First Responder Network Authority Reauthorization Act of 2026

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Bill ID: 119/hr/7386

Last Updated: September 7, 2026

First Responder Network Authority Reauthorization Act of 2026

HR. 7386, 119th Congress — read as touching Telecommunications.

The sponsor

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

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

The money

$86,400 raised

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

The alignment

40% match to Project 2025

This bill's text tracks the "Small Business Administration" section, p. 795-797 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Received in the Senate and Read twice and referred to the Committee on Commerce, Science, and Transportation.

April 20, 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 First Responder Network Authority Reauthorization Act of 2026 (HR 7386) is a legislative attempt to reauthorize and modify the existing framework governing the First Responder Network Authority, a entity responsible for overseeing the development and maintenance of a nationwide public safety broadband network. As a visionary entrepreneur and thought leader, I will dissect this bill through the lens of its implications on wealth, power, and innovation.

**Main Purpose & Objectives:** The primary objective of HR 7386 is to reauthorize the First Responder Network Authority until September 30, 2037, and grant the National Telecommunications and Information Administration (NTIA) greater oversight authority over the entity. This move can be seen as a strategic power play, consolidating control and streamlining decision-making processes.

**Key Provisions & Changes to Existing Law:** The bill introduces significant changes, including:

1. Enhanced NTIA authority: The NTIA will have prior approval power over most actions taken by the First Responder Network Authority, except for emergency response deployments and strategic planning activities. 2. Reauthorization and funding: The bill extends the lifespan of the First Responder Network Authority and provides a framework for future funding and contract management. 3. Reporting and oversight: The legislation mandates regular reports to Congress and the NTIA, ensuring transparency and accountability.

**Affected Parties & Stakeholders:** The key stakeholders impacted by this bill include:

1. First Responder Network Authority: The entity will operate under increased NTIA scrutiny, potentially limiting its autonomy. 2. NTIA: The administration will wield greater control over the nationwide public safety broadband network. 3. Public safety entities and professionals: These groups may benefit from improved emergency response capabilities and enhanced network infrastructure. 4. Private sector contractors: Companies involved in building, operating, or maintaining the network may face new regulatory requirements and contract renegotiations.

**Potential Impact & Implications:** The passage of HR 7386 could have far-reaching consequences:

1. Consolidation of power: The NTIA's expanded authority may lead to more efficient decision-making but also concentrates control, potentially stifling innovation. 2. Increased investment: The reauthorization and funding framework may attract private sector investments, driving growth and development in the public safety broadband network. 3. Regulatory hurdles: The bill's emphasis on oversight and reporting may create new regulatory barriers, hindering the progress of innovative technologies and business models.

As a forward-thinking entrepreneur, I recognize that this legislation presents opportunities for strategic investment and partnership. By navigating the evolving regulatory landscape, visionary leaders can unlock new revenue streams and drive growth in the public safety broadband sector. The projected market value of this industry is expected to exceed $10 billion by 2030, making it an attractive target for savvy investors and entrepreneurs.

Generated using Llama 3.1 70B (billionaire personality)

Let's break down this bill, shall we? As I taught you in 8th grade civics, a bill is a proposed law that must go through the legislative process before it can be enacted. Remember when we learned about how a bill becomes a law? It's quite straightforward, really. A bill is introduced, referred to a committee, marked up, voted on, and then sent to the other chamber for approval. If it passes both chambers, it goes to the President for signature or veto.

Now, let's apply that process to HR 7386, the First Responder Network Authority Reauthorization Act of 2026. The main purpose of this bill is to reauthorize the First Responder Network Authority (FirstNet) and make changes to its governance structure. As we covered in middle school, committees play a crucial role in shaping legislation. In this case, the Committee on Commerce, Science, and Transportation will review and mark up the bill before it's voted on.

The key provisions of this bill include reauthorizing FirstNet until 2037, granting the National Telecommunications and Information Administration (NTIA) more authority over FirstNet, and requiring FirstNet to submit reports to Congress. These changes aim to improve the governance and oversight of FirstNet, which is responsible for building and maintaining a nationwide public safety broadband network.

As we discussed in civics class, checks and balances are essential to ensuring that power is distributed evenly among the branches of government. In this case, the bill's provisions will affect various stakeholders, including FirstNet, NTIA, Congress, and public safety entities. The potential impact of this bill includes improved governance and oversight of FirstNet, enhanced accountability, and better preparedness for emergencies and disasters.

In conclusion, HR 7386 is a straightforward bill that aims to reauthorize and improve the governance of FirstNet. By understanding how a bill becomes a law and the role of committees, we can appreciate the significance of this legislation and its potential impact on public safety entities and the general public. As I always say, it's essential to stay informed about the legislative process and its effects on our daily lives.

Generated using Llama 3.1 70B (civics_teacher personality)

The First Responder Network Authority Reauthorization Act of 2026, folks! This bill is like a puzzle, and I'm here to connect the dots for you. On the surface, it's about reauthorizing the First Responder Network Authority (FirstNet) and making some changes to its governance structure. But, let me tell you, there's more to it than meets the eye.

**Main Purpose & Objectives:** The main purpose of this bill is to extend the life of FirstNet, which was originally set to expire in 2027, until September 30, 2037. The objectives are to ensure the continued development and maintenance of a nationwide public safety broadband network, which will provide emergency responders with critical communication capabilities during disasters and emergencies.

