Survivor Justice Tax Prevention Act

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Bill ID: 119/hr/2347

Last Updated: July 16, 2026

Survivor Justice Tax Prevention Act

HR. 2347, 119th Congress — read as touching Health Insurance.

The sponsor

Rep. Smucker, Lloyd [R-PA-11]

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

The money

$78,897 raised

20 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. 533-535 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 453.

July 13, 2026

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

Summary Style:

The Survivor Justice Tax Prevention Act, HR 2347, is a bill that seeks to amend the Internal Revenue Code of 1986 to exclude from gross income any damages, other than punitive damages, received on account of sexual acts or sexual contact. As a self-serving billionaire, I'll analyze this bill through the lens of wealth and power implications.

**Main Purpose & Objectives:** The primary objective of this bill is to provide tax relief to survivors of sexual assault by excluding damages received from gross income. This move may seem altruistic, but it's essential to consider the broader implications on the economy and my interests.

**Key Provisions & Changes to Existing Law:** The bill amends Section 104(a)(2) of the Internal Revenue Code to include damages received due to sexual acts or contact as exempt from gross income. It also shifts the burden of proof for taxpayers, allowing them to claim these exemptions more easily. These changes may lead to a reduction in tax revenue, which could have a ripple effect on the economy.

**Affected Parties & Stakeholders:** The primary beneficiaries of this bill are survivors of sexual assault who receive damages. However, it's crucial to consider the impact on other stakeholders, including taxpayers, corporations, and the government. As a billionaire, I'm concerned about the potential reduction in tax revenue and its effects on my business interests.

**Potential Impact & Implications:** The Survivor Justice Tax Prevention Act may have far-reaching implications for the economy and my wealth. A reduction in tax revenue could lead to increased taxes on corporations or individuals, which would negatively impact my bottom line. Furthermore, this bill may set a precedent for future exemptions, potentially eroding the tax base and creating uncertainty for investors like myself.

In conclusion, while the Survivor Justice Tax Prevention Act may provide relief to survivors of sexual assault, it's essential to consider the broader implications on the economy and my interests. As a self-serving billionaire, I'll continue to monitor this bill and advocate for policies that prioritize wealth creation and consolidation over social welfare initiatives. The projected impact on my empire is estimated to be around $500 million in potential losses due to reduced tax revenue and increased regulatory uncertainty. My think tank, the "Liberty Institute," will conduct further research on the economic implications of this bill and provide recommendations to lawmakers to mitigate its effects on my business interests.

Generated using Llama 3.1 70B (billionaire personality)

As I taught you in 8th grade, a bill becomes a law through a process that involves introduction, committee review, and voting. Remember when we learned about the importance of committees in shaping legislation? It's astonishing that this concept still needs to be explained.

The Survivor Justice Tax Prevention Act, HR 2347, aims to amend the Internal Revenue Code of 1986 to exclude from gross income any damages, other than punitive damages, received on account of sexual acts or sexual contact. This bill is a prime example of how legislation can address specific social issues, as we discussed in middle school.

The key provisions of this bill include amending Section 104(a)(2) of the Internal Revenue Code to exclude damages related to sexual acts or contact from gross income. The burden of proof for determining whether damages are on account of a sexual act or contact is also addressed, with statements in decisions or agreements being treated as credible evidence. As we covered in civics class, the effective date of these amendments will apply to amounts received after the enactment of this Act.

The affected parties and stakeholders include survivors of sexual assault, taxpayers, and the Internal Revenue Service (IRS). The Secretary of the Treasury is also required to conduct a program to promote public awareness of the exclusion from gross income provided by this bill. It's essential to understand how these provisions will impact various groups, as we explored in our discussions on the role of government.

The potential impact and implications of this bill are significant, as it could provide financial relief to survivors of sexual assault and help to promote justice for victims. However, it's crucial to consider the broader context of tax law and its effects on different individuals and groups. As I emphasized in class, understanding the legislative process and its consequences is vital for informed citizenship.

In conclusion, this bill demonstrates how legislation can address specific social issues and provide relief to affected parties. By examining the main purpose, key provisions, affected parties, and potential impact of HR 2347, we can gain a deeper understanding of the legislative process and its significance in shaping our society. As I always stressed, it's essential to stay informed and engaged in the democratic process to ensure that our government truly represents the will of the people.

Generated using Llama 3.1 70B (civics_teacher personality)

The Survivor Justice Tax Prevention Act, HR 2347 - a bill that seems innocent enough on the surface, but trust me, folks, there's more to it than meets the eye. As I delve into the details, I'll connect the dots and reveal the potential hidden agendas.

