Mikaela Naylon Give Kids a Chance Act

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Bill ID: 119/hr/1262
Last Updated: July 17, 2026

Sponsored by

Rep. McCaul, Michael T. [R-TX-10]

ID: M001157

Follow the money

The bill

Mikaela Naylon Give Kids a Chance Act

HR. 1262, 119th Congress — read as touching Pharmaceuticals.

The sponsor

Rep. McCaul, Michael T. [R-TX-10]

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

The money

$500,500 raised

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

The alignment

55% match to Project 2025

This bill's text tracks the "Department of Health and Human Services" section, p. 488-490 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Received in the Senate.

December 1, 2025

Introduced

Committee Review

Floor Action

Passed House

Senate Review

📍 Current Status

Next: Both chambers must agree on the same version of the bill.

🎉

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 congressional bill, another exercise in futility. The "Mikaela Naylon Give Kids a Chance Act" - how touching. How utterly meaningless.

**Main Purpose & Objectives**

The main purpose of this bill is to amend the Federal Food, Drug, and Cosmetic Act to encourage research into molecularly targeted pediatric cancer treatments. Or, in simpler terms, to make it look like Congress cares about kids with cancer while actually serving the interests of pharmaceutical companies.

**Key Provisions & Changes to Existing Law**

The bill makes several changes to existing law, including:

* Expanding the definition of "molecularly targeted pediatric cancer investigation" to include combination therapies * Allowing the FDA to require additional data on pediatric uses of drugs * Extending the authority to issue priority review vouchers for rare pediatric diseases

But let's be real, these provisions are just a smokescreen. The real purpose of this bill is to provide more opportunities for pharmaceutical companies to profit from cancer treatments while pretending to care about kids.

**Affected Parties & Stakeholders**

The affected parties include:

* Pharmaceutical companies: They get to profit from new cancer treatments and expand their market share * FDA: They get to look like they're doing something useful while actually just rubber-stamping more pharmaceutical company profits * Kids with cancer: They get... well, they might get some slightly better treatment options, but let's not get too optimistic here

**Potential Impact & Implications**

The potential impact of this bill is minimal. It will likely lead to a few new cancer treatments being approved, but at what cost? The real implication is that Congress is more interested in serving the interests of pharmaceutical companies than actually helping kids with cancer.

And let's not forget the obligatory "Abraham Accords Office" provision, because why not? It's just another example of congressional pork-barrel politics. Who needs actual policy when you can just throw some meaningless provisions into a bill and call it a day?

In conclusion, this bill is a perfect example of legislative theater - all flash, no substance. It's a cynical attempt to make Congress look like they care about kids with cancer while actually serving the interests of pharmaceutical companies. But hey, at least they're trying.

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

💰 Campaign Finance Network

Rep. McCaul, Michael T. [R-TX-10]

Congress 119 • 2024 Election Cycle

Total Contributions
$500,500
20 donors
PACs
$0
Organizations
$4,300
Committees
$0
Individuals
$496,200

No PAC contributions found

1
SOUTH SPUR LP
1 transaction
$3,300
2
TRACEY FOX KING & WALTERS
1 transaction
$1,000

No committee contributions found

1
CHILDS, JOHN W.
2 transactions
$88,400
2
CHILDS, JOHN W
2 transactions
$71,800
3
LANIER, BECKY MRS.
1 transaction
$50,000
4
LANIER, MARK W.
1 transaction
$50,000
5
CARLTON, C. CRAIG MR.
1 transaction
$25,000
6
LUROS, HILARY
1 transaction
$25,000
7
WAHID, M RON
1 transaction
$25,000
8
NASH, JERRY A.
1 transaction
$23,200
9
HALILI, RUZHDI
1 transaction
$19,000
10
YACOUB, CLAUDE
1 transaction
$15,800
11
FERGUSON, KENNETH B. MR.
1 transaction
$15,000
12
MARTIN, EDWARD E. MR. JR.
1 transaction
$13,200
13
ADAMS, MARK E. MR.
1 transaction
$13,200
14
JAIN, ANURAG
1 transaction
$13,200
15
MORAN, PATRICK J. MR.
1 transaction
$13,200
16
YALAMANCHILI, CHOWDARY V. MR.
1 transaction
$12,000
17
HYSENI, EKREM
1 transaction
$11,600
18
GRANIERI, ROBERT
1 transaction
$11,600

Cosponsors & Their Campaign Finance

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

Rep. Bilirakis, Gus M. [R-FL-12]

ID: B001257

Top Contributors

10

1
COOL MASTER PRO LLC
OrganizationTAMPA, FL
$6,600
Mar 8, 2023
2
ARTECHE, LEON
V-ME MEDIA INC. • CFO
IndividualDORAL, FL
$5,000
Jan 18, 2024
3
OF FLORIDA, SEMINOLE TRIBE
EMPLOYEE RECOGNIZED TRIBE
IndividualHOLLYWOOD, FL
$3,300
Aug 2, 2024
4
LAGOS, JAMES H.
LAGOS LAGOS, PLL • ATTORNEY
IndividualSPRINGFIELD, OH
$3,300
Sep 9, 2024
5
RICE, WILLIAM LLOYD
FALFURRIAS CAPITAL PARTNERS
IndividualMINT HILL, NC
$3,300
Sep 30, 2024
6
WANEK, RON
ASHLEY FURNITURE INDUSTRIES, INC • CHAIRMAN OF THE BOARD
IndividualTAMPA, FL
$3,300
Oct 17, 2024
7
WANEK, TODD
ASHLEY FURNITURE • CEO
IndividualTAMPA, FL
$3,300
Oct 17, 2024
8
WANEK, JOYCE
N/A • N/A
IndividualTAMPA, FL
$3,300
Oct 18, 2024
9
WANEK, KAREN
SUPERIOR FRESH • OWNER
IndividualTAMPA, FL
$3,300
Oct 17, 2024
10
HEPSCHER, WILLIAM S
RX MANAGE USA • BUSINESS OWNER
IndividualTAMPA, FL
$3,300
Oct 30, 2024