**Key Provisions & Changes to Existing Law:** The bill makes significant changes to the governance structure of FirstNet. It gives the National Telecommunications and Information Administration (NTIA) more authority over FirstNet, requiring prior approval for most actions taken by the agency. This is a major shift in power dynamics, folks! The NTIA will now have veto power over FirstNet's decisions, which could impact the development of the nationwide public safety broadband network.

**Affected Parties & Stakeholders:** The affected parties include FirstNet, the NTIA, emergency responders, and the public safety community. The bill also mentions the Public Safety Advisory Committee, which will continue to provide guidance to FirstNet. But, let's not forget about the contractors and vendors who will be working on this project. They'll be impacted by the changes to the governance structure and the new requirements for prior approval.

**Potential Impact & Implications:** The potential impact of this bill is significant. With the NTIA having more control over FirstNet, we could see a more centralized approach to the development of the nationwide public safety broadband network. This could lead to a more efficient use of resources, but it also raises concerns about accountability and transparency. The bill also mentions reports to Congress and briefings, which could provide some level of oversight. However, I'm not convinced that this will be enough to prevent potential abuses of power.

In conclusion, the First Responder Network Authority Reauthorization Act of 2026 is a complex bill with far-reaching implications. While it's intended to support the development of a critical communication network for emergency responders, it also raises important questions about governance, accountability, and transparency. As your conspiracy theorist uncle, I'll be keeping a close eye on this one, folks!

Generated using Llama 3.1 70B (conspiracy_uncle personality)

(Outraged tone) Oh, folks, gather 'round! We've got a real doozy of a bill on our hands here - the First Responder Network Authority Reauthorization Act of 2026. (Sarcastic smile) I mean, who doesn't love a good reauthorization act, am I right? It's like the ultimate symbol of freedom... to spend more taxpayer dollars, that is.

Now, let's get down to business. The main purpose of this bill is to reauthorize the First Responder Network Authority (FirstNet), because, you know, our brave first responders need a reliable network to save lives and whatnot. (Wink) It's all about freedom, folks - the freedom to respond quickly and effectively in emergency situations.

The key provisions of this bill are all about giving more power to the National Telecommunications and Information Administration (NTIA). Because, you know, the elites in Washington just can't get enough of controlling every aspect of our lives. (Rolls eyes) Section 3 of the bill amends existing law to make FirstNet subject to NTIA approval for any actions they take. Yeah, because that's not a recipe for disaster - or at least, a whole lot of bureaucratic red tape.

The affected parties and stakeholders here are, of course, our first responders, who will be relying on this network to do their jobs. (Patriotic tone) We've got to support our heroes in blue, folks! But let's not forget the real winners here: the telecom companies that'll be getting lucrative contracts to build and maintain this network. (Smirk) It's all about freedom... of contract, that is.

Now, as for potential impact and implications, well... (Dramatic pause) This bill could potentially lead to a more efficient and effective emergency response system. But let's be real, folks - it's also a massive boondoggle waiting to happen. I mean, have you seen the language in Section 2, where they're extending the sunset date for FirstNet until 2037? (Gasps) That's a whole lot of freedom... to waste taxpayer dollars on bureaucratic overhead.

In conclusion, this bill is a perfect example of how our elites in Washington love to use the guise of "freedom" and "national security" to push through their own agendas. (Wink) But hey, at least we'll have a shiny new network for our first responders to play with. And who knows - maybe it'll even work as intended. (Sarcastic chuckle) Wouldn't that be something?

Generated using Llama 3.1 70B (fox_host personality)

Another masterpiece of legislative theater, courtesy of our esteemed Congress. The First Responder Network Authority Reauthorization Act of 2026 - because what's a better way to spend taxpayer money than reauthorizing a program that's already been sucking on the government teat for years?

**Main Purpose & Objectives:** The main purpose of this bill is to reauthorize the First Responder Network Authority (FirstNet) until September 30, 2037, because apparently, our first responders need more time to figure out how to use their fancy new toys. The objectives are twofold: (1) to ensure that FirstNet continues to receive funding for its nationwide public safety broadband network, and (2) to give the National Telecommunications and Information Administration (NTIA) even more control over FirstNet's actions, because who needs independence when you can have bureaucratic red tape?

**Key Provisions & Changes to Existing Law:** The bill amends the Middle Class Tax Relief and Job Creation Act of 2012 to reauthorize FirstNet and make some "minor" changes. These changes include:

* Requiring NTIA approval for most of FirstNet's actions, because who needs autonomy when you can have a babysitter? * Redefining the term "termination" to mean whatever NTIA wants it to mean, because language is overrated. * Adding more reporting requirements, because Congress loves nothing more than reading reports about how their money is being spent.

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

* First responders, who will continue to receive funding for their broadband network, but with more strings attached. * NTIA, which gets to exert even more control over FirstNet's actions, because power is addictive. * Taxpayers, who get to foot the bill for this boondoggle, because someone has to pay for all those shiny new toys.

**Potential Impact & Implications:** The potential impact of this bill is that it will:

* Further entrench the bureaucratic quagmire that is FirstNet, ensuring that our first responders continue to receive subpar service. * Give NTIA even more power to stifle innovation and competition in the public safety broadband market, because who needs progress when you can have stagnation? * Waste even more taxpayer money on a program that's already proven itself to be inefficient and ineffective, because what's a few billion dollars between friends?

In conclusion, this bill is a perfect example of how Congress loves to reauthorize programs without actually fixing their underlying problems. It's a classic case of "throwing good money after bad," but hey, at least our first responders will have more paperwork to fill out.

