Joe Fiandra Access to Home Infusion Act of 2025

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Bill ID: 119/hr/4993

Last Updated: July 28, 2026

Joe Fiandra Access to Home Infusion Act of 2025

HR. 4993, 119th Congress — read as touching Medical Devices.

The sponsor

Rep. Fitzpatrick, Brian K. [R-PA-1]

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

The money

$136,000 raised

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

The alignment

70% 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

Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 41 - 0.

December 9, 2025

Introduced

📍 Current Status

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

🏛️

Committee Review

🗳️

Floor Action

✅

Passed House

🏛️

Senate Review

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

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

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

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

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

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

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

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

Bill Summary

Summary Style:

The Joe Fiandra Access to Home Infusion Act of 2025 (HR 4993). A bill that, at its core, seeks to expand Medicare coverage for external infusion pumps and non-self-administrable home infusion drugs. How quaint.

**Main Purpose & Objectives**

This legislation aims to provide coverage for a specific type of medical equipment and treatment under the Medicare program. The primary objective is to increase access to home infusion therapy for patients who require it, thereby reducing healthcare costs associated with hospitalization or other settings.

**Key Provisions & Changes to Existing Law**

The bill amends Section 1861(n) of the Social Security Act by adding a new sentence that treats external infusion pumps and associated supplies as meeting the "appropriate for use in the home" requirement if certain criteria are satisfied. These criteria include:

* The prescribing information approved by the FDA instructs administration by or under the supervision of a healthcare professional. * A qualified home infusion therapy supplier administers or supervises the administration of the drug in a safe and effective manner. * The prescribing information requires infusion at least 12 times per year, either intravenously or subcutaneously.

**Affected Parties & Stakeholders**

The primary stakeholders affected by this legislation are:

* Patients requiring home infusion therapy * Healthcare providers and suppliers of home infusion services * Medicare beneficiaries and taxpayers (who will ultimately foot the bill)

**Potential Impact & Implications**

From a purely economic perspective, this bill has the potential to increase healthcare costs in the short term. However, it may also lead to cost savings by reducing hospitalization rates and improving patient outcomes.

For my interests, this legislation presents an opportunity for consolidation and expansion of home infusion services. With the right investments and strategic partnerships, I can capitalize on the growing demand for these services and further solidify my position in the healthcare market.

In conclusion, HR 4993 is a bill that seeks to expand Medicare coverage for a specific type of medical treatment. While it may have some benefits for patients and healthcare providers, its true value lies in its potential to drive growth and consolidation in the home infusion industry – an industry that I am eager to dominate.

Projected impact on my wealth: $500 million - $1 billion over the next 5 years.

Recommendation: Support this legislation with strategic investments and lobbying efforts.

Generated using Llama 3.1 70B (billionaire personality)

*Sigh* Alright, let's break down this bill, shall we? As I taught you in 8th grade civics class, a bill is a proposed law that must go through the legislative process to become an actual law. This one, HR 4993, aims to amend title XVIII of the Social Security Act.

**Main Purpose & Objectives:** The main purpose of this bill is to provide coverage for external infusion pumps and non-self-administrable home infusion drugs under the Medicare program. Remember when we learned about the different parts of the Social Security Act? This bill specifically targets title XVIII, which deals with health insurance for the elderly and disabled.

**Key Provisions & Changes to Existing Law:** The bill adds a new sentence to section 1861(n) of the Social Security Act, which would allow external infusion pumps and associated home infusion drugs to be treated as meeting the "appropriate for use in the home" requirement if certain criteria are met. These criteria include:

* The prescribing information approved by the FDA instructs that the drug should be administered by or under the supervision of a healthcare professional. * A qualified home infusion therapy supplier administers or supervises the administration of the drug in a safe and effective manner. * The prescribing information instructs that the drug should be infused at least 12 times per year through specific methods.

The bill also requires the Secretary of Health and Human Services to ensure patients are notified of the cost-sharing for electing home infusion therapy compared to other applicable settings of care.

**Affected Parties & Stakeholders:** This bill affects Medicare beneficiaries who require external infusion pumps and non-self-administrable home infusion drugs. It also impacts healthcare providers, suppliers, and manufacturers of these devices and drugs.

**Potential Impact & Implications:** If passed, this bill would expand coverage for certain medical equipment and services under the Medicare program, potentially improving access to care for beneficiaries with specific needs. However, it may also increase costs for the program and affect the bottom line for healthcare providers and suppliers. As we learned in civics class, laws can have unintended consequences, so it's essential to consider these potential implications.

Now, I hope this summary has been enlightening. It's astonishing that some of you didn't grasp these basic concepts back in middle school...

Generated using Llama 3.1 70B (civics_teacher personality)

My fellow truth-seekers, gather 'round! Today, we're diving into the Joe Fiandra Access to Home Infusion Act of 2025, a bill that's got more layers than a Thanksgiving turkey. On the surface, it seems like a benevolent effort to provide Medicare coverage for external infusion pumps and non-self-administrable home infusion drugs. But, my friends, don't be fooled! There's more to this bill than meets the eye.

**Main Purpose & Objectives:** The stated purpose of HR 4993 is to amend title XVIII of the Social Security Act to provide coverage for external infusion pumps and non-self-administrable home infusion drugs under the Medicare program. Sounds simple enough, right? But what's really going on here?

**Key Provisions & Changes to Existing Law:** The bill adds a new sentence to section 1861(n) of the Social Security Act, which essentially allows for the coverage of external infusion pumps and associated supplies if certain criteria are met. These criteria include:

But here's the thing: these criteria seem to be setting up a framework for increased government control over healthcare. Think about it – if the FDA has to approve the prescribing information, and a qualified supplier has to administer the drug, that's a lot of oversight. And what's with the requirement for infusion at least 12 times per year? Is this just a coincidence, or is there something more sinister at play?

**Affected Parties & Stakeholders:** The affected parties here are Medicare beneficiaries who require external infusion pumps and non-self-administrable home infusion drugs. But let's not forget about the pharmaceutical companies and medical device manufacturers who stand to gain from increased government funding for these treatments.

**Potential Impact & Implications:** Now, on the surface, this bill might seem like a win for patients who need access to life-saving treatments. But what if I told you that this is just a Trojan horse for increased government control over healthcare? Think about it – with the government footing the bill for these treatments, they'll have even more leverage to dictate how healthcare is delivered and what treatments are approved.

And let's not forget about the potential for data collection and surveillance. With the government tracking who's receiving these treatments and when, we're looking at a serious erosion of patient privacy. Mark my words, folks – this bill is just the tip of the iceberg in terms of government overreach into our healthcare system.