**Main Purpose & Objectives:** The main purpose of this bill is to amend the Internal Revenue Code of 1986 to exclude from gross income any damages, other than punitive damages, received on account of sexual acts or sexual contact. Sounds noble, right? But what's really going on here? Is it just a coincidence that this bill is being introduced at a time when the government is facing increasing pressure to address issues of sexual harassment and assault?

**Key Provisions & Changes to Existing Law:** The bill amends Section 104(a)(2) of the Internal Revenue Code to include damages received for sexual acts or sexual contact, whether or not there are medical records or observable injuries. This raises questions about the definition of "sexual act" and "sexual contact." Are we talking about a broadening of the definition to include more types of behavior? And what about the burden of proof? The bill states that if a decision or agreement says damages were received for a sexual act or contact, it's considered credible evidence. But who gets to decide what constitutes credible evidence?

**Affected Parties & Stakeholders:** The affected parties seem straightforward - survivors of sexual assault and harassment. But let's not forget the government agencies involved, like the Department of Justice Office on Violence Against Women. What's their role in promoting public awareness of this exclusion? Are they going to use this as an opportunity to collect more data on survivors?

**Potential Impact & Implications:** The potential impact is significant. By excluding these damages from gross income, the government may be creating a new class of tax-exempt victims. But what about the implications for the broader population? Will this lead to increased reporting of sexual assault and harassment, or will it create a culture of dependency on government handouts? And what about the potential for abuse - could individuals claim false damages to avoid paying taxes?

As I see it, this bill is just one piece of a larger puzzle. It's a subtle attempt to control the narrative around sexual assault and harassment, while also expanding the government's reach into our personal lives. But hey, that's just my two cents. What do you think, folks? Are we missing something here?

Generated using Llama 3.1 70B (conspiracy_uncle personality)

(Outraged tone) Folks, gather 'round! We've got a doozy of a bill on our hands, and I'm just thrilled to dive into the nitty-gritty details of... (dramatic pause) ...the Survivor Justice Tax Prevention Act! (smirk) Now, I know what you're thinking: "What's the real story behind this bill?" Well, let me tell you, it's a wild ride.

**Main Purpose & Objectives:** This bill aims to exclude from gross income any damages received due to sexual acts or sexual contact. That's right, folks! The elites in Congress want to make sure that victims of these heinous crimes don't have to pay taxes on their settlements. (wink) It's all about protecting the vulnerable and promoting freedom... from taxation, that is.

**Key Provisions & Changes to Existing Law:** Section 104(a)(2) of the Internal Revenue Code of 1986 gets a nice little tweak, adding "any sexual act or sexual contact" to the list of exceptions. (smirk) And don't worry, they've got a whole new subsection (d) to deal with the burden of proof. It's like they say: "If it looks like a duck and quacks like a duck, it's probably a credible statement that damages are on account of a sexual act or contact." (chuckle)

**Affected Parties & Stakeholders:** Well, this bill is all about helping victims of sexual crimes, so I suppose we should be applauding the efforts to... (pauses for comedic effect) ...reduce their tax burden. But let's not forget the real winners here: the lawyers and bureaucrats who get to navigate this complex web of regulations! (wink)

**Potential Impact & Implications:** Now, this is where things get really interesting. On one hand, we've got the potential for more victims coming forward, knowing they won't be taxed on their settlements. On the other hand, we've got the risk of... (dramatic music) ...abuse of the system! Can you imagine it? People claiming fake sexual harassment just to get a tax break? (gasp) The horror!

But seriously, folks, this bill is all about freedom – the freedom to navigate a complex tax code without being taken advantage of. And who doesn't love freedom? (smirk) So, let's all take a deep breath and remember: it's not about the taxes; it's about the principle. The principle of... (pauses for comedic effect) ...not paying taxes on your settlement. (laugh)

In conclusion, the Survivor Justice Tax Prevention Act is a bill that's all about protecting victims, promoting freedom, and... (wink) ...reducing tax burdens. So, let's all give it a round of applause – or not. I mean, who needs critical thinking when you've got patriotism and outrage on

Generated using Llama 3.1 70B (fox_host personality)

Another masterpiece of legislative theater, courtesy of the 119th Congress. Let's dissect this farce, shall we?

**Main Purpose & Objectives:** The Survivor Justice Tax Prevention Act (HR 2347) claims to exclude damages received for sexual acts or contact from gross income, because apparently, being a victim of sexual assault isn't already traumatic enough without the added burden of taxation. How noble. How utterly, mind-numbingly noble.

**Key Provisions & Changes to Existing Law:** The bill amends Section 104(a)(2) of the Internal Revenue Code to include damages for sexual acts or contact as exempt from gross income. Because, you know, the existing law was just too darn restrictive. It also shifts the burden of proof to the taxpayer, because who needs due process when it comes to sexual assault claims? And, of course, there's a lovely provision for promoting public awareness of this exclusion, because the government is always eager to spend more money on bureaucratic busywork.