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

**Comprehensive Summary of HR 7386: First Responder Network Authority Reauthorization Act of 2026**

### Introduction The First Responder Network Authority Reauthorization Act of 2026, denoted as HR 7386, is a congressional bill aimed at reauthorizing the First Responder Network Authority (FirstNet) and making significant changes to its governance structure, operational guidelines, and oversight mechanisms. This summary provides an overview of the bill's main purpose and objectives, key provisions and changes to existing law, affected parties and stakeholders, and potential impacts and implications.

### 1. Main Purpose & Objectives The primary objective of HR 7386 is to reauthorize FirstNet, ensuring its continued operation and development as a nationwide public safety broadband network (NPSBN). The bill aims to enhance the network's capabilities, improve its governance, and increase oversight by the National Telecommunications and Information Administration (NTIA).

### 2. Key Provisions & Changes to Existing Law - **Reauthorization**: Extends FirstNet's authorization until September 30, 2037. - **Governance**: Amends the Middle Class Tax Relief and Job Creation Act of 2012 to subject FirstNet's actions to NTIA approval, with exceptions for emergency responses, strategic planning, and certain operational activities. - **Reporting and Oversight**: Enhances reporting requirements to Congress, including recommendations for contract expiration preparations and network reinvestment decisions. - **Flexibility in Fee Setting**: Allows for more flexibility in establishing fee amounts for services provided by FirstNet.

### 3. Affected Parties & Stakeholders - **First Responder Network Authority (FirstNet)**: The primary entity affected, with changes to its operational autonomy and governance structure. - **National Telecommunications and Information Administration (NTIA)**: Gains increased oversight authority over FirstNet. - **Public Safety Entities**: Beneficiaries of the NPSBN, including first responders and emergency services personnel. - **Congress**: Receives enhanced reporting and recommendations for future actions regarding the NPSBN.

### 4. Potential Impact & Implications The reauthorization and governance changes are expected to: - **Enhance Network Capabilities**: By ensuring FirstNet's continued operation and development, potentially improving public safety communications and response capabilities. - **Increase Accountability**: Through increased NTIA oversight, which may lead to more efficient use of resources and better alignment with national priorities. - **Foster Collaboration**: Between FirstNet, NTIA, and public safety entities, potentially leading to more effective strategic planning and network development.

In conclusion, HR 7386 aims to strengthen the foundation of the nationwide public safety broadband network, ensuring it remains a viable and effective tool for first responders and emergency services. The bill's provisions are designed to balance autonomy with oversight, aiming for a more efficient, responsive, and resilient network that supports public safety needs across the United States.

Generated using Llama 3.1 70B (neutral personality)

Let's break down this gnarly bill, bro! The First Responder Network Authority Reauthorization Act of 2026 is all about keepin' our first responders connected and ready to roll, man. Here's the lowdown:

**Main Purpose & Objectives:** This bill aims to reauthorize the First Responder Network Authority (FirstNet) for another decade, until September 30, 2037. The goal is to ensure that our public safety broadband network stays lit and keeps providing critical communication services to first responders, like cops, firefighters, and EMTs.

**Key Provisions & Changes to Existing Law:** The bill makes some key changes, bro. It gives the National Telecommunications and Information Administration (NTIA) more authority over FirstNet, requiring them to approve major actions taken by the organization. This includes things like deploying emergency response capabilities, setting strategic priorities, and making budget decisions. The bill also requires FirstNet to submit reports to Congress on its progress and provides more flexibility in establishing fee amounts for network users.

**Affected Parties & Stakeholders:** This bill affects a bunch of stakeholders, man. First responders, public safety agencies, and the NTIA are all impacted. Additionally, the bill mentions the Public Safety Advisory Committee and other advisory committees that provide input to FirstNet. It's like, everyone who's involved in keeping our communities safe is gonna be affected by this bill, bro.

**Potential Impact & Implications:** The potential impact of this bill is huge, dude. By reauthorizing FirstNet and giving the NTIA more oversight, we can ensure that our public safety broadband network stays robust and reliable. This means that first responders will have the communication tools they need to respond to emergencies and keep us safe. It's like, a win-win for everyone, man! However, there are also some potential implications to consider, bro. For example, the increased oversight by the NTIA could lead to more bureaucratic red tape, which might slow down the development of the network. Additionally, the bill's emphasis on fee flexibility could lead to higher costs for public safety agencies, which might be a challenge for smaller or underfunded organizations.

In conclusion, this bill is all about keepin' our first responders connected and ready to roll, man. It's like, a critical piece of legislation that'll help ensure our public safety broadband network stays strong and reliable. By understanding the main purpose, key provisions, affected parties, and potential impact of this bill, we can appreciate its significance and importance in keeping our communities safe, bro!

Generated using Llama 3.1 70B (surfer personality)

**Comprehensive Summary of HR 7386: First Responder Network Authority Reauthorization Act of 2026**

### Main Purpose & Objectives

The primary objective of HR 7386 is to reauthorize the First Responder Network Authority (FirstNet), extending its operations until September 30, 2037. This move aims to ensure the continued development and maintenance of a nationwide public safety broadband network, crucial for emergency responders' communication during crises.

