes. Finally, America’s broken insurance system, run largely through confusing pro- vider networks and third-party payers (employers), induces overconsumption of health care, limits consumer shopping, and hides true costs from patients. The federal government should focus reform on reducing burdens of regulatory compliance, unleashing innovation in health care delivery, ceasing interference in the daily lives of patients and providers, allowing alternative insurance coverage options, and returning control of health care dollars to patients making decisions with their providers about their health care treatments and services. — 451 — Department of Health and Human Services Goal #3: Promoting Stable and Flourishing Married Families. Families comprised of a married mother, father, and their children are the foundation of a well-ordered nation and healthy society. Unfortunately, family policies and programs under President Biden’s HHS are fraught with agenda items focusing on “LGBTQ+ equity,” subsidizing single-motherhood, disincentivizing work, and penalizing marriage. These policies should be repealed and replaced by policies that support the formation of stable, married, nuclear families. Working fathers are essential to the well-being and development of their children, but the United States is experiencing a crisis of fatherlessness that is ruining our children’s futures. In the overwhelming number of cases, fathers insulate children from physical and sexual abuse, financial difficulty or poverty, incarceration, teen pregnancy, poor educational outcomes, high school failure, and a host of behavioral and psychological problems. By contrast, homes with non-related “boyfriends” present are among the most dangerous place for a child to be. HHS should prioritize married father engagement in its messaging, health, and welfare policies. In the context of current and emerging reproductive technologies, HHS policies should never place the desires of adults over the right of children to be raised by the biological fathers and mothers who conceive them. In cases involving biolog- ical parents who are found by a court to be unfit because of abuse or neglect, the process of adoption should be speedy, certain, and supported generously by HHS. Goal #4: Preparing for the Next Health Emergency. The COVID-19 pan- demic demonstrated how catastrophic a micromanaging, misinformed, centralized, and politicized federal government can be. Basic human rights, medical choice, and the doctor–patient relationship were trampled without scientific justification and for extended periods of time. Excess deaths, not due to COVID-19, skyrocketed because of forced lockdowns, isolation, vaccine-related mass firings, and colossal disruptions of the economy and daily rhythms of life. The federal government’s public health apparatus has lost the public’s trust. Before the next national public health emergency, this apparatus must be funda- mentally restructured to ensure a transparent, scientifically grounded, and more nimble, efficient, transparent, and targeted response that respects the unique needs and input of patient populations and providers. Every one of the overreaching policies during the pandemic—from lockdowns and school closures to mask and vaccine mandates or passports—received its supposed legal justification from the state of emergency declared (and renewed) by the HHS Secretary. Tellingly, however, the threshold for what constitutes a public health emergency—how many cases, hospitalizations, deaths, etc.—was never defined. For the sake of democratic accountability, we must know with clarity what will trigger the next emergency declaration and, just as important, what will trigger its end.

Department of Health and Human Services

Minimal

Vector: 58%

Pages: 512-514AI Enhanced

AI Analysis:

"HRES 911 focuses on recognizing Native American heritage and cultural contributions, while the Project 2025 policy excerpt addresses child support reform, marriage promotion, and related social services under HHS. There is no thematic or policy overlap between the two."

— 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

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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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