Health Care Cybersecurity and Resiliency Act of 2026

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Bill ID: 119/s/3315

Last Updated: July 6, 2026

Health Care Cybersecurity and Resiliency Act of 2026

S. 3315, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Sen. Cassidy, Bill [R-LA]

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

The money

$162,500 raised

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

The alignment

70% match to Project 2025

This bill's text tracks the "Intelligence Community" section, p. 254-256 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Placed on Senate Legislative Calendar under General Orders. Calendar No. 365.

March 22, 2026

Introduced

📍 Current Status

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

🏛️

Committee Review

🗳️

Floor Action

✅

Passed Senate

🏛️

House Review

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

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

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

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

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

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

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

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

Bill Summary

Summary Style:

The Health Care Cybersecurity and Resiliency Act of 2026, S. 3315, is a congressional bill that aims to improve cybersecurity in the healthcare and public health sectors. As a self-serving billionaire, I will analyze this bill through the lens of its potential impact on my wealth and influence.

**Main Purpose & Objectives:** The primary objective of this bill is to enhance cybersecurity coordination between the Department of Health and Human Services (HHS) and the Cybersecurity and Infrastructure Security Agency (CISA). This cooperation aims to improve the resilience of healthcare and public health sector entities against cyber threats. From my perspective, this bill presents an opportunity for consolidation and deregulation, potentially allowing me to expand my influence in the healthcare industry.

**Key Provisions & Changes to Existing Law:** The bill introduces several key provisions, including:

1. Coordination between HHS and CISA to improve cybersecurity in the healthcare and public health sectors. 2. Development of products specific to the needs of Healthcare and Public Health Sector entities. 3. Sharing information relating to cyber threat indicators and defensive measures. 4. Clarification of cybersecurity responsibilities within HHS.

These provisions may lead to increased regulatory oversight, which could be a hindrance to my business interests. However, I can also leverage these changes to further consolidate my power and influence in the industry.

**Affected Parties & Stakeholders:** The primary stakeholders affected by this bill include:

1. Healthcare and public health sector entities. 2. HHS and CISA. 3. Information Sharing and Analysis Organizations (ISAOs). 4. Private companies operating in the healthcare industry, such as my own.

As a billionaire with significant investments in the healthcare sector, I will closely monitor the implementation of this bill to ensure that it does not negatively impact my business interests.

**Potential Impact & Implications:** The potential impact of this bill on my wealth and influence is substantial. If implemented effectively, it could lead to:

1. Increased cybersecurity spending by healthcare entities, potentially benefiting my investments in cybersecurity companies. 2. Consolidation of power within the healthcare industry, allowing me to further expand my influence. 3. Deregulation of certain aspects of the healthcare sector, enabling me to operate with greater flexibility.

However, if the bill leads to increased regulatory oversight, it could hinder my ability to consolidate power and influence in the industry. I will need to carefully navigate these implications to ensure that my interests are protected.

In conclusion, the Health Care Cybersecurity and Resiliency Act of 2026 presents both opportunities and challenges for my business interests. As a self-serving billionaire, I will continue to monitor the bill's progress and adapt my strategies to maximize my wealth and influence in the healthcare industry.

💰 Campaign Finance Network

Sen. Cassidy, Bill [R-LA]

Congress 119 • 2024 Election Cycle

Total Contributions

$162,500

20 donors

PACs

Organizations

Committees

Individuals

$162,500

No PAC contributions found

No organization contributions found

No committee contributions found

YAWITZ, JESS B. MR.

1 transaction

$14,000

MANDELBLATT, DANIELLE

1 transaction

$9,900

MANDELBLATT, ERIC

1 transaction

$9,900

JAYASINGHE, SAMAN K. DR.

1 transaction

$9,900

KARP, ALEXANDER C.

1 transaction

$9,900

OBERNDORF, SUSAN

1 transaction

$9,900

OBERNDORF, WILLIAM

1 transaction

$9,900

YAWITZ, ALICE G.

1 transaction

$9,900

GRIGSBY, BOBBI F. MRS.

1 transaction

$6,600

GRIGSBY, L. LANE MR.

1 transaction

$6,600

GOLDEN, GRADY CARLTON MR. JR.

1 transaction

$6,600

MYERS, GINGER

1 transaction

$6,600

MYERS, KEITH MR.

1 transaction

$6,600

GATES, MELINDA FRENCH

1 transaction

$6,600

MEHLMAN, KENNETH B.