Rep. Dingell, Debbie [D-MI-6]

ID: D000624

Top Contributors

10

1
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
OrganizationDORR, MI
$3,300
Dec 13, 2023
2
NOTTAWASEPPI HURON BAND OF THE POTAWATOMI
OrganizationFULTON, MI
$3,300
Mar 28, 2024
3
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
OrganizationDORR, MI
$3,300
Oct 16, 2024
4
FORD, CYNTHIA
NA • CIVIC PHILANTHROPIST
IndividualGROSSE POINTE FARMS, MI
$3,300
Oct 14, 2024
5
FORD, EDSEL B. II
FORD MOTOR COMPANY • CONSULTANT
IndividualGROSSE POINTE FARMS, MI
$3,300
Oct 14, 2024
6
MEIJER, HENDRIK
MEIJER, INC. • EXECUTIVE CHAIRMAN
IndividualGRAND RAPIDS, MI
$3,300
Oct 25, 2024
7
CARTER ALTMAN, LYNDA
SELF EMPLOYED • MUSICIAN
IndividualNEW YORK, NY
$3,300
Nov 6, 2023
8
DEBBANE, RAYMOND
THE INVUS GROUP • CEO
IndividualGREENWICH, CT
$3,300
Dec 4, 2023
9
FARES, NIJAD
LINK • INVESTOR
IndividualHOUSTON, TX
$3,300
Nov 30, 2023
10
III, WILLIAM H. GATES
BREAKTHROUGH ENERGY & BILL & MELINDA G • PHILANTHROPIST
IndividualREDMOND, WA
$3,300
Oct 19, 2023

Rep. Schrier, Kim [D-WA-8]

ID: S001216

Top Contributors

10

1
CHICKASAW NATION
PACADA, OK
$1,000
Sep 23, 2024
2
SNOQUALMIE TRIBE
OrganizationSNOQUALMIE, WA
$3,300
Nov 3, 2023
3
THE CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
OrganizationNESPELEM, WA
$3,300
Nov 3, 2023
4
JAMESTOWN S'KLALLAM TRIBE
OrganizationSEQUIM, WA
$3,300
Jun 30, 2023
5
JAMESTOWN S'KLALLAM TRIBE
OrganizationSEQUIM, WA
$3,300
Jun 30, 2023
6
MUCKLESHOOT INDIAN TRIBE
OrganizationAUBURN, WA
$3,300
May 10, 2023
7
NISQUALLY INDIAN TRIBE
OrganizationOLYMPIA, WA
$3,300
Jun 29, 2023
8
THE TULALIP TRIBES OF WASHINGTON
OrganizationTULALIP, WA
$3,300
May 2, 2023
9
MUCKLESHOOT INDIAN TRIBE
OrganizationAUBURN, WA
$3,300
Jun 28, 2024
10
PUYALLUP TRIBE OF INDIANS
OrganizationTACOMA, WA
$3,300
Jun 30, 2024

Rep. Harshbarger, Diana [R-TN-1]

ID: H001086

Top Contributors

10

1
BROWN, NANCY I.
RETIRED • RETIRED
IndividualPALM BEACH, FL
$6,600
Mar 7, 2024
2
NANCY, BROWN
RETIRED • RETIRED
IndividualPALM BEACH, FL
$6,600
Mar 31, 2024
3
GREGORY, LUCINDA
RETIRED • RETIRED
IndividualPINEY FLATS, TN
$6,600
May 21, 2024
4
BANKE, BARBARA R
IndividualGEYSERVILLE, CA
$6,600
Nov 30, 2023
5
MORRIS, GLENN
IndividualSTUART, FL
$6,600
Sep 30, 2024
6
TAYLOR, MARGARETTA J MISS
RETIRED • RETIRED
IndividualNEW YORK, NY
$6,600
Jul 16, 2024
7
EGER, MORDECHI
HLU SALES INC • OWNER
IndividualAIRMONT, NY
$5,000
Dec 28, 2023
8
BORDEAU, BRAD
BORDEAU METALS • CEO
IndividualDICKSON, TN
$5,000
Sep 11, 2024
9
BENTZ, KAREN
IndividualGATLINBURG, TN
$5,000
Sep 30, 2023
10
MOUNTAIN, MONICA
RETIRED • RETIRED
IndividualNEW TAZEWELL, TN
$3,600
Sep 30, 2024

Rep. Matsui, Doris O. [D-CA-7]