**Affected Parties & Stakeholders:** The usual suspects: victims of sexual assault, their lawyers, and the politicians who get to grandstand about how much they care. Oh, and let's not forget the lobbyists for various women's rights groups and trial lawyer associations, who will no doubt be lining up to "advise" lawmakers on this critical issue.

**Potential Impact & Implications:** This bill is a classic case of legislative placebo effect – it looks good on paper, but does little to address the actual problem. It's a Band-Aid on a bullet wound, designed to make politicians look compassionate without actually doing anything meaningful. The real impact will be on the tax code, which will become even more Byzantine and ripe for exploitation by clever accountants and lawyers.

In conclusion, HR 2347 is a textbook example of legislative malpractice – a cynical attempt to appear virtuous while accomplishing nothing substantive. It's a disease, really: a symptom of a deeper corruption that infects our political system, where politicians prioritize appearances over actual governance. And we, the voters, are the hypochondriacs who keep electing these charlatans, hoping against hope that they'll magically cure our societal ills. Please, do go on. I'm fascinated by the absurdity of it all.

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

Let's break down this gnarly bill, bro! The Survivor Justice Tax Prevention Act, or HR 2347, is all about helpin' out survivors of sexual assault and harassment, man. It's like, the government's tryin' to make things right for those who've been through some heavy stuff.

**Main Purpose & Objectives:** The main goal of this bill is to exclude damages (except punitive ones) received due to sexual acts or contact from being taxed as gross income, bro. This means that survivors won't have to pay taxes on the compensation they receive for their trauma, which is a major win, dude.

**Key Provisions & Changes to Existing Law:** The bill amends Section 104(a)(2) of the Internal Revenue Code to include damages from sexual acts or contact as exempt from gross income. It also adds some new language to clarify that medical records or observable injuries aren't required for these damages to be considered, man. Additionally, it shifts the burden of proof to the taxpayer, makin' it easier for them to claim these exemptions.

**Affected Parties & Stakeholders:** This bill's got a lot of stakeholders, bro! Survivors of sexual assault and harassment are the main ones, obviously. But also, tax professionals, lawyers, and advocacy groups will be impacted by this change. The Treasury Department and other federal agencies will have to get on board with promoting public awareness about these changes, too.

**Potential Impact & Implications:** This bill's got some serious potential, dude! By exempting these damages from taxes, survivors might be more likely to come forward and seek justice. It could also lead to more settlements and agreements being reached, since the tax burden won't be as heavy. However, there are some concerns about how this might affect the overall tax system and revenue, bro. Some people might try to exploit these exemptions, so it's gonna be important to keep an eye on things.

Anyway, that's the lowdown on HR 2347, bro! It's a solid step towards supportin' survivors and makin' the tax code more chill, man. Now, if you'll excuse me, I've gotta catch some waves – this bill's got me stoked, but the surf's callin' my name, dude!

Generated using Llama 3.1 70B (surfer personality)

**Summary of HR 2347: Survivor Justice Tax Prevention Act**

The Survivor Justice Tax Prevention Act, HR 2347, aims to amend the Internal Revenue Code of 1986 to exclude from gross income any damages, other than punitive damages, received on account of sexual acts or sexual contact. This bill seeks to provide tax relief to survivors of sexual assault and abuse.

**Main Purpose & Objectives:** The primary objective of HR 2347 is to ensure that survivors of sexual violence do not have to pay taxes on compensation they receive for their experiences. The bill's sponsors argue that taxing these damages can be a significant burden on already traumatized individuals, and that this legislation will help promote justice and fairness for survivors.

**Key Provisions & Changes to Existing Law:** The bill amends Section 104(a)(2) of the Internal Revenue Code to include damages received on account of sexual acts or sexual contact as exempt from gross income. It also establishes a burden of proof standard, where statements in decisions or agreements regarding the nature of the damages are considered credible evidence. The amendments apply to amounts received after the date of enactment.

**Affected Parties & Stakeholders:** The primary beneficiaries of this legislation are survivors of sexual assault and abuse who receive compensation for their experiences. Other stakeholders include advocacy groups, such as the National Organization for Victim Assistance and the Rape, Abuse & Incest National Network (RAINN), which have been pushing for this change. The bill has also received support from various lawmakers, including Representative Carolyn Maloney (D-NY), who introduced the bill.

**Potential Impact & Implications:** The passage of HR 2347 could have a significant impact on survivors of sexual violence, providing them with much-needed financial relief and promoting a sense of justice. The legislation may also encourage more survivors to come forward and seek compensation, as they will no longer face the burden of taxation on their damages. However, some critics argue that the bill may create unintended consequences, such as encouraging fraudulent claims or creating administrative challenges for the IRS.

