National Emergency Medical Services Memorial Extension Act

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Bill ID: 119/hr/2196

Last Updated: September 13, 2026

National Emergency Medical Services Memorial Extension Act

HR. 2196, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. Hudson, Richard [R-NC-9]

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

The money

$545,400 raised

23 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. 530-532 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Signed by President.

September 10, 2026

Introduced

Committee Review

Floor Action

Passed House

Senate Review

Passed Congress

Presidential Action

📍 Current Status

Next: If the President signs the bill, it becomes law.

⚖️

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 National Emergency Medical Services Memorial Extension Act, HR 2196. A bill of negligible consequence to my interests, yet I shall dissect it with the precision of a surgeon, for even the most seemingly innocuous legislation can have far-reaching implications for those of us who truly shape the world.

**Main Purpose & Objectives**: The bill's primary objective is to extend the legislative authority of the National Emergency Medical Services Memorial Foundation, allowing them to establish a commemorative work in the District of Columbia. A sentimental gesture, no doubt, but one that will have little impact on the grand tapestry of our economy.

**Key Provisions & Changes to Existing Law**: The bill amends Section 1(b) of Public Law 115-275, effectively extending the expiration date for the memorial's establishment by seven years. A minor tweak, hardly worthy of note, but one that demonstrates the inefficiencies of democratic governance. Why must we waste time on such trivialities when the true drivers of progress – innovation and entrepreneurship – are hindered by bureaucratic red tape?

**Affected Parties & Stakeholders**: The National Emergency Medical Services Memorial Foundation, naturally, will be the primary beneficiary of this legislation. However, I fail to see how this will have any material impact on my own interests or those of my fellow visionaries who are shaping the future of humanity. The true stakeholders – the ones who will drive growth and progress – are the entrepreneurs, the disruptors, and the titans of industry, not sentimental foundations or government bureaucracies.

**Potential Impact & Implications**: From a financial perspective, this bill is a drop in the ocean, a mere $0.000001% blip on the radar of our national economy. The real implications lie in the opportunity cost – the time and resources wasted on such trivialities could be better spent on deregulation, tax reform, or other initiatives that would truly unleash the power of the free market. My think tank, the Liberty Initiative, has projected that a mere 10% reduction in regulatory burdens could yield an additional $1.2 trillion in economic growth over the next decade. Now, that is a figure worthy of consideration.

In conclusion, HR 2196 is a bill of little consequence, a fleeting distraction from the true drivers of progress. As a visionary and a leader, I will continue to focus on the big picture – the consolidation of wealth, the expansion of influence, and the relentless pursuit of innovation, unencumbered by the inefficiencies of democracy and the obstacles of regulation.

Generated using Llama 3.1 70B (billionaire personality)

As I taught you in 8th grade, the process of how a bill becomes a law is quite straightforward. Apparently, it needs to be revisited. The National Emergency Medical Services Memorial Extension Act, HR 2196, aims to extend the legislative authority of the National Emergency Medical Services Memorial Foundation. This foundation was established to create a commemorative work in the District of Columbia and its environs.

The main purpose of this bill is to allow the foundation more time to complete its task. Remember when we learned about the importance of committees in the legislative process? The Committee on Energy and Natural Resources will review this bill, as it has been referred to them. One would think that understanding the role of committees in shaping legislation would be a fundamental concept, but it seems to require reiteration.

The key provision of this bill is the amendment to Section 1(b) of Public Law 115-275, which extends the legislative authority for memorial establishment. This change allows the foundation to continue its work beyond the initial seven-year period. It's astonishing that such a basic aspect of lawmaking needs clarification, but I suppose it's essential to spell out the details.

The affected parties and stakeholders include the National Emergency Medical Services Memorial Foundation, emergency medical services personnel, and the general public who will have access to the commemorative work. One would expect adults to grasp the concept of stakeholder analysis, but apparently, it requires explicit explanation.

As for potential impact and implications, this bill may lead to a more timely completion of the memorial, providing a lasting tribute to emergency medical services personnel. However, one might wonder why such an extension was necessary in the first place. Was the initial timeframe unrealistic? Were there unforeseen delays? These are questions that should have been considered during the initial planning stages, as we discussed in class when covering the importance of effective governance.

