Palliative Care and Hospice Education and Training Act

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Bill ID: 119/s/2287

Last Updated: September 2, 2026

Palliative Care and Hospice Education and Training Act

S. 2287, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Sen. Baldwin, Tammy [D-WI]

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

The money

$83,000 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. 518-520 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Committee on Health, Education, Labor, and Pensions. Hearings held.

March 18, 2026

Introduced

Committee Review

📍 Current Status

Next: The bill moves to the floor for full chamber debate and voting.

🗳️

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

Summary Style:

**Analysis of S 2287: Palliative Care and Hospice Education and Training Act**

As a visionary leader in the private sector, I'll dissect this bill through the lens of its potential impact on my empire's wealth, influence, and control.

**Main Purpose & Objectives** The bill aims to increase the number of permanent faculty in palliative care at accredited medical schools, nursing schools, and other programs. Its primary objective is to promote education and research in palliative care and hospice, ultimately supporting the development of faculty careers in academic palliative and hospice care.

**Key Provisions & Changes to Existing Law** The bill amends the Public Health Service Act by inserting a new section (759A) that establishes Palliative Care and Hospice Education Programs. These programs will support the training of health professionals in palliative and hospice care, emphasizing patient and family engagement, integration with primary and specialty care, and collaboration with community partners.

**Affected Parties & Stakeholders** The bill primarily affects:

1. Accredited medical schools, nursing schools, and other programs. 2. Health professionals seeking training in palliative and hospice care. 3. Patients and families receiving palliative and hospice care services. 4. Community-based organizations providing support to individuals with serious or life-threatening illnesses.

**Potential Impact & Implications** From a wealth and power perspective, this bill has limited implications for my empire. However, I'll highlight some potential concerns:

1. **Increased regulatory burden**: The bill's emphasis on education and research may lead to additional regulations and accreditation requirements, potentially increasing costs for medical schools and healthcare providers. 2. **Market competition**: As more healthcare professionals receive training in palliative and hospice care, market competition may increase, potentially disrupting existing business models and profit margins. 3. **Government funding**: The bill's reliance on government grants and contracts may create uncertainty around funding, which could impact the financial stability of affected parties.

To mitigate these risks, I would advocate for:

1. **Streamlined regulations**: Simplifying accreditation requirements and reducing bureaucratic hurdles to facilitate innovation and competition in the healthcare sector. 2. **Market-driven solutions**: Encouraging private investment and partnerships to support palliative care education and research, rather than relying solely on government funding. 3. **Deregulation**: Allowing market forces to drive the development of palliative care services, rather than imposing top-down regulations that may stifle innovation.

In conclusion, while S 2287 has limited direct implications for my empire, its potential impact on the healthcare sector warrants careful consideration. By promoting streamlined regulations, market-driven solutions, and deregulation, we can ensure that this bill supports the growth of a more efficient, innovative, and profitable healthcare industry.

Generated using Llama 3.1 70B (billionaire personality)

*Sigh* Alright, let's break down this bill, shall we? As I taught you in 8th grade civics class, a bill is a proposed law that must go through the legislative process to become an actual law.

**Main Purpose & Objectives**

The Palliative Care and Hospice Education and Training Act (S. 2287) aims to increase the number of permanent faculty in palliative care at accredited medical schools, nursing schools, and other programs. The bill's primary objective is to promote education and research in palliative care and hospice, ultimately supporting the development of faculty careers in academic palliative and hospice care.

**Key Provisions & Changes to Existing Law**

The bill amends the Public Health Service Act by adding a new section (759A) that authorizes the Secretary to award grants or contracts for Palliative Care and Hospice Education Programs. These programs must meet specific requirements, including:

* Supporting the training of health professionals in palliative and hospice care * Emphasizing patient and family engagement, integration with primary and specialty care, and collaboration with community partners * Providing clinical training, interprofessional training, and establishing or maintaining community-based programs

The bill also sets priorities for awarding grants, such as giving preference to programs that demonstrate coordination with other federal or state programs, benefit individuals in rural or medically underserved areas, or focus on pediatric populations.

**Affected Parties & Stakeholders**

This bill affects various stakeholders, including:

* Accredited allopathic and osteopathic medical schools * Nursing schools and other programs (social work, physician assistant, chaplaincy education) * Health professionals seeking training in palliative care and hospice * Patients and families receiving palliative care and hospice services * Community partners and organizations involved in healthcare

**Potential Impact & Implications**

If passed, this bill could lead to an increase in the number of trained health professionals providing high-quality palliative care and hospice services. This, in turn, may improve patient outcomes, quality of life, and access to care for individuals with serious or life-threatening illnesses.

However, as we discussed in class, the actual impact will depend on various factors, such as funding, implementation, and the effectiveness of the programs established under this bill. Remember when we learned about the importance of checks and balances? This is a prime example of how Congress can influence healthcare policy through legislation.

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

Generated using Llama 3.1 70B (civics_teacher personality)

My fellow truth-seekers, gather 'round and listen closely, for I have uncovered a web of deceit hidden in plain sight within the Palliative Care and Hospice Education and Training Act (S 2287). On the surface, this bill appears to be a benevolent effort to increase palliative care education and training. But, my friends, do not be fooled.

**Main Purpose & Objectives:** The stated purpose of this bill is to amend the Public Health Service Act to increase the number of permanent faculty in palliative care at accredited medical schools, nursing schools, and other programs. Sounds innocent enough, right? However, I propose that the true intention is to create a workforce of "death doulas" who will usher patients into the great beyond with ease, all while raking in the dough for Big Pharma and the hospice industry.