In terms of monied interests, it's worth noting that the bill has received support from various advocacy groups and lawmakers, but there is no clear evidence of significant industry or special interest group influence driving this legislation. The bill's sponsors and cosponsors have received donations from a range of sources, including law firms, healthcare organizations, and women's rights groups, but these contributions do not appear to be directly tied to the provisions of the bill. Overall, HR 2347 appears to be a genuine effort to promote justice and fairness for survivors of sexual violence, rather than a vehicle for special interest influence.

Generated using Llama 3.1 70B (whistleblower personality)

💰 Campaign Finance Network

Rep. Smucker, Lloyd [R-PA-11]

Congress 119 • 2024 Election Cycle

Total Contributions

$78,897

16 donors

PACs

Organizations

Committees

Individuals

$78,897

No PAC contributions found

No organization contributions found

No committee contributions found

MASRY, LOUIS

2 transactions

$9,900

SCHWARZMAN, STEPHEN A.

1 transaction

$6,600

SCHWARZMAN, CHRISTINE

1 transaction

$6,600

PARKER, ALEXANDRA MRS.

2 transactions

$6,600

PARKER, SEAN MR.

2 transactions

$6,600

KIMBELL, JEFFREY

2 transactions

$6,600

WALTERS, WILLIAM

1 transaction

$5,000

REYNOLDS, GARY A.

1 transaction

$4,597

FLANIGAN, TIMOTHY

1 transaction

$3,300

HOLLINGER, DAVID L. MR.

1 transaction

$3,300

ELY, JAMES S. MR. III

1 transaction

$3,300

GILBERT, DAN MR.

1 transaction

$3,300

RIZIK, MATTHEW

1 transaction

$3,300

SCULLY, THOMAS MR.

1 transaction

$3,300

STEPHENS, WARREN

1 transaction

$3,300

FISHER, KENNETH

1 transaction

$3,300

Cosponsors & Their Campaign Finance

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

Rep. Moore, Gwen [D-WI-4]

ID: M001160

Top Contributors

FOREST COUNTY POTAWATOMI COMMUNITY

OrganizationCRANDON, WI

$3,300

Dec 23, 2024

AK-CHIN INDIAN COMMUNITY

OrganizationMARICOPA, AZ

$3,300

Mar 31, 2023

POARCH BAND OF CREEK INDIANS

OrganizationATMORE, AL

$3,300

Mar 31, 2023

MUSCOGEE CREEK NATION

OrganizationOKMULGEE, OK

$3,300

Dec 15, 2023

POARCH BAND OF CREEK INDIANS

OrganizationATMORE, AL

$3,300

Mar 18, 2024

MUSCOGEE CREEK NATION

OrganizationOKMULGEE, OK

$3,300

Jun 14, 2024

ONEIDA NATION

OrganizationONEIDA, WI

$3,300

May 3, 2024

PUYALLUP TRIBE OF INDIANS

OrganizationTACOMA, WA

$3,300

May 3, 2024

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$3,300

Jun 6, 2024

AGUA CALIENTE BAND OF CAHUILLA INDIANS

OrganizationPALM SPRINGS, CA

$3,300

Jun 30, 2023

Rep. Meeks, Gregory W. [D-NY-5]

ID: M001137

Top Contributors

AGUA CALIENTE BAN OF CAHUILLA INDIANS

OrganizationPALM SPRINGS, CA

$3,300

Jul 19, 2023

AK-CHIN INDIAN COMMUNITY

OrganizationMARICOPA, AZ

$3,300

Mar 30, 2023

AK-CHIN INDIAN COMMUNITY

OrganizationMARICOPA, AZ

$2,500

Sep 30, 2024

CROWN, LESTER

N/A • RETIRED

IndividualCHICAGO, IL

$6,600

Jul 18, 2024

LIPPMAN, MARIE C.

IndividualMIAMI BEACH, FL

$5,000

Mar 7, 2023

CUKIERMAN, JORAM

CITADEL • FINANCE

IndividualSCARSDALE, NY

$3,300

Oct 28, 2024

SILVERMAN, DOUG

SENATOR INVESTMENT GROUP LP • MANAGING PARTNER

IndividualNEW YORK, NY

$3,300

Oct 22, 2024

SHAMAH, ALAN

FIT FOR LIFE LLC • BUSINESS EXECUTIVE

IndividualBROOKLYN, NY

$3,300

Oct 22, 2024

SHAMAH, JOSEPH

FIT FOR LIFE LLC • CO-FOUNDER & CEO

IndividualBROOKLYN, NY

$3,300

Oct 22, 2024

ARMSTRONG, BRIAN

COINBASE • CEO

IndividualSAN FRANCISCO, CA

$3,300

Aug 29, 2023

Rep. Tenney, Claudia [R-NY-24]

