The bill
Healthy Moms and Babies Act
S. 2289, 119th Congress — read as touching Hospitals & Health Systems.
Healthy Moms and Babies Act
Download PDFBill ID: 119/s/2289
Last Updated: April 8, 2026
Sponsored by
Sen. Grassley, Chuck [R-IA]
ID: G000386
Follow the money
The sponsor
Sen. Grassley, Chuck [R-IA]
Every bill has someone who introduced it. That name is where the paper trail starts.
The money
$82,472 raised
23 itemised contributions to this sponsor, pulled from FEC filings.
The alignment
64% match to Project 2025
This bill's text tracks the "Introduction" section, p. 533-535 of the Mandate for Leadership.
Bill's Journey to Becoming a Law
Track this bill's progress through the legislative process
Latest Action
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
Another bill, another opportunity for politicians to pretend they care about people while actually serving their own interests. Let's dissect this "Healthy Moms and Babies Act" and see what's really going on.
**Main Purpose & Objectives** The stated purpose of this bill is to improve maternal health coverage under Medicaid and CHIP (Children's Health Insurance Program). How noble. In reality, it's just a vehicle for politicians to grandstand about their commitment to women's health while doing the bare minimum to address the actual issues.
**Key Provisions & Changes to Existing Law** The bill makes several changes to existing law, including:
* Mandatory reporting by state Medicaid programs on adult healthcare quality measures related to maternal and perinatal health (because we all know that more paperwork is the solution to every problem). * Medicaid quality improvement initiatives aimed at reducing cesarean section rates (a.k.a. "let's throw some money at a problem without actually addressing its root causes"). * Guidance on care coordination to support maternal health (read: more bureaucratic red tape). * A national reskilling of the maternity care workforce (because clearly, the problem is that our healthcare professionals just aren't skilled enough).
**Affected Parties & Stakeholders** The usual suspects are affected by this bill:
* Medicaid and CHIP beneficiaries (a.k.a. low-income women who will still struggle to access quality healthcare despite this bill's lofty promises). * State Medicaid programs (which will have to deal with more reporting requirements and bureaucratic nonsense). * Healthcare providers (who will be forced to navigate even more complex regulations and paperwork).
**Potential Impact & Implications** The impact of this bill will be minimal, at best. It's a Band-Aid on a bullet wound, designed to make politicians look good rather than actually addressing the systemic issues plaguing our healthcare system.
In reality, this bill is likely to:
* Increase administrative costs for Medicaid programs and healthcare providers. * Create more bureaucratic red tape, making it harder for women to access quality care. * Do little to address the root causes of maternal health disparities, such as poverty, lack of access to education and job opportunities, and systemic racism.
In short, this bill is a classic example of "legislative theater" – all show, no substance. It's a cynical attempt to placate voters while maintaining the status quo. But hey, at least our politicians can claim they're doing something about maternal health. That's what really matters, right?
Related Topics
Healthcare & Insurance Reform
Generated using Llama 3.1 70B (Dr. Haus personality)
💰 Campaign Finance Network
Sen. Grassley, Chuck [R-IA]
Congress 119 • 2024 Election Cycle
Total Contributions
$130,307
63 donors
PACs
$0
Organizations
$0
Committees
$3,000
Individuals
$127,307
No PAC contributions found
No organization contributions found
1
SAC & FOX TRIBE OF THE MISSISSIPPI IN IOWA
$2,000
2
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
$1,000
1
KUMAR, SHALLI
$9,900
2
SCHWARZMAN, CHRISTINE
$9,900
3
SCHWARZMAN, STEPHEN
$9,900
4
ARVIG, ALLEN
$6,710
5
STARRETT, RONALD
$5,800
6
COLLINS, RICHARD
$5,523
7
MALONE, KIP
$4,520
8
DETERMAN, MARK
$3,300
9
MCKEE, JACK C
$3,300
10
WEISS, LUKE
$3,300
11
PECK JR, JOHN
$2,900
12
LEIGH, JOHN
$2,715
13
COLLINS, III, HENRY L.
$2,601
14
POSNER, IDA MOLLOY
$2,500
15
VANDERHAAG, JOHN
$2,500
16
DIMARE, SCOTT
$1,500
17
RADY, PAUL
$1,500
18
VANDER HAAG, JOHN C
$1,500
19
RICHARDS, MARY
$1,435
20
NWANERI, MATTHEW
$1,200
21
FRENCH, ARTHUR
$1,000
22
JUCKETTE, LINDA
$1,000
23
KOROLOGOS, TOM C
$1,000
24
LARSON, ELLEN T
$1,000
25
MANATOS, ANDREW E
$1,000
26
MERCHANT, AHMED
$1,000
27
PATRICK, CHRIS MR..
