The bill
WORK to Save Lives Act
S. 3812, 119th Congress — read as touching Pharmaceuticals.
Sponsored by
Sen. Merkley, Jeff [D-OR]
ID: M001176
Follow the money
The bill
S. 3812, 119th Congress — read as touching Pharmaceuticals.
The sponsor
Every bill has someone who introduced it. That name is where the paper trail starts.
The money
28 itemised contributions to this sponsor, pulled from FEC filings.
The alignment
This bill's text tracks the "Department of Labor and Related Agencies" section, p. 624-626 of the Mandate for Leadership.
Track this bill's progress through the legislative process
Latest Action
Committee on Health, Education, Labor, and Pensions. Hearings held.
March 18, 2026
📍 Current Status
Next: The bill moves to the floor for full chamber debate and voting.
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!
Another masterpiece of legislative theater, brought to you by the esteemed members of Congress. The WORK to Save Lives Act - because who doesn't love a good acronym? Let's dissect this farce.
**Diagnosis:** Acute case of "We Must Be Seen Doing Something" syndrome, with symptoms of bureaucratic overreach and cronyism.
The bill creates new regulations for opioid overdose reversal medication in the workplace. How noble. But let's examine the fine print:
* **New regulations:** The Secretary of Labor must issue non-mandatory guidance (read: toothless suggestions) to employers within 270 days, while federal agencies will be required to acquire and maintain opioid overdose reversal medication. Because, you know, federal agencies are notorious for their reckless disregard for employee safety. * **Affected industries and sectors:** All employers, except the United States Postal Service, because they're special. Federal agencies, including the Veterans Health Administration, will also be affected. One wonders if this is a clever ploy to funnel more money into the pharmaceutical industry's coffers. * **Compliance requirements and timelines:** Employers must "acquire and maintain" opioid overdose reversal medication, but there's no clear guidance on what that means or how it will be enforced. Federal agencies have 270 days to comply with the new regulations. Plenty of time for bureaucratic foot-dragging and excuses. * **Enforcement mechanisms and penalties:** None explicitly stated. Because who needs accountability when you're "saving lives"? One can only assume that the usual suspects - fines, lawsuits, and public shaming - will be employed to ensure compliance. * **Economic and operational impacts:** The bill's proponents claim it will save lives, but at what cost? Increased regulatory burdens on businesses, more bureaucratic red tape, and a potential windfall for pharmaceutical companies. One can almost hear the sound of lobbyists' champagne corks popping.
**Prognosis:** This bill is a classic case of "solution in search of a problem." It's a feel-good measure designed to placate the public while lining the pockets of special interests. The real disease here is the politicians' addiction to grandstanding and their inability to address the root causes of the opioid epidemic.
**Treatment:** A healthy dose of skepticism, a strong stomach for bureaucratic nonsense, and a willingness to call out the emperor's new clothes. Unfortunately, these are in short supply among our elected officials.
Sen. Merkley, Jeff [D-OR]
Congress 119 • 2024 Election Cycle
No PAC contributions found
No committee contributions found
This bill has 5 cosponsors. Below are their top campaign contributors.
ID: M001153
Top Contributors
10
ID: H001046
Top Contributors
10
ID: S001150
Top Contributors
10
ID: W000779
Top Contributors
10
ID: A000382
Top Contributors
10
Hub layout: Politicians in center, donors arranged by type in rings around them.
Showing 79 nodes and 43 connections (74 secondary connections hidden)
Total contributions: $137,260
Showing top 21 donors by contribution amount
Which industries are materially affected by specific provisions in this bill. 3 helped.
Sections 2 and 3 mandate guidance and regulations for acquiring opioid overdose reversal medication (e.g., naloxone), directly increasing demand for pharmaceutical products used to reverse opioid overdoses.
Section 2(a)(1) requires non-mandatory guidance for employers on acquiring and maintaining opioid overdose reversal medication, which could increase demand for such medication from hospitals and health systems that supply or administer it.
Section 2(a)(1) and (2) and Section 3(a)(1) and (2) involve guidance and regulations for acquiring opioid overdose reversal medication and training employees, which may benefit manufacturers of naloxone delivery devices (e.g., auto-injectors, nasal sprays) classified under medical devices.