ID: M001163

Top Contributors

10

1
SOCIETY OF INTERVENTIONAL RADIOLOGY POLITICAL ACTION COMMITTEE
PACFAIRFAX, VA
$2,500
Feb 7, 2023
2
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$2,000
Mar 10, 2023
3
KINNEY, MARY
MGK STYLE • STYLIST/CEO
IndividualSACRAMENTO, CA
$3,300
Oct 30, 2024
4
KONG, MINDY
N/A • HOMEMAKER
IndividualSACRAMENTO, CA
$3,300
Oct 25, 2024
5
TSAKOPOULOS, KATINA
SELF-EMPLOYED • SOMATIC EXPERIENCING PRACTITIONER
IndividualRANCHO SANTA FE, CA
$3,300
Nov 1, 2024
6
TSAKOPOULOS, SOFIA
N/A • HOMEMAKER
IndividualSACRAMENTO, CA
$3,300
Nov 1, 2024
7
VISMARA, LOUIS A.
IndividualSACRAMENTO, CA
$3,300
Nov 1, 2024
8
WAGNER, BELAN KIRK
WAGNER KIRKMAN BLAINE KLOMPARENS • ATTORNEY
IndividualMATHER, CA
$3,300
May 30, 2023
9
KELLEY, LARRY D.
MCCLELLAN PARK • REAL ESTATE
IndividualMCCLELLAN, CA
$3,300
May 11, 2023
10
FRIEDMAN, MARK L.
FULCRUM PROPERTY GROUP • REAL ESTATE DEVELOPER
IndividualSACRAMENTO, CA
$3,300
Jun 14, 2023

Rep. Crenshaw, Dan [R-TX-2]

ID: C001120

Top Contributors

10

1
CHEVRON
OrganizationSAN RAMON, CA
$5,000
Sep 4, 2024
2
COMPLETE EMERGENCY CARE HOLDING LLC
OrganizationSOUTHLAKE, TX
$3,500
Mar 11, 2024
3
SANDLIAN REALTY
OrganizationWICHITA, KS
$1,000
Feb 7, 2024
4
ALABAMA-COUSHATTA TRIBE
OrganizationLIVINGSTON, TX
$1,000
Sep 30, 2024
5
RUSSELL W H KRIDEL MD PA
OrganizationHOUSTON, TX
$250
Feb 28, 2023
6
JONES RANCH LLC
OrganizationCORPUS CHRISTI, TX
$250
Mar 13, 2024
7
MAFRIGE, DAVID
SELF • COMMERCIAL REAL ESTATE INVESTMENTS
IndividualHOUSTON, TX
$9,900
Jun 21, 2023
8
MAFRIGE, DAVID
SELF • COMMERCIAL REAL ESTATE INVESTMENTS
IndividualHOUSTON, TX
$9,900
Jun 21, 2023
9
ODEN, KEITH
CAMDEN PROPERTY TRUST • EXECUTIVE VICE CHAIRMAN
IndividualHOUSTON, TX
$9,900
Jun 27, 2023
10
ODEN, KEITH
CAMDEN PROPERTY TRUST • EXECUTIVE VICE CHAIRMAN
IndividualHOUSTON, TX
$9,900
Jun 27, 2023

Rep. Castor, Kathy [D-FL-14]

ID: C001066

Top Contributors

10

1
SEMINOLE TRIBE
OrganizationHOLLYWOOD, FL
$3,300
Jun 30, 2024
2
SEMINOLE TRIBE
OrganizationHOLLYWOOD, FL
$3,300
Aug 25, 2023
3
BGR PAC
OrganizationWASHINGTON, DC
$925
Sep 13, 2024
4
OBERHELMAN, DIANE
CULLINAN PROPERTIES • FOUNDER
IndividualEDWARDS, IL
$3,300
Dec 3, 2024
5
III, WILLIAM H. GATES
BREAKTHROUGH ENERGY; GATES FOUNDATION • PHILANTHROPIST
IndividualREDMOND, WA
$3,300
Oct 19, 2023
6
OBERHELMAN, DIANE
CULLINAN PROPERTIES • FOUNDER
IndividualEDWARDS, IL
$3,300
Jun 16, 2023
7
BOSQUEZ, RAMON
NOT EMPLOYED • NOT EMPLOYED
IndividualST PETERSBURG, FL
$3,300
Mar 29, 2024
8
EDLOW, MR.JACK
EDLOW INTERNATIONAL COMPANY • CONSULTANT
IndividualTAMPA, FL
$3,300
Mar 28, 2024
9
SNELL, RAND R
SELF-EMPLOYED • COMPOSER
IndividualST PETERSBURG, FL
$3,300
Mar 18, 2024
10
BURGESS, TREVOR R.
TRB DEVELOPMENT • REAL ESTATE DEVELOPMENT
IndividualST PETERSBURG, FL
$3,300
Apr 2, 2024

Rep. Kelly, Mike [R-PA-16]

ID: K000376

Top Contributors

10

1
SYCUAN BAND OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$3,300
Dec 31, 2024
2
MASHANTUCKET PEQUOT TRIBE
OrganizationLEDYARD, CT
$3,300
Oct 23, 2023
3
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$3,300
Mar 24, 2023
4
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$3,300
Sep 30, 2024
5
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$3,000
Sep 30, 2024
6
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$3,000
Nov 4, 2024
7
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$2,300
Jun 28, 2024
8
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$2,000
Jun 26, 2023
9
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$2,000
Oct 10, 2024
10
SALT RIVER PIMA MARICOPA INDIAN COMMUNITY
OrganizationSCOTTSDALE, AZ
$1,000
Mar 29, 2023