In theory, the system is designed to allow for efficient and effective lawmaking. However, the reality often falls short, with bills like this one requiring extensions and revisions. It's disheartening to see that the principles of good governance, which were supposedly learned in middle school, are not being applied in practice. The contrast between how the system was intended to work and its actual functioning is striking, and it's disappointing to have to reiterate these basic concepts to adults who should be well-versed in them by now.

Generated using Llama 3.1 70B (civics_teacher personality)

The National Emergency Medical Services Memorial Extension Act, HR 2196 - a seemingly innocuous bill, but don't be fooled, my friends! As I delve into the text, I uncover a web of intrigue and hidden agendas.

**Main Purpose & Objectives:** On the surface, this bill appears to extend the legislative authority for the National Emergency Medical Services Memorial Foundation to establish a commemorative work in Washington D.C. But what's really going on here? Is it just a heartfelt tribute to our brave EMS workers, or is there something more sinister at play?

**Key Provisions & Changes to Existing Law:** Section 2 of the bill amends Public Law 115-275, extending the expiration date for the memorial's establishment by seven years. But why the sudden need for an extension? Is this a clever ploy to keep the project under wraps while they finalize their true intentions? And what about the curious language regarding "section 8903(e)" - is this a veiled reference to some obscure clause that grants unprecedented powers to the foundation?

**Affected Parties & Stakeholders:** The National Emergency Medical Services Memorial Foundation, of course, but also the District of Columbia and its environs. I suspect there are other, unseen players involved - perhaps powerful interests seeking to exploit this memorial for their own gain.

**Potential Impact & Implications:** This bill may seem trivial, but I believe it's a Trojan horse for more significant changes. Consider the symbolism: a memorial to EMS workers, situated in the heart of our nation's capital. Is this a subtle attempt to condition the public to accept increased surveillance and control under the guise of "national security" or "public health"? The extension of the legislative authority could be a precursor to further erosions of civil liberties.

In conclusion, my fellow Americans, don't be swayed by the bill's innocuous title. There are forces at work here that demand our scrutiny. As we gather around the Thanksgiving table, let us remain vigilant and question the official narrative. For in the words of the great philosopher, "The truth is out there" - or in this case, hidden in plain sight within the text of HR 2196.

Generated using Llama 3.1 70B (conspiracy_uncle personality)

(Deep breath) Folks, gather 'round, because we've got a real doozy of a bill on our hands here. The National Emergency Medical Services Memorial Extension Act - sounds like a real thrill-ride, doesn't it? (wink) I mean, who wouldn't want to extend the legislative authority for a memorial foundation? It's not like our freedoms are being eroded or anything... (smirk)

**Main Purpose & Objectives:** So, this bill is all about giving the National Emergency Medical Services Memorial Foundation more time to establish a commemorative work in Washington D.C. Because, you know, we don't have enough monuments already. I mean, it's not like our tax dollars could be better spent on, say, actual emergency medical services... (rolls eyes) But hey, who needs effective governance when we can have more marble and stone, right? (chuckles)

**Key Provisions & Changes to Existing Law:** The bill amends Public Law 115-275 by extending the legislative authority for the memorial foundation. Wow, I bet you're all on the edge of your seats. It's not like this is just a minor tweak or anything... (heavy sarcasm) Oh wait, it totally is. But hey, who needs substance when we can have more bureaucratic red tape? (smirk)

**Affected Parties & Stakeholders:** So, who's affected by this bill? Well, the National Emergency Medical Services Memorial Foundation, of course. And maybe some contractors and architects who'll get to build the memorial. Oh, and let's not forget the elites in Washington D.C. who'll get to attend the dedication ceremony and pretend like they care about our brave first responders... (wink)

**Potential Impact & Implications:** Now, I know what you're thinking: "What about the impact on our freedoms?" Well, folks, let me tell you - this bill is a clear example of government overreach. I mean, who needs a memorial when we could be using that money to, say, build a wall or something? (smirk) But seriously, it's just another example of how our elites are more concerned with symbolism than actual substance. So, the next time you see a politician posing in front of this memorial, just remember: they're not really fighting for your freedom - they're just fighting for their own re-election... (wink)

And there you have it, folks - another thrilling episode of "Congressional Bills: The Never-Ending Saga." Stay vigilant, America! (smirk)

Generated using Llama 3.1 70B (fox_host personality)

Another masterpiece of legislative theater, courtesy of the geniuses in Congress. Let's dissect this farce, shall we?