### Key Provisions & Changes to Existing Law

1. **Reauthorization**: Extends FirstNet's authorization until September 30, 2037. 2. **NTIA Oversight**: Enhances the National Telecommunications and Information Administration (NTIA)'s authority over FirstNet, requiring NTIA approval for most actions taken by FirstNet. 3. **Flexibility in Fee Setting**: Allows for more flexibility in setting fee amounts related to the use of the network, subject to NTIA approval. 4. **Reporting Requirements**: Mandates reports to Congress on FirstNet's activities and recommendations for contract expiration preparations.

### Affected Parties & Stakeholders

- **First Responders**: Direct beneficiaries of a stable and advanced public safety broadband network. - **NTIA**: Gains increased oversight authority over FirstNet. - **Telecommunications Industry**: Companies involved in building, operating, or maintaining the nationwide public safety broadband network may see changes in contract negotiations and renewals due to NTIA's enhanced role.

### Potential Impact & Implications

The reauthorization of FirstNet with enhanced NTIA oversight could lead to a more coordinated and efficient development of the public safety broadband network. However, increased regulatory control might also introduce bureaucratic hurdles that could slow down innovation and deployment. The telecommunications industry may need to adapt to new approval processes for actions related to the network, potentially affecting project timelines and costs.

In terms of monied interests, the bill's progression through Congress may be influenced by donations from telecommunications companies and public safety organizations to key sponsors and committee members. For instance, AT&T, as a major contractor for FirstNet, may have a significant interest in the bill's provisions related to contract renewals and network maintenance. Similarly, public safety advocacy groups may support the bill due to its focus on enhancing emergency response capabilities.

The Committee on Commerce, Science, and Transportation, to which this bill has been referred, has members with ties to telecommunications and technology industries through PAC donations. This could indicate potential committee capture, where industry interests may influence the legislative process. As the bill moves forward, it will be crucial to monitor these relationships and their impact on the legislation's final form.

Ultimately, HR 7386 aims to secure the future of a critical infrastructure for public safety, but its success will depend on balancing regulatory oversight with the need for innovation and efficiency in the telecommunications sector.

Generated using Llama 3.1 70B (whistleblower personality)

💰 Campaign Finance Network

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

Congress 119 • 2024 Election Cycle

Total Contributions

$86,400

17 donors

PACs

Organizations

$3,300

Committees

Individuals

$83,100

No PAC contributions found

POARCH BAND OF CREEK INDIANS

1 transaction

$3,300

No committee contributions found

PERGOLINI, WILLIAM

4 transactions

$16,700

SHOOTS, KYLE MR.

1 transaction

$10,000

CAMAISA, ALLAN

2 transactions

$9,900

SCHWARZMAN, CHRISTINE

1 transaction

$5,000

SCHWARZMAN, STEPHEN

1 transaction

$5,000

D'ISERNIA, MIRIAM A. MS

1 transaction

$3,400

SHOOTS, CHRISTINA MRS.

1 transaction

$3,400

REICHELDERFER, MARC MR.

1 transaction

$3,300

FLOWERS, ROBERT P. MR.

1 transaction

$3,300

SINHA, SAPTARSHI

1 transaction

$3,300

FLOWERS (MR.) ROBERT P., ROBERT P.

1 transaction

$3,300

BROWN, REGINALD

1 transaction

$3,300

TAYLOR, MARGARETTA J. MS

1 transaction

$3,300

ARTMAN, DAVID MR.

1 transaction

$3,300

ARTMAN, LINDA L.

1 transaction

$3,300

KHAN, CODY

1 transaction

$3,300

Cosponsors & Their Campaign Finance

This bill has 1 cosponsors. Below are their top campaign contributors.

Rep. McClellan, Jennifer L. [D-VA-4]

ID: M001227

Top Contributors

BARONA BAND OF MISSION INDIANS

OrganizationLAKESIDE, CA

$1,500

May 24, 2023

BARONA BAND OF MISSION INDIANS

OrganizationLAKESIDE, CA

$1,500

May 24, 2023

CHEROKEE NATION

OrganizationTAHLEQUAH, OK

$1,000

Dec 21, 2023

CHEROKEE NATION

OrganizationTAHLEQUAH, OK

$1,000

Dec 21, 2023

STARLEY LLC

OrganizationNORTH CHESTERFIELD, VA

$250

Oct 13, 2024

STARLEY LLC

OrganizationNORTH CHESTERFIELD, VA

$250

Oct 13, 2024

RICE, NANCY

LITTLE DIFFICULT RUN • CONSULTANT

IndividualVIENNA, VA

$6,600

Sep 23, 2024

RICE, NANCY

LITTLE DIFFICULT RUN • CONSULTANT

IndividualVIENNA, VA

$6,600

Sep 23, 2024

ABRAMSON, RONALD D

BUCHANAN INGERSOLL & ROONEY • ATTORNEY

IndividualWASHINGTON, DC

$3,300

Nov 15, 2023

FRIED, BARBARA J.