For each industry this bill affects, here's what the sponsor (Sen. Merkley, Jeff [D-OR])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.
This bill shows semantic similarity to the following sections of the Project 2025 policy document.AI-enhanced analysis provides detailed alignment ratings.
AI Analysis:
"The bill addresses opioid overdose reversal medication guidance and training, whereas the Project 2025 excerpt focuses on overtime pay thresholds, compliance assistance, and limiting guidance document abuse; the only overlap is the general theme of DOL issuing guidance and providing compliance assistance."
— 592 — Mandate for Leadership: The Conservative Promise Overtime Pay Threshold. Overtime pay is one of the most challenging aspects of the Fair Labor Standards Act rules. “Nonexempt workers” (e.g., workers whose job duties fall within the law’s power or whose total pay is low enough) must be paid overtime (150 percent of the “regular rate”) for every hour over 40 in a work- week. Overtime requirements may discourage employers from offering certain fringe benefits such as reimbursement for education, childcare, or even free meals because the benefits’ value may be included in the “regular rate” that must be paid at 150 percent for all overtime hours. And because some of these fringe ben- efits may be more valuable (and often come with tax preferences that benefit the worker), the goal should be to set a threshold to ensure lower-income workers have the protections of overtime pay without discouraging employers from offering these benefits. l DOL should maintain an overtime threshold that does not punish businesses in lower-cost regions (e.g., the southeast United States). The Trump-era threshold is high enough to capture most line workers in lower-cost regions. One possibility to consider (likely requiring congressional action) would be to automatically update the thresholds every five years using the Personal Consumption Expenditures (PCE) as an inflation adjustment. This could reduce the likelihood of a future Administration attempting to make significant changes but would also impose more adjustments on businesses as those automatic increases take hold. l Congress should clarify that the “regular rate” for overtime pay is based on the salary paid rather than all benefits provided. This would enable employers to offer additional benefits to employees without fear that those benefits would dramatically increase overtime pay. l Congress should provide flexibility to employers and employees to calculate the overtime period over a longer number of weeks. Specifically, employers and employees should be able to set a two- or four- week period over which to calculate overtime. This would give workers greater flexibility to work more hours in one week and fewer hours in the next and would not require the employer to pay them more for that same total number of hours of work during the entire period. Compliance-Assistance Programming. Labor agencies are often tempted to encourage “over compliance” by companies subject to regulation by pursuing “regulation through enforcement” strategies. Rather than giving regulated enti- ties clear boundaries for what they can and cannot do under the law, the agencies — 593 — Department of Labor and Related Agencies rely on the vagueness of the law to bring enforcement activity against businesses that fail to meet an inspector or agency head’s personal standard. This is not fair to regulated parties and results in disfavored companies bearing the brunt of the agencies’ enforcement efforts even though their behavior may be within the main- stream of employer behavior. l Labor agencies should provide compliance assistance to help businesses and workers better understand the agencies’ position on their own rules and should do so in a way that makes it easier to follow those rules. This frees people to focus on their work rather than slogging through an ever-growing body of laws, rules, and guidance documents generated by the agencies. Clear and Restrictive Rules on Guidance Documents. Federal agencies not only issue regulations to fill in gaps left by legislation, but also supplement those reg- ulations with “guidance” documents that occupy a unique and often confusing area between law and “helpful advice.” Unfortunately, wielded by overzealous enforcement agents, such guidance, some of it even hidden from public view, morphs into binding law used against unsuspecting employers. Guidance can be a tricky thing and can be used for good or bad. It should be used to make compli- cated regulations easier to understand, so that businesses can do their actual jobs and focus on providing jobs to American workers and value to consumers (really, compliance assistance). But guidance is often used to create new rules overnight without following legal requirements—like giving the public an opportunity to provide valuable input. This wrongful use of guidance hurts workers and those who employ them. In October 2019, President Trump signed an executive order ending this abusive practice and created a new, fairer system for American busi- nesses and their employees. In response, DOL published its PRO Good Guidance rule,10 which expressly limits its use of guidance in enforcement actions and gives the public the opportunity to submit comments to influence the department’s deci- sions on creating, revising, and even rescinding guidance. Under this rule, agencies cannot treat guidance as legally binding and must make all guidance documents readily accessible on their searchable online databases. This rule was immediately rescinded by the Biden Administration. l DOL should reinstitute the PRO Good Guidance rule via notice and comment. l Congress should amend the Administrative Procedure Act11 to explicitly limit the use of guidance documents.