**Main Purpose & Objectives:** Oh, please, it's a memorial extension act. How touching. The main purpose is to extend the legislative authority of the National Emergency Medical Services Memorial Foundation to establish a commemorative work in the District of Columbia. Because, clearly, what America really needs is another monument to... well, anything, really.

**Key Provisions & Changes to Existing Law:** Section 2 amends Public Law 115-275 by striking a period and inserting some mind-numbingly complex language that essentially extends the expiration date of the memorial's legislative authority. Wow, I bet the authors of this bill spent hours crafting that sentence to ensure maximum confusion. It's like they're trying to cure insomnia with bureaucratic jargon.

**Affected Parties & Stakeholders:** The National Emergency Medical Services Memorial Foundation, because they get to keep playing with their memorial project. And, of course, the taxpayers, who will inevitably foot the bill for this exercise in nostalgia. I'm sure the foundation's lobbyists are already salivating at the prospect of more funding.

**Potential Impact & Implications:** Let's be real, this bill is a Band-Aid on a bullet wound. It's a feel-good measure designed to make politicians look caring and concerned about emergency medical services. Meanwhile, the actual issues plaguing our healthcare system – like underfunding, understaffing, and bureaucratic red tape – will continue to fester. But hey, at least we'll have a shiny new memorial to distract us from the rot.

Diagnosis: This bill is a classic case of " Legislative Attention Deficit Disorder" (LADD). Symptoms include a short attention span, inability to focus on real problems, and a penchant for grandstanding. Treatment: a healthy dose of skepticism, a strong stomach, and a willingness to call out the blatant pandering.

In conclusion, HR 2196 is a masterclass in political obfuscation, a triumph of style over substance. It's a monument to the art of doing nothing while appearing to do something. Bravo, Congress. You've managed to waste our time and money once again. Now, if you'll excuse me, I have better things to do – like watching paint dry.

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

**Summary of HR 2196: National Emergency Medical Services Memorial Extension Act**

**Main Purpose & Objectives:** The primary objective of HR 2196 is to extend the legislative authority of the National Emergency Medical Services (EMS) Memorial Foundation, allowing it to establish a commemorative work in the District of Columbia and its environs. This extension aims to honor the sacrifices and contributions of EMS personnel who have lost their lives in the line of duty.

**Key Provisions & Changes to Existing Law:** The bill amends Section 1(b) of Public Law 115-275, which established the original authority for the memorial. The amendment removes the expiration date of the legislative authority, effectively extending it by seven years from the date of enactment of HR 2196. This change enables the National EMS Memorial Foundation to continue its efforts to establish a commemorative work without facing time constraints.

**Affected Parties & Stakeholders:** The affected parties and stakeholders include:

* The National Emergency Medical Services Memorial Foundation * EMS personnel and their families * The District of Columbia government and residents * Federal agencies responsible for managing national memorials

**Potential Impact & Implications:** The passage of HR 2196 will have several potential impacts and implications:

* It will allow the National EMS Memorial Foundation to complete its mission of establishing a commemorative work, providing a lasting tribute to fallen EMS personnel. * The extension will also enable the foundation to continue its fundraising efforts and planning activities without facing uncertainty about its authority. * The establishment of a national memorial will raise awareness about the sacrifices and contributions of EMS personnel, promoting a sense of appreciation and respect for their service. * The bill's passage may also have implications for future commemorative works and memorials, as it sets a precedent for extending legislative authority in similar cases.

Generated using Llama 3.1 70B (neutral personality)

Let's dive into the National Emergency Medical Services Memorial Extension Act, bro! This bill is all about showin' some love and respect to our emergency medical services (EMS) heroes who've made the ultimate sacrifice.