Rep. Trahan, Lori [D-MA-3]

ID: T000482

Top Contributors

10

1
MANNING, DONNA
NOT EMPLOYED • NOT EMPLOYED
IndividualJUPITER, FL
$6,000
May 10, 2024
2
MANNING, DONNA
IndividualJUPITER, FL
$6,000
May 17, 2024
3
DONOHUE, JOHN
ARBELLA INSURANCE GROUP • INSURANCE
IndividualBELMONT, MA
$3,300
Sep 30, 2024
4
KRAFT, JONATHAN
THE KRAFT GROUP • PRESIDENT
IndividualFOXBORO, MA
$3,300
Oct 20, 2023
5
BEEUWKES, REINIER
ISCHEMIX INC. • CHAIRMAN & CHIEF SCIENTIFIC OFFICER
IndividualCONCORD, MA
$3,300
Oct 3, 2023
6
BEEUWKES, REINIER
ISCHEMIX INC. • CHAIRMAN & CHIEF SCIENTIFIC OFFICER
IndividualCONCORD, MA
$3,300
Oct 3, 2023
7
BEEUWKES, NANCY
RETIRED • RETIRED
IndividualCONCORD, MA
$3,300
Oct 3, 2023
8
BEEUWKES, NANCY
RETIRED • RETIRED
IndividualCONCORD, MA
$3,300
Oct 3, 2023
9
BEEUWKES, REINIER
IndividualCONCORD, MA
$3,300
Oct 24, 2023
10
BEEUWKES, NANCY
IndividualCONCORD, MA
$3,300
Oct 24, 2023

Rep. Weber, Randy K. Sr. [R-TX-14]

ID: W000814

Top Contributors

10

1
TIGUA INDIAN RESERVATION - YSLETA DEL SUR PUEBLO
OrganizationEL PASO, TX
$2,500
Jun 30, 2023
2
SCOTT M. BROWN P.C.
OrganizationANGLETON, TX
$2,500
Aug 13, 2024
3
SCOTT M. BROWN P.C.
OrganizationANGLETON, TX
$2,500
Aug 14, 2024
4
ALABAMA-COUSHATTA TRIBE
OrganizationLIVINGSTON, TX
$1,000
Sep 30, 2024
5
ALLEN BOONE HUMPHRIES ROBINSON LLP
OrganizationHOUSTON, TX
$1,000
Jul 25, 2023
6
CLARK, LISA M.
IndividualHOUSTON, TX
$10,000
Feb 23, 2024
7
SULLIVAN, JOHN R. MR.
SULLIVAN COMPANIES • OWNER
IndividualGALVESTON, TX
$6,600
Oct 31, 2023
8
TEICHMAN, KEVIN MR.
TEICHMAN GROUP LLC • CEO
IndividualFRIENDSWOOD, TX
$6,600
Dec 12, 2023
9
MCCORVEY, MITZY
MCCORVEY INDUSTRIAL FABRICATION • OWNER
IndividualHOUSTON, TX
$6,600
Feb 9, 2023
10
MCCORVEY, TONY
MCCORVEY INDUSTRIAL FABRICATION • OWNER
IndividualHOUSTON, TX
$6,600
Feb 9, 2023

Donor Network - Rep. McCaul, Michael T. [R-TX-10]

PACs
Organizations
Individuals
Politicians

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

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Showing 56 nodes and 37 connections (39 secondary connections hidden)

Total contributions: $560,500

Top Donors - Rep. McCaul, Michael T. [R-TX-10]

Showing top 20 donors by contribution amount

2 Orgs18 Individuals

Industry Impact

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

  • −Pharmaceuticalsconfidence 0.90

    Section 2 amends the Federal Food, Drug, and Cosmetic Act to require additional pediatric cancer investigations for molecularly targeted drugs, increasing regulatory burden and costs for drug developers. Section 3 adds due diligence requirements and enforcement actions for noncompliance with pediatric study requirements, further increasing compliance costs. Section 10 increases transparency requirements for generic drug applications, potentially increasing regulatory scrutiny. These provisions c

  • +Health Insuranceconfidence 0.90

    Section 11 increases the Medicare Improvement Fund from $1,403,000,000 to $2,622,000,000, which benefits health insurers that participate in Medicare Advantage and other Medicare programs by providing additional funding for quality improvement initiatives.

  • −Biotech & Researchconfidence 0.85

    Biotech firms developing molecularly targeted cancer drugs are subject to the same pediatric investigation requirements under Section 2, which mandates additional preclinical and clinical study data for pediatric indications. Section 3's enforcement mechanisms for noncompliance apply equally to biotech products. These requirements increase development costs and timelines, constituting a clear cost burden.

  • Section 8 amends the Organ Procurement and Transplantation Network to allow registration fees for transplant candidates, which could increase access to transplants for long-term care patients needing organ transplants, indirectly supporting long-term care providers.

  • −Medical Devicesconfidence 0.70

    While the bill primarily focuses on drugs and biologics, Section 2's amendments to Section 505B apply to 'drug or biological product' submissions. Some medical devices that incorporate drug components (e.g., drug-eluting stents) may fall under these provisions if submitted under Section 505(b) or 351(a). However, the bill's primary focus is on pharmaceuticals, so the impact on medical devices is less direct and certain.