1 transaction

$6,600

HAGER, SUSAN

1 transaction

$6,600

PANDE, VIJAY

1 transaction

$6,600

ROM, COLIN

1 transaction

$6,600

KAPLAN, JONATHAN L.

1 transaction

$6,600

KAY, ALISON

1 transaction

$6,600

Cosponsors & Their Campaign Finance

This bill has 3 cosponsors. Below are their top campaign contributors.

Sen. Hassan, Margaret Wood [D-NH]

ID: H001076

Top Contributors

WOODS, ANDREW L.

LIBERTY PARTNERS GROUP • ATTORNEY

IndividualFORT MYERS, FL

$4,300

Jun 29, 2023

WOODS, ANDREW L.

IndividualFORT MYERS, FL

$3,900

Jul 12, 2023

BEKENSTEIN, ANITA

NOT EMPLOYED • NOT EMPLOYED

IndividualWAYLAND, MA

$3,300

Oct 4, 2023

BEKENSTEIN, JOSH

NOT EMPLOYED • RETIRED

IndividualWAYLAND, MA

$3,300

Oct 4, 2023

HUNTER, DANIEL

SELF-EMPLOYED • PLAYWRIGHT & TEACHER

IndividualCAMBRIDGE, MA

$3,300

Dec 6, 2023

KLARMAN, SETH

THE BAUPOST GROUP • CEO

IndividualBOSTON, MA

$3,300

Dec 18, 2023

SCHWARTZ, GABRIEL

DAVIDSON KEMPNER • INVESTMENT MANAGER

IndividualBROOKLYN, NY

$3,300

Oct 16, 2023

SWINDELL, C. DAVID

NOT EMPLOYED • NOT EMPLOYED

IndividualBOSTON, MA

$3,300

Oct 10, 2023

KORN, WILLIAM T.

NSRA • RADIOLOGIST

IndividualWABAN, MA

$3,300

Mar 29, 2023

KORN, WILLIAM T.

NSRA • RADIOLOGIST

IndividualWABAN, MA

$3,300

Mar 29, 2023

Sen. Cornyn, John [R-TX]

ID: C001056

Top Contributors

WINRED

COMARLINGTON, VA

$47

Jul 10, 2024

WEEKLEY, RICHARD W

WEEKLEY PROPERTIES • REAL ESTATE BROKER/DEVELOPER

IndividualHOUSTON, TX

$100,000

Dec 27, 2023

MCINGVALE, JAMES F

GALLERY FURNITURE • OWNER/OPERATOR

IndividualHOUSTON, TX

$50,000

Feb 27, 2023

MCINGVALE, LINDA

IndividualHOUSTON, TX

$50,000

Feb 27, 2023

DUNN, TIMOTHY

CROWN QUEST OPERATING • EXECUTIVE

IndividualMIDLAND, TX

$45,000

Apr 4, 2023

MARTIN, KIMBERLY R

IndividualHOUSTON, TX

$20,000

Mar 13, 2023

BLAINE, JAY C.

N/A • N/A

IndividualROCKWALL, TX

$16,478

Oct 11, 2024

THOMPSON, JERE W. MR. JR.

AMBIT ENERGY • CEO

IndividualDALLAS, TX

$13,200

Mar 15, 2023

MIDDLETON, MAYES

MIDDLETON OIL CO • OIL AND GAS

IndividualGALVESTON, TX

$12,500

Jan 7, 2023

MIDDLETON, MACEY

IndividualGALVESTON, TX

$12,500

Jan 7, 2023

Sen. Warner, Mark R. [D-VA]

ID: W000805

Top Contributors

AMERICAN HEALTHCARE, LLC

OrganizationROANOKE, VA

$5,300

Sep 25, 2024

CHOCTAW NATION OF OKLAHOMA

OrganizationDURANT, OK

$600

Sep 28, 2023

CHOCTAW NATION OF OKLAHOMA

OrganizationDURANT, OK

$400

Sep 28, 2023

DEKKER, DAVID T.