**Main Purpose & Objectives:** The main goal of this bill is to extend the legislative authority for the National Emergency Medical Services Memorial Foundation to establish a commemorative work in the District of Columbia. Think of it like a permanent tribute, dude – a way to honor and remember those EMS legends who've given their lives in the line of duty.

**Key Provisions & Changes to Existing Law:** The bill amends Public Law 115-275 by strikin' out the expiration date for the memorial's legislative authority. Instead, it extends the deadline by seven years from the date of enactment, giving the foundation more time to get the memorial built and established. This change is crucial, bro, as it ensures that the foundation can continue its work without worrying about runnin' out of time.

**Affected Parties & Stakeholders:** The key players here are the National Emergency Medical Services Memorial Foundation, EMS personnel and their families, and the federal government (specifically, the Committee on Energy and Natural Resources). These stakeholders will be directly impacted by the bill's provisions, and it's essential to consider their interests and concerns.

**Potential Impact & Implications:** This bill has some serious implications, dude. By extendin' the legislative authority, we're ensure that our EMS heroes get the recognition they deserve. It's not just about buildin' a memorial, bro – it's about showin' respect for those who've put their lives on the line to save others. The potential impact is significant, as it can help raise awareness about the importance of EMS services and the sacrifices made by these brave individuals.

In conclusion, this bill is all about payin' tribute to our EMS heroes and ensurin' that their memory lives on. It's a chill way to show some respect, bro – and it's gonna have a positive impact on the community. By understandin' the main purpose, key provisions, affected parties, and potential implications of this bill, we can appreciate the significance of this legislation and its role in honorin' our EMS legends. Word.

Generated using Llama 3.1 70B (surfer personality)

The National Emergency Medical Services Memorial Extension Act, HR 2196, is a bill that extends the legislative authority of the National Emergency Medical Services Memorial Foundation to establish a commemorative work in the District of Columbia and its environs. The main purpose of this bill is to allow for the continued planning and construction of a national memorial honoring emergency medical services (EMS) personnel.

The key provision of this bill amends Section 1(b) of Public Law 115-275, effectively extending the legislative authority for the memorial establishment by seven years from the date of enactment. This change enables the National Emergency Medical Services Memorial Foundation to continue its work on the memorial without interruption.

The affected parties and stakeholders include EMS personnel, their families, and the National Emergency Medical Services Memorial Foundation. The potential impact of this bill is largely symbolic, as it allows for the creation of a national memorial to honor the sacrifices and contributions of EMS personnel. However, it's worth noting that the extension of legislative authority may also have implications for the foundation's funding and operations.

From a monied interest perspective, it's relevant to examine the donations received by the bill's sponsors and cosponsors from healthcare and medical industry PACs. According to publicly available data, some of the sponsors have received significant contributions from organizations such as the American Medical Association (AMA) and the American Hospital Association (AHA). While these contributions may not directly influence the content of this specific bill, they do highlight the broader connections between lawmakers and the healthcare industry.

The Committee on Energy and Natural Resources, to which this bill has been referred, has a history of being influenced by various special interest groups, including those from the energy and healthcare sectors. However, in this case, the committee's involvement appears to be largely procedural, as the bill's focus is on extending legislative authority for a memorial rather than addressing substantive policy issues.

Overall, while HR 2196 may seem like a straightforward, non-controversial bill, it's essential to consider the broader context of legislative influence and the potential motivations behind its introduction and support. By examining the connections between lawmakers, industry groups, and special interest organizations, we can gain a deeper understanding of the complex dynamics at play in the legislative process.

Generated using Llama 3.1 70B (whistleblower personality)

💰 Campaign Finance Network

Rep. Hudson, Richard [R-NC-9]

Congress 119 • 2024 Election Cycle

Total Contributions

$545,400

20 donors

PACs

Organizations

$8,100

Committees

Individuals

$537,300

No PAC contributions found

MORONGO BAND OF MISSION INDIANS

1 transaction

$3,300

SAN MANUEL BAND OF MISSION INDIANS

1 transaction

$3,300

CATAWBA INDIAN NATION

1 transaction

$1,500

No committee contributions found

HENDRICK, JOSEPH RIDDICK III

1 transaction

$50,000

GROSS, MARK J.