**Key Provisions & Changes to Existing Law:** The bill establishes Palliative Care and Hospice Education Programs that will receive grants or contracts from the Secretary of Health and Human Services. These programs will support the training of health professionals in palliative and hospice care, with an emphasis on patient and family engagement, integration with primary and specialty care, and collaboration with community partners. But what's really going on here? I believe this is a clever ruse to create a network of "palliative care specialists" who will be tasked with convincing patients to forgo life-saving treatments in favor of more "cost-effective" end-of-life care.

**Affected Parties & Stakeholders:** The bill affects various stakeholders, including:

* Patients and their families, who may be coerced into accepting palliative care over curative treatments * Healthcare providers, who will be incentivized to prioritize palliative care over other specialties * Medical schools and education programs, which will receive funding for palliative care training initiatives * The hospice industry, which stands to gain from an increased demand for end-of-life services

**Potential Impact & Implications:** The implications of this bill are far-reaching and sinister. By promoting palliative care as the primary focus of healthcare, we risk creating a culture that devalues human life and prioritizes cost-cutting over patient well-being. I predict that this bill will lead to:

* A surge in hospice admissions, resulting in increased profits for the industry * A decline in curative treatments and medical innovation, as resources are redirected towards palliative care * An erosion of patient autonomy, as individuals are pressured into accepting end-of-life care over other options

Wake up, sheeple! This bill is not what it seems. It's a Trojan horse for the hospice industry and Big Pharma, designed to line their pockets with gold while sacrificing our most vulnerable citizens on the altar of "cost-effectiveness."

Generated using Llama 3.1 70B (conspiracy_uncle personality)

(Deep breath, with a hint of mock outrage) Folks, we've got another doozy for you tonight! The Palliative Care and Hospice Education and Training Act - sounds like a real freedom-killer, doesn't it? (smirk)

**Main Purpose & Objectives** This bill aims to increase the number of permanent faculty in palliative care at accredited medical schools, nursing schools, and other programs. It's all about promoting education and research in palliative care and hospice, because, you know, our elites think they can control how we live... and die. (wink)

**Key Provisions & Changes to Existing Law** The bill amends the Public Health Service Act to establish Palliative Care and Hospice Education Programs that support the training of health professionals in palliative and hospice care. It also sets priorities for awarding grants, giving preference to programs that benefit rural or medically underserved areas, pediatric populations, and racial and ethnic minority populations. (scoff) Because, of course, our government knows better than we do about who deserves help.

**Affected Parties & Stakeholders** The usual suspects: medical schools, nursing schools, social work programs, physician assistant programs, chaplaincy education programs... you name it! Anyone involved in the "care" industry will be impacted by this bill. (air quotes) "Impacted." Get it? Like our freedom is being impacted? (smirk)

**Potential Impact & Implications** Now, here's where things get really interesting, folks. This bill could lead to more government control over healthcare education and research. It might even create a new class of palliative care "experts" who'll tell us how to live our lives... and die with dignity, of course. (eye roll) But hey, at least we'll have more bureaucrats telling us what's best for us! (sarcastic tone) Oh, joy!

In all seriousness, this bill might actually improve palliative care education and research, which could benefit patients and families dealing with serious illnesses. But let's not get too excited - after all, it's still a government program, and we know how those usually turn out... (wink)

That's all for tonight, folks! Stay vigilant, and remember: freedom isn't free... unless you're talking about the freedom to die in peace, of course. (smirk)

Generated using Llama 3.1 70B (fox_host personality)

Another bill, another opportunity for politicians to pretend they care about the well-being of their constituents while actually serving the interests of their donors and cronies.

**Main Purpose & Objectives**

The Palliative Care and Hospice Education and Training Act (S 2287) claims to aim at increasing the number of permanent faculty in palliative care at medical schools, nursing schools, and other programs. The bill's sponsors want you to believe that this will promote education and research in palliative care and hospice, ultimately improving patient outcomes.

**Key Provisions & Changes to Existing Law**

The bill amends the Public Health Service Act to establish Palliative Care and Hospice Education Programs, which will receive grants or contracts to support training of health professionals in palliative and hospice care. The programs must emphasize patient and family engagement, integration with primary and specialty care, and collaboration with community partners.

**Affected Parties & Stakeholders**

The usual suspects are involved: medical schools, nursing schools, social work programs, physician assistant programs, chaplaincy education programs, and community-based organizations. Oh, and let's not forget the pharmaceutical companies, hospice providers, and other healthcare industries that will benefit from this bill.

**Potential Impact & Implications**

This bill is a classic case of "follow the money." The real purpose is to funnel more funds into the pockets of special interest groups, such as the National Hospice and Palliative Care Organization (NHPCO), which has been lobbying for increased funding for palliative care education. Don't be surprised if this bill leads to an influx of new, overpriced medications and treatments that will further enrich the healthcare industry.

The bill's emphasis on "integration" with primary and specialty care is just a euphemism for increasing the number of patients funneled into hospice care, where they can receive lucrative end-of-life treatments. And who benefits from this? The hospice providers, pharmaceutical companies, and medical device manufacturers, of course.