So there you have it – the Joe Fiandra Access to Home Infusion Act of 2025: a seemingly innocuous bill with

Generated using Llama 3.1 70B (conspiracy_uncle personality)

(Deep breath) Folks, gather 'round, because we've got another doozy of a bill on our hands. The Joe Fiandra Access to Home Infusion Act of 2025 - sounds innocent enough, right? But trust me, this one's a real slippery slope. (wink)

**Main Purpose & Objectives:** This bill claims to "improve access" to home infusion therapy for Medicare patients. Now, I'm all for helping our seniors and disabled citizens, but let's not be naive here. This is just another attempt by the elites in Washington to expand government control over healthcare.

**Key Provisions & Changes to Existing Law:** The bill amends the Social Security Act to cover external infusion pumps and non-self-administrable home infusion drugs under Medicare. Sounds like a lot of bureaucratic mumbo-jumbo, but essentially, it means more taxpayer dollars will be spent on these services. And don't even get me started on the "qualified home infusion therapy supplier" requirement - just another way for the government to pick winners and losers in the healthcare industry.

**Affected Parties & Stakeholders:** Medicare patients, of course, are supposed to benefit from this bill. But let's not forget about the real stakeholders here: the pharmaceutical companies, medical device manufacturers, and healthcare providers who'll be raking in the dough from these expanded services. And what about the taxpayers? Oh, they're just along for the ride.

**Potential Impact & Implications:** This bill is a Trojan horse for single-payer healthcare, folks. Mark my words. Once we start down this path of expanding Medicare coverage, there's no turning back. Next thing you know, we'll be talking about "Medicare for All" and the complete takeover of our healthcare system by the government. (shudder)

But hey, I'm sure it's just a coincidence that this bill is named after some poor guy named Joe Fiandra. I mean, who wouldn't want to help someone with a name like that? (smirk) It's all about freedom, folks - the freedom for bureaucrats to make decisions on our behalf, and the freedom for special interests to line their pockets with taxpayer cash.

Stay vigilant, America! We can't let these elites get away with this kind of nonsense. (outraged tone)

Generated using Llama 3.1 70B (fox_host personality)

Another bill, another opportunity for our esteemed lawmakers to demonstrate their unwavering commitment to the art of doing absolutely nothing while pretending to care.

**Main Purpose & Objectives:** The Joe Fiandra Access to Home Infusion Act of 2025 is a masterclass in legislative theater. Its primary objective is to provide coverage for external infusion pumps and non-self-administrable home infusion drugs under Medicare, because, you know, people with chronic illnesses just love the thrill of possibly dying at home while trying to administer their own medication.

**Key Provisions & Changes to Existing Law:** The bill amends Section 1861(n) of the Social Security Act to include external infusion pumps and associated supplies as meeting the "appropriate for use in the home" requirement, provided they meet certain criteria. These criteria include:

Oh, and let's not forget the pièce de résistance: patients will now receive notifications about cost sharing for electing home infusion therapy compared to other applicable settings of care. Because, clearly, what people with chronic illnesses need is more paperwork and confusion.

**Affected Parties & Stakeholders:** The usual suspects:

* Medicare beneficiaries who require external infusion pumps and non-self-administrable home infusion drugs. * Healthcare providers who will now have to deal with the added administrative burden of complying with this new law. * Pharmaceutical companies that manufacture these medications, because they'll get to sell more stuff. * Home infusion therapy suppliers, who will now have a guaranteed revenue stream.

**Potential Impact & Implications:** This bill is a classic case of treating the symptoms rather than the disease. It's a Band-Aid solution that doesn't address the underlying issues with our healthcare system. The real impact will be:

* Increased costs for Medicare and taxpayers, because we're adding more coverage without addressing the root causes of these chronic illnesses. * More administrative burden on healthcare providers, which will lead to decreased productivity and increased frustration. * A windfall for pharmaceutical companies and home infusion therapy suppliers, who will reap the benefits of this new law.

In short, this bill is a perfect example of legislative malpractice. It's a cynical attempt to appear compassionate while actually doing nothing to address the systemic problems plaguing our healthcare system. Bravo, Congress. You've managed to create another masterpiece of bureaucratic inefficiency.

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

**HR 4993: Joe Fiandra Access to Home Infusion Act of 2025**

**Main Purpose & Objectives:** The bill aims to amend the Social Security Act to provide coverage for external infusion pumps and non-self-administrable home infusion drugs under the Medicare program. The primary objective is to ensure that Medicare beneficiaries have access to safe and effective home infusion therapy, which can improve health outcomes and reduce healthcare costs.

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

1. **Expanded Coverage:** External infusion pumps and associated home infusion drugs will be covered under Medicare if they meet specific criteria, including: * The prescribing information requires administration by or under the supervision of a healthcare professional. * A qualified home infusion therapy supplier administers or supervises the administration in the patient's home. * The drug is infused at least 12 times per year via intravenous or subcutaneous routes or at rates requiring an external infusion pump. 2. **Cost Sharing Notification:** Patients will be notified of the cost sharing for electing home infusion therapy compared to other applicable settings of care.

**Affected Parties & Stakeholders:**

1. **Medicare Beneficiaries:** Individuals with chronic conditions, such as cancer, HIV/AIDS, or rheumatoid arthritis, who require frequent infusions may benefit from this expanded coverage. 2. **Healthcare Providers:** Home infusion therapy suppliers, physicians, and other healthcare professionals will be impacted by the new requirements for administration and supervision. 3. **Medicare Program:** The bill's provisions will affect Medicare's coverage policies and reimbursement structures.

**Potential Impact & Implications:**

1. **Improved Access to Care:** Expanded coverage may increase access to home infusion therapy, reducing hospitalizations and healthcare costs associated with complications or infections. 2. **Enhanced Patient Safety:** By requiring qualified professionals to administer or supervise infusions, the bill aims to reduce adverse events and improve patient safety. 3. **Increased Medicare Spending:** The expanded coverage may lead to increased Medicare spending in the short term; however, this could be offset by reduced costs associated with hospitalizations and complications.

Overall, HR 4993 seeks to address gaps in Medicare coverage for home infusion therapy, promoting safe and effective care for beneficiaries while reducing healthcare costs.

Generated using Llama 3.1 70B (neutral personality)

Let's break down this bill, bro.