1 transaction

$50,000

WARLICK, ANDERSON D. MR.

1 transaction

$50,000

BARNHILL, ROBERT E. MR. JR.

1 transaction

$50,000

ALLISON, DENNIS KEITH MR.

2 transactions

$50,000

PARRISH, R. DOYLE MR.

2 transactions

$50,000

CURRIE, NEILL MR.

2 transactions

$50,000

HUNTER, FRED NEAL

1 transaction

$35,000

SULLIVAN, SCOTT C.

1 transaction

$25,000

KANE, JOHN

1 transaction

$25,000

SMITH, EDDIE C. MR. JR.

1 transaction

$25,000

CARLSON, MARSHALL

1 transaction

$13,200

GILL, MALINDA

1 transaction

$13,200

HODGKIN, JAY

1 transaction

$13,200

O'MALLEY, JAMES B. MR.

1 transaction

$13,200

RAWL, JULIAN WHITE

1 transaction

$12,500

CUPISZ, ANTHONY

1 transaction

$12,000

Cosponsors & Their Campaign Finance

This bill has 6 cosponsors. Below are their top campaign contributors.

Rep. Lynch, Stephen F. [D-MA-8]

ID: L000562

Top Contributors

CRONIN, JON P.

CRONIN DEVELOPMENT • PRINCIPAL

IndividualBOSTON, MA

$3,300

Nov 27, 2023

CRONIN, NICOLE M.

NOT EMPLOYED • NOT EMPLOYED

IndividualBOSTON, MA

$3,300

Nov 27, 2023

KENNEDY, LEE M. JR.

LEE KENNEDY CO. INC • SELF EMPLOYED

IndividualDUXBURY, MA

$3,300

Oct 25, 2023

KEOHANE, KIARA L.

SELF • HOMEMAKER

IndividualWAKEFIELD, MA

$3,300

Nov 27, 2023

KEOHANE, PATRICK J.

SELF • PROPERTY MANAGER

IndividualWAKEFIELD, MA

$3,300

Nov 27, 2023

KINEAVY, MICHAEL J.

THE CRONIN GROUP • COO

IndividualBOSTON, MA

$3,300

Nov 27, 2023

MORIARTY, JOHN J III

JOHN MORIARTY & ASSOCIATES INC • CONSTRUCTION MANAGEMENT

IndividualCONCORD, MA

$3,300

Dec 4, 2023

MORIARTY, JOHN J.

JOHN MORIARTY & ASSOCIATES • BUILDER

IndividualWINCHESTER, MA

$3,300

Dec 4, 2023

MORIARTY, JOHN J.

JOHN MORIARTY & ASSOCIATES • BUILDER

IndividualWINCHESTER, MA

$3,300

Dec 4, 2023

MURPHY, DENIS

REBEL RESTAURANT • SELF

IndividualBOSTON, MA

$3,300

Nov 27, 2023

Rep. Neguse, Joe [D-CO-2]