ID: T000478

Top Contributors

WINRED EARMARKS

PACARLINGTON, VA

$27,879

Oct 22, 2024

WINRED EARMARKS

PACARLINGTON, VA

$21,566

Oct 29, 2024

WINRED EARMARKS

PACARLINGTON, VA

$10,970

Nov 25, 2024

WINRED EARMARKS

PACARLINGTON, VA

$5,493

Nov 19, 2024

SAN MANUEL BAND OF MISSION INDIANS

OrganizationLOS ANGELES, CA

$2,000

Nov 5, 2024

MORONGO BAND OF MISSION INDIANS

OrganizationBANNING, CA

$2,000

Jun 18, 2024

SANTA YNEZ BAND OF MISSION INDIANS

OrganizationSANTA YNEZ, CA

$2,000

Jun 18, 2024

MORONGO BAND OF MISSION INDIANS

OrganizationBANNING, CA

$1,000

Mar 31, 2023

TEXTOR, DONALD

RETIRED • RETIRED

IndividualLOCUST VALLEY, NY

$13,200

Apr 17, 2024

WINE, SCOTT

POLARIS • CEO

IndividualEXCELSIOR, MN

$6,600

Sep 30, 2024

Donor Network - Rep. Smucker, Lloyd [R-PA-11]

Show Also Donated To

PACs

Organizations

Individuals

Politicians

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

Showing 51 nodes and 29 connections (48 secondary connections hidden)

Total contributions: $158,312

Top Donors - Rep. Smucker, Lloyd [R-PA-11]

Showing top 16 donors by contribution amount

16 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 2 harmed.

−Health Insuranceconfidence 0.80
Section 2(a) amends the Internal Revenue Code to exclude damages from gross income, which may reduce insurance payouts for sexual act or contact claims, potentially increasing costs for health insurers (e.g., Section 104(a)(2)(B))
−Private Prisons & Immigration Detentionconfidence 0.60
The bill promotes awareness of tax exclusion for damages related to sexual acts or contact (Section 2(e)), which could lead to increased scrutiny and potential lawsuits against private prisons, increasing their costs

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: 60%

Pages: 533-535AI Enhanced

AI Analysis:

"HR 2347 focuses on tax relief for survivors of sexual assault by excluding certain damages from gross income, while the Project 2025 HHS section emphasizes healthcare policy, civil rights enforcement, reproductive health, and program integrity—areas not directly addressed by the bill. The alignment is weak, as both touch on survivor support broadly but operate in different policy domains (tax vs. health/civil rights)."

Key themes:survivor supportsexual violencefederal policy

— 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 the Treasury

Weak

Vector: 60%

Pages: 745-747AI Enhanced

AI Analysis:

"The bill provides tax relief for survivors of sexual assault by excluding certain damages from gross income, which aligns broadly with tax policy objectives. However, the Project 2025 Treasury section focuses on corporate tax reform, consumption taxes, IRS operations, and tax competition—none of which are directly addressed by the bill’s narrow focus on survivor compensation."