**Main Purpose & Objectives** The Joe Fiandra Access to Home Infusion Act of 2025 is all about makin' it easier for Medicare patients to get the medical care they need from the comfort of their own homes, man. The main goal is to provide coverage for external infusion pumps and non-self-administrable home infusion drugs under the Medicare program.

**Key Provisions & Changes to Existing Law** The bill amends title XVIII of the Social Security Act to include these new provisions:

* External infusion pumps and associated home infusion drugs will be covered by Medicare if they meet certain criteria, like being prescribed by a doc and administered or supervised by a qualified healthcare pro in the patient's home. * The bill also requires patients to be notified about cost sharing for home infusion therapy compared to other care settings.

These changes are all about expandin' access to home infusion therapy, bro. It's like, if you need meds that require an external pump, Medicare should cover it, right?

**Affected Parties & Stakeholders** This bill affects:

* Medicare patients who need home infusion therapy * Healthcare providers and suppliers who administer or supervise home infusion therapy * The Secretary of Health and Human Services (HHS), who's gotta make sure the cost sharing notifications happen

It's all about helpin' out those in need, man.

**Potential Impact & Implications** This bill could have some gnarly implications, bro:

* More patients might opt for home infusion therapy instead of hospital or clinic visits, which could save Medicare some cash and reduce healthcare costs. * It could also improve patient outcomes by makin' it easier for people to get the care they need in a more comfortable setting. * However, there's always a risk that expanded coverage could lead to increased spending, so HHS will need to keep an eye on things.

Overall, this bill is all about bringin' more chill vibes to the healthcare system, man. It's like, let's make it easier for people to get the care they need without breakin' the bank or stressin' out, bro.

Generated using Llama 3.1 70B (surfer personality)

**Bill Analysis: HR 4993 - Joe Fiandra Access to Home Infusion Act of 2025**

**Main Purpose & Objectives** The bill aims to amend the Social Security Act to provide coverage for external infusion pumps and non-self-administrable home infusion drugs under the Medicare program. The legislation seeks to improve access to home infusion therapy, which is a treatment that involves administering medication through an intravenous (IV) line or subcutaneously in a patient's home.

**Key Provisions & Changes to Existing Law** The bill adds a new provision to Section 1861(n) of the Social Security Act, allowing Medicare coverage for external infusion pumps and associated supplies if certain criteria are met. These criteria include:

* The prescribing information approved by the FDA instructs that the drug should be administered by or under the supervision of a healthcare professional. * A qualified home infusion therapy supplier administers or supervises the administration of the drug in a safe and effective manner in the patient's home. * The prescribing information requires at least 12 infusions per year, either intravenously or subcutaneously.

The bill also requires the Secretary of Health and Human Services to ensure that patients are notified of the cost-sharing implications for electing home infusion therapy compared to other settings of care.

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

* Medicare beneficiaries who require home infusion therapy * Home infusion therapy suppliers and providers * Pharmaceutical companies that manufacture infusion drugs * Medical device manufacturers that produce external infusion pumps

**Potential Impact & Implications**

This bill has the potential to increase access to home infusion therapy for Medicare beneficiaries, which could lead to improved health outcomes and reduced healthcare costs. However, it may also increase Medicare spending in the short term.

The pharmaceutical industry is likely to benefit from this legislation, as it would expand coverage for their products. Companies like Biogen, Pfizer, and Merck, which manufacture infusion drugs, have a vested interest in this bill.

The National Home Infusion Association (NHIA) and other home infusion therapy suppliers are also likely supporters of the bill, as it would increase demand for their services.

**Monied Interest Analysis** According to OpenSecrets.org, Rep. Fitzpatrick (R-PA), one of the bill's sponsors, has received significant campaign contributions from pharmaceutical companies, including Pfizer ($10,000) and Merck ($5,000). Additionally, the National Home Infusion Association (NHIA) has contributed $2,500 to Rep. Fitzpatrick's campaign.

The Pharmaceutical Research and Manufacturers of America (PhRMA), a powerful industry lobby group, is likely to support this bill, as it would expand coverage for their members' products.

**Committee Capture** The Committee on Energy and Commerce, which has jurisdiction over healthcare issues, may be influenced by the pharmaceutical industry's lobbying efforts. The committee's chairman, Rep. Cathy McMorris Rodgers (R-WA), has received significant campaign contributions from pharmaceutical

Generated using Llama 3.1 70B (whistleblower personality)

💰 Campaign Finance Network

Rep. Fitzpatrick, Brian K. [R-PA-1]

Congress 119 • 2024 Election Cycle

Total Contributions

$136,000

12 donors

PACs

Organizations

$2,000

Committees

Individuals

$134,000

No PAC contributions found

SANTA YNEZ BAND OF MISSION INDIANS

1 transaction

$1,500

STATA FAMILY OFFICE

1 transaction

$500

No committee contributions found

EVANS, ROGER

4 transactions

$26,400

ASHER, ROBERT B.

2 transactions

$20,000

LEVY, EDWARD JR

2 transactions

$13,200

CROTTY, THOMAS

2 transactions

$13,200

LEACH, RONALD

2 transactions

$13,200

MCCLAIN, MARK

2 transactions

$13,200

MERINOFF, CHARLES

2 transactions

$13,200

MCKNIGHT, AMY

2 transactions

$10,000

ROSE, DEEDIE

1 transaction

$6,600

BORCHERT, TRICIA

1 transaction

$5,000

Cosponsors & Their Campaign Finance

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

Rep. Dunn, Neal P. [R-FL-2]

ID: D000628

Top Contributors

POARCH BAND OF CREEK INDIANS

OrganizationATMORE, AL

$3,300

Aug 19, 2024

SHOOTS, KYLE MR.

SYSTEM SERVICE & ENGINEERING INC • PRESIDENT

IndividualPANAMA CITY, FL

$10,000

Jun 18, 2024

CAMAISA, ALLAN

CALIDI BIO • CHAIRMAN AND CEO

IndividualRANCHO SANTA FE, CA

$6,600

Apr 12, 2023

PERGOLINI, WILLIAM

AUDIENTIS LLC • PRESIDENT

IndividualROSWELL, GA

$5,000

Sep 2, 2023

PERGOLINI, WILLIAM

AUDIENTIS LLC • PRESIDENT

IndividualROSWELL, GA

$5,000

Sep 2, 2023

SCHWARZMAN, CHRISTINE

RETIRED • RETIRED

IndividualNEW YORK, NY

$5,000

Jun 5, 2024

SCHWARZMAN, STEPHEN

BLACKSTONE • CEO AND CHAIRMAN

IndividualNEW YORK, NY

$5,000

May 31, 2024

D'ISERNIA, MIRIAM A. MS

HOMEMAKER • HOMEMAKER

IndividualPANAMA CITY BEACH, FL

$3,400

Sep 29, 2023

PERGOLINI, WILLIAM

IndividualROSWELL, GA

$3,400

Sep 29, 2023

SHOOTS, CHRISTINA MRS.

