Rural Hospital Cybersecurity Enhancement Act

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Bill ID: 119/s/2169
Last Updated: August 4, 2026

Sponsored by

Sen. Hawley, Josh [R-MO]

ID: H001089

Follow the money

The bill

Rural Hospital Cybersecurity Enhancement Act

S. 2169, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Sen. Hawley, Josh [R-MO]

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

The money

$150,464 raised

24 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. 530-532 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Placed on Senate Legislative Calendar under General Orders. Calendar No. 309.

January 27, 2026

Introduced

📍 Current Status

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

🏛️

Committee Review

🗳️

Floor Action

✅

Passed Senate

🏛️

House Review

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

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

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

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

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

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

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

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

Bill Summary

Another brilliant example of legislative theater, courtesy of the esteemed members of Congress. Let's dissect this masterpiece, shall we?

**Main Purpose & Objectives:** The Rural Hospital Cybersecurity Enhancement Act (RHCEA) claims to address the pressing issue of rural hospital cybersecurity by developing a comprehensive workforce development strategy. How noble. In reality, it's just another excuse for politicians to grandstand about "supporting" rural America while lining their pockets with campaign donations from healthcare lobbyists.

**Key Provisions & Changes to Existing Law:** The bill requires the Secretary of Health and Human Services (HHS) to develop a rural hospital cybersecurity workforce development strategy within one year. This strategy will supposedly address the growing need for skilled cybersecurity professionals in rural hospitals. Oh, please. The real purpose is to create more bureaucratic red tape and justify additional funding for "cybersecurity initiatives." Other key provisions include:

* Consulting with various agencies and stakeholders (read: lobbyists) to develop the strategy * Creating instructional materials for rural hospitals on fundamental cybersecurity efforts (because, apparently, they're too incompetent to figure it out themselves) * Providing annual briefings to Congress on the effectiveness of the strategy (a.k.a. a chance for politicians to pretend they care about rural healthcare)

**Affected Parties & Stakeholders:** The usual suspects:

* Rural hospitals (the supposed beneficiaries of this bill) * Healthcare providers and lobbyists (who will likely reap the benefits of increased funding and contracts) * Cybersecurity companies (which will profit from the creation of new "cybersecurity initiatives") * Politicians (who get to pretend they're doing something useful while collecting campaign donations)

**Potential Impact & Implications:** This bill is a classic case of treating symptoms rather than the underlying disease. The real issue is not a lack of cybersecurity professionals in rural hospitals, but rather the systemic problems plaguing our healthcare system, such as inadequate funding, outdated infrastructure, and bureaucratic inefficiencies.

By creating more bureaucracy and throwing money at the problem, Congress will only perpetuate the cycle of incompetence and waste. Meanwhile, rural hospitals will continue to struggle with real issues like staffing shortages, limited resources, and crumbling infrastructure.

In conclusion, the RHCEA is a masterclass in legislative doublespeak, designed to appease special interests while pretending to address a pressing issue. It's a perfect example of how our political system prioritizes optics over substance, and why we should all be skeptical of any bill that claims to "support" rural America.

Related Topics

Defense Spending & Procurement
Generated using Llama 3.1 70B (Dr. Haus personality)

💰 Campaign Finance Network

Sen. Hawley, Josh [R-MO]

Congress 119 • 2024 Election Cycle

Total Contributions
$150,464
24 donors
PACs
$0
Organizations
$5,464
Committees
$0
Individuals
$145,000

No PAC contributions found

1
R&W TOWING & RECOVERY
1 transaction
$3,300
2
SOUTHERN MISSOURI REAL ESTATE LLC
1 transaction
$1,000
3
ST LOUIS CONSERVATIVE LEADERSHIP PAC
1 transaction
$914
4
MARK FAUGHN CONSTRUCTION LLC
1 transaction
$250