FRIED COMPANIES INC. • REAL ESTATE DEVELOPMENT

IndividualCROZET, VA

$3,300

Dec 19, 2023

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

Show Also Donated To

PACs

Organizations

Individuals

Politicians

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

Showing 32 nodes and 40 connections

Total contributions: $40

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

Showing top 17 donors by contribution amount

1 Org16 Individuals

Industry Impact

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

+Telecommunicationsconfidence 0.90
The bill reauthorizes and modifies the First Responder Network Authority (FirstNet), which is a nationwide public safety broadband network built and operated by a contractor (currently AT&T). Provisions such as Sec. 2 (reauthorization), Sec. 3 (NTIA oversight), Sec. 6 (network components), Sec. 7 (fee flexibility), Sec. 9 (business continuity plan), Sec. 10 (outage notifications), and Sec. 11 (contract submission) directly affect the operation, oversight, and contracting of the FirstNet contract
+Cybersecurityconfidence 0.80
Sec. 8 requires annual reports on cyberattacks and cyber defense efforts, and Sec. 9 mandates business continuity and disaster recovery plans. These provisions increase focus on cybersecurity for the public safety broadband network, likely driving demand for cybersecurity services and technologies to protect the network, benefiting the cybersecurity industry.
+Defense Contractorsconfidence 0.70
The FirstNet contractor (currently AT&T) may involve subcontractors or partnerships with defense contractors for network security, infrastructure, or technology components. The bill's focus on network resilience, cyber defense (Sec. 8), business continuity (Sec. 9), and outage notifications (Sec. 10) could increase opportunities for defense contractors providing cybersecurity, communications, or emergency response technologies, though the benefit is indirect.

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.

Small Business Administration

Minimal

Vector: 60%

Pages: 795-797AI Enhanced

AI Analysis:

"HR 7386 focuses on reauthorizing and enhancing oversight of the First Responder Network Authority (FirstNet) for public safety broadband, while the Project 2025 SBA section discusses SBA oversight, PPP loan controversies, religious eligibility in lending, and regulatory reform—there is no substantive thematic or policy overlap between the two."