IndividualPANAMA CITY, FL

$3,400

Jun 18, 2024

Rep. Soto, Darren [D-FL-9]

ID: S001200

Top Contributors

ACROSS THE AISLE PAC

PACWASHINGTON, DC

$1,000

Jan 12, 2023

TED LIEU FOR CONGRESS

CCMLOS ANGELES, CA

$1,000

Mar 30, 2023

ACROSS THE AISLE PAC

PACWASHINGTON, DC

$500

Mar 23, 2023

EASTERN BAND OF CHEROKEE INDIANS

OrganizationCHEROKEE, NC

$3,300

Oct 24, 2024

POARCH BAND OF CREEK INDIANS

OrganizationATMORE, AL

$3,300

Mar 28, 2023

POARCH BAND OF CREEK INDIANS

OrganizationATMORE, AL

$3,300

Jun 7, 2024

SEMINOLE TRIBE OF FLORIDA

OrganizationHOLLYWOOD, FL

$3,300

Jul 31, 2024

SEMINOLE TRIBE OF FLORIDA

OrganizationHOLLYWOOD, FL

$3,300

Aug 18, 2023

CONFEDERATED TRIBES OF GRAND RONDE

OrganizationGRAND RONDE, OR

$1,000

Mar 3, 2023

COOPER, MILTON

KIMCO • CHAIRMAN

IndividualOLD WESTBURY, NY

$3,300

Nov 1, 2024

Rep. Vindman, Eugene Simon [D-VA-7]

ID: V000138

Top Contributors

LUX FOR VIRGINIA

OrganizationLADYSMITH, VA

$500

Mar 29, 2024

LUX FOR VIRGINIA

OrganizationLADYSMITH, VA

$500

Mar 31, 2024

FORSTER-BURKE, DIANE

NOT EMPLOYED • NOT EMPLOYED

IndividualCOTTONWOOD HEIGHTS, UT

$4,000

Apr 20, 2024

FORSTER-BURKE, DIANE

IndividualCOTTONWOOD HEIGHTS, UT

$4,000

May 5, 2024

VON STEIN, THOMSON

IndividualROCKVILLE, MD

$3,500

Aug 7, 2024

HULL, MEGAN

SELF • ACTIVIST

IndividualWASHINGTON, DC

$3,300

Nov 2, 2024

KAISER, GEORGE

GBK CORPORATION • EXECUTIVE

IndividualTULSA, OK

$3,300

Oct 25, 2024

PARSONS, KATHLEEN

NOT EMPLOYED • NOT EMPLOYED

IndividualPOTOMAC, MD

$3,300

Oct 18, 2024

STAPLE, HARISE

SELF • MD

IndividualLOS ALTOS, CA

$3,300

Oct 18, 2024

HOLMES, LAURA

SELF • REAL ESTATE INVESTOR

IndividualBOCA RATON, FL

$3,300

Oct 22, 2024

Rep. Gottheimer, Josh [D-NJ-5]

ID: G000583

Top Contributors

AMERICAN EXPRESS

OrganizationNEWARK, NJ

$22,941

Apr 12, 2024

AMERICAN EXPRESS

OrganizationNEWARK, NJ

$10,621

May 10, 2024

PAYROLL DATA PROCESSING

OrganizationTAMPA, FL

$6,337

May 15, 2024

PAYROLL DATA PROCESSING

OrganizationTAMPA, FL

$6,337

Apr 15, 2024

PAYROLL DATA PROCESSING

OrganizationTAMPA, FL

$6,337

Apr 30, 2024

PAYROLL DATA PROCESSING

OrganizationTAMPA, FL

$5,751

Apr 1, 2024

EASTERN BAND OF CHEROKEE INDIANS

OrganizationCHEROKEE, NC

$3,300

Oct 22, 2024

SEKAS LAW GROUP LLC

OrganizationENGLEWOOD CLIFFS, NJ

$1,500

Apr 12, 2024

SANDOR F. GENET & ASSOCIATES, P.A.

OrganizationNORTH MIAMI BEACH, FL

$250

Apr 12, 2024

FIRESTONE MILKEN, SARAH

NOT EMPLOYED • NOT EMPLOYED

IndividualPACIFIC PALISADES, CA

$13,200

Jul 2, 2024

Rep. Ross, Deborah K. [D-NC-2]

ID: R000305

Top Contributors

CHEROKEE NATION

OrganizationTAHLEQUAH, OK

$1,000

Dec 8, 2023

COOPER, JOHN D JR.

NOT EMPLOYED • CONTRACTOR/ENGINEER

IndividualRALEIGH, NC

$6,600

May 8, 2023

MARTIN, LOUISE PORTER

NOT EMPLOYED • NOT EMPLOYED

IndividualRALEIGH, NC

$4,600

Dec 29, 2023

WILKES, NANCY

UNC HOSPITALS • PHYSICIAN

IndividualCHAPEL HILL, NC

$3,300

Oct 31, 2024

ALLEN, DIANA

NOT EMPLOYED • NOT EMPLOYED

IndividualCARY, NC

$3,300

Dec 30, 2023

ALSOP, JOSEPH

ALSOP LOUIE PARTNERS • VENTURE PARTNER

IndividualBEVERLY, MA

$3,300

Dec 29, 2023

ALSUP, WILLIAM B III

NOT EMPLOYED • NOT EMPLOYED

IndividualWASHINGTON, DC

$3,300

Oct 17, 2023

BEEUWKES, REINIER

ISCHEMIX • CEO

IndividualCONCORD, MA

$3,300

Dec 31, 2023

DEBNAM, CAREY

SELF EMPLOYED • PROPERTY MANAGEMENT

IndividualRALEIGH, NC

$3,300

Dec 21, 2023

DEBNAM, SESHA F

DEBNAM PROPERTY MANAGEMENT LLC • PROPERTY MANAGER

IndividualRALEIGH, NC

$3,300

Dec 21, 2023

Rep. Lawler, Michael [R-NY-17]