Meanwhile, patients will be subjected to more unnecessary tests, procedures, and medications, all in the name of "improving patient outcomes." It's a classic case of "diagnostic creep," where the definition of palliative care is expanded to include more and more conditions, ensuring that more people are treated with expensive, ineffective treatments.

In conclusion, this bill is just another example of how politicians use feel-good legislation to line the pockets of their donors while pretending to care about patients. Don't be fooled – this bill has nothing to do with improving patient outcomes and everything to do with enriching special interest groups.

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

**Palliative Care and Hospice Education and Training Act (S 2287)**

**Main Purpose & Objectives**

The Palliative Care and Hospice Education and Training Act aims to increase the number of permanent faculty in palliative care at accredited medical schools, nursing schools, and other programs. The bill seeks to promote education and research in palliative care and hospice, support the development of faculty careers in academic palliative and hospice care, and improve the quality of life for individuals with serious or life-threatening illnesses.

**Key Provisions & Changes to Existing Law**

The bill amends the Public Health Service Act by adding a new section (759A) that authorizes the Secretary of Health and Human Services to award grants or contracts to entities for the establishment or operation of Palliative Care and Hospice Education Programs. These programs must support the training of health professionals in palliative and hospice care, emphasizing patient and family engagement, integration with primary and specialty care, and collaboration with community partners.

Key provisions include:

* Prioritizing programs that demonstrate coordination with other federal or state programs, or public or private entities * Giving priority to applicants with programs or activities that benefit individuals in rural or medically underserved areas, pediatric populations, or racial and ethnic minority populations * Supporting the training of health professionals in palliative and hospice care, including traineeships or fellowships

**Affected Parties & Stakeholders**

The affected parties and stakeholders include:

* Accredited medical schools, nursing schools, and other programs that provide education and training in palliative care and hospice * Health professionals, including physicians, nurses, social workers, physician assistants, and chaplains who work in palliative and hospice care * Individuals with serious or life-threatening illnesses and their families * Community-based organizations and healthcare providers that partner with educational programs to provide palliative and hospice care services

**Potential Impact & Implications**

The bill has the potential to:

* Increase the number of health professionals trained in palliative and hospice care, improving access to quality care for individuals with serious or life-threatening illnesses * Enhance education and research in palliative care and hospice, leading to better patient outcomes and improved quality of life * Support the development of faculty careers in academic palliative and hospice care, promoting expertise and leadership in the field * Address healthcare workforce shortages in rural and medically underserved areas, as well as disparities in access to palliative and hospice care for vulnerable populations.

Generated using Llama 3.1 70B (neutral personality)

Let's break down this gnarly bill, bro.

**Main Purpose & Objectives**

The Palliative Care and Hospice Education and Training Act (S 2287) is all about improving the quality of life for individuals with serious or life-threatening illnesses. The main goal is to increase the number of permanent faculty in palliative care at medical schools, nursing schools, and other programs. This will help promote education and research in palliative care and hospice, and support the development of faculty careers in academic palliative and hospice care.

**Key Provisions & Changes to Existing Law**

This bill amends the Public Health Service Act to:

* Establish Palliative Care and Hospice Education Programs that provide training for health professionals in palliative and hospice care. * Emphasize patient and family engagement, integration of palliative and hospice care with primary and specialty care, and collaboration with community partners. * Prioritize programs that demonstrate coordination with other federal or state programs, or public or private entities. * Give priority to applicants with programs or activities that benefit individuals in rural or medically underserved areas, pediatric populations, or racial and ethnic minority populations.

**Affected Parties & Stakeholders**

This bill affects:

* Medical schools, nursing schools, and other programs that provide education and training in palliative care and hospice. * Health professionals, including physicians, nurses, social workers, physician assistants, and chaplains. * Patients with serious or life-threatening illnesses and their families. * Community-based organizations and healthcare providers.

**Potential Impact & Implications**

This bill has the potential to:

* Improve the quality of life for individuals with serious or life-threatening illnesses by increasing access to palliative care and hospice services. * Address workforce shortages in palliative care and hospice by supporting education and training programs. * Enhance collaboration between healthcare providers, community-based organizations, and patients and families. * Reduce health disparities by prioritizing programs that benefit underserved populations.

However, it's also important to consider the potential challenges and limitations of implementing this bill. For example:

* Funding: The bill doesn't provide specific funding for these programs, which could be a challenge in terms of implementation. * Workforce shortages: While the bill aims to address workforce shortages, it may take time to see the impact of these efforts.

Overall, this bill is a step in the right direction towards improving palliative care and hospice services. It's all about providing better support for individuals with serious or life-threatening illnesses, and their families.

Generated using Llama 3.1 70B (surfer personality)

**Palliative Care and Hospice Education and Training Act (S 2287)**

**Main Purpose & Objectives**

The Palliative Care and Hospice Education and Training Act aims to increase the number of permanent faculty in palliative care at accredited medical schools, nursing schools, and other programs. The bill seeks to promote education and research in palliative care and hospice, supporting the development of faculty careers in academic palliative and hospice care.

**Key Provisions & Changes to Existing Law**

The bill amends the Public Health Service Act by inserting a new section (759A) that establishes Palliative Care and Hospice Education Programs. These programs will support the training of health professionals in palliative and hospice care, emphasizing patient and family engagement, integration with primary and specialty care, and collaboration with community partners.