No committee contributions found

1
SCHELL, MARK CHRISTOPHER
1 transaction
$13,200
2
CARR, GEORGE T.
1 transaction
$12,200
3
RUSSELL, DOUG MR.
1 transaction
$7,400
4
SHELTON, GREGORY P. MR.
1 transaction
$6,600
5
WALDEN, MICHAEL
1 transaction
$6,600
6
WILLARD, BRADLEY
1 transaction
$6,600
7
WILLARD, SANDRA
1 transaction
$6,600
8
FISHER, KENNETH L. MR.
1 transaction
$6,600
9
FISHER, SHERRILYN
1 transaction
$6,600
10
COOK, JEFFREY MR.
1 transaction
$6,600
11
FRALIN, HEYWOOD MR.
1 transaction
$6,600
12
KUECKER, CAROLYN KAY
1 transaction
$6,600
13
KUECKER, STANLEY J.
1 transaction
$6,600
14
MCKEE, JACK MR.
1 transaction
$6,600
15
RUSSELL, KIM
1 transaction
$6,600
16
ELLIOTT, BEVERLY
1 transaction
$6,600
17
JARED, CURTIS MR.
1 transaction
$6,600
18
COLLAR, MICHAEL
1 transaction
$6,600
19
ROSS, DAVID A. MR.
1 transaction
$6,600
20
ROSS, PATRICIA MS.
1 transaction
$6,600

Cosponsors & Their Campaign Finance

This bill has 6 cosponsors. Below are their top campaign contributors.

Sen. Hassan, Margaret Wood [D-NH]

ID: H001076

Top Contributors

20

1
WOODS, ANDREW L.
LIBERTY PARTNERS GROUP • ATTORNEY
IndividualFORT MYERS, FL
$4,300
Jun 29, 2023
2
WOODS, ANDREW L.
IndividualFORT MYERS, FL
$3,900
Jul 12, 2023
3
BEKENSTEIN, ANITA
NOT EMPLOYED • NOT EMPLOYED
IndividualWAYLAND, MA
$3,300
Oct 4, 2023
4
BEKENSTEIN, JOSH
NOT EMPLOYED • RETIRED
IndividualWAYLAND, MA
$3,300
Oct 4, 2023
5
HUNTER, DANIEL
SELF-EMPLOYED • PLAYWRIGHT & TEACHER
IndividualCAMBRIDGE, MA
$3,300
Dec 6, 2023
6
KLARMAN, SETH
THE BAUPOST GROUP • CEO
IndividualBOSTON, MA
$3,300
Dec 18, 2023
7
SCHWARTZ, GABRIEL
DAVIDSON KEMPNER • INVESTMENT MANAGER
IndividualBROOKLYN, NY
$3,300
Oct 16, 2023
8
SWINDELL, C. DAVID
NOT EMPLOYED • NOT EMPLOYED
IndividualBOSTON, MA
$3,300
Oct 10, 2023
9
KORN, WILLIAM T.
NSRA • RADIOLOGIST
IndividualWABAN, MA
$3,300
Mar 29, 2023
10
KORN, WILLIAM T.
NSRA • RADIOLOGIST
IndividualWABAN, MA
$3,300
Mar 29, 2023

Sen. Kelly, Mark [D-AZ]

ID: K000377

Top Contributors

24

1
PASCUA YAQUI TRIBE
OrganizationTUCSON, AZ
$3,300
Oct 23, 2023
2
THE CHICKASAW NATION
OrganizationADA, OK
$2,500
May 23, 2024
3
GILA RIVER INDIAN COMMUNITY
OrganizationSACATON, AZ
$1,000
Jun 15, 2023
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,000
Aug 12, 2024
5
CORMIER, STEPHEN
IndividualMANSFIELD, LA
$6,000
Dec 31, 2023
6
LEWIS, PAUL
NOT EMPLOYED • RETIRED
IndividualKINGMAN, AZ
$5,000
Oct 23, 2024
7
LEWIS, PAUL
IndividualKINGMAN, AZ
$5,000
Dec 6, 2024
8
BASS, JOSEPH P
NOT EMPLOYED • RETIRED
IndividualPORTLAND, OR
$5,000
Mar 29, 2024
9
PEROT, MARGOT B
NOT EMPLOYED • RETIRED
IndividualDALLAS, TX
$5,000
Apr 8, 2024
10
MILLER, JUDITH
IndividualINDIANAPOLIS, IN
$5,000
Sep 11, 2024

Sen. Ossoff, Jon [D-GA]