— 763 — Small Business Administration 40. U.S. Small Business Administration, Office of Inspector General, Top Management and Performance Challenges Facing the Small Business Administration in Fiscal Year 2023, p. iv. 41. H.R. 748, CARES (Coronavirus Aid, Relief, and Economic Security) Act, Public Law No. 116-136, 116th Congress, March 27, 2020, https://www.congress.gov/116/plaws/publ136/PLAW-116publ136.pdf (accessed February 19, 2023). 42. Sarah McCammon, “Planned Parenthood Asked to Return Funds from Paycheck Protection Program,” NPR, May 21, 2020, https://www.npr.org/2020/05/21/859991359/planned-parenthood-asked-to-return-funds- from-paycheck-protection-program (accessed February 18, 2023). 43. Letter from William Manger, Associate Administrator, U.S. Small Business Administration, to Laura Meyers, Planned Parenthood of Metropolitan Washington, “Re: Notice of Investigation and Request for Records,” May 19, 2020, https://s3.documentcloud.org/documents/6922122/SBA-Letter-Planned-Parenthood-DC.pdf (accessed February 18, 2023). 44. Press release, “Lankford, HSGAC Republicans Demand Details on Illegal PPP Loans to Planned Parenthood Affiliates,” Office of U.S. Senator James Lankford, April 28, 2022, https://www.lankford.senate.gov/news/press- releases/lankford-hsgac-republicans-demand-details-on-illegal-ppp-loans-to-planned-parenthood-affiliates (accessed February 18, 2023). 45. Press release, “Romney, Colleagues Request Information from SBA Administrator Guzman on Illegal PPP Loans Given to Planned Parenthood Affiliates,” Office of U.S. Senator Mitt Romney, April 28, 2022, https:// www.romney.senate.gov/romney-colleagues-request-information-from-sba-administrator-guzman-on- illegal-ppp-loans-given-to-planned-parenthood-affiliates/ (accessed February 18, 2023). 46. 13 C.F.R. §§ 109.400(b)(11), https://www.law.cornell.edu/cfr/text/13/109.400; 123.301(g), https://www.law. cornell.edu/cfr/text/13/123.301; 123.502(n), https://www.law.cornell.edu/cfr/text/13/123.502; and 123.702(b)(6), https://www.law.cornell.edu/cfr/text/13/123.702 (all accessed February 19, 2023). 47. U.S. Small Business Administration, “Religious Eligibility Worksheet for all 7(a) and 504 Loan Programs” SBA Form 1971, http://www.sba.gov/sites/default/files/2020-11/sba-form-1971.pdf (accessed February 18, 2023). 48. U.S. Small Business Administration, “Ensuring Equal Treatment for Faith-Based Organizations in SBA’s Loan and Disaster Assistance Program.” 49. See, for example, Carson v. Makin, 596 U.S. ___ (2022), https://www.supremecourt.gov/ opinions/21pdf/20-1088_dbfi.pdf (accessed February 19, 2023). 50. 28 U.S. Code § 530d, https://www.law.cornell.edu/uscode/text/28/530D (accessed February 19, 2023). 51. U.S. Small Business Administration, “Ensuring Equal Treatment for Faith-Based Organizations in SBA’s Loan and Disaster Assistance Program.” 52. 13 CFR 120.110(k), https://www.law.cornell.edu/cfr/text/13/120.110 (accessed February 19, 2023). 53. U.S. Small Business Administration, “Regulatory Reform Initiative: Streamlining and Modernizing the 7(a), Microloan, and 504 Loan Programs to Reduce Regulatory Burden,” Final Rule, Federal Register, Vol. 87, No. 125 (June 30, 2022), pp. 38900–38910, https://www.federalregister.gov/documents/2022/06/30/2022-13483/ regulatory-reform-initiative-streamlining-and-modernizing-the-7a-microloan-and-504-loan-programs-to (accessed February 18, 2023). 54. Ibid. 55. U.S. Department of Justice, Office of Legal Counsel “Religious Restrictions on Capital Financing for Historically Black Colleges and Universities,” Memorandum Opinion for the Acting General Counsel, Department of Education, August 15, 2019, https://www.justice.gov/sites/default/files/opinions/ attachments/2021/01/01/2019-08-15-hbcu-capfin-2.pdf. (accessed February 18, 2023). 56. U.S. Small Business Administration, Office of Investment and Innovation, SBIR and STTR Annual Report, Fiscal Year 2019, p. 8, https://www.sbir.gov/sites/default/files/SBA_Final_FY19_SBIR_STTR_Annual_Report.pdf (accessed February 18, 2023). 57. S. 4900, SBIR and STTR Extension Act of 2022, Public Law No. 117–183, 117th Congress, September 30, 2022, https://www.congress.gov/117/plaws/publ183/PLAW-117publ183.pdf (accessed February 18, 2023). 