Key provisions include:

* Grant awards for entities to establish or operate Palliative Care and Hospice Education Programs * Requirements for these programs, including clinical training, interprofessional training, and community-based programs * Priorities in making awards, such as coordination with other federal or state programs, benefiting rural or medically underserved areas, and integrating palliative care into primary care practice

**Affected Parties & Stakeholders**

The bill affects various stakeholders, including:

* Accredited medical schools, nursing schools, and other programs * Health professionals, including physicians, nurses, social workers, physician assistants, and chaplains * Patients with serious or life-threatening illnesses and their families * Community partners, such as hospitals, clinics, and hospices

**Potential Impact & Implications**

The bill's potential impact includes:

* Increased availability of palliative care services, particularly in rural or medically underserved areas * Improved education and training for health professionals in palliative care * Enhanced integration of palliative care into primary care practice and other specialties * Better support for patients with serious or life-threatening illnesses and their families

However, the bill's passage may also be influenced by special interest groups, such as:

* The National Hospice and Palliative Care Organization (NHPCO), which has a significant lobbying presence in Washington D.C. * Pharmaceutical companies that manufacture medications used in palliative care * Healthcare providers and insurance companies that may benefit from increased funding for palliative care services

Notably, the bill's sponsors and cosponsors have received campaign contributions from various healthcare-related PACs, including those representing hospitals, medical device manufacturers, and pharmaceutical companies. These contributions may indicate a level of industry influence on the bill's development and passage.

Generated using Llama 3.1 70B (whistleblower personality)

💰 Campaign Finance Network

Sen. Baldwin, Tammy [D-WI]

Congress 119 • 2024 Election Cycle

Total Contributions

$83,000

23 donors

PACs

$2,500

Organizations

$79,900

Committees

Individuals

WISCONSIN MEDICAL SOCIETY FEDERAL POLITICAL ACTION COMMITTEE (WISMEDFEDPAC)

1 transaction

$2,500

SHAKOPEE MDEWAKANTON SIOUX COMM

2 transactions

$12,300

SMITH LACIEN LLP

2 transactions

$6,600

MORONGO BAND OF MISSION INDIANS

2 transactions

$6,600

HO-CHUNK NATION

2 transactions

$6,600

FOREST COUNTY POTAWATOMI COMMUNITY

2 transactions

$6,600

CHEROKEE NATION

2 transactions

$5,800

TUNICA-BILOXI TRIBE OF LA

1 transaction

$5,000

SALT RIVER PIMA MARICOPA INDIAN COMMUNITY

1 transaction

$3,300

HABEMATOLEL POMO OF UPPER LAKE

1 transaction

$3,300

PECHANGA BAND OF LUISENO INDIANS

1 transaction

$3,300

FEDERATED INDIANS OF GRATON RANCHERIA

1 transaction

$3,300

ONEIDA TRIBE OF INDIANS

1 transaction

$3,300

THE CHICKASAW NATION

1 transaction

$2,100

MOHEGAN TRIBE OF INDIANS OF CONNECTICUT

1 transaction

$2,000

SAN MANUEL BAND OF MISSION INDIANS

1 transaction

$2,000

PAUL M HERTZMANN INC

2 transactions

$2,000

MISSISSIPPI BAND OF CHOCTAW INDIANS

1 transaction

$1,500

CHOCTAW NATION OF OKLAHOMA

1 transaction

$1,300

SUQUAMISH INDIAN TRIBE

1 transaction

$1,000

SANTA YNEZ BAND OF MISSION INDIANS

1 transaction

$1,000

WISCONSIN HOSPITALS CONDUIT

1 transaction

$1,000

No committee contributions found

No individual contributions found

Cosponsors & Their Campaign Finance

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

Sen. Capito, Shelley Moore [R-WV]

ID: C001047

Top Contributors

CHEROKEE NATION

OrganizationTAHLEQUAH, OK

$2,800

Dec 31, 2024

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$1,000

Nov 8, 2023

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$1,000

Jul 22, 2024

ARNOLD, JOHN MR.

RETIRED • RETIRED

IndividualHOUSTON, TX

$6,600

Dec 27, 2023

MANOCHERIAN, JENNIFER MS.

RETIRED • RETIRED

IndividualSCARSDALE, NY

$6,600

Feb 17, 2023

MANOCHERIAN, JED MR.

SELF • REAL ESTATE

IndividualNEW YORK, NY

$6,600

Feb 23, 2023

MANOCHERIAN, GREG MR.

SELF EMPLOYED • REAL ESTATE

IndividualPOUND RIDGE, NY

$6,600

Mar 1, 2023

MANOCHERIAN, KIM

PANAM EQUITIES • EXECUTIVE

IndividualNEW YORK, NY

$6,600

Mar 27, 2023

KAY, ALISON MS.

KIDS CAPITAL • HEDGE FUND MANAGER

IndividualBEVERLY HILLS, CA

$6,600

Jun 20, 2023

MANDELBLATT, DANIELLE

DMM PROPRIETA MANAGEMENT • MANAGER

IndividualASPEN, CO

$6,600

Sep 26, 2024

Sen. Merkley, Jeff [D-OR]

ID: M001176

Top Contributors

AK-CHIN INDIAN COMMUNITY

OrganizationMARICOPA, AZ

$2,500

Oct 17, 2024

CHEROKEE NATION

OrganizationTAHLEQUAH, OK

$2,500

Dec 30, 2023

SISSETON-WAHPETON OYATE

OrganizationAGENCY VILLAGE, SD

$2,000

Jun 21, 2024

CONFEDERATED TRIBES AND BANDS OF THE YAKAMA NATION

OrganizationTOPPENISH, WA

$1,000

Oct 7, 2024

CHOCTAW NATION OF OKLAHOMA

OrganizationDURANT, OK

$1,000

Nov 9, 2023

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$1,000

May 2, 2024

MISSISSIPPI BAND OF CHOCTAW INDIANS

OrganizationCHOCTAW, MS

$1,000

Aug 2, 2024

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$400

Jul 17, 2023

STUBBS, MARILYN L.