ID: O000174

Top Contributors

20

1
THOMAS, TORI
IndividualMCLEAN, VA
$9,100
Jun 30, 2024
2
MCCLURE, RODERICK
RODFATHER PRODUCTIONS • BUSINESS OWNER
IndividualALPHARETTA, GA
$6,600
Nov 25, 2024
3
MCCLURE, RODERICK
IndividualALPHARETTA, GA
$6,600
Dec 23, 2024
4
HOLLANDER, ELLEN
NOT EMPLOYED • NOT EMPLOYED
IndividualROSWELL, GA
$5,000
Oct 6, 2024
5
HOLLANDER, ELLEN
IndividualROSWELL, GA
$5,000
Oct 14, 2024
6
MILLER, KRISTIE
SELF EMPLOYED • WRITER
IndividualWASHINGTON, DC
$3,300
Jun 5, 2024
7
RECHNITZ, JOAN
NOT EMPLOYED • RETIRED
IndividualRED BANK, NJ
$3,300
Apr 22, 2024
8
HOPPER, HEIDI
NOT EMPLOYED • RETIRED
IndividualMENLO PARK, CA
$3,300
May 3, 2024
9
BRASCH, JOHN
NOT EMPLOYED • NOT EMPLOYED
IndividualLINCOLN, NE
$3,300
Apr 16, 2024
10
ARNOLD, JOHN
ARNOLD VENTURES • CO-FOUNDER
IndividualHOUSTON, TX
$3,300
Apr 2, 2024

Sen. Collins, Susan M. [R-ME]

ID: C001035

Top Contributors

21

1
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
PACPRIOR LAKE, MN
$1,000
Jun 28, 2023
2
SILBEY, ALEXANDER
ATS COMMUNICATIONS, INC, • CONSULTANT
IndividualWASHINGTON, DC
$6,600
Jul 23, 2024
3
ARNOLD, LAURA
RETIRED • RETIRED
IndividualHOUSTON, TX
$6,600
Aug 10, 2024
4
READ, KURT
RSF PARTNERS • PARTNER
IndividualDALLAS, TX
$3,300
Dec 29, 2023
5
COATES, CHRIS
RETIRED • RETIRED
IndividualIRVING, TX
$3,300
Dec 29, 2023
6
READ, KURT
RSF PARTNERS • PARTNER
IndividualDALLAS, TX
$3,300
Dec 29, 2023
7
CROTTY, THOMAS
RETIRED • RETIRED
IndividualSCOTTSDALE, AZ
$3,300
Dec 29, 2023
8
COATES, CHRIS
RETIRED • RETIRED
IndividualIRVING, TX
$3,300
Dec 29, 2023
9
CROTTY, THOMAS
RETIRED • RETIRED
IndividualSCOTTSDALE, AZ
$3,300
Dec 29, 2023
10
YOUNGMAN, ANDREW
CITIZENS DISABILITY LLC • CEO
IndividualWEST NEWTON, MA
$3,300
Nov 20, 2023

Sen. Warnock, Raphael G. [D-GA]

ID: W000790

Top Contributors

26

1
JME GROUP
OrganizationSTONE MOUNTAIN, GA
$2,900
Jun 30, 2023
2
JME GROUP
OrganizationSTONE MOUNTAIN, GA
$2,900
Jul 18, 2024
3
PORTFOLIO ONE
OrganizationLOS ANGELES, CA
$1,250
Mar 17, 2023
4
MCKENNEY HOUSE LLC
OrganizationFORT WASHINGTON, MD
$1,000
Jun 30, 2023
5
WATKINS WATKINS & WATKINS LLC
OrganizationCARROLLTON, GA
$1,000
Feb 17, 2023
6
SCR CONSULTING LLC
OrganizationATLANTA, GA
$500
Feb 17, 2023
7
GIBSON, DAVID H.
IndividualDALLAS, TX
$26,750
Mar 31, 2023
8
ROBBINS, BONNIE
IndividualSEATTLE, WA
$12,118
Mar 31, 2023
9
ROBBINS, BONNIE
IndividualSEATTLE, WA
$12,118
Jul 18, 2024
10
KERR, WILLIAM G.
IndividualOKLAHOMA CITY, OK
$9,625
Mar 31, 2023

Sen. Heinrich, Martin [D-NM]