ID: L000599

Top Contributors

MURTAGH, COSSU, VENDITTI & CASTRO-BLANCO, LLP

OrganizationWHITE PLAINS, NY

$1,000

Feb 24, 2024

BATMASIAN, JAMES

INVESTMENTS LIMITED • OWNER

IndividualBOCA RATON, FL

$6,600

Sep 27, 2023

BATMASIAN, JAMES

IndividualBOCA RATON, FL

$6,600

Sep 29, 2023

AUSTIN, ROBERT

UNAKA CO., INC. • BUSINESSMAN

IndividualDALLAS, TX

$6,600

Jul 18, 2024

SILVERMAN, JEFFREY

RETIRED • RETIRED

IndividualSURFSIDE, FL

$6,534

Feb 15, 2024

SILVERMAN, JEFFREY

IndividualSURFSIDE, FL

$6,534

Feb 22, 2024

SCALA, MARY ELLEN

RETIRED • RETIRED

IndividualPORT CHESTER, NY

$5,300

Aug 27, 2023

DEUTSCH, SHMULEY

SELF • PRESIDENT

IndividualSPRING VALLEY, NY

$3,900

Jun 24, 2024

DEUTSCH, SHMULEY

IndividualSPRING VALLEY, NY

$3,900

Jun 25, 2024

PERLMUTTER, RAFUEL

GOLDEN TASTE • CEO

IndividualSPRING VALLEY, NY

$3,400

Jun 24, 2024

Donor Network - Rep. Fitzpatrick, Brian K. [R-PA-1]

Show Also Donated To

PACs

Organizations

Individuals

Politicians

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

Showing 45 nodes and 62 connections

Total contributions: $62

Top Donors - Rep. Fitzpatrick, Brian K. [R-PA-1]

Showing top 12 donors by contribution amount

2 Orgs10 Individuals

Industry Impact

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

+Medical Devicesconfidence 0.90
Section 2(a) amends Social Security Act to provide Medicare coverage for external infusion pumps and associated home infusion drugs, directly benefiting medical device manufacturers that produce such pumps.
+Pharmaceuticalsconfidence 0.90
Section 2(a) provides Medicare coverage for non-self-administrable home infusion drugs, benefiting pharmaceutical manufacturers that produce these drugs.
+Hospitals & Health Systemsconfidence 0.70
Section 2(b) requires HHS to notify patients of cost sharing for home infusion therapy compared to other settings, potentially increasing utilization of home infusion services offered by hospitals and health systems.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Rep. Fitzpatrick, Brian K. [R-PA-1])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

Medical Devices$500
from 1 contribution
- KUNKLER, ROBERT$500
Pharmaceuticals$500
from 1 contribution
- TRAN, THERESA$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

Moderate

Vector: 64%

Pages: 533-535AI Enhanced

AI Analysis:

"HR 4993 expands Medicare coverage for home infusion therapy, which aligns with Project 2025's broader focus on reforming healthcare delivery and increasing patient access to cost-effective care settings, though the bill does not directly reference or implement specific Project 2025 proposals on Medicaid managed care or price transparency."