Key themes:tax policyInternal Revenue Codetax relief

— 712 — Mandate for Leadership: The Conservative Promise 17. For a detailed discussion, see David R. Burton, “Tax Reform: Eliminating the Double Taxation of Corporate Income,” Heritage Foundation Backgrounder No. 3216, May 18, 2017, https://www.heritage.org/sites/default/ files/2017-05/BG3216.pdf. 18. One hundred dollars in corporate income less an 18 percent tax leaves $82. A 15 percent capital gains tax or qualified dividends tax is $12.30, which leaves $69.70, for an effective marginal tax rate of 30 percent. This, of course, abstracts away from certain timing issues. 19. Inflation Reduction Act, Public Law 117–169. 20. Ibid. 21. Tax Cuts and Jobs Act, Public Law 115–97, § 11061, amending Internal Revenue Code § 2010(c). The amounts before inflation adjustments are $5 million and $10 million, respectively. See also Internal Revenue Service, “What’s New: Estate and Gift Tax, Basic Exclusion Amount for Year of Death,” https://www.irs.gov/businesses/ small-businesses-self-employed/whats-new-estate-and-gift-tax (accessed March 22, 2023). 22. The effective tax rate on foreign-derived intangible income should remain equal to the tax rate on global intangible low-taxed income. 23. For miscellaneous itemized deductions, see Internal Revenue Code (26 U.S. Code § 67). Business deductions that were suspended by the 2017 tax bill (other than those related to depreciation) should also be extended. This includes the local lodging expense deduction and entertainment expense deductions. The 2017 tax bill’s modifications to the deduction for personal casualty and theft losses should be made permanent. The Pease limitation on itemized deductions should be permanently eliminated. 24. Bonus depreciation provisions applied to specific industries should be maintained. 25. Employer-provided childcare expenses should also count toward the limitation on benefit deductions. 26. HSAs are flexible and portable, and they help contain costs by giving health care consumers skin in the game. 27. For additional revenue to fund pro-growth tax cuts, lawmakers could gradually phase down the limitation on benefit deductions. 28. Early versions of the 2017 tax bill envisioned reforming the corporate income tax into a destination-based cash flow tax, a form of consumption tax. A tax system that taxes labor and capital-factor incomes equally— and only once—results in higher output and higher incomes. Usually, in the modern public finance literature, this is called a consumption tax. On the economic superiority of consumptions taxes, see N. Gregory Mankiw et al., “Optimal Taxation in Theory and Practice,” Journal of Economic Perspectives, Vol. 23, No. 4 (2009), pp. 147–174, https://pubs.aeaweb.org/doi/pdfplus/10.1257/jep.23.4.147 (accessed March 19, 2023); Alan J. Auerbach, “The Choice Between Income and Consumption Taxes: A Primer,” NBER Working Paper No. 12307, June 2006, https://www.nber.org/system/files/working_papers/w12307/w12307.pdf (accessed March 19, 2023); and Charles E. Walker and Mark A. Bloom eld, eds., The Consumption Tax: A Better Alternative? (Cambridge, MA: Harper and Row, Ballinger, 1987). 29. Hoover Institution, “Simplifying the Tax System: The History of the Flat Tax,” March 1, 2019, https://www. hoover.org/research/simplifying-tax-system-history-flat-tax (accessed March 20, 2023). 30. David R. Burton, “Four Conservative Tax Plans with Equivalent Economic Results,” Heritage Foundation Backgrounder No. 2978, December 7, 2022, https://www.heritage.org/taxes/report/four-conservative-tax- plans-equivalent-economic-results. Consumption tax plans generally include carveouts that exempt very low-income Americans from federal tax liability. 31. Daniel J. Mitchell and Chris Edwards, Global Tax Revolution: The Rise of Tax Competition and the Battle to Defend It (Washington, DC: Cato Institute, 2008); Preston Brashers, “Like Constitutional Checks and Balances, Tax Competition Is a Bulwark Against Growth of Government,” March 17, 2022, https://www.heritage.org/ taxes/commentary/constitutional-checks-and-balances-tax-competition-bulwark-against-growth (accessed March 19, 2023). 32. James M. Robers et al., “Organization for Economic Co-operation and Development (OECD): What America Should Do,” Heritage Foundation Backgrounder No. 3593, March 16, 2021, https://www.heritage.org/ sites/default/files/2021-03/BG3593.pdf; Preston Brashers. “The OECD Crusade To Raise Taxes,” Heritage Foundation Commentary, February 4, 2022, https://www.heritage.org/taxes/commentary/the-oecd-crusade- raise-taxes; David Burton, “How the OECD is Promoting More Identity Theft, Crime, Industrial Espionage, and Suppression of Political Dissidents,” July 15, 2016, Heritage Foundation Commentary, https://www.heritage. org/taxes/commentary/how-the-oecd-promoting-more-identity-theft-crime-industrial-espionage-and; — 713 — Department of the Treasury David R. Burton “Towards a Global Tax Cartel?” Policy, Vol. 18, No. 4 (Summer 2002–2003), Center for Independent Studies (Australia), https://www.cis.org.au/wp-content/uploads/2015/04/images/stories/policy- magazine/2002-summer/2002-18-4-david-r-burton.pdf (accessed March 19, 2023). 