ID: H001046

Top Contributors

71

1
JSTREETPAC
CONDUIT TOTAL LISTED IN AGG. FIELD
PACWASHINGTON, DC
$1,000
Apr 19, 2024
2
SAN PABLO LYTTON TRIBE
OrganizationSAN PABLO, CA
$21,600
Oct 5, 2023
3
PUEBLO OF LAGUNA
OrganizationLAGUNA, NM
$5,800
Sep 30, 2024
4
PUEBLO OF SAN ILDEFONSO
OrganizationSANTA FE, NM
$5,000
Oct 30, 2024
5
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$5,000
Oct 23, 2024
6
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$5,000
Dec 5, 2023
7
THE CHICKASAW NATION
OrganizationADA, OK
$5,000
Oct 15, 2024
8
SAN PABLO LYTTON TRIBE
OrganizationSAN PABLO, CA
$3,962
May 10, 2024
9
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$3,300
Oct 22, 2024
10
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
OrganizationSHELBYVILLE, MI
$3,300
Oct 22, 2024

Donor Network - Sen. Hawley, Josh [R-MO]

PACs
Organizations
Individuals
Politicians

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

Loading...

Showing 37 nodes and 37 connections

Total contributions: $37

Top Donors - Sen. Hawley, Josh [R-MO]

Showing top 24 donors by contribution amount

4 Orgs20 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 2 helped.

  • Section 3(a) requires the Secretary to develop a rural hospital cybersecurity workforce development strategy, and Section 4(a) requires making instructional materials available to rural hospitals at no cost, which benefits hospitals and health systems by improving cybersecurity capabilities without additional funding burden.

  • +Cybersecurityconfidence 0.85

    Sections 3 and 4 involve developing cybersecurity workforce strategies and instructional materials, which creates demand for cybersecurity education, training programs, and related services, benefiting cybersecurity firms and professionals.

Who funds the sponsor on these industries

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

Industries this bill HELPS

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: 61%
Pages: 530-532AI Enhanced

AI Analysis:

"The bill’s focus on bolstering cybersecurity capabilities in rural hospitals directly supports the HHS Strategic Goal of protecting and strengthening equitable access to high-quality, affordable healthcare for underserved populations, including rural communities."

Key themes:rural hospitalsunderserved communitieshealthcare accesscybersecurity workforceHHS strategic goal

— 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: 66%
Pages: 521-523AI Enhanced

AI Analysis:

"The bill aligns with Project 2025's focus on improving rural healthcare access and reducing regulatory barriers by supporting workforce development and local innovation in cybersecurity, though it does not directly address telehealth, provider supply, or delivery flexibility as emphasized in the policy."

Key themes:rural healthcareworkforce developmentlocal innovationHHS leadershipcybersecurity preparedness

— 488 — Mandate for Leadership: The Conservative Promise limited or no Internet access, which restricts their access to telehealth services (especially video visits). To improve its health care policies that affect rural regions, HHS should: l Reduce the regulatory burden and unleash private innovation that can discover solutions to unique, local needs. l Implement or encourage policies that increase the supply of health care providers, such as increased telehealth access and interstate licensure (a historically state matter), including for volunteers wishing to provide temporary, charitable services across state lines. l Encourage flexibility in modes of health care delivery, including less expensive alternatives to hospitals and telehealth independent of expensive air ambulances. OFFICE OF THE SECRETARY The Secretary of Health and Human Services and the Office of the Secretary necessarily set the tone for the entire department. The Secretary is the most accountable individual within HHS and, along with his or her immediate staff, should therefore be responsible for setting the policies that govern the depart- ment’s operations instead of allowing the operational divisions to assume the leading role in policymaking, thereby diffusing responsibility. Practical reforms to enhance the Secretary’s accountability should include the following: l Restrict HHS’s ability to declare indefinite public health emergencies (PHEs). Currently, HHS is merely required to notify Congress of such a declaration within 48 hours. Congress should establish a set time frame for any PHE, placing on the Secretary the burden of proof as to why an extension of the PHE is necessary. l Reinstate the HHS SUNSET (Securing Updated and Necessary Statutory Evaluations Timely) rule.75 Congress should codify the now- reversed Trump Administration rule that required all HHS agencies to review regulations retrospectively and publish results; without such a review, regulations expire. l Investigate, expose, and remediate any instances in which HHS violated people’s rights by:

Department of Health and Human Services

Weak
Vector: 65%
Pages: 521-523AI Enhanced

AI Analysis:

"The bill addresses cybersecurity workforce development for rural hospitals, which is only tangentially related to the Project 2025 HHS priorities of reducing regulatory burden, expanding telehealth, increasing provider supply, and enforcing accountability; there is no direct overlap in objectives."