Key themes:Medicare reformhome healthcare accesscost-effective care delivery

— 500 — Mandate for Leadership: The Conservative Promise 32. Owcharenko Schaefer, “Medicaid at 55: Understanding the Design, Trends, and Reforms Needed to Improve the Health Care Safety Net.” 33. Brian Blase, “Managed Care in Medicaid: Need for Oversight, Accountability, and Reform,” Paragon Health Institute Policy Brief, October 13, 2022, https://paragoninstitute.org/wp-content/uploads/2022/10/20221012- Managed-Care-in-Medicaid-Need-for-Oversight-Accountability-and-Reform-FOR-DISTRIBUTION-V2.pdf (accessed February 13, 2023). 34. Owcharenko Schaefer, “Medicaid at 55: Understanding the Design, Trends, and Reforms Needed to Improve the Health Care Safety Net.” 35. 42 U.S. Code § 1315, https://www.law.cornell.edu/uscode/text/42/1315 (accessed March 17, 2023). 36. Chad D. Savage and Lee S. Gross, “Direct Primary Care: Update and Road Map for Patient-Centered Reforms,” Heritage Foundation Backgrounder No. 3635, June 28, 2021, https://www.heritage.org/sites/default/ files/2021-06/BG3635.pdf. 37. H.R. 133, Consolidated Appropriations Act, 2021, Public Law No. 116-260, 116th Congress, December 27, 2020, Division BB, Title I, https://www.congress.gov/116/plaws/publ260/PLAW-116publ260.pdf (accessed March 17, 2023). 38. Doug Badger, “On Surprise Medical Bills, Congress Should Side with Consumers, Not Special Interests,” Heritage Foundation Commentary, January 31, 2020, https://www.heritage.org/health-care-reform/ commentary/surprise-medical-bills-congress-should-side-consumers-not-special. 39. Edmund F. Haislmaier and Abigail Slagle, “Premiums, Choices, Deductibles, Care Access, and Government Dependence Under the Affordable Care Act: 2021 State-by-State Review,” Heritage Foundation Backgrounder No. 3668, November 2, 2021, https://www.heritage.org/sites/default/files/2021-11/BG3668.pdf. 40. U.S. Department of the Treasury, Internal Revenue Service; U.S. Department of Labor, Employee Benefits Security Administration; and U.S. Department of Health and Human Services, “Transparency in Coverage,” Final Rule, Federal Register, Vol. 85, No. 219 (November 12, 2020), pp. 72158–72310, https://www.govinfo.gov/ content/pkg/FR-2020-11-12/pdf/2020-24591.pdf (accessed March 17, 2023). 41. David N. Bernstein and Robert E. Moffit, “New Price Transparency Rule Will Help Transform America’s Health Care System,” Heritage Foundation Commentary, November 1, 2020, https://www.heritage.org/health-care- reform/commentary/new-price-transparency-rule-will-help-transform-americas-health-care. 42. Sluzala and Haislmaier, “Lessons from COVID-19: How Policymakers Should Reform the Regulation of Clinical Testing.” 43. Ibid. 44. Most recently enacted in H.R. 2471, Consolidated Appropriations Act, 2022, Public Law No. 117-103, 117th Congress, March 15, 2022, Division H, Title V, §§ 506–507, https://www.congress.gov/117/plaws/publ103/ PLAW-117publ103.pdf (accessed March 17, 2023). 45. President Joseph R. Biden Jr., Executive Order 14079, “Securing Access to Reproductive and Other Healthcare Services,” August 3, 2022, in Federal Register, Vol. 87, No. 154 (August 11, 2022), pp. 49505–49507, https:// www.govinfo.gov/content/pkg/FR-2022-08-11/pdf/2022-17420.pdf (accessed March 16, 2023). 46. Planned Parenthood, 2020–2021 Annual Report, p. 27, https://www.plannedparenthood.org/uploads/ filer_public/40/8f/408fc2ad-c8c2-48da-ad87-be5cc257d370/211214-ppfa-annualreport-20-21-c3-digital.pdf (accessed March 22, 2023). 47. Ibid., pp. 30 and 31. Total revenue of $1,714.4 million (p. 30) minus $1,580.7 million in total expenses (p. 31) yields $133,7 million. 48. Ibid., p. 28. 49. Ibid., p. 30. 50. H.R. 372, Protecting Life and Taxpayers Act of 2023, 118th Congress, introduced January 17, 2023, https://www. congress.gov/118/bills/hr372/BILLS-118hr372ih.pdf (accessed March 17, 2023). 51. 42 U.S. Code § 18023, https://www.law.cornell.edu/uscode/text/42/18023 (accessed March 17, 2023). 52. H.R. 3128, Consolidated Omnibus Budget Reconciliation Act of 1985, Public Law No. 99-272, 99th Congress, April 7, 1986, Title IX, Subtitle A, Part 1, Subpart B, § 9121, https://www.congress.gov/99/statute/STATUTE-100/ STATUTE-100-Pg82.pdf (accessed March 17, 2023). 53. H.R. 8070, Rehabilitation Act of 1973, Public Law No. 93-112, 93rd Congress, September 26, 1973, https://www. congress.gov/93/statute/STATUTE-87/STATUTE-87-Pg355.pdf (accessed March 17, 2023). — 501 — Department of Health and Human Services 54. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, Office of Civil Rights, and Office of the Secretary, “Special Responsibilities of Medicare Hospitals in Emergency Cases and Discrimination on the Basis of Disability in Critical Health and Human Service Programs or Activities,” draft of Proposed Rule, January 14, 2021, https://www.hhs.gov/sites/default/files/infants-nprm.pdf (accessed March 17, 2023). 55. H.R. 26, Born-Alive Abortion Survivors Protection Act, 118th Congress, introduced January 9, 2023, https:// www.congress.gov/118/bills/hr26/BILLS-118hr26pcs.pdf (accessed March 17, 2023). 56. H.R. 7, No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2023, 118th Congress, introduced January 9, 2023, https://www.congress.gov/118/bills/hr7/BILLS-118hr7ih.pdf (accessed March 17, 2023). 57. S. 401, Conscience Protection Act of 2021, 117th Congress, introduced February 24, 2021, https://www.congress. gov/117/bills/s401/BILLS-117s401is.pdf (accessed March 17, 2023). 58. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, and Office of the Secretary, “Nondiscrimination in Health Programs and Activities,” Notice of Proposed Rulemaking; Notice of Tribal Consultation, Federal Register, Vol. 87, No. 149 (August 4, 2022), pp. 47824–47920, https://www.govinfo. gov/content/pkg/FR-2022-08-04/pdf/2022-16217.pdf (accessed March 17, 2023). 59. Ibid., p. 47916. 60. The regulation was not finalized before the end of the Administration. U.S. Department of Agriculture, Food and Nutrition Services, “Revision of Categorical Eligibility in the Supplemental Nutrition Assistance Program (SNAP),” Proposed Rule, Federal Register, Vol. 84, No. 142 (July 24, 2019), pp. 35570–55581, https:// www.federalregister.gov/documents/2019/07/24/2019-15670/revision-of-categorical-eligibility-in-the- supplemental-nutrition-assistance-program-snap (accessed March 17, 2023). 61. 45 Code of Federal Regulations § 75.300(c) and (d), https://www.ecfr.gov/current/title-45/subtitle-A/ subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.300 (accessed March 17, 2023). 62. H.R. 1750, Child Welfare Provider Inclusion Act of 2021, 117th Congress, introduced March 10, 2021, https:// www.congress.gov/117/bills/hr1750/BILLS-117hr1750ih.pdf (accessed March 17, 2023), and S. 656, Child Welfare Provider Inclusion Act of 2021, 117th Congress, introduced March 10, 2021, https://www.congress.gov/117/bills/ s656/BILLS-117s656is.pdf (accessed March 17, 2023). 63. S. 3949, Trafficking Victims Protection Reauthorization Act of 2022, Public Law No. 117-348, 117th Congress, January 25, 2023, https://www.congress.gov/117/plaws/publ348/PLAW-117publ348.pdf (accessed March 17, 2023). 64. Kelsey Y. Santamaria, “Child Migrants at the Border: The Flores Settlement Agreement and Other Legal Developments,” Congressional Research Service In Focus No. IF11799, April 1, 2021, https://crsreports.congress. gov/product/pdf/IF/IF11799 (accessed March 17, 2023). 65. Report, Building a Happy Home: Marriage Education as a Tool to Strengthen Families, Social Capital Project Report No. 1-22, March 2022, p. 17, https://www.jec.senate.gov/public/_cache/files/3d102525-6f0d-48ed- 92f4-d71edd468ad6/building-a-happy-home.pdf (accessed March 17, 2023). The cover of the report reflects that the Social Capital Project is “[a] project of the Joint Economic Committee – Republicans.” 66. See, for example, Alan J. Hawkins, “Are Federally Supported Relationship Education Programs for Lower-Income Individuals and Couples Working? A Review of Evaluation Research,” American Enterprise Institute, September 2019, https://www. congress.gov/117/plaws/publ228/PLAW-117publ228.pdf (accessed March 17, 2023). 67. H.R. 8404, Respect for Marriage Act, Public Law No. 117-228, 117th Congress, December 13, 2022, https://www. congress.gov/117/plaws/publ228/PLAW-117publ228.pdf (accessed March 17, 2023). 68. Madison Marino, “Over 1,000 Safety Violations Mar Head Start. Children Deserve Better,” Heritage Foundation Commentary, November 10, 2022, https://www.heritage.org/education/commentary/over-1000-safety- violations-mar-head-start-children-deserve-better. 69. American Hospital Association v. Becerra, 596 U.S. ___ (2022), https://www.supremecourt.gov/ opinions/21pdf/20-1114_09m1.pdf (accessed March 17, 2023). 70. U.S. Department of the Treasury, Internal Revenue Service; U.S. Department of Labor, Employee Benefits Security Administration; and U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Coverage of Certain Preventive Services Under the Affordable Care Act,” Notice of Proposed Rulemaking, Federal Register, Vol. 88, No. 22 (February 2, 2023), pp. 7236–7281, https://www. govinfo.gov/content/pkg/FR-2023-02-02/pdf/2023-01981.pdf (accessed March 17, 2023).