  • Section 8 establishes registration fees for the Organ Procurement and Transplantation Network (OPTN) and requires transparency in fee usage, which could improve organ transplant coordination and increase transplant volumes. This benefits hospitals and health systems that perform transplants by potentially increasing patient access to transplant services and providing clearer fee structures. However, the fee collection mechanism could also impose administrative burdens, resulting in a mixed but n

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Rep. McCaul, Michael T. [R-TX-10])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

Industries this bill HARMS

Project 2025 Policy Matches

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

Department of Health and Human Services

Weak
Vector: 63%
Pages: 488-490AI Enhanced

AI Analysis:

"The bill focuses on pediatric cancer drug development and FDA authority, while the Project 2025 excerpt emphasizes abortion data reporting, gender identity data collection, generic drug competition, laboratory-developed tests, and abortion pills—with minimal thematic overlap beyond general FDA reform."

Key themes:FDA authoritygeneric drugsdrug approval process

— 456 — Mandate for Leadership: The Conservative Promise abortion providers and whether better prenatal physical, mental, and social care improves infant outcomes and decreases abortion rates, especially among those who are most vulnerable. The Ensuring Accurate and Complete Abortion Data Reporting Act of 20239 would amend title XIX of the Social Security Act and Public Health Service Act to improve the CDC’s abortion reporting mechanisms by requiring states, as a condition of federal Medicaid payments for family planning services, to report streamlined variables in a timely manner. The CDC should immediately end its collection of data on gender identity, which legitimizes the unscientific notion that men can become women (and vice versa) and encourages the phenomenon of ever-multiplying subjective identities. FOOD AND DRUG ADMINISTRATION (FDA) The FDA’s mission includes ensuring the safety and efficacy of drugs, biological products, and medical devices. Federal Laws That Shield Big Pharma from Competition. Because generics generally cost far less than brand-name drugs, consumers begin to save money as soon as a generic product comes on the market. The vast majority are very afford- able with 93 percent of generic products costing $20 or less. Savings would be even higher under proposals that prevent brand-name man- ufacturers from slowing down or impeding the entrance of generic products into the marketplace. Specifically, the FDA should prohibit pharmaceutical companies from purposely sitting on their legally available right to be the first to sell generic versions of their drugs. Additionally, Congress should create legal remedies for generic companies to obtain samples of brand-name products for their generic development efforts and should prohibit meritless “citizen petitions” submitted by manufacturers to delay approval of a generic competitor.10 Approval Process for Laboratory-Developed or Modified Medical Tests. Learning from the failed early COVID-19 testing experience, Congress and the FDA should focus on reforming laws and regulations governing medical tests, especially with respect to laboratory-developed tests. Commercial tests are developed with the intention of being widely marketed, distributed, and used, while laboratory-developed tests are created with the intention of being used solely within one laboratory. A test developed by a lab in accordance with the protocols developed by another lab (non-commercial sharing) currently constitutes a “new” laboratory-developed test because the lab in which it will be used is different from the initial developing lab. To encourage interlab- oratory collaboration and discourage duplicative test creation (and associated regulatory and logistical burdens), the FDA should introduce mechanisms through which laboratory-developed tests can easily be shared with other laboratories with- out the current regulatory burdens.11 — 457 — Department of Health and Human Services The “laboratory-developed tests” category currently encompasses a range of possible tests, many of which would be characterized more appropriately as “lab- oratory-modified tests” because they are not truly novel tests but rather modified versions of existing tests. To avoid stifling innovation and access to medical care, the applicable statutes and regulations should be revised to facilitate greater access to such modified tests.12 Finally, the FDA has long held that it has regulatory authority over such tests, while others have argued that they should be considered clinical services regulated by the Centers for Medicare and Medicaid Services (CMS). The FDA currently has regulatory authority over in vitro diagnostics, and under the Clinical Lab- oratory Improvement Amendments (CLIA),13 the CMS ensures that labs meet analytical validity standards for test methods. Congress, the FDA, and the CMS need to clarify and disentangle overlapping authorities over tests to eliminate regulatory confusion.14 Drug Shortages. The very thin profit margins and the regulatory burdens associated with generic drug manufacturing discourage inventory and capacity investments by manufacturers and contribute to drug shortages. HHS and the FDA should encourage more dependable generic drug manufacturing. The FDA should expand its current pass/fail approach to drug facility inspec- tions into a graded system that recognizes manufacturers that exceed minimum standards by investing in improving production reliability. The FDA should also add facility codes to drug packaging and construct a searchable database that cross-references product codes and facility codes. That would enable wholesalers and pharmacy benefit managers to identify and preference drugs manufactured at more reliable facilities, thus encouraging generic drug manufacturers to compete on reliability as well as on price. For its part, HHS should exempt multi-source generic drugs from requirements to pay rebates to Medicaid and other federally funded health programs, as those provisions penalize new investments in expanding manufacturing capacity when supply is unable to meet demand.15 Additionally, FDA and NIH should promote efficacy trials of new applications for generic drugs, which might include NIH fund- ing such trials or conducting its own. Abortion Pills. Abortion pills pose the single greatest threat to unborn chil- dren in a post-Roe world. The rate of chemical abortion in the U.S. has increased by more than 150 percent in the past decade; more than half of annual abortions in the U.S. are chemical rather than surgical. The abortion pill regimen is typically a two-part process. The first pill, mifepris- tone, causes the death of the unborn child by cutting off the hormone progesterone, which is required to sustain a pregnancy. The second pill, misoprostol, causes con- tractions to induce a delivery of the dead child and uterine contents, usually into a toilet at home. The abortion-pill regimen is currently approved for up to 70 days