PILLSBURY • VICE CHAIR

IndividualBETHESDA, MD

$9,900

Dec 31, 2024

TULL, THOMAS

TULCO • CEO

IndividualLOS ANGELES, CA

$6,000

Nov 21, 2024

SWARTZ, SUSAN

SELF EMPLOYED • ARTIST

IndividualPARK CITY, UT

$3,300

Jul 31, 2023

MATNEY, JOHN

RAPOCA ENERGY COMPANY • PARTNER

IndividualBRISTOL, VA

$3,300

Aug 29, 2023

MILLONES, PETER

BOOKING HOLDINGS INC. • ATTORNEY

IndividualDARIEN, CT

$3,300

Sep 29, 2023

MATNEY, JUSTIN K

SELF EMPLOYED • BUSINESS OWNER

IndividualBRISTOL, VA

$3,300

Aug 29, 2023

MATNEY, JOHN

RAPOCA ENERGY COMPANY • PARTNER

IndividualBRISTOL, VA

$3,300

Aug 29, 2023

Donor Network - Sen. Cassidy, Bill [R-LA]

Show Also Donated To

PACs

Organizations

Individuals

Politicians

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

Showing 51 nodes and 46 connections

Total contributions: $46

Top Donors - Sen. Cassidy, Bill [R-LA]

Showing top 20 donors by contribution amount

20 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 6 helped.

+Hospitals & Health Systemsconfidence 0.90
The bill provides grants and technical assistance to hospitals and health systems for cybersecurity improvements (Sec. 10, 11, 12), which is a clear benefit.
+Pharmaceuticalsconfidence 0.90
The bill requires HHS and CISA to coordinate to improve cybersecurity in the Healthcare and Public Health Sector, which includes pharmaceutical manufacturers as part of the sector. This is supported by the definition of 'Healthcare and Public Health Sector' in SEC. 2(7) referencing National Security Memorandum-22, which covers the pharmaceutical industry as critical infrastructure. The bill's provisions for grants, training, and standards would benefit pharmaceutical companies by enhancing their
+Health Insuranceconfidence 0.85
Health insurers are covered entities under HIPAA and will benefit from improved cybersecurity standards and guidance (Sec. 8, 9) that reduce breach risks and compliance costs.
+Medical Devicesconfidence 0.80
Medical device manufacturers are business associates under HIPAA and will benefit from cybersecurity guidance and standards that protect health data (Sec. 7, 8).
+Long-Term Care & Nursing Homesconfidence 0.80
Long-term care facilities are eligible for grants and technical assistance under the bill (Sec. 10(b)(1), (4)) to improve cybersecurity.
+Biotech & Researchconfidence 0.75
Biotech firms handling health data are covered entities or business associates and will benefit from cybersecurity improvements (Sec. 8, 9, 10).

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Sen. Cassidy, Bill [R-LA])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

Pharmaceuticals$53,225
from 22 contributions
- O'DAY, DANIEL$8,300
- BOURLA, ALBERT$8,300
- BOERNER, CHRISTOPHER$6,700
- RICKS, DAVID A.$6,700
- BRADWAY, ROBERT A.$2,900
Biotech & Research$5,300
from 2 contributions
- CROWLEY, JOHN$3,300
- KLINGER, SHANNON$2,000
Hospitals & Health Systems$3,300
from 1 contribution
- BECK, THOMAS M.$3,300
Long-Term Care & Nursing Homes$250
from 1 contribution
- MOURANI, SAMUEL DR.$250

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.

Intelligence Community

Moderate

Vector: 64%

Pages: 254-256AI Enhanced

AI Analysis:

"The bill focuses on healthcare cybersecurity coordination between HHS and CISA, while the Project 2025 policy emphasizes intelligence community-wide information sharing, declassification reform, and real-time auditing for cyber threat intelligence. Both address improving cyber threat information sharing, but the bill is sector-specific and does not directly implement the broader IC reforms or 'obligation to share' policy outlined in Project 2025."

Key themes:cyber threat information sharingpublic-private sector coordinationimproving defensive cyber intelligence timeliness