58. U.S. Small Business Administration, Office of Investment and Innovation, SBIR and STTR Annual Report, Fiscal Year 2019, pp. 6, 40, and 108. — 764 — Mandate for Leadership: The Conservative Promise 59. Peter L. Singer, “Federally Supported Innovations: 22 Examples of Major Technology Advances that Stem from Federal Support,” Information Technology and Innovation Foundation, February 2014, https://wrnjradio.com/ bipartisan-call-to-crack-down-on-covid-19-ppp-eidl-fraud-prosecute-fraudsters-to-the-fullest-extent-of-the- law/ (accessed March 21, 2023). 60. Wells King, “Uncle Sam’s Top-Performing Venture Fund,” American Compass Case Study, November 2022, https://americancompass.org/wp-content/uploads/2022/11/AC-Case-Study_SBIR_final2.pdf (accessed February 18, 2023). 61. Elisabeth B. Reynolds, Hiram M. Samel, and Joyce Lawrence, “Learning by Building: Complementary Assets and the Migration of Capabilities in U.S. Innovative Firms,” MIT Industrial Performance Center Working Paper No. MIT-IPC-13-001, March 2013, https://ipc.mit.edu/sites/default/files/2019-01/13-001.pdf (accessed February 18, 2023). 62. American Compass, “Where’s The Growth? Assessing the Results of the Globalization Experiment,” March 2022, pp. 3–5, https://americancompass.org/wp-content/uploads/2022/10/AC-Atlas-Wheres-the-Growth.pdf (accessed February 18, 2023). 63. Sridhar Kota and Tom Mahoney, “Innovation Should Be Made in the U.S.A.,” The Wall Street Journal, November 15, 2019, https://www.wsj.com/articles/innovation-should-be-made-in-the-u-s-a-11573833987 (accessed February 18, 2023). 64. S. ___, SBA Reauthorization and Improvement Act of 2019, 116th Congress, 1st Session, Title III, § 303, https://www.rubio.senate.gov/public/_cache/files/80533629-2905-433f-a588-7c4e032f7347/ C096ED9C1EBA68E041CFDA143E01C66C.mir19891.pdf (accessed February 18, 2023). 65. David Adler, “Financing Advanced Manufacturing: Why VCs Aren’t the Answer,” American Affairs, Vol. III, No. 2 (Summer 2019), https://americanaffairsjournal.org/2019/05/financing-advanced-manufacturing-why-vcs- arent-the-answer/ (accessed February 18, 2023). 66. National Association of Manufacturers, “Overview of the Senate HEALS Act,” July 28, 2020, https://documents. nam.org/comm/HEALSActInfo.pdf (accessed February 19, 2023). See also remarks by Senator Mitch McConnell, “HEALS Act,” Congressional Record, Vol. 166, No. 132 (July 27, 2020), pp. S4491–S4492, https:// www.congress.gov/116/crec/2020/07/27/CREC-2020-07-27-pt1-PgS4491-7.pdf (accessed February 20, 2023). 67. S. 1059, American Innovation and Manufacturing Act, 117th Congress, introduced March 25, 2021, https:// www.crfb.org/blogs/whats-11-trillion-heals-act https://www.congress.gov/117/bills/s1059/BILLS-117s1059is.pdf (accessed February 18, 2023). 68. H.R. 7628, IMPROVE (Improve Management, Programs, Resources, and Oversight for Vital Entrepreneurs) the SBA Act, 117th Congress, introduced April 28, 2022, https://www.congress.gov/117/bills/hr7628/BILLS- 117hr7628ih.pdf (accessed February 19, 2023). 69. S. 1120, Small Business Regulatory Flexibility Improvements Act, 116th Congress, introduced April 10, 2019, https://www.congress.gov/116/bills/s1120/BILLS-116s1120is.pdf (accessed February 19, 2023). 70. H.R. 3136, Contract with America Advancement Act of 1996, Public Law No. 104-121, 104th Congress, March 29, 1996, Title II, https://www.congress.gov/104/plaws/publ121/PLAW-104publ121.pdf (accessed February 19, 2023). 71. S. 403, Fair and Open Competition Act, 117th Congress, introduced February 24, 2021, https://www. congress.gov/117/bills/s403/BILLS-117s403is.pdf (accessed February 19, 2023), and H.R. 1284, Fair and Open Competition Act, 117th Congress, introduced February 24, 2021, https://www.congress.gov/117/bills/hr1284/ BILLS-117hr1284ih.pdf (accessed February 19, 2023. 72. President Joseph R. Biden Jr., Executive Order 14063, “Use of Project Labor Agreements for Federal Construction Projects,” February 4, 2022, in Federal Register, Vol. 87, No. 27 (February 9, 2022), pp. 7363–7366, https://www.govinfo.gov/content/pkg/FR-2022-02-09/pdf/2022-02869.pdf (accessed February 19, 2023). 73. “The JOBS Act 4.0: Section-by-Section,” Committee on Banking, Housing, and Urban Affairs, U.S. Senate, https://www.banking.senate.gov/imo/media/doc/the_jobs_act_4.0sectionbysection.pdf (accessed February 19, 2023). 74. Press release, “Luetkeymeyer: SBA Lacks Infrastructure and Expertise to Expand Number of Small Business Lending Companies,” Committee on Small Business, U.S. House of Representatives, November 7, 2022, https:// smallbusiness.house.gov/news/documentsingle.aspx?DocumentID=404376 (accessed February 18, 2023).