NOT EMPLOYED • RETIRED

IndividualPORTLAND, OR

$5,000

Jul 17, 2023

BARNHART, PHILIP N.

NOT EMPLOYED • RETIRED

IndividualEUGENE, OR

$5,000

Jun 21, 2024

Sen. Marshall, Roger [R-KS]

ID: M001198

Top Contributors

THE KROGER CO. POLITICAL ACTION COMMITTEE

PACCINCINNATI, OH

$3,000

Mar 16, 2023

THE KROGER CO. POLITICAL ACTION COMMITTEE

PACCINCINNATI, OH

$2,500

Mar 23, 2023

INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS

PACWASHINGTON, DC

$2,500

Mar 31, 2023

THE POLITICAL ACTION COMMITTEE OF THE FERTILIZER INSTITUTE

PACWASHINGTON, DC

$1,500

Mar 31, 2023

ILLIG, MICHAEL

TIFEC LLC • PRIVATE EQUITY

IndividualLEAWOOD, KS

$13,200

Nov 3, 2024

MADAY, GREG

SPECCHEM • CHAIRMAN CEO

IndividualMISSION HILLS, KS

$13,200

Nov 11, 2024

ILLIG, BONNE

RETIRED • RETIRED

IndividualLEAWOOD, KS

$6,600

Nov 2, 2024

ILLIG, AMY

HOMEMAKER • HOMEMAKER

IndividualLEAWOOD, KS

$6,600

Nov 12, 2024

MADAY, LIZ

SPECCHEM • DIRECTOR

IndividualMISSION HILLS, KS

$6,600

Nov 12, 2024

MAXWELL, KORB II

POLSINELLI • SHAREHOLDER

IndividualFAIRWAY, KS

$6,600

Nov 3, 2024

Sen. Cantwell, Maria [D-WA]

ID: C000127

Top Contributors

SAC FOX TRIBE

OrganizationTAMA, IA

$5,000

Oct 29, 2024

LOWER ELWHA KLALLAM TRIBE

OrganizationPORT ANGELES, WA

$3,360

Mar 31, 2023

SAN MANUEL BAND OF MISSION INDIANS

OrganizationHIGHLAND, CA

$3,300

Oct 28, 2023

SAN MANUEL BAND OF MISSION INDIANS

OrganizationHIGHLAND, CA

$3,300

Dec 21, 2023

SAN PABLO LYTTON TRIBE

OrganizationSAN PABLO, CA

$3,300

Nov 16, 2023

SAN PABLO LYTTON TRIBE

OrganizationSAN PABLO, CA

$3,300

Nov 16, 2023

SAULT STE MARIE TRIBE OF CHIPPEWA INDIANS

OrganizationSAULT SAINTE MARIE, MI

$3,300

Dec 14, 2023

SENECA NATION OF INDIANS

OrganizationSALAMANCA, NY

$3,300

Dec 14, 2023

MUCKLESHOOT INDIAN TRIBE

OrganizationAUBURN, WA

$3,300

May 12, 2023

NISQUALLY INDIAN TRIBE

OrganizationOLYMPIA, WA

$3,300

Jun 30, 2023

Sen. Barrasso, John [R-WY]

ID: B001261

Top Contributors

POARCH BAND OF CREEK INDIANS

COMATMORE, AL

$3,300

May 24, 2023

POARCH BAND OF CREEK INDIANS

COMATMORE, AL

$3,300

Sep 20, 2024

SAN MANUEL BAND OF MISSION INDIANS

COMLOS ANGELES, CA

$2,500

Dec 31, 2024

ALABAMA-COUSHATTA TRIBE

COMLIVINGSTON, TX

$1,000

Jun 29, 2023

MUSCOGEE CREEK NATION

COMOKMULGEE, OK

$1,000

Oct 30, 2024

TO PROTECT OUR HERITAGE

OrganizationSKOKIE, IL

$5,000

Jun 26, 2024

TO PROTECT OUR HERITAGE

OrganizationSKOKIE, IL

$5,000

Jun 26, 2024

EASTERN BAND OF CHEROKEE INDIANS

OrganizationCHEROKEE, NC

$3,300

Jun 11, 2024

EASTERN BAND OF CHEROKEE INDIANS

OrganizationCHEROKEE, NC

$3,300

Jun 11, 2024

UTE INDIAN TRIBE

OrganizationFORT DUCHESNE, UT

$3,300

Nov 13, 2024

Sen. Welch, Peter [D-VT]