— 222 — Mandate for Leadership: The Conservative Promise forward-leaning in sharing cyber threat intelligence with private-sector partners and the public, emphasizing that the protective nature of such information is of value only if put into the right hands at the right time. Since critical infrastructure and services are overwhelmingly owned, managed, and defended by the private sector in the United States, there has been an increasing emphasis on declassify- ing intelligence and sharing actionable information with private-sector partners, often through industry-specific Information Sharing and Analysis Centers (ISACs); regional meetings of government and private-sector experts called InfraGard, run by the FBI; direct public notification from the Department of Homeland Security, the FBI, and (increasingly) the NSA; and more discreet one-on-one engagements led by the collecting agencies. These programs properly recognize the private sector’s role in providing cyber- security for Americans; in practice, however, the intelligence shared by the U.S. government through these venues is too often already known or no longer relevant by the time it makes its way through the downgrade process for sharing. In addition, government-shared information often needs to take advantage of the opportunity to provide contexts, such as attribution, trends, and size of the observed cyber problem. As warranted, additional context should be provided to the private sector as a matter of routine. To continue improving the U.S. government’s ability to defend the country’s most vital networks, the IC must adopt an “obligation to share” policy process, including the capacity for “write to release” intelligence products whereby newly discovered technical indicators, targeting, and other intelligence relevant to cyber defense are automatically provided either to the public or to targeted entities within 48 hours of their collection—which is how counterterrorism intel- ligence has been managed for years when it comes to a “duty to warn.” Under this policy, agency heads should still have the flexibility to withhold intelligence for operational or counterintelligence reasons but would need to report regularly to Congress on the number of and justification for exceptions. This policy would make sharing intelligence and defending networks the default, as it already is in the rest of the cybersecurity community outside the IC, to improve the quantity, relevance, and timeliness of defensive information while ensuring accountability for top leaders when they must withhold this information. One of the most significant challenges within the IC is presented by the need to share information promptly among the 18 elements of the intelligence enterprise. The only long-term solution to the understandable tension between the need to share information and the need to protect intelligence sources and methods is a robust real-time auditing capability that electronically flags unauthorized access. Under an identity management system with real-time audit, even the most sensi- tive information acquired by America’s intelligence agencies can be shared, and the access to and use of that information are appropriately monitored. Establishing — 223 — Intelligence Community a real-time auditing capability is essential to decreasing the risk for the heads of intelligence agencies in meeting their statutory requirements to ensure that they protect sources and methods associated with the classified information their agen- cies collect. Overclassification. There is broad consensus across the U.S. government and among stakeholders that the system for classifying, declassifying, and otherwise marking and handling sensitive information is at a crossroads. Exorbitant amounts of classified data are created daily, and agency personnel often mistakenly choose classification as the default selection to ensure national security. At the same time, the effectiveness of downgraded and carefully declassified information to support foreign policy efforts has been borne out in, for example, alerting the broader world of Russia’s buildup and likely plans for its invasion of Ukraine. Two executive orders principally govern how the U.S. government handles clas- sified and sensitive information. l Executive Order 13526, “Classified National Security Information,” issued in 2009,38 prescribes the classification levels and procedures for declassification. l Executive Order 13556, “Controlled Unclassified Information,” issued in 2010,39 aimed to establish a uniform program for managing all unclassified information that requires safeguarding or dissemination controls. The current system for declassifying classified national security information (CNSI) is extraordinarily analog, requiring experts’ review of individual records. Declassification policies are based on human review of paper and need to con- template and handle the proliferation and volume of digital records created by agencies. The U.S. government will soon reach the point at which manual review is impossible. The declassification of CNSI should support key U.S. national security objectives, reflect mission priorities, and not serve solely as a necessary procedural function. Reforms should include: l Tighter definitions and greater specificity for categories of information requiring protection. l More stringent policies to effect significant reductions in the number of Original Classification Authorities (OCAs). l Stricter accountability measures at the OCA level and more detailed security classification guides.

Department of Health and Human Services

Weak

Vector: 64%

Pages: 521-523AI Enhanced

AI Analysis:

"The bill focuses on healthcare cybersecurity and coordination between HHS and CISA, while the Project 2025 policy emphasizes reducing regulatory burdens, expanding telehealth access, increasing provider supply, and promoting pro-life and family agendas—none of which are addressed in the bill."

Key themes:Department of Health and Human Serviceshealthcare policytelehealth

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

Department of Health and Human Services

Weak

Vector: 63%

Pages: 530-532AI Enhanced

AI Analysis:

"The bill addresses cybersecurity coordination between HHS and CISA, which is a tangential concern for healthcare operations but does not directly engage with the core Project 2025 HHS priorities such as equitable access, abortion data reporting, drug price reform, or religious freedom protections."

Key themes:healthcare sectorpatient data protectionHHS responsibilitiespublic health resilience

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

Department of Health and Human Services

Weak

Vector: 63%

Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on healthcare cybersecurity and coordination between HHS and CISA, while the Project 2025 HHS section emphasizes Medicaid reform, abortion policy, and regulatory changes—there is minimal thematic overlap beyond general healthcare administration."

Key themes:Department of Health and Human Serviceshealthcare policyfederal agency coordination

— 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

Minimal

Vector: 64%

Pages: 515-517AI Enhanced

AI Analysis:

"The bill focuses on healthcare cybersecurity and coordination between HHS and CISA, while the Project 2025 policy excerpt addresses family caregiver strategy, telehealth licensure, contraceptive mandate exemptions, and HRSA rulemaking processes—there is no thematic or policy overlap between the two."

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

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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