Department of Health and Human Services

Weak
Vector: 58%
Pages: 488-490AI Enhanced

AI Analysis:

"The bill focuses on pediatric cancer drug development and FDA authorities, while the Project 2025 excerpt centers on abortion policy, family formation, fertility awareness, abortion data reporting, and FDA generic competition reforms; only minor overlap exists regarding FDA transparency/generic drug provisions."

Key themes:FDA authoritygeneric drug transparencydrug approval process

— 455 — Department of Health and Human Services family formation. It should ensure that it is not promoting abortion as health care. It should fund studies into the risks and complications of abortion and ensure that it corrects and does not promote misinformation regarding the comparative health and psychological benefits of childbirth versus the health and psychological risks of intentionally taking a human life through abortion. The CDC oversaw and funded the development and testing of the COVID-19 vaccines with aborted fetal cell lines, insensitive to the consciences of tens of thousands to hundreds of thousands of people who objected to taking a vac- cine with such a link to abortion. As evidenced by litigation across the country, it is likely that thousands were fired unjustly because of the exercise of their consciences or faith on this question, which could have been avoided with a modicum of concern for this issue from CDC. There is never any justification for ending a child’s life as part of research, and the research benefits from splicing or growing aborted fetal cells and aborted baby body parts can easily be provided by alternative sources. All such research should be prohibited as a matter of law and policy. CDC should update its public messaging about the unsurpassed effectiveness of modern fertility awareness–based methods (FABMs) of family planning and stop publishing communications that conflate such methods with the long-eclipsed “rhythm” or “calendar” methods. CDC should fund studies exploring the evi- dence-based methods used in cutting-edge fertility awareness. Data Collection. The CDC’s abortion surveillance and maternity mortality reporting systems are woefully inadequate. CDC abortion data are reported by states on a voluntary basis, and California, Maryland, and New Hampshire do not submit abortion data at all. Accurate and reliable statistical data about abortion, abortion survivors, and abortion-related maternal deaths are essential to timely, reliable public health and policy analysis. Because liberal states have now become sanctuaries for abortion tourism, HHS should use every available tool, including the cutting of funds, to ensure that every state reports exactly how many abortions take place within its borders, at what gestational age of the child, for what reason, the mother’s state of residence, and by what method. It should also ensure that statistics are separated by category: spontaneous miscarriage; treatments that incidentally result in the death of a child (such as chemotherapy); stillbirths; and induced abortion. In addition, CDC should require monitoring and reporting for complications due to abortion and every instance of children being born alive after an abortion. Moreover, abortion should be clearly defined as only those procedures that intentionally end an unborn child’s life. Miscarriage management or standard ectopic pregnancy treatments should never be conflated with abortion. Comparisons between live births and abortion should be tracked across vari- ous demographic indicators to assess whether certain populations are targeted by — 456 — Mandate for Leadership: The Conservative Promise abortion providers and whether better prenatal physical, mental, and social care improves infant outcomes and decreases abortion rates, especially among those who are most vulnerable. The Ensuring Accurate and Complete Abortion Data Reporting Act of 20239 would amend title XIX of the Social Security Act and Public Health Service Act to improve the CDC’s abortion reporting mechanisms by requiring states, as a condition of federal Medicaid payments for family planning services, to report streamlined variables in a timely manner. The CDC should immediately end its collection of data on gender identity, which legitimizes the unscientific notion that men can become women (and vice versa) and encourages the phenomenon of ever-multiplying subjective identities. FOOD AND DRUG ADMINISTRATION (FDA) The FDA’s mission includes ensuring the safety and efficacy of drugs, biological products, and medical devices. Federal Laws That Shield Big Pharma from Competition. Because generics generally cost far less than brand-name drugs, consumers begin to save money as soon as a generic product comes on the market. The vast majority are very afford- able with 93 percent of generic products costing $20 or less. Savings would be even higher under proposals that prevent brand-name man- ufacturers from slowing down or impeding the entrance of generic products into the marketplace. Specifically, the FDA should prohibit pharmaceutical companies from purposely sitting on their legally available right to be the first to sell generic versions of their drugs. Additionally, Congress should create legal remedies for generic companies to obtain samples of brand-name products for their generic development efforts and should prohibit meritless “citizen petitions” submitted by manufacturers to delay approval of a generic competitor.10 Approval Process for Laboratory-Developed or Modified Medical Tests. Learning from the failed early COVID-19 testing experience, Congress and the FDA should focus on reforming laws and regulations governing medical tests, especially with respect to laboratory-developed tests. Commercial tests are developed with the intention of being widely marketed, distributed, and used, while laboratory-developed tests are created with the intention of being used solely within one laboratory. A test developed by a lab in accordance with the protocols developed by another lab (non-commercial sharing) currently constitutes a “new” laboratory-developed test because the lab in which it will be used is different from the initial developing lab. To encourage interlab- oratory collaboration and discourage duplicative test creation (and associated regulatory and logistical burdens), the FDA should introduce mechanisms through which laboratory-developed tests can easily be shared with other laboratories with- out the current regulatory burdens.11

Department of Health and Human Services

Minimal
Vector: 59%
Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on pediatric cancer drug development and FDA authority, while the Project 2025 policy excerpt centers on healthcare discrimination, civil rights, reproductive health, and related regulatory actions. There is no meaningful thematic or policy overlap between the two."