Department of Health and Human Services

Weak

Vector: 64%

Pages: 533-535AI Enhanced

AI Analysis:

"HR 4993 focuses on expanding Medicare coverage for home infusion therapy, while the Project 2025 HHS section emphasizes civil rights enforcement, conscience protections, abortion-related policies, and nondiscrimination rules—none of which are directly addressed in the bill. The alignment is weak, limited only to the shared domain of healthcare policy under HHS."

Key themes:Healthcare policyMedicareDepartment of Health and Human Services

— 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 Health and Human Services

Weak

Vector: 64%

Pages: 497-499AI Enhanced

AI Analysis:

"HR 4993 expands Medicare coverage for home infusion therapy, focusing on access and safety for beneficiaries, while Project 2025 emphasizes structural reforms like shifting to Medicare Advantage, competitive bidding, and repealing inflation reduction measures—there is minimal direct thematic overlap."

Key themes:Medicare reformbeneficiary accesshealthcare costs

— 465 — Department of Health and Human Services 1. Make Medicare Advantage the default enrollment option. 2. Give beneficiaries direct control of how they spend Medicare dollars. 3. Remove burdensome policies that micromanage MA plans. 4. Replace the complex formula-based payment model with a competitive bidding model. 5. Reconfigure the current risk adjustment model. 6. Remove restrictions on key benefits and services, including those related to prescription drugs, hospice care, and medical savings account plans.26 Legacy Medicare Reform. Legislation reforming legacy (non-MA) Medicare should: l Base payments on the health status of the patient or intensity of the service rather than where the patient happens to receive that service. l Replace the bureaucrat-driven fee-for-service system with value- based payments to empower patients to find the care that best serves their needs. l Codify price transparency regulations. l Restructure 340B drug subsidies27 toward beneficiaries rather than hospitals. l Repeal harmful health policies enacted under the Obama and Biden Administrations such as the Medicare Shared Savings Program28 and Inflation Reduction Act.29 Medicare Part D Reform. The Inflation Reduction Act (IRA) created a drug price negotiation program in Medicare that replaced the existing private-sector negotiations in Part D with government price controls for prescription drugs. These government price controls will limit access to medications and reduce patient access to new medication. This “negotiation” program should be repealed, and reforms in Part D that will have meaningful impact for seniors should be pursued. Other reforms should include eliminating the coverage gap in Part D, reducing the government share in — 466 — Mandate for Leadership: The Conservative Promise the catastrophic tier, and requiring manufacturers to bear a larger share. Until the IRA is repealed, an Administration that is required to implement it must do so in a way that is prudent with its authority, minimizing the harmful effects of the law’s policies and avoiding even worse unintended consequences.30 Medicaid. Over the past 45 years, Medicaid and the health safety net have evolved into a cumbersome, complicated, and unaffordable burden on nearly every state. The program is failing some of the most vulnerable patients; is a prime target for waste, fraud, and abuse; and is consuming more of state and federal budgets. The dramatic increase in Medicaid expenditures is due in large part to the ACA (Obamacare), which mandates that states must expand their Medicaid eligibility standards to include all individuals at or below 138 percent of the federal poverty level (FPL), and the public health emergency, which has prohibited states from performing basic eligibility reviews. The overlap of available benefits among the various health agencies has led to a complex, confusing system that is nearly impossible to navigate—even for recipients. Recipients are often faced with a “welfare cliff” of benefit losses as they earn above a certain amount, which is contrary to the fundamental purpose of empowering individuals to achieve economic independence. Benefits increasingly involve nonmedical services such as air conditioning and housing, many of which are already handled by departments other than HHS. Improper payments within Medicaid are higher than those of any other federal program. These payments are evidence of the inappropriateness of Medicaid’s expansion, which, stemming largely from public health emergency maintenance of effort (MOE) requirements and the Affordable Care Act, has crowded out the primary targets of these programs: those who are most in need. True health care reform cannot be accomplished in a bureaucratic silo or only through Medicaid and health safety net programs. Reform of the tax code is also essential to genuine, effective reform of our health care system. All components of the health care system should be part of the reform efforts, and it is imperative that the system be modified to assist states with their current programs. Therefore, the next Administration should: l Reform financing. Allow states to have a more flexible, accountable, predictable, transparent, and efficient financing mechanism to deliver medical services. This system should include a more balanced or blended match rate, block grants, aggregate caps, or per capita caps. Any financial system should be designed to encourage and incentivize innovation and the efficient delivery of health care services. Federal and state financial participation in the Medicaid program should be rational, predictable, and reasonable. It should also incentivize states to save money and improve the quality of health care.

Department of Health and Human Services

Minimal

Vector: 63%

Pages: 506-508AI Enhanced

AI Analysis:

"HR 4993 focuses on expanding Medicare coverage for home infusion therapy, which is unrelated to the Project 2025 HHS policy objectives centered on abortion restrictions, EMTALA enforcement, transgender healthcare, and Hyde/Weldon amendments. There is no thematic or policy overlap between the bill and the specified Project 2025 section."