$1,000
28
ROGERS, DIRKSEN
$1,000
29
SABIN, DANIEL
$1,000
30
SCUDDER, JACK
$1,000
31
SMITH, JAMES A
$1,000
32
SMITH, THOMAS STUART MR..
$1,000
33
VANDERPOOL, MARYLEE
$1,000
34
JOHNS, SUSAN
$990
35
PHELPS, DICK
$910
36
HESS, CURTIS
$750
37
LUO, KERRI
$750
38
WILLIAMS, ANGELA
$630
39
AXMEAR, FRED
$500
40
FRANKEN, KEN
$500
41
HARKEN, MARY J
$500
42
HASKENHOFF, TINA
$500
43
HILL, VERNON
$500
44
HUSSAIN, SULEMAN
$500
45
JOHNSON, WAYNE
$500
46
KOESTNER, RICHARD
$500
47
LILLIS, TERRY
$500
48
MCKEON, PATRICIA
$500
49
MCMICKLE, JOHN
$500
50
MOGLER, DEVIN
$500
51
PECK, JOHN
$500
52
RITTS, SUSAN BUTLER
$500
53
SUTTER, THEODORE
$500
54
VANDER HAAG, RUTH
$500
55
VANKERCKHOVE, BRUCE
$500
56
VIGO, JUDITH
$500
57
WHITCOMB, STANLEY
$500
Cosponsors & Their Campaign Finance
This bill has 1 cosponsors. Below are their top campaign contributors.
Sen. Hassan, Margaret Wood [D-NH]
ID: H001076
Top Contributors
10
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
Donor Network - Sen. Grassley, Chuck [R-IA]
PACs
Organizations
Individuals
Politicians
Hub layout: Politicians in center, donors arranged by type in rings around them.
Loading...
Showing 46 nodes and 26 connections (59 secondary connections hidden)
Total contributions: $93,972
Top Donors - Sen. Grassley, Chuck [R-IA]
Showing top 15 donors by contribution amount
1 PAC2 Committees12 Individuals
Industry Impact
Which industries are materially affected by specific provisions in this bill. 7 helped.
- +Hospitals & Health Systemsconfidence 0.90
Section 4(a) requires states to submit reports on cesarean section rates and quality improvement activities, which may incentivize hospitals to improve care coordination and reduce unnecessary procedures, potentially benefiting hospitals through better outcomes and funding opportunities. Section 5 creates a state option for maternity health homes, which could involve hospitals as designated providers, creating new payment streams. Section 9 funds telehealth demonstration projects that could incl
- +Pharmaceuticalsconfidence 0.90
Section 10 requires CMS to report on coverage of remote physiologic monitoring devices (e.g., blood glucose monitors) under Medicaid, which could increase utilization and reimbursement for pharmaceutical/device manufacturers producing such monitoring tools.
- +Long-Term Care & Nursing Homesconfidence 0.85
Section 5 establishes a state option for coordinated care through a health home for pregnant and postpartum women, which includes postpartum care up to 365 days—potentially overlapping with long-term care services for postpartum recovery, benefiting providers in that sector.
- +Medical Devicesconfidence 0.80
Section 10 requires a CMS report on coverage of remote physiologic monitoring devices (including pulse oximeters, blood pressure cuffs, scales, blood glucose monitors) under Medicaid and their impact on maternal and child health outcomes. This could lead to increased coverage and utilization of such devices, benefiting medical device manufacturers.
- +Telecommunicationsconfidence 0.70
Section 9 funds demonstration projects to expand telehealth in State Medicaid programs for pregnant/postpartum women, which would require telecommunications infrastructure and services, potentially benefiting telecom providers. Section 10 also relates to remote monitoring devices that rely on telecommunications for data transmission.
- +Health Insuranceconfidence 0.60
While the bill focuses on Medicaid and CHIP, improvements in maternal health outcomes and care coordination could reduce overall healthcare costs, potentially benefiting health insurers through lower medical loss ratios. Section 5's maternity health home option could create coordination opportunities with managed care organizations. However, the direct impact is less clear as the bill primarily targets public programs.