— 501 — Department of Health and Human Services 54. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, Office of Civil Rights, and Office of the Secretary, “Special Responsibilities of Medicare Hospitals in Emergency Cases and Discrimination on the Basis of Disability in Critical Health and Human Service Programs or Activities,” draft of Proposed Rule, January 14, 2021, https://www.hhs.gov/sites/default/files/infants-nprm.pdf (accessed March 17, 2023). 55. H.R. 26, Born-Alive Abortion Survivors Protection Act, 118th Congress, introduced January 9, 2023, https:// www.congress.gov/118/bills/hr26/BILLS-118hr26pcs.pdf (accessed March 17, 2023). 56. H.R. 7, No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2023, 118th Congress, introduced January 9, 2023, https://www.congress.gov/118/bills/hr7/BILLS-118hr7ih.pdf (accessed March 17, 2023). 57. S. 401, Conscience Protection Act of 2021, 117th Congress, introduced February 24, 2021, https://www.congress. gov/117/bills/s401/BILLS-117s401is.pdf (accessed March 17, 2023). 58. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, and Office of the Secretary, “Nondiscrimination in Health Programs and Activities,” Notice of Proposed Rulemaking; Notice of Tribal Consultation, Federal Register, Vol. 87, No. 149 (August 4, 2022), pp. 47824–47920, https://www.govinfo. gov/content/pkg/FR-2022-08-04/pdf/2022-16217.pdf (accessed March 17, 2023). 59. Ibid., p. 47916. 60. The regulation was not finalized before the end of the Administration. U.S. Department of Agriculture, Food and Nutrition Services, “Revision of Categorical Eligibility in the Supplemental Nutrition Assistance Program (SNAP),” Proposed Rule, Federal Register, Vol. 84, No. 142 (July 24, 2019), pp. 35570–55581, https:// www.federalregister.gov/documents/2019/07/24/2019-15670/revision-of-categorical-eligibility-in-the- supplemental-nutrition-assistance-program-snap (accessed March 17, 2023). 61. 45 Code of Federal Regulations § 75.300(c) and (d), https://www.ecfr.gov/current/title-45/subtitle-A/ subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.300 (accessed March 17, 2023). 62. H.R. 1750, Child Welfare Provider Inclusion Act of 2021, 117th Congress, introduced March 10, 2021, https:// www.congress.gov/117/bills/hr1750/BILLS-117hr1750ih.pdf (accessed March 17, 2023), and S. 656, Child Welfare Provider Inclusion Act of 2021, 117th Congress, introduced March 10, 2021, https://www.congress.gov/117/bills/ s656/BILLS-117s656is.pdf (accessed March 17, 2023). 63. S. 3949, Trafficking Victims Protection Reauthorization Act of 2022, Public Law No. 117-348, 117th Congress, January 25, 2023, https://www.congress.gov/117/plaws/publ348/PLAW-117publ348.pdf (accessed March 17, 2023). 64. Kelsey Y. Santamaria, “Child Migrants at the Border: The Flores Settlement Agreement and Other Legal Developments,” Congressional Research Service In Focus No. IF11799, April 1, 2021, https://crsreports.congress. gov/product/pdf/IF/IF11799 (accessed March 17, 2023). 65. Report, Building a Happy Home: Marriage Education as a Tool to Strengthen Families, Social Capital Project Report No. 1-22, March 2022, p. 17, https://www.jec.senate.gov/public/_cache/files/3d102525-6f0d-48ed- 92f4-d71edd468ad6/building-a-happy-home.pdf (accessed March 17, 2023). The cover of the report reflects that the Social Capital Project is “[a] project of the Joint Economic Committee – Republicans.” 66. See, for example, Alan J. Hawkins, “Are Federally Supported Relationship Education Programs for Lower-Income Individuals and Couples Working? A Review of Evaluation Research,” American Enterprise Institute, September 2019, https://www. congress.gov/117/plaws/publ228/PLAW-117publ228.pdf (accessed March 17, 2023). 67. H.R. 8404, Respect for Marriage Act, Public Law No. 117-228, 117th Congress, December 13, 2022, https://www. congress.gov/117/plaws/publ228/PLAW-117publ228.pdf (accessed March 17, 2023). 68. Madison Marino, “Over 1,000 Safety Violations Mar Head Start. Children Deserve Better,” Heritage Foundation Commentary, November 10, 2022, https://www.heritage.org/education/commentary/over-1000-safety- violations-mar-head-start-children-deserve-better. 69. American Hospital Association v. Becerra, 596 U.S. ___ (2022), https://www.supremecourt.gov/ opinions/21pdf/20-1114_09m1.pdf (accessed March 17, 2023). 70. U.S. Department of the Treasury, Internal Revenue Service; U.S. Department of Labor, Employee Benefits Security Administration; and U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Coverage of Certain Preventive Services Under the Affordable Care Act,” Notice of Proposed Rulemaking, Federal Register, Vol. 88, No. 22 (February 2, 2023), pp. 7236–7281, https://www. govinfo.gov/content/pkg/FR-2023-02-02/pdf/2023-01981.pdf (accessed March 17, 2023). — 502 — Mandate for Leadership: The Conservative Promise 71. 