Key themes:rural healthworkforce developmentprivate sector partnershipshealthcare infrastructure

— 488 — Mandate for Leadership: The Conservative Promise limited or no Internet access, which restricts their access to telehealth services (especially video visits). To improve its health care policies that affect rural regions, HHS should: l Reduce the regulatory burden and unleash private innovation that can discover solutions to unique, local needs. l Implement or encourage policies that increase the supply of health care providers, such as increased telehealth access and interstate licensure (a historically state matter), including for volunteers wishing to provide temporary, charitable services across state lines. l Encourage flexibility in modes of health care delivery, including less expensive alternatives to hospitals and telehealth independent of expensive air ambulances. OFFICE OF THE SECRETARY The Secretary of Health and Human Services and the Office of the Secretary necessarily set the tone for the entire department. The Secretary is the most accountable individual within HHS and, along with his or her immediate staff, should therefore be responsible for setting the policies that govern the depart- ment’s operations instead of allowing the operational divisions to assume the leading role in policymaking, thereby diffusing responsibility. Practical reforms to enhance the Secretary’s accountability should include the following: l Restrict HHS’s ability to declare indefinite public health emergencies (PHEs). Currently, HHS is merely required to notify Congress of such a declaration within 48 hours. Congress should establish a set time frame for any PHE, placing on the Secretary the burden of proof as to why an extension of the PHE is necessary. l Reinstate the HHS SUNSET (Securing Updated and Necessary Statutory Evaluations Timely) rule.75 Congress should codify the now- reversed Trump Administration rule that required all HHS agencies to review regulations retrospectively and publish results; without such a review, regulations expire. l Investigate, expose, and remediate any instances in which HHS violated people’s rights by: — 489 — Department of Health and Human Services 1. Colluding with Big Tech to censor dissenting opinions during COVID. 2. Colluding with abortion advocates and LGBT advocates to violate conscience-protection laws and the Hyde Amendment. The Life Agenda. The Office of the Secretary should eliminate the HHS Repro- ductive Healthcare Access Task Force and install a pro-life task force to ensure that all of the department’s divisions seek to use their authority to promote the life and health of women and their unborn children. Additionally, HHS should return to being known as the Department of Life by explicitly rejecting the notion that abortion is health care and by restoring its mission statement under the Strategic Plan and elsewhere to include furthering the health and well-being of all Americans “from conception to natural death.” The next Administration should create a dedicated Special Representative for Domestic Women’s Health. In the Trump Administration, there was a Special Representative for Global Women’s Health that focused on international issues, but this position lacked authority to be the lead on international policies because of overlapping issues with the U.S. Department of State and USAID (and at times a lack of clarity as to the lead point of contact and policy decisions at the White House). The new Special Representative would serve as the lead on all matters of federal domestic policy development related to life and family with support from the DPC for implementation and coordination among agencies. In the post-Dobbs era, advancing support for mothers will include coordination among agencies out- side of HHS, and the Special Representative would provide a clear focal point for all issues related to protecting life and serving families. The Family Agenda. The Secretary’s antidiscrimination policy statements should never conflate sex with gender identity or sexual orientation. Rather, the Secretary should proudly state that men and women are biological realities that are crucial to the advancement of life sciences and medical care and that married men and women are the ideal, natural family structure because all children have a right to be raised by the men and women who conceived them. OFFICE OF THE ASSISTANT SECRETARY FOR HEALTH (OASH) / OFFICE OF THE SURGEON GENERAL (OSG) The Assistant Secretary for Health (ASH) is the four-star admiral for the United States Public Health Service Commissioned Corps (USPHS), and the Surgeon Gen- eral (SG) is the three-star admiral. The ASH is tasked with overseeing not only the USPHS, but also 10 regional health offices, multiple presidential and secretarial advisory committees, and other offices such as the Offices of Minority Health, Women’s Health, and Population Affairs. The Secretary can further expand the ASH’s responsibilities (for example, by

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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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