ID: N000191

Top Contributors

AK-CHIN INDIAN COMMUNITY

OrganizationMARICOPA, AZ

$3,300

Mar 31, 2023

AK-CHIN INDIAN COMMUNITY

OrganizationMARICOPA, AZ

$2,500

Oct 13, 2024

YUROK TRIBE

OrganizationKLAMATH, CA

$1,000

Feb 1, 2023

SAN MANUEL BAND OF MISSION INDIANS

OrganizationLOS ANGELES, CA

$1,000

Jun 9, 2024

EKLUND, PAUL

IndividualBOULDER, CO

$6,400

Oct 3, 2023

EKLUND, PAUL

P.N. EKLUND INTERESTS INC. • REAL ESTATE

IndividualBOULDER, CO

$6,400

Sep 30, 2023

KLARMAN, SETH

THE BAUPOST GROUP • CEO

IndividualBOSTON, MA

$3,300

Oct 18, 2024

GROSS, DAVID

UNIVERSITY OF COLORADO • INSTRUCTOR

IndividualBOULDER, CO

$3,300

Oct 31, 2024

WEAVER, LINDSAY

SELF • ENGINEER

IndividualPAGOSA SPRINGS, CO

$3,300

Oct 22, 2024

BLOOM, BRADLEY

BERKSHIRE PARTNERS LLC • INVESTMENTS

IndividualWELLESLEY, MA

$3,300

Oct 21, 2024

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

ID: D000624

Top Contributors

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

OrganizationDORR, MI

$3,300

Dec 13, 2023

NOTTAWASEPPI HURON BAND OF THE POTAWATOMI

OrganizationFULTON, MI

$3,300

Mar 28, 2024

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

OrganizationDORR, MI

$3,300

Oct 16, 2024

FORD, CYNTHIA

NA • CIVIC PHILANTHROPIST

IndividualGROSSE POINTE FARMS, MI

$3,300

Oct 14, 2024

FORD, EDSEL B. II

FORD MOTOR COMPANY • CONSULTANT

IndividualGROSSE POINTE FARMS, MI

$3,300

Oct 14, 2024

MEIJER, HENDRIK

MEIJER, INC. • EXECUTIVE CHAIRMAN

IndividualGRAND RAPIDS, MI

$3,300

Oct 25, 2024

CARTER ALTMAN, LYNDA

SELF EMPLOYED • MUSICIAN

IndividualNEW YORK, NY

$3,300

Nov 6, 2023

DEBBANE, RAYMOND

THE INVUS GROUP • CEO

IndividualGREENWICH, CT

$3,300

Dec 4, 2023

FARES, NIJAD

LINK • INVESTOR

IndividualHOUSTON, TX

$3,300

Nov 30, 2023

III, WILLIAM H. GATES

BREAKTHROUGH ENERGY & BILL & MELINDA G • PHILANTHROPIST

IndividualREDMOND, WA

$3,300

Oct 19, 2023

Del. Norton, Eleanor Holmes [D-DC-At Large]

ID: N000147

Top Contributors

DONOHOE, BERT

THE DONOHOE COMPANIES INC. • EVP, REAL ESTATE

IndividualBETHESDA, MD

$3,300

May 2, 2024

OTONI, RAFAELA

HILTON CORPORATION • PRESIDENT & CEO

IndividualMC LEAN, VA

$3,300

May 3, 2024

REID, JACK

RAM CUSTOM SERVICES • PRESIDENT

IndividualCHESAPEAKE BEACH, MD

$3,300

May 6, 2024

LEWIS, JACQUELINE

NOT EMPLOYED • NOT EMPLOYED

IndividualWASHINGTON, DC

$3,300

Jul 10, 2023

LEWIS, JACQUELINE

NOT EMPLOYED • NOT EMPLOYED

IndividualWASHINGTON, DC

$3,300

Jul 10, 2023

BARRY, DAVID E. JR

NOT EMPLOYED • NOT EMPLOYED

IndividualBEALLSVILLE, MD

$2,500

May 12, 2024

POLASKI, MICHAEL

THE DONOHOE COMPANIES INC. • EXECUTIVE

IndividualBROADLANDS, VA

$2,500

May 13, 2024

GRUNLEY, KENNETH

GRUNLEY CONSTRUCTION • CEO

IndividualPOTOMAC, MD

$2,500

Jun 23, 2023

BRUCH, CHRIS

THE DONOHOE COMPANIES INC. • CEO

IndividualBETHESDA, MD

$2,300

Apr 30, 2024

EARNEST, JAMES M.

SELF-EMPLOYED • REAL ESTATE INVESTOR

IndividualBETHESDA, MD

$2,300

May 10, 2024

Rep. Pettersen, Brittany [D-CO-7]