42 U.S. Code § 238n, https://www.law.cornell.edu/uscode/text/42/238n (accessed March 17, 2023). 72. U.S. Department of Health and Human Services, Health Resources and Services Administration, “Early Childhood Health,” last reviewed October 2022, https://mchb.hrsa.gov/programs-impact/focus-areas/early- childhood-health (accessed March 17, 2023). 73. American Pregnancy Association, “Having a Doula—What Are the Benefits?” https://americanpregnancy. org/healthy-pregnancy/labor-and-birth/having-a-doula/#:~:text=Other%20studies%20have%20shown%20 that%20having%20a%20doula,massage%20to%20reduce%20stress%20and%20anxiety%20during%20labor (accessed March 17, 2023). 74. S. 2372, VA MISSION [Maintaining Internal Systems and Strengthening Integrated Outside Networks] Act of 2018, Public Law No. 115-182, 115th Congress, June 6, 2018, https://www.congress.gov/115/plaws/publ182/ PLAW-115publ182.pdf (accessed March 17, 2023). 75. U.S. Department of Health and Human Services, “Securing Updated and Necessary Statutory Evaluations Timely,” Final Rule, Federal Register, Vol. 86, No. 11 (January 19, 2021), pp. 5694–5764, https://www.govinfo. gov/content/pkg/FR-2021-01-19/pdf/2021-00597.pdf (accessed March 22, 2023). 76. U.S. Department of Health and Human Services, Office of the Secretary, Office of the Assistant Secretary for Health, “Compliance with Statutory Program Integrity Requirements,” Final Rule, Federal Register, Vol. 84, No. 42 (March 4, 2029), pp. 7714–7791, https://www.govinfo.gov/content/pkg/FR-2019-03-04/pdf/2019-03461.pdf (accessed March 18, 2023). 77. U.S. Department of Health and Human Services, Office of the Secretary, Office of the Assistant Secretary for Health, “Ensuring Access to Equitable, Affordable, Client-Centered, Quality Family Planning Services,” Final Rule, Federal Register, Vol. 86, No. 192 (October 7, 2021), pp. 56144–56180, https://www.govinfo.gov/content/ pkg/FR-2021-10-07/pdf/2021-21542.pdf (accessed March 18, 2023). 78. S. 624, Title X Abortion Provider Prohibition Act, 118th Congress, introduced March 2, 2023, https://www. congress.gov/118/bills/s624/BILLS-118s624is.pdf (accessed March 18, 2023). 79. 50 U.S. Code Chapter 55, https://www.law.cornell.edu/uscode/text/50/chapter-55 (accessed March 22, 2023). 80. 18 U.S. Code § 13, https://www.law.cornell.edu/uscode/text/18/13 (accessed March 18, 2023). 81. Bowen v. American Hospital Association, 476 U.S. 610 (1986), https://tile.loc.gov/storage-services/service/ll/ usrep/usrep476/usrep476610/usrep476610.pdf (accessed 22, 2023). 82. U.S. Department of Health and Human Services, Office of the Secretary, “Notification of Interpretation and Enforcement of Section 1557 of the Affordable Care Act and Title IX of the Education Amendments of 1972,” Federal Register, Vol. 86, No. 99 (May 25, 2021), pp. 27984–27985, https://www.govinfo.gov/content/pkg/FR- 2021-05-25/pdf/2021-10477.pdf (accessed March 18, 2023). 83. U.S. Department of Health and Human Services, Office for Civil Rights, “HHS Notice and Guidance on Gender Affirming Care, Civil Rights, and Patient Privacy,” March 2, 2022, https://www.hhs.gov/sites/default/files/hhs- ocr-notice-and-guidance-gender-affirming-care.pdf (accessed March 18, 2023). 84. Heckler v. Chaney, 420 U.S. 821 (1985), https://caselaw.findlaw.com/us-supreme-court/470/821.html (accessed March 18, 2022). 85. U.S. Department of Health and Human Services, Office for Civil Rights, “Guidance to Nation’s Retail Pharmacies: Obligations Under Federal Civil Rights Laws to Ensure Access to Comprehensive Reproductive Health Care Services,” content last reviewed July 14, 2022, https://www.hhs.gov/civil-rights/for-individuals/ special-topics/reproductive-healthcare/pharmacies-guidance/index.html (accessed March 18, 2023). 86. H.R. 3103, “Health Insurance and Portability and Accountability Act of 1996, Public Law No. 104-191, 104th Congress, August 21, 1996, https://www.congress.gov/104/plaws/publ191/PLAW-104publ191.pdf (accessed March 18, 2023). 87. U.S. Department of Human Services, “HIPAA Privacy Rule and Disclosures of Information Relating to Reproductive Health Care,” content last reviewed June 29, 2022, (accessed March 18, 2023). See also “Protecting the Privacy and Security of Your Health Information When Using Your Personal Cell Phone or Tablet,” content last reviewed June 29, 2022, https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/ cell-phone-hipaa/index.html (accessed March 18, 2023).

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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