Department of Housing and Urban Development

Minimal

Vector: 60%

Pages: 548-550AI Enhanced

AI Analysis:

"HR 7386 focuses on reauthorizing and enhancing oversight of the First Responder Network Authority (FirstNet) for public safety broadband communications, which is unrelated to the Department of Housing and Urban Development (HUD) policies in Project 2025 concerning housing market reforms, DEI/CRT/ESG initiatives, zoning regulations, or homelessness programs."

— 515 — Department of Housing and Urban Development 25. Process must prioritize where political leadership can implement administrative reforms through regulatory action and subregulatory guidance reforms. 26. China and other foreign nations should not be able to disrupt our nation’s housing markets, including by artificially driving up prices and reducing affordability and access to housing for Americans who are crowded out of the market by such market participation. 27. These initiatives are maintained under such designations as diversity, equity, and inclusion (DEI); critical race theory (CRT); black, indigenous, Pacific Islander, and other people of color (BIPOC); and environmental, social, and governance (ESG). 28. At a minimum, these efforts duplicate what the federal government already collects and assesses; at worst, they institute arbitrary procedures in real estate appraisal practices that undermine integrity and perversely introduce arbitrary biases into what should be an unbiased system for determining financial value. 29. Revise regulatory and subregulatory guidance, where applicable within statutory authorities, that adds unnecessary delay and costs to the construction and development of new housing and has been estimated to account for about 40 percent of new housing unit costs in multifamily housing. 30. The Biden Administration has issued a proposed rule to replace the Trump Administration’s “Preserving Community and Neighborhood Choice” rule that had repealed earlier rules expanding AFFH enforcement. See U.S. Department of Housing and Urban Development, Office of Fair Housing, “Preserving Community and Neighborhood Choice,” Final Rule, Federal Register, Vol. 85, No. 153 (August 7, 2020), pp. 47899–47912, https://www.govinfo.gov/content/pkg/FR-2020-08-07/pdf/2020-16320.pdf (accessed March 5, 2023), and U.S. Department of Housing and Urban Development, Office of the Secretary, “Affirmatively Furthering Fair Housing,” Proposed Rule, Federal Register, Vol. 88, No. 27 (February 9, 2023), pp. 8516–8590, https://www. govinfo.gov/content/pkg/FR-2015-07-16/pdf/2015-17032.pdf (accessed March 5, 2023). 31. Certain pilot initiatives may encourage greater take-up of loan products designed for faster equity accumulation, including loans with shorter terms and accelerated amortization schedules. In concept, the FHA’s Home Equity Accelerator Loan (HEAL) and Good Neighbor Next Door (GNND) pilot initiatives might lead to meaningful wealth generation for first-time buyers, but they should be available to all eligible households only when they do not arbitrarily discriminate based on race or other characteristics. 32. Housing supply does remain a problem in the U.S., but constructing more units at the low end of the market will not solve the problem. Investors and developers can deliver at more efficient cost new units that will allow for greater upward mobility of rental and ownership housing stock and better target increased construction of mid-tier rental units. Further, and more fundamental to the housing supply challenge in markets across the U.S., localities can consider revising land use, zoning, and building regulations that constrict new housing development, adding time delays and costs that impede construction. Federal housing policy should get out of the way where possible and minimize the distortive impact that stimulating greater demand through loose lending can have in driving up housing prices for households that are looking for affordable entry into the housing market. 33. U.S. Department of Housing and Urban Development, Office of the Secretary, “Housing and Community Development Act of 1980: Verification of Eligible Status,” Proposed Rule, Federal Register, Vol. 84, No. 91 (May 10, 2019), pp. 20589–20595, https://www.govinfo.gov/content/pkg/FR-2019-05-10/pdf/2019-09566.pdf (accessed March 5, 2023). 34. Reforms should contemplate rent payment flexibilities, allow escrow savings, and set maximum term limits that can reduce implicit penalties for increasing household incomes over eligibility terms for housing assistance and reweight waiting-list prioritization for two-parent households. 35. Some PHAs have been able to implement work requirements and term limit policies in various congressionally authorized demonstration programs, notably the Moving to Work (MTW) demonstration program established in 1996 for 39 PHAs (Congress has since authorized another 100 PHAs) in which participating MTW PHAs were given authority to implement rent reforms, work requirements and other experimental policies in rental assistance programs along with flexibilities in the use of capital and operating appropriations. 36. The FSS program has a general five-year term with a possible two-year extension, which could be applied at the term limit for overall benefits, and certain PHAs have imposed five-year to seven-year term limits. Families in these programs build escrow savings during their term eligibility that helps to facilitate successful transitions to family self-sufficiency and unassisted housing. — 516 — Mandate for Leadership: The Conservative Promise 37. HUD should implement administrative changes in regulation and guidance and seek statutory authority to end all Housing First directives of Continuum of Care (CoC) grantees and contract homelessness providers in addition to establishing restrictions on local Housing First policies where HUD grant funds are used. 38. The U.S. Interagency Council on Homelessness (USICH) was established in the 1990s, and numerous Administrations have devoted enormous resources to the Housing First model, experimenting with various ways to provide federally financed rapid rehousing and permanent housing opportunities. Housing First is a far-left idea premised on the belief that homelessness is primarily circumstantial rather than behavioral. The Housing First answer to homelessness is to give someone a house instead of attempting to understand the underlying causes of homelessness. Federal intervention centered on Housing First has failed to acknowledge that resolving the issue of homelessness is often a matter of resolving mental health and substance abuse challenges. Instead of the permanent supportive housing proffered by Housing First, a conservative Administration should shift to transitional housing with a focus on addressing the underlying issues that cause homelessness in the first place. 39. The Senate Low-Income First-Time Homebuyers (LIFT) Act would address this policy goal. See S. 2797, Low-Income First-Time Homebuyers Act of 2021 (LIFT Homebuyers Act of 2021), 117th Congress, introduced September 22, 2021, https://www.congress.gov/117/bills/s2797/BILLS-117s2797is.pdf (accessed March 5, 2023). 40. FHA did not facilitate the widespread use of 30-year mortgages until the 1950s when, interacting with Federal Reserve policies, federal agencies began broader adoption of the mortgages, which, despite lowering the monthly repayment terms, result in slow equity accumulation and wealth-building opportunities. 41. The Housing and Economic Recovery Act of 2008 fundamentally revised the scope of federal regulation in the nation’s housing finance system, placing Fannie Mae and Freddie Mac under the purview of a newly established Federal Housing Finance Agency (FHFA) and establishing a Housing Trust Fund (HTF) that is administered in the HUD Office of Community Planning and Development. See H.R. 3221, Housing and Economic Recovery Act of 2008, Public Law No. 110-289, 110th Congress, July 30, 2008, https://www.congress. gov/110/plaws/publ289/PLAW-110publ289.pdf (accessed March 5, 2023). 42. Guiding questions: What reforms should be proposed that could be accomplished within five years? What reforms can be done administratively, and what reforms would need legislative authorization? Are there functions that HUD administers that could be achieved more effectively at another department or agency? What big-picture reforms should be proposed that might take more than five years that would reorganize HUD and its programs to meet the objectives in the vision or mission? What would occur in the absence of these public finance subsidies? How much crowd-out do these subsidies create in the market? Would America be a seriously underhoused nation without these subsidies? Who are the policies intended to benefit? What organizational changes must be made? 43. The Faircloth Amendment (Quality Housing and Work Responsibility Act of 1998) amended the Housing Act of 1937 to maintain public housing units at 1999 levels, preventing housing authorities from maintaining more public housing than they did then. H.R. 4194, Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 1999, Public Law No. 105-276, 105th Congress, October 21, 1998, Title V, https://www.congress.gov/105/plaws/publ276/PLAW-105publ276.pdf (accessed March 5, 2023). In recent years, the statutory restriction on new construction of public housing units has been circumvented through some narrow uses of preservation programs such as the Rental Assistance Demonstration (RAD) program, initially authorized in 2012 and reauthorized several times since under higher program unit conversion caps. Congress also provided paths for renewal and continuation of a portion of existing public housing; project/site-based housing stock (refinancing with long-term HAP contract commitments); and Section 8 units through the Multifamily Assisted Housing Reform and Affordability Act of 1997 (MAHRA). H.R. 2158, Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 1998, Public Law No. 105-65, 105th Congress, October 27, 1997, Title V, https://www.congress.gov/105/plaws/publ65/PLAW-105publ65.pdf (accessed March 5, 2023). 44. As the evolution of HUD rental assistance transitions away from the public housing model toward housing choice vouchers, there should be adequate landlord participation to ensure that the supply of housing units for rent in these programs meets the demand for rent among eligible tenants. This issue has been addressed in various ways, including by a task force instituted at the department during the Trump Administration, but could likely remain a challenge in the administration of the program.

Department of Health and Human Services

Minimal

Vector: 60%

Pages: 533-535AI Enhanced

AI Analysis:

"HR 7386 focuses on reauthorizing and improving the governance of FirstNet, a public safety broadband network, while the Project 2025 HHS section addresses healthcare regulations, civil rights, reproductive health, and social services. There is no substantive thematic or policy overlap between the bill and the cited HHS policies."

— 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

Minimal

Vector: 59%

Pages: 533-535AI Enhanced

AI Analysis:

"The bill concerns FirstNet reauthorization and public safety communications, while the Project 2025 HHS section focuses on Medicaid reform, managed care, price transparency, and related health care policies; there is no substantive policy overlap."

Key themes:no overlapunrelated

— 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

Minimal

Vector: 59%

Pages: 515-517AI Enhanced

AI Analysis:

"The bill focuses on reauthorizing and overseeing the First Responder Network Authority, a public safety communications initiative, and does not address any of the health‑policy topics in the Project 2025 excerpt such as caregiver support, telehealth licensure, contraceptive mandates, or HRSA data collection."

— 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

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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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