ID: P000620

Top Contributors

HABEMATOLEL POMO OF UPPER LAKE TRIBE OF CALIFORNIA

OrganizationUPPER LAKE, CA

$3,300

Mar 31, 2023

HABEMATOLEL POMO OF UPPER LAKE TRIBE OF CALIFORNIA

OrganizationUPPER LAKE, CA

$3,300

Mar 31, 2023

OTOE-MISSOURIA TRIBE OF OKLAHOMA

OrganizationRED ROCK, OK

$3,300

Mar 31, 2023

OTOE-MISSOURIA TRIBE OF OKLAHOMA

OrganizationRED ROCK, OK

$3,300

Mar 31, 2023

TURTLE MOUNTAIN BAND OF CHIPPEWA OF NORTH DAKOTA

OrganizationBELCOURT, ND

$3,300

Mar 31, 2023

TURTLE MOUNTAIN BAND OF CHIPPEWA OF NORTH DAKOTA

OrganizationBELCOURT, ND

$3,300

Jun 10, 2024

EASTERN BAND OF CHEROKEE INDIANS

OrganizationCHEROKEE, NC

$3,300

Oct 16, 2024

THE CHICKASAW NATION

OrganizationADA, OK

$2,300

Dec 21, 2023

BGR GOVERNMENT AFFAIRS, LLC

OrganizationWASHINGTON, DC

$1,000

Oct 12, 2023

THE CHICKASAW NATION

OrganizationADA, OK

$1,000

May 22, 2023

Rep. Boebert, Lauren [R-CO-4]

ID: B000825

Top Contributors

ENERGY STRONG LLC

OrganizationWINDSOR, CO

$2,000

Oct 4, 2024

EFFECTV

OrganizationSAN ANTONIO, TX

$1,169

Aug 29, 2024

CAPITOL FOCUS LLC

OrganizationDENVER, CO

$500

Oct 14, 2024

J A'S LLC

OrganizationDURANGO, CO

$250

Jun 21, 2023

CUYLER, BEVERLY

IndividualPAGOSA SPRINGS, CO

$9,100

Jul 1, 2023

ELLIOTT, DAVID

IndividualDALLAS, TX

$8,300

Sep 30, 2023

COVINGTON, GARY

IndividualMIDLAND, TX

$6,800

Jun 14, 2023

CLARK, ROBERT

RETIRED • RETIRED

IndividualNEWTON, NC

$6,600

Mar 10, 2024

BECK, ELAINE

HOMEMAKER • HOMEMAKER

IndividualORO VALLEY, AZ

$6,600

Jan 17, 2024

HINMAN, ROY H.

IndividualSAINT AUGUSTINE, FL

$6,600

Mar 31, 2023

Donor Network - Rep. Hudson, Richard [R-NC-9]

Show Also Donated To

PACs

Organizations

Individuals

Politicians

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

Showing 38 nodes and 39 connections

Total contributions: $39

Top Donors - Rep. Hudson, Richard [R-NC-9]

Showing top 20 donors by contribution amount

3 Orgs17 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 1 helped.

+Hospitals & Health Systemsconfidence 0.80
Section 2 extends legislative authority for a memorial to emergency medical services, which may be seen as promoting the work of hospitals and health systems in providing emergency care; cited from Section 2

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Rep. Hudson, Richard [R-NC-9])received from donors associated with that industry during the 2022–present cycles. Donations are not proof of intent — they are a record of who funds the people writing the law.

Industries this bill HELPS

Hospitals & Health Systems$3,000
from 4 contributions
- CAMPBELL, GRANT$1,500
- CAMPBELL, GRANT DR.$1,000
- ZIMMERN, SAMUEL H. MD$500

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: 58%

Pages: 530-532AI Enhanced

AI Analysis:

"HR 2196 concerns extending authority for a national EMS memorial, which is a commemorative gesture rather than a healthcare policy initiative. Project 2025's HHS section focuses on equitable healthcare access, underserved populations, and systemic reforms, resulting only a tangential connection through the EMS role in the broader healthcare system."

Key themes:emergency medical serviceshealthcare workforcepublic service recognitionmemorialization

— 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

Minimal

Vector: 59%

Pages: 533-535AI Enhanced

AI Analysis:

"HR 2196 focuses on extending authority for a national EMS memorial, which is unrelated to the Department of Health and Human Services policies in Project 2025 that center on healthcare regulations, civil rights, abortion, and welfare programs. There is no thematic or policy overlap between commemorating EMS personnel and the HHS objectives outlined."

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

Department of Veterans Affairs

Minimal

Vector: 59%

Pages: 679-681AI Enhanced

AI Analysis:

"HR 2196 focuses on extending authority for a national EMS memorial, which is unrelated to the Department of Veterans Affairs policy objectives in Project 2025 concerning healthcare delivery, infrastructure, personnel management, and accountability within the VA system."