AI Analysis:
"The bill focuses on opioid overdose response in the workplace, which is unrelated to Project 2025's Department of Labor priorities such as small business regulatory exemptions, apprenticeship reform, hazard-order regulations for youth, or workforce training grants. There is no thematic or policy overlap between workplace opioid safety and the specified Project 2025 labor objectives."
— 594 — Mandate for Leadership: The Conservative Promise Exemptions from Regulations for Small Business. Burdensome regulations have anti-competitive effects. In general, larger, higher-margin businesses are better able to absorb the costs of regulatory compliance than are small businesses, and under the Biden Administration, big-business lobbies have affirmatively embraced certain regulations (such as the COVID vaccine mandate for private employers) to reduce competition from smaller businesses. Research suggests that labor regula- tions may pose the highest aggregate regulatory cost for small businesses. l The labor agencies should exercise their available discretion and duties under the Regulatory Flexibility Act12 to exempt small entities from regulations where possible. l Congress should enact legislation increasing the revenue thresholds at which the National Labor Relations Board asserts jurisdiction over employers to match changes in inflation that have occurred since 1935 and better reflect the definition of “small business” used by the federal government. l Congress (and DOL, in its enforcement discretion) should exempt small business, first-time, non-willful violators from fines issued by the Occupational Health and Safety Administration. EDUCATION AND VOCATIONAL TRAINING Apprenticeships. The next Administration should return to prior policy and implement an industry-recognized apprenticeship program separate from the Registered Apprenticeship Program (RAP) and explore how best to modernize, streamline, and eliminate duplication in the RAP. For roughly 80 years, the RAP— which requires conforming to government standards and includes federal funding, tax credits, and other federal resources—has dominated apprenticeship programs in the U.S. Organizations across the political spectrum have noted that the overly burdensome requirements of RAPs have contributed to limiting them to legacy trades, failing to meet growing industry demands such as in health care and tech- nology. A 2017 study estimated that the number of occupations commonly filled through apprenticeships could nearly triple (from 27 to 74), that the number of job openings filled through apprenticeships could expand eightfold (to 3.2 million), and that the occupations ripe for apprenticeship expansion could offer 20 percent higher wages than traditional apprenticeship occupations. The Trump Administration expanded apprenticeship options through the cre- ation of the Industry-Recognized Apprenticeship Program (IRAP), and more than 130 IRAPs were created. The Biden Administration rescinded the IRAP regulations. — 595 — Department of Labor and Related Agencies l Congress should expand apprenticeship programs outside of the RAP model, re-creating the IRAP system by statute and allowing approved entities such as trade associations and educational institutions to recognize and oversee apprenticeship programs. In addition, religious organizations should be encouraged to participate in apprenticeship programs. America has a long history of religious organizations working to advance the dignity of workers and provide them with greater opportunity, from the many prominent Christian and Jewish voices in the early labor movement to the “labor priests” who would appear on picket lines to support their flocks. Today, the role of religion in helping workers has diminished, but a country committed to strengthening civil society must ask more from religious organizations and make sure that their important role is not impeded by regulatory roadblocks or the bureaucratic status quo. l Encourage and enable religious organizations to participate in apprenticeship programs, etc. Both DOL and NLRB should facilitate religious organizations helping to strengthen working families via apprenticeship programs, worker organizations, vocational training, benefits networks, etc. Hazard-Order Regulations. Some young adults show an interest in inherently dangerous jobs. Current rules forbid many young people, even if their family is running the business, from working in such jobs. This results in worker shortages in dangerous fields and often discourages otherwise interested young workers from trying the more dangerous job. With parental consent and proper training, certain young adults should be allowed to learn and work in more dangerous occupations. This would give a green light to training programs and build skills in teenagers who may want to work in these fields. l DOL should amend its hazard-order regulations to permit teenage workers access to work in regulated jobs with proper training and parental consent. Workforce Training Grant Program. The federal government spends more than $100 billion per year subsidizing higher education but close to zero supporting people on non-college pathways. l Congress should create an employer grant worth up to $10,000 per year or pro-rated portion thereof for each worker engaged in
AI Analysis:
"The WORK to Save Lives Act focuses on opioid overdose prevention in the workplace through training and medication access, which is unrelated to Project 2025's Department of Labor objectives concerning sex discrimination based on biological binary, pro-life workplace accommodations, religious employer protections, or EEOC reforms."