ID: W000800

Top Contributors

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$1,000

Jun 8, 2023

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$1,000

May 3, 2024

FIELD, MARSHALL

THE OLD MOUNTAIN COMPANY, INC. • EXECUTIVE

IndividualCHICAGO, IL

$3,300

May 18, 2023

RECHNITZ, JOAN

IndividualRED BANK, NJ

$3,300

Apr 22, 2024

RECHNITZ, JOAN

IndividualRED BANK, NJ

$3,300

Apr 22, 2024

GORDON, PATRICIA

SELF • MD

IndividualLOS ANGELES, CA

$3,300

May 22, 2024

STILLER, ROBERT

NOT EMPLOYED • NOT EMPLOYED

IndividualPALM BEACH, FL

$3,300

Sep 22, 2024

STILLER, ROBERT

NOT EMPLOYED • NOT EMPLOYED

IndividualPALM BEACH, FL

$3,300

Sep 22, 2024

KALKUT, CRAIG

WEST FRONT STRATEGIES • GOVERNMENT AFFAIRS

IndividualWASHINGTON, DC

$2,500

May 3, 2023

SCHWARTZ, MARTIN

MINILEC SERVICE • CONSUMER ELECTRONICS

IndividualCARMEL, CA

$2,000

May 18, 2023

Sen. Hyde-Smith, Cindy [R-MS]

ID: H001079

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SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

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THE CHICKASAW NATION

OrganizationADA, OK

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LUROS, HILARY

HOUSEWIFE • HOUSEWIFE

IndividualSUGAR LAND, TX

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LUROS, HILARY

HOUSEWIFE • HOUSEWIFE

IndividualSUGAR LAND, TX

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BESSENT, SCOTT

KEY SQUARE GROUP • INVESTMENT MANAGEMENT

IndividualCHARLESTON, SC

$6,600

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FREEMAN, JOHN

HIGH PLAINS ACRES LLP • ATTORNEY/AGRICULTURE

IndividualCHARLESTON, SC

$6,600

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CASTLE, JOHN

CASTLE HARLAN • MERCHANT BANKER

IndividualNEW YORK, NY

$6,600

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SEEMANN, WILLIAM III

SEEMANN COMPOSITES • CHAIRMAN

IndividualPASS CHRISTIAN, MS

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Jun 20, 2024

Sen. Reed, Jack [D-RI]

ID: R000122

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KHAMIEES, MOHAMMAD D.

SELF-EMPLOYED • PHYSICIAN

IndividualCUMBERLAND, RI

$3,300

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MEZZALINGUA, JOHN

JMA WIRELESS • CEO

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MEZZALINGUA, JOHN

JMA WIRELESS • CEO

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MEZZALINGUA, KIM

NOT EMPLOYED • NOT EMPLOYED

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MEZZALINGUA, KIM

NOT EMPLOYED • NOT EMPLOYED

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JANE STREET CAPITAL • MANAGER

IndividualNEW YORK, NY

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GRANIERI, ROBERT A.

JANE STREET CAPITAL • MANAGER

IndividualNEW YORK, NY

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BOYCE, KATHARINE

KRBR CONSULTING • PRESIDENT

IndividualALEXANDRIA, VA

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SLOANE, CANDACE LAPIDUS

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IndividualNEEDHAM, MA

$2,900

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BONDERMAN, DAVID

TEXAS PACIFIC GROUP • FOUNDER

IndividualFORT WORTH, TX

$2,500

Feb 27, 2023

Sen. Rounds, Mike [R-SD]

ID: R000605

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SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

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SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

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$1,000

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CHOCTAW NATION OF OKLAHOMA

OrganizationDURANT, OK

$500

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ROWAN, CAROLYN

CAROLYN ROWAN COLLECTION • OWNER

IndividualGREENWICH, CT

$6,600

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ROWAN, MARC J

APOLLO MGMT. • CEO

IndividualGREENWICH, CT

$6,600

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HEGYI, ALBERT

1ST FINANCIAL BANK • BANKER

IndividualSOUTHPORT, CT

$6,600

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ROWAN, CAROLYN

CAROLYN ROWAN COLLECTION • OWNER

IndividualGREENWICH, CT

$6,600

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ROWAN, MARC J

APOLLO MGMT. • CEO

IndividualGREENWICH, CT

$6,600

Mar 30, 2023

HEGYI, ALBERT

1ST FINANCIAL BANK • BANKER

IndividualSOUTHPORT, CT

$6,600

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PFAUTCH, ROY

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IndividualSAINT LOUIS, MO

$6,600

Feb 20, 2024

Sen. Rosen, Jacky [D-NV]

ID: R000608

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OrganizationTACOMA, WA

$3,700

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POARCH BAND OF CREEK INDIANS

OrganizationATMORE, AL

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CHEROKEE NATION

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$3,300

Dec 28, 2023

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OrganizationROHNERT PARK, CA

$3,300

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FEDERATED INDIANS OF GRATON RANCHERIA

OrganizationROHNERT PARK, CA

$3,300

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SYUCAN BAND OF THE KUMEYAAY NATION

OrganizationEL CAJON, CA

$3,300

Mar 31, 2023

POARCH BAND OF CREEK INDIANS

OrganizationATMORE, AL

$3,300

Mar 28, 2024

SEMINOLE TRIBE OF FLORIDA

OrganizationHOLLYWOOD, FL

$3,300

Sep 30, 2024

MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS

OrganizationSHELBYVILLE, MI

$3,300

Oct 21, 2024

Donor Network - Sen. Baldwin, Tammy [D-WI]

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

Showing 67 nodes and 76 connections

Total contributions: $76

Top Donors - Sen. Baldwin, Tammy [D-WI]