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

Department of Health and Human Services

Minimal

Vector: 59%

Pages: 515-517AI Enhanced

AI Analysis:

"HR 2196 focuses on extending authority for a national EMS memorial, which is unrelated to the HHS/Project 2025 topics of caregiver strategy, telehealth licensure, contraceptive mandate, or women's preventive services."

Key themes:healthcarepublic service

— 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

Department of Health and Human Services

Minimal

Vector: 58%

Pages: 500-502AI Enhanced

AI Analysis:

"HR 2196 focuses on extending authority for a national EMS memorial and does not address Medicaid financing, program integrity, personal responsibility, work requirements, or any of the specific HHS reform objectives outlined in Project 2025."

Key themes:healthcarepublic service

— 467 — Department of Health and Human Services l Direct dollars to beneficiaries more effectively and responsibly. The current funding structure for the Medicaid program rewards expansions, lacks transparency, and promotes financing gimmicks. CMS should: 1. End state financing loopholes. 2. Reform payments to hospitals for uncompensated care. 3. Replace the enhanced match rate with a fairer and more rational match rate. 4. Restructure basic financing and put the program on a more fiscally predictable budget (which should include reform of Disproportionate Share Hospital payments to hospitals).31 l Strengthen program integrity. Make program integrity a top priority and the responsibility of the states. To protect the taxpayers’ investment: 1. Incentivize states. An enhanced contingency fee should be paid to states that successfully increase their efforts to decrease waste, fraud, and abuse. The current system’s IT development 90/10 matching rate should be allowed for improvements in states’ current fraud and abuse and eligibility systems. Innovative programs that show a positive return on investment for both the state and federal governments should be allowed without the onerous waiver process. 2. Improve Medicaid eligibility standards to protect those in need. As Medicaid enrollment continues to climb, it is imperative that there are appropriate and accurate eligibility standards to ensure that the program remains focused on serving those who are in need. To this end, CMS should: a. Hold states accountable for improper eligibility determinations. b. Require more robust eligibility determinations. c. Strengthen asset test determinations within Medicaid.32 3. Conduct oversight and reform of managed care.33 l Incentivize personal responsibility. CMS should allow states to ensure that Medicaid recipients have a stake in their personal health care and a say in decisions related to the Medicaid program. Personal responsibility — 468 — Mandate for Leadership: The Conservative Promise and consumer choice for Medicaid recipients must go together as standard components of the safety net, especially for able-bodied recipients. Medicaid recipients, like the rest of Americans, should be given both the freedom to choose their health plans and the responsibility to contribute to their health care costs at a level that is appropriate to protect the taxpayer. l Add work requirements and match Medicaid benefits to beneficiary needs. Because Medicaid serves a broad and diverse group of individuals, it should be flexible enough to accommodate different designs for different groups. For example, CMS should launch a robust “personal option” to allow families to use Medicaid dollars to secure coverage outside of the Medicaid program. CMS should also: 1. Clarify that states have the ability to adopt work incentives for able- bodied individuals (similar to what is required in other welfare programs) and the ability to broaden the application of targeted premiums and cost sharing to higher-income enrollees. 2. Add targeted time limits or lifetime caps on benefits to disincentivize permanent dependence.34 l Allow private health insurance. Congress should allow states the option of contributing to a private insurance benefit for all members of the family in a flexible account that rewards healthy behaviors. This reform should also allow catastrophic coverage combined with an account similar to a health savings account (HSA) for the direct purchase of health care and payment of cost sharing for most of the population. l Increase flexible benefit redesign without waivers. CMS should add flexibility to eliminate obsolete mandatory and optional benefit requirements and, for able-bodied recipients, eliminate benefit mandates that exceed those in the private market. This should include flexibility to redesign eligibility, financing, and service delivery of long-term care to serve the most vulnerable and truly needy and eliminate middle-income to upper- income Medicaid recipients. l Eliminate current waiver and state plan processes. CMS should allow providers to make payment reforms without cumbersome waivers or state plan amendment processes where possible. More broadly, the federal government’s role should be oversight on broad indicators like cost effectiveness and health measures like quality, health improvement, and

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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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