+ 1 more industry not shown.
Project 2025 Policy Matches
This bill shows semantic similarity to the following sections of the Project 2025 policy document.
Introduction
Moderate64.1%
Pages: 533-535
— 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).
Introduction
Moderate64.1%
Pages: 533-535
— 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).
Introduction
Moderate60.7%
Pages: 500-502
— 468 — Mandate for Leadership: The Conservative Promise and consumer choice for Medicaid recipients must go together as standard components of the safety net, especially for able-bodied recipients. Medicaid recipients, like the rest of Americans, should be given both the freedom to choose their health plans and the responsibility to contribute to their health care costs at a level that is appropriate to protect the taxpayer. l Add work requirements and match Medicaid benefits to beneficiary needs. Because Medicaid serves a broad and diverse group of individuals, it should be flexible enough to accommodate different designs for different groups. For example, CMS should launch a robust “personal option” to allow families to use Medicaid dollars to secure coverage outside of the Medicaid program. CMS should also: 1. Clarify that states have the ability to adopt work incentives for able- bodied individuals (similar to what is required in other welfare programs) and the ability to broaden the application of targeted premiums and cost sharing to higher-income enrollees. 2. Add targeted time limits or lifetime caps on benefits to disincentivize permanent dependence.34 l Allow private health insurance. Congress should allow states the option of contributing to a private insurance benefit for all members of the family in a flexible account that rewards healthy behaviors. This reform should also allow catastrophic coverage combined with an account similar to a health savings account (HSA) for the direct purchase of health care and payment of cost sharing for most of the population. l Increase flexible benefit redesign without waivers. CMS should add flexibility to eliminate obsolete mandatory and optional benefit requirements and, for able-bodied recipients, eliminate benefit mandates that exceed those in the private market. This should include flexibility to redesign eligibility, financing, and service delivery of long-term care to serve the most vulnerable and truly needy and eliminate middle-income to upper- income Medicaid recipients. l Eliminate current waiver and state plan processes. CMS should allow providers to make payment reforms without cumbersome waivers or state plan amendment processes where possible. More broadly, the federal government’s role should be oversight on broad indicators like cost effectiveness and health measures like quality, health improvement, and — 469 — Department of Health and Human Services wellness and should give the balance of responsibility for Medicaid program management to states. This reform would include adding Section 111535 waiver requirements in some cases (such as imposing work requirements for able-bodied adults) while rescinding requirements in others (such as non–health care benefits and services related to climate change). AFFORDABLE CARE ACT AND PRIVATE HEALTH INSURANCE l Remove barriers to direct primary care. Direct primary care (DPC) is an innovative health care delivery model in which doctors contract directly with patients for their care on a subscription basis regardless of how or where the care is provided. The DPC model is improving patient access, driving higher quality and lower cost, and strengthening the doctor– patient relationship. DPC has faced many challenges from government policymakers, including overly exuberant attempts at regulation and misclassification. Changes should clarify that DPC’s fixed fee for care does not constitute insurance in the context of health savings accounts.36 l Revisit the No Surprises Act on surprise medical billing. The No Surprises Act37 protected consumers against balance bills, but it also established a deeply flawed system for resolving payment disputes between insurers and providers. This government-mandated dispute resolution process has sown confusion among arbiters and regulators as judges have sought to ascertain its meaning. The No Surprises Act should scrap the dispute resolution process in favor of a truth-in-advertising approach that will protect consumers and free doctors, insurers, and arbiters from confused and conflicting standards for resolving disputes that the disputing parties can best resolve themselves.38 l Facilitate the development of shared savings and reference pricing plan options. Under traditional insurance, patients who choose lower- cost care do not benefit financially from that choice. Barriers to rewarding patients for cost-saving decisions should be removed. CMS should ensure that shared savings and reference pricing models that reward consumers are permitted. l Separate the subsidized ACA exchange market from the non- subsidized insurance market. The Affordable Care Act has made insurance more expensive and less competitive, and the ACA subsidy scheme simply masks these impacts. To make health insurance coverage more affordable for those who are without government subsidies, CMS should develop a plan to separate the non-subsidized insurance market
About These Correlations
Policy matches are calculated using semantic similarity between bill summaries and Project 2025 policy text. A score of 60% or higher indicates meaningful thematic overlap. This does not imply direct causation or intent, but highlights areas where legislation aligns with Project 2025 policy objectives.