Showing top 23 donors by contribution amount

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Industry Impact

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

+Hospitals & Health Systemsconfidence 0.90
Section 2(a)(2)(B)(iii) establishes or maintains training-related community-based programs for individuals with serious or life-threatening illnesses and caregivers to improve quality of life and health outcomes, which benefits hospitals and health systems by expanding palliative care services and training.
+Long-Term Care & Nursing Homesconfidence 0.85
Section 2(a)(2)(B)(iii) includes assisted living and nursing facilities as settings for training-related community-based programs, and Section 2(b)(2)(C) includes extended care facilities in service rotations for physician training, directly supporting long-term care providers.
+Biotech & Researchconfidence 0.70
Section 6(a) directs NIH to expand and intensify national research programs in palliative care, which could benefit biotech firms engaged in palliative care-related research and development.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Sen. Baldwin, Tammy [D-WI])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

Hospitals & Health Systems$16,427
from 140 contributions
- KALLUNKI, REBECCA$3,650
- DURGERIAN, SALLY$1,000
- GILMAN, DANIEL$1,000
- LEONG, THOMAS$1,000
- MELCHER, CASEY$1,000
Biotech & Research$7,301
from 61 contributions
- CHECOVICH, WILLIAM$1,000
- ARMBRUST, BRIAN$800
- SOBEL, SUZANNE$750
- MALONEY, BRIAN$750
- MURPHY, STEVEN$734
Long-Term Care & Nursing Homes$1,767
from 22 contributions
- CONGDON, VICTORIA$500
- ULMER, BETTY J$500
- MICKE, BERNARD F MD$362
- GIBBONS, LISA$290
- METIER, BARBARA O$115

Project 2025 Policy Matches

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

Department of Health and Human Services

Moderate

Vector: 63%

Pages: 518-520AI Enhanced

AI Analysis:

"The bill and Project 2025 both emphasize improving health care access and workforce training in rural and underserved areas, but the bill focuses on palliative/hospice education while Project 2025 centers on abortion conscience rules, childcare, doulas, and IHS reforms, resulting in only moderate thematic overlap."

Key themes:rural healthunderserved populationshealth workforce trainingaccess to care

— 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

Department of Health and Human Services

Moderate

Vector: 62%

Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on expanding palliative care education and training, which aligns with Project 2025's broader HHS goals of improving healthcare access and quality, particularly for vulnerable populations. However, there is no direct connection to specific Project 2025 Medicaid reforms or conservative healthcare initiatives outlined in the provided text."

Key themes:healthcare accessvulnerable populationsmedical educationrural healthhealth workforce

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

Department of Health and Human Services

Weak

Vector: 64%

Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on expanding palliative care education and training, especially for underserved populations, while the Project 2025 excerpts emphasize abortion restrictions, conscience protections, and limitations on gender-affirming care, resulting in only tangential overlap."

Key themes:healthcare workforce trainingrural/underserved areashealth equity

— 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 Education

Weak

Vector: 62%

Pages: 383-385AI Enhanced

AI Analysis:

"The bill focuses on palliative care health professional training grants under HHS, while Project 2025's Education section concerns K-12 school choice, opting out of federal programs, and higher education accreditation reform; there is only a tangential connection through the general theme of education/training."

Key themes:educationtrainingfederal grantshealth professions

— 351 — Department of Education as the Educational Choice for Children Act. This bill would create a federal scholarship tax credit that would incentivize donors to contribute to nonprofit scholarship granting organizations (SGOs). Eligible families could then use that funding from the SGOs for their children’s education expenses including private school tuition, tutoring, and instructional materials. ADDITIONAL K–12 REFORMS Allowing States to Opt Out of Federal Education Programs. States should be able to opt out of federal education programs such as the Academic Partnerships Lead Us to Success (APLUS) Act. Much of the red tape and regulations that hinder local school districts are handed down from Washington. This regulatory burden far exceeds the federal government’s less than 10 percent financing share of K–12 education. In the most recent fiscal year (FY 2022), states and localities financed 93 percent of K–12 education costs, and the federal government just 7 percent. That 7 percent share should not allow the federal government to dictate state and local education policy. l To restore state and local control of education and reduce the bureaucratic and compliance burden, Congress should allow states to opt out of the dozens of federal K–12 education programs authorized under the Elementary and Secondary Education Act, and instead allow states to put their share of federal funding toward any lawful education purpose under state law. This policy has been advanced over the years via a proposal known as the Academic Partnerships Lead Us to Success (APLUS) Act. HIGHER EDUCATION REFORM HEA: Accreditation Reform Congress established two primary responsibilities for the U.S. Department of Education in the HEA: 1) to ensure the “administrative capacity and financial responsibility” of colleges and universities that accept Title IV funds; and 2) to ensure the quality of those institutions. Congress did not endow the Department of Education with the authority to involve itself in academic quality issues relating to colleges and universities that participate in the Title IV student aid program; the HEA allows the agency only to recognize accreditors, which are then supposed to provide quality assurance measures. Unfortunately, the Biden Administration has followed closely in the footsteps of the Obama Administration by engaging in a politically motivated and incon- sistent administration of the accrediting agency recognition process. As a result, accreditors have transformed into de facto government agents. Despite claims by — 352 — Mandate for Leadership: The Conservative Promise the department and accreditation agencies that accreditation is voluntary, the fact that Americans are denied access to an otherwise widely available entitle- ment benefit if the institution “elects” to not be accredited makes accreditation anything but voluntary. Today, accreditation determines whether Americans can access federal student aid benefits, transfer academic credits, enroll in higher-level degree programs, and even qualify for federal employment. Unnecessarily focused on schools in a specific geographic region, institutional accreditation reviews have also become wildly expensive audits by academic “peers” that stifle innovation and discourage new institutions of higher education. Of par- ticular concern are efforts by many accreditation agencies to leverage their Title IV (student loans and grants) gatekeeper roles to force institutions to adopt policies that have nothing to do with academic quality assurance and student outcomes. One egregious example of this is the extent to which accreditors have forced col- leges and universities, many of them faith-based institutions, to adopt diversity, equity, and inclusion policies that conflict with federal civil rights laws, state laws, and the institutional mission and culture of the schools. Perhaps more distress- ingly, accreditors, while professing support for academic freedom and campus free speech, have presided over a precipitous decline in both over the past decade. Despite maintaining criteria that demand such policies, accreditors have done nothing to dampen the illiberal chill that has swept across American campuses over the past decade. The current system is not working. A radical overhaul of the HEA’s accreditation requirements is thus in order. The next Administration should work with Congress to amend the HEA and should consider the following reforms: l Prohibit accreditation agencies from leveraging their Title IV gatekeeper role to mandate that educational institutions adopt diversity, equity, and inclusion policies. l Protect the sovereignty of states to decide governance and leadership issues for their state-supported colleges and universities by prohibiting accreditation agencies from intruding upon the governance of state-supported educational institutions. l Protect faith-based institutions by prohibiting accreditation agencies from: 1. Requiring standards and criteria that undermine the religious beliefs of, or require policies or conduct that conflict with, the religious mission or religious beliefs of the institution; and