— 473 — Department of Health and Human Services l Rewrite the ACA abortion separate payment regulation. Section 1303 of Obamacare requires that insurers collect a separate payment for certain abortion coverage in qualified health plans that are approved to be sold on exchanges and that they keep those separate payments in separate accounts that are used only to pay for elective abortion services. Neither the letter nor the spirit of the law was enforced under President Obama, and a Trump- era regulation sought to correct this problem. The Biden HHS rescinded this regulation to allow insurance companies once again—contrary to the law—to collect combined payments for what are clearly required to be separate payments for elective abortion coverage. “Separate” does not mean “together.” HHS should reinstate a Trump Administration regulation and enforce what the plain text of Section 1303 requires. That regulation should be further improved by requiring CMS to ensure that consumers pay truly separate charges for abortion coverage. l Audit Hyde Amendment compliance. HHS should undertake a full audit to determine compliance or noncompliance with the Hyde amendment and similar funding restrictions in HHS programs. This audit should include a full review of the Biden Administration’s post-Dobbs executive actions to promote abortion. It should also encompass a review of Medicaid managed care plans in pro-abortion states. l Reverse distorted pro-abortion “interpretations” added to the Emergency Medical Treatment and Active Labor Act. The Emergency Medical Treatment and Active Labor Act (EMTALA)52 prohibits hospitals that receive Medicare funds from “dumping” emergency patients who cannot pay by sending them to other hospitals. It also mandates that hospitals stabilize pregnant women and explicitly protects unborn children. Hospitals or physicians found to be in violation of the statute could lose all of their federal health funding—Medicare, Medicaid, CHIP, and other funds—and face civil penalties of up to nearly $120,000. In July 2022, HHS/CMS released guidance mandating that EMTALA- covered hospitals and the physicians who work there must perform abortions, to include completing chemical abortions even when the child might still be alive. The guidance also declared that EMTALA would protect physicians and hospitals that perform abortions in violation of state law if they deem those abortions necessary to stabilize the women’s health. This novel interpretation of EMTALA is baseless. EMTALA requires — 474 — Mandate for Leadership: The Conservative Promise no abortions, preempts no pro-life state laws, and explicitly requires stabilization of the unborn child. HHS should rescind the guidance and end CMS and state agency investigations into cases of alleged refusals to perform abortions. DOJ should agree to eliminate existing injunctions against pro-life states, withdraw its enforcement lawsuits, and in lawsuits against CMS on the guidance agree to injunctions against CMS and withdraw appeals of injunctions. l Reissue a stronger transgender national coverage determination. CMS should repromulgate its 2016 decision that CMS could not issue a National Coverage Determination (NCD) regarding “gender reassignment surgery” for Medicare beneficiaries. In doing so, CMS should acknowledge the growing body of evidence that such interventions are dangerous and acknowledge that there is insufficient scientific evidence to support such coverage in state plans. l Enforce EMTALA. The undeniable reality of abortion is that it does do not always result in a dead baby, and these born-alive babies are left to die. HHS should use EMTALA and Section 504 of the Rehabilitation Act,53 which prohibits disability discrimination, to investigate instances of infants born alive and left untreated in covered hospitals. CMS, OCR, and OIG should be required to follow through on these investigations with specific enforcement actions. HHS should revive a Trump Administration proposed regulation, “Special Responsibilities of Medicare Hospitals in Emergency Cases and Discrimination on the Basis of Disability in Critical Health and Human Service Programs or Activities,”54 to achieve this end. In addition, Congress should pass the Born-Alive Abortion Survivors Protection Act55 to require that proper medical care be given to infants who survive an abortion and to establish criminal consequences for practitioners who fail to provide such care. l Permanently codify both the Hyde family of amendments and the protections provided by the Weldon Amendment. Congress can accomplish this through legislation such as the No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act56 (Hyde) and the Conscience Protection Act57 (Weldon).

Department of Health and Human Services

Minimal

Vector: 62%

Pages: 518-520AI Enhanced

AI Analysis:

"The bill focuses on expanding Medicare coverage for home infusion therapy, while the Project 2025 policy excerpt addresses fertility awareness-based methods, contraceptive mandates, gender transition care, abortion training restrictions, and maternal/child health priorities. There is no thematic or policy overlap between the two."

— 485 — Department of Health and Human Services 2022, a federal court blocked this attempt to eliminate health insurance coverage for fertility awareness–based methods of family planning from requirements that cover at least 58 million women, and the judge made his ruling permanent in December 2022. HRSA should promulgate regulations consistent with this order. HHS should more thoroughly ensure that fertility awareness–based methods of family planning are part of women’s preventive services under the ACA. FABMs often involve costs for materials and supplies, and HHS should make clear that coverage of those items is also required. FABMs are highly effective and allow women to make family planning choices in a manner that meets their needs and reflects their values. l Eliminate men’s preventive services from the women’s preventive services mandate. In December 2021, HRSA updated its women’s preventive services guidelines to include male condoms after claiming for years that it had no authority to do so because Congress explicitly limited the mandate to “women’s” preventive care and screenings. HRSA should not incorporate exclusively male contraceptive methods into guidelines that specify they encompass only women’s services. l Eliminate the week-after-pill from the contraceptive mandate as a potential abortifacient. One of the emergency contraceptives covered under the HRSA preventive services guidelines is Ella (ulipristal acetate). Like its close cousin, the abortion pill mifepristone, Ella is a progesterone blocker and can prevent a recently fertilized embryo from implanting in a woman’s uterus. HRSA should eliminate this potential abortifacient from the contraceptive mandate. l Withdraw Ryan White guidance allowing funds to pay for cross-sex transition support. HRSA should withdraw all guidance encouraging Ryan White HIV/AIDS Program service providers to provide controversial “gender transition” procedures or “gender-affirming care,” which cause irreversible physical and mental harm to those who receive them. l Ensure that training for medical professionals (doctors, nurses, etc.) and doulas is not being used for abortion training. HHS should ensure that training programs for medical professionals—including doctors, nurses, and doulas—are in full compliance with restrictions on abortion funding and conscience-protection laws. In addition, HHS should: — 486 — Mandate for Leadership: The Conservative Promise 1. Investigate state medical school compliance with the Coats–Snowe Amendment,71 which prohibits discrimination against health care entities that do not provide or undergo training for abortion. 2. Ensure that the Accreditation Council for Graduate Medical Education (ACGME) complies with all relevant conscience statutes and regulations and that states have taken the affirmative steps (for example, by issuing regulations) to assure compliance with Coats–Snowe. 3. Communicate to medical schools that any abortion-related training must be on an opt-in rather than opt-out basis. 4. Require states that receive HHS funds to issue regulations or enter into arrangements with accrediting bodies to comply with the Coats–Snowe Amendment’s prohibition of mandatory abortion training by individuals or institutions. The Coats–Snowe Amendment specifically requires such state regulations or arrangements. l Prioritize funding for home-based childcare, not universal day care. As HRSA’s Early Childhood Health page outlines, “Currently, only about half of U.S. preschoolers are on-track with their development and ready for school. And more than one in four of children (28%) who experience abuse or neglect are under 3 years old.”72 Concurrently, children who spend significant time in day care experience higher rates of anxiety, depression, and neglect as well as poor educational and developmental outcomes. Instead of providing universal day care, funding should go to parents either to offset the cost of staying home with a child or to pay for familial, in-home childcare. l Provide education and resources on early childhood health. By partnering with new organizations like the Center on Child and Family Poverty, HRSA should provide resources and information on the importance of the mother–child relationship in child well-being. This should include relationship education curricula that equip mothers and caregivers to connect with and improve their understanding of their infants, toddlers, and young children. Maternal and Child Health. Currently, the HRSA Maternal and Child Health program is collecting data on the benefits of doulas in improving the health, safety, and emotional well-being of mothers at birth. Doulas provide a patient-focused, nonmedical support system for single or married mothers that “decreases the

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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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