— 585 — Department of Labor and Related Agencies l Direct agencies to refocus enforcement of sex discrimination laws. The President should direct agencies to focus their enforcement of sex discrimination laws on the biological binary meaning of “sex.” PRO-LIFE MEASURES l Promote pro-life workplace accommodations for mothers. Federal law should protect life and promote pro-family policies. Current law, the Pregnancy Discrimination Act,3 provides nondiscrimination protections in the workplace for pregnancy, childbirth, or related medical conditions. The Pregnant Workers Fairness Act (PWFA)4 requires employers to make reasonable accommodations for women “to the known limitations related to the pregnancy, childbirth, or related medical conditions,” unless “the accommodation would impose an undue hardship on the operation of the [employer’s] business.” The Americans with Disabilities Act (ADA) also provides nondiscrimination and accommodation protections in the workplace for certain pregnancy-related disability.5 None of these laws requires an employer provide health insurance benefits for elective abortion. l Pass a law requiring equal (or greater) benefits for pro-life support for mothers and clarifying abortion exclusions. Congress should pass a law requiring that to the extent an employer provides employee benefits for abortion, it must provide equal or greater benefits for pregnancy, childbirth, maternity, and adoption. That law should also clarify that no employer is required to provide any accommodations or benefits for abortion. l Keep anti-life “benefits” out of benefit plans. Some benefits attorneys and pro-choice advocates have argued since the Supreme Court’s Dobbs v. Jackson Women’s Health Organization decision6 that the longstanding doctrine of Employee Retirement Income Security Act of 1974 (ERISA)7 preemption should block individual states’ efforts to prohibit employers from helping employees procure abortions via offering various kinds of coverage under employee-sponsored benefit plans. ERISA should not be allowed to trump states’ ability to protect innocent human life in the womb. Congress and DOL should clarify that ERISA does not preempt states’ power to restrict abortion, surrogacy, or other anti-life “benefits.” RELIGION l Provide robust protections for religious employers. America’s religious diversity means that workplaces include people of many faiths and that many employers are faith-based. Nevertheless, the Biden Administration has been hostile to people of faith, especially those with traditional beliefs — 586 — Mandate for Leadership: The Conservative Promise about marriage, gender, and sexuality. The new Administration should enact policies with robust respect for religious exercise in the workplace, including under the First Amendment, the Religious Freedom Restoration Act of 1993 (RFRA),8 Title VII, and federal conscience protection laws. l Issue an executive order protecting religious employers and employees. The President should make clear via executive order that religious employers are free to run their businesses according to their religious beliefs, general nondiscrimination laws notwithstanding, and support participation of religious employees and employers as federal contractors and in federal activities and programs. l Clarify Title VII’s religious organization exemptions. Congress should clarify Title VII’s religious organization exemptions to make it more explicit that those employers may make employment decisions based on religion regardless of nondiscrimination laws. l Provide Robust Accommodations for Religious Employees. Title VII requires reasonable accommodations for an employee’s sincerely held religious beliefs, observances, or practices unless it poses an undue hardship on the employer’s business. These accommodation protections also apply to issues related to marriage, gender, and sexuality. Unless the Supreme Court overrules its bad precedent, Congress should clarify that undue hardship means “significant difficulty or expenses,” not “more than a de minimis cost” as the Court has previously held. General EEOC Reforms. The Equal Employment Opportunity Commis- sion (EEOC) does not have rulemaking authority under Title VII and other laws it enforces, yet it issues “guidance,” “technical assistance,” and other documents, including some that push new policy positions. EEOC should disclaim its regulatory pretensions and abide by the guidance reforms dis- cussed below. l EEOC should disclaim its regulatory pretensions. l Affirm decision-making via majority vote of Commissioners. EEOC should affirm as policy the Title VII requirement that it exercise substantive power via majority vote of Commissioners, not by unilateral Chair action or by delegation to staff.
Showing 3 of 5 policy matches
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.