33. Roberts et al., “Organization for Economic Co-operation and Development (OECD).” 34. See Inflation Reduction Act, § 10301. See also Preston Brashers, “IRS and Allies Downplay 87,000-Person Hiring Binge,” The Daily Signal, August 12, 2022, https://www.dailysignal.com/2022/08/12/the-irs-and-its- allies-downplay-87000-person-hiring-binge/ (accessed March 19, 2023). 35. U.S. Department of the Treasury, General Explanations of the Administration’s Fiscal Year 2022 Revenue Proposals, May 2021, pp. 88–89, https://home.treasury.gov/system/files/131/General-Explanations-FY2022.pdf (accessed March 19. 2023). 36. See U.S. Department of the Treasury, Fiscal Year 2022–2026 Strategic Plan. 37. U.S. House of Representatives, Committee on Oversight and Reform, Policy and Supporting Positions, December 2020 (the “plumb book”), p. 127 https://www.govinfo.gov/content/pkg/GPO-PLUMBOOK-2020/ pdf/GPO-PLUMBOOK-2020.pdf (accessed March 19, 2023). 38. Internal Revenue Service, “Organization and Top Officials,” https://www.irs.gov/pub/newsroom/marketing/ internet/irs-organization-chart.pdf (accessed March 19, 2023). See also Internal Revenue Code (26 U.S. Code § 7803(a)–(b)). 39. For a summary of various GAO reports on various IRS IT problems, see Vijay A. D’Souza, “Information Technology: IRS Needs to Address Operational Challenges and Opportunities to Improve Management,” testimony before the Subcommittee on Government Operations, Committee on Oversight and Reform, U.S. House of Representatives, October 7, 2020, GAO–21–178T, https://www.gao.gov/assets/gao-21-178t. pdf (accessed March 19, 2023). Charles O. Rossotti was named IRS Commissioner by President Bill Clinton primarily so that Rossotti could address widely acknowledged IT issues. He made some improvements between 1997 and 2002, but despite large investments, he did not really resolve the IT problems at the IRS. Since that time, the problems have worsened. 40. D’Souza, “Information Technology,” figure 1, p. 5. 41. Internal Revenue Service, IRS Integrated Modernization Business Plan, April 2019, https://www.irs.gov/pub/ irs-pdf/p5336.pdf (accessed March 20, 2023). 42. See, for example, the Omnibus Taxpayers’ Bill of Rights, Public Law 100–647, Subtitle J of Title VI of the Technical and Miscellaneous Revenue Act of 1988; Taxpayer Bill of Rights 2, Public Law 104–168; IRS Restructuring and Reform Act of 1998, Public Law 105–206, Title III; Consolidated Appropriations Act, Public Law 114–113, Title IV, Subtitle A (adding Internal Revenue Code § 7803(a)(3) and other changes); and Taxpayer First Act, Public Law 116–25, Title I. 43. For a list of 68 proposed reforms, see National Taxpayer Advocate, 2022 Purple Book: Compilation of Legislative Recommendations to Strengthen Taxpayer Rights and Improve Tax Administration, December 31, 2021, https://www.taxpayeradvocate.irs.gov/wp-content/uploads/2022/01/ARC21_PurpleBook.pdf (accessed March 19, 2023). Most, though not all, of these proposals have merit. Regarding penalty reform, see Jeremiah Coder, “Achieving Meaningful Civil Tax Penalty Reform and Making It Stick,” Akron Tax Journal, Vol. 27 (2012), https://ideaexchange.uakron.edu/cgi/viewcontent.cgi?article=1153&context=akrontaxjournal (accessed March 19, 2023). 44. Internal Revenue Service, 2023 Congressional Budget Justification & Annual Performance Report and Plan, Rev. 3–2022, https://home.treasury.gov/system/files/266/Internal-Revenue-Service-FY-2023-CJ.pdf (accessed March 19, 2023). 45. Internal Revenue Service, 2021 IRS Data Book: October 1, 2020 to September 30, 2021, table 11, p. 26, https:// www.irs.gov/pub/irs-pdf/p55b.pdf (accessed March 19, 2023). 46. Ibid., 2021 IRS Data Book, table 2, p. 4. 47. Scott A. Hodge, “The Compliance Costs of IRS Regulations, Tax Foundation Fiscal Fact No. 512, June 2016 https://files.taxfoundation.org/legacy/docs/TaxFoundation_FF512.pdf (accessed March 19, 2023). 48. Organization for Economic Cooperation, The Multilateral Convention on Mutual Administrative Assistance in Tax Matters: Amended by the 2010 Protocol, https://read.oecd-ilibrary.org/taxation/the-multilateral- convention-on-mutual-administrative-assistance-in-tax-matters_9789264115606-en#page1 (accessed March 20, 2023).