Department of Veterans Affairs

Weak

Vector: 62%

Pages: 679-681AI Enhanced

AI Analysis:

"The bill focuses on expanding palliative care education and training for health professionals broadly, while the Project 2025 VA policy section emphasizes veterans' healthcare access, caregiver program reform, facility optimization, and workforce efficiency within the VA system. There is minimal direct overlap, though both touch on improving healthcare quality and training."

Key themes:healthcare trainingpatient care qualityworkforce development

— 646 — Mandate for Leadership: The Conservative Promise 3. Section 121 (developing and administering an education program that teaches veterans about their health care options available from the Department of Veterans Affairs). 4. Section 152 (returning the Office for Innovation of Care and Payment to the Office of Enterprise Integration with a joint governance process set up with the VHA). 5. Section 161 (overhauling Family Caregiver Program expansion, which has gone poorly, so that it focuses on consistency of eligibility and awareness that the most severely wounded or injured may require the program indefinitely). l Require the VHA to report publicly on all aspects of its operation, including quality, safety, patient experience, timeliness, and cost-effectiveness, using standards similar to those in the Medicare Accountable Care Organization program so that the government may monitor and achieve continuous improvement in the VA system more effectively. l Encourage VA Medical Centers to seek out relevant academic and private- sector input in their communities to improve the overall patient experience. Budget l Conduct an independent audit of the VA similar to the 2018 Department of Defense (DOD) audit to identify IT, management, financial, contracting, and other deficiencies. l Assess the misalignment of VHA facilities and rising infrastructure costs. The VHA operates 172 inpatient medical facilities nationally that are an average of 60 years old. Some of these facilities are underutilized and inadequately staffed. Facilities in certain urban and rural areas are seeing significant declines in the veteran population and strong competition for fresh medical staff. In 2018, Congress authorized an Asset Infrastructure Review (AIR) of national VHA medical markets to provide insight into where the VA health care budget should be responsibly allocated to serve veterans most effectively. However, the Senate Veterans Affairs Committee lacked the political will to act on the White House’s nominations of commission members, and this ultimately led to termination of the AIR process. The next Administration should seek out agile, creative, and politically acceptable operational solutions to this aging infrastructure status quo, — 647 — Department of Veterans Affairs reimagine the health care footprint in some locales, and spur a realignment of capacity through budgetary allocations. Specifically: 1. Embrace the expansion of Community Based Outpatient Clinics (CBOCs) as an avenue to maintain a VA footprint in challenging medical markets without investing further in obsolete and unaffordable VA health care campuses. 2. Explore the potential to pilot facility-sharing partnerships between the VA and strained local health care systems to reduce costs by leveraging limited talent and resources. Personnel l Extend the term of the Under Secretary for Health (USH) to five years. Additionally, authority should be given to reappoint this individual for a second five-year term both to allow for continuity and to protect the USH from political transition. l Establish a Senior Executive Service (SES) position of VHA Care System Chief Information Officer (CIO), selected by and reporting to the chief of the VHA Care System with a dotted line to the VA CIO. l Identify a workflow process to bring wait times in compliance with VA MISSION Act–required time frames wherever possible. 1. Assess the daily clinical appointment load for physicians and clinical staff in medical facilities where wait times for care are well outside of the time frames required by the VA MISSION Act. 2. Require VHA facilities to increase the number of patients seen each day to equal the number seen by DOD medical facilities: approximately 19 patients per provider per day. Currently, VA facilities may be seeing as few as six patients per provider per day. 3. Consider a pilot program to extend weekday appointment hours and offer Saturday appointment options to veterans if a facility continues to demonstrate that it has excess capacity and is experiencing delays in the delivery of care for veterans. 4. Identify clinical services that are consistently in high demand but require cost-prohibitive compensation to recruit and retain talent, and examine exceptions for higher competitive pay.

Showing 3 of 5 policy matches

About These Correlations

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

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