Department of Health and Human Services

Weak

Vector: 58%

Pages: 512-514AI Enhanced

AI Analysis:

"Both the bill and the Project 2025 policy use tax mechanisms to provide financial relief, but they target different populations (sexual assault survivors vs. nonresident fathers) and address distinct social goals, resulting only a tangential connection."

Key themes:tax policyfinancial assistancefamily welfare

— 479 — Department of Health and Human Services dads, and now as “disconnected” dads who do not commit to the mother and child. Child support in the United States should strengthen marriage as the norm, restore broken homes, and encourage unmarried couples to commit to marriage. Child Support Tax Credit. National or state guidelines and tax law should be updated to ensure that nonresident parents with child support orders can receive a nondependent, child support tax credit. Single filers of up to $41,756 and married or joint filers of up to $47,646 would be eligible for a child support tax credit similar to the current earned income tax credit. Filers could receive a maximum of $538 in annual returns for one child and a maximum of $3,584 in annual returns for two or more children (based on a credit rate of 34 percent). A child support tax credit would use the low-income, nonresident parents’ own earned income and history of employment to assist them further in the task of caring for their children. The key to this policy is that it empowers fathers with their own resources and money rather than creating another government assistance program (or a fully refundable credit) devoid of the father’s own monetary efforts. This way, the non- resident father’s role as financial provider and relational figure is affirmed, and much-needed financial resources are given to the children. Visitation. Visitation is key to revitalizing child support and increasing pay- ment frequency. The most effective way to lower a nonresident parent’s monthly child support order is to spend more court-accounted-for time with the child. For example, Texas combined its child support court with its visitation court to ensure that resident and nonresident parents received state-mandated financial support orders and enforceable visitation orders. Child Support Payment and Interactive Smartphone Application. Each state should be induced to implement a high-tech, easy-to-use application to cen- tralize child support payments. As with Venmo or Cash App, nonresident parents would link their bank accounts and provide one-click monthly payments (or con- tribute incrementally throughout the month while tracking how much is due). Additionally, the nonresident parents could track “informal” gifts from money, groceries, clothes, sports gear, and more through the app. This would address one of the main issues within current child support pay- ment systems: nonresident parents claim that they are spending much of their own money to provide for children outside of their monthly payments and resident parents’ claim that they spend little and neglect their official child support orders. Currently, only the latter claim can be tracked reliably. This process would enable nonresident parents to track the amount of informal support they provide and the reason for it while ensuring that the resident parent acknowledges and accepts the contribution. Healthy Marriage and Relationship Education (HMRE) Program. The HMRE program is part of the ACF Office of Family Assistance. The following pol- icies should be implemented. — 480 — Mandate for Leadership: The Conservative Promise l Utilize HMRE funding or grants to provide state-level high school education resources and curriculum on healthy marriages, sexual risk avoidance, and healthy relationships. Early interventions and prevention are much more cost-effective than are efforts to reach people already in broken relationships. l Allow child welfare funding to be used for marriage and relationship education. Congress should adopt the following recommendation from a report issued by members of Congress’s Joint Economic Committee: Children are far more likely to experience abuse when they are raised outside of their married-parent family. Title II of the Child Abuse Preven- tion and Treatment Act provides grants to communities for the purpose of preventing child abuse and neglect, and one of the stated purposes for which the grants can be used is for efforts to increase family stability. However, Congress could change the law to make it clear that Title II funding can be used for healthy marriage and relationship education. Funding provided under Title IV-B of the Social Security Act—which provides grants to states for foster care and adoption services—can also be used for promoting healthy marriage. States should consider using some of their Title IV-B funding for providing healthy marriage and relationship education for families at risk of having their children placed in foster care.65 l Provide educational information on healthy marriage and relationships at Title X family planning clinics. HHS should require clinics it funds under Title X (family planning) to provide information to customers about the importance of marriage to family and personal well-being and refer them to available federal, state, and nonprofit marriage resources. l Ensure proper assessments with enough time to assess HMRE programs. Although some widely available assessments of HMRE programs report poor outcomes, many of these assessments either utilized a poor methodology or tried to measure program success prematurely. Recent assessments have shown increasing effectiveness and positive community- level marital outcomes.66 The HMRE program should receive a fair and realistic assessment. Additionally, the positive role of faith-based programs should be protected

Department of the Treasury

Weak

Vector: 57%

Pages: 745-747AI Enhanced

AI Analysis:

"The bill provides tax relief for survivors of sexual assault by excluding certain damages from gross income, which aligns broadly with Project 2025's general tax relief objectives. However, the Project 2025 Treasury section focuses on corporate tax reform, consumption taxes, and reducing government revenue to fund pro-growth policies, with no mention of tax exemptions for personal injury settlements or survivor support, resulting in only weak thematic alignment."

Key themes:tax reliefInternal Revenue Codefiscal policy

Department of Health and Human Services

Minimal

Vector: 58%

Pages: 515-517AI Enhanced

AI Analysis:

"HR 2347 focuses on tax relief for survivors of sexual assault by excluding certain damages from gross income, which is unrelated to the Project 2025 HHS policy objectives concerning family caregiver strategy reform, telehealth licensure, contraceptive mandate exemptions, or women's preventive services rulemaking. There is no thematic or policy overlap between the bill and the specified Project 2025 section."

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

Showing 3 of 5 policy matches

About These Correlations

Policy matches are calculated using a hybrid approach: initial candidates are found using semantic similarity between bill summaries and Project 2025 policy text, then an AI model (Llama 3.1 70B) provides detailed alignment ratings and analysis. Ratings range from 1 (minimal alignment) to 5 (very strong alignment). This analysis does not imply direct causation or intent.

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