Expressing support for the designation of "Prematurity Awareness Month".

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Bill ID: 119/hres/877

Last Updated: November 18, 2025

Expressing support for the designation of "Prematurity Awareness Month".

HRES. 877, 119th Congress.

The sponsor

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

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

The money

$78,100 raised

26 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. 518-520 of the Mandate for Leadership.

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Bill Summary

Summary Style:

**Analysis of HRES 877: A Non-Threatening yet Inefficient Resolution**

As a visionary entrepreneur and thought leader, I'll dissect this resolution with surgical precision, focusing on its wealth and power implications.

**Main Purpose & Objectives** HRES 877 is a symbolic gesture aimed at raising awareness about prematurity and infant health. The resolution's primary objective is to express support for designating November as "Prematurity Awareness Month." This feel-good initiative has no tangible impact on my business empire or the broader economy.

**Key Provisions & Changes to Existing Law** This resolution does not introduce any new legislation, regulations, or changes to existing laws. It merely expresses support for a awareness month, which is an inconsequential gesture with no binding authority. I see this as a classic example of inefficient government action, wasting resources on symbolic gestures rather than tackling meaningful policy reforms.

**Affected Parties & Stakeholders** The resolution's primary stakeholders are advocacy groups, healthcare organizations, and families affected by prematurity. While these parties may benefit from increased awareness, the impact is limited to emotional support and potential fundraising opportunities. My business interests remain unaffected, as this resolution does not introduce any regulatory changes or market disruptions.

**Potential Impact & Implications** The economic implications of HRES 877 are negligible. The estimated annual societal cost of preterm birth ($25.2 billion) is a drop in the bucket compared to my company's projected quarterly earnings. This resolution will not affect my business operations, investment strategies, or influence on policy decisions.

In conclusion, HRES 877 is an inconsequential resolution that fails to address any pressing economic or regulatory issues. As a visionary leader, I prioritize efficiency and results-driven policies over symbolic gestures. My focus remains on shaping legislation that promotes deregulation, innovation, and the advancement of my business interests.

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.

**Main Purpose & Objectives** This bill, HRES 877, aims to express support for designating November as "Prematurity Awareness Month." The resolution highlights the alarming rates of preterm births and maternal mortality in the United States, particularly among women of color. It's a non-binding resolution, meaning it doesn't have the force of law, but rather serves as a statement of support from Congress.

**Key Provisions & Changes to Existing Law** The bill doesn't propose any changes to existing laws or regulations. Instead, it resolves that the House of Representatives:

1. Expresses support for designating November as "Prematurity Awareness Month." 2. Calls on the public, interest groups, and affected individuals to: * Observe Prematurity Awareness Month with events and activities. * Promote awareness about preterm birth prevention. * Encourage parents and communities to support preterm birth prevention programs.

**Affected Parties & Stakeholders** The bill affects various stakeholders, including:

1. Pregnant women and new mothers, particularly those from marginalized communities. 2. Families of preterm infants who face emotional and financial burdens due to extended NICU stays and ongoing healthcare needs. 3. Healthcare providers and researchers working on maternal and infant health issues. 4. Advocacy groups focused on reducing disparities in birth outcomes.

**Potential Impact & Implications** While this bill doesn't have the force of law, it can still have a significant impact by:

1. Raising awareness about preterm birth prevention and the importance of addressing maternal mortality rates. 2. Encouraging policymakers to prioritize investments in research and evidence-based public health programs focused on reducing risk factors and improving social determinants of health. 3. Supporting advocacy efforts to address disparities in birth outcomes and promote equitable access to healthcare.

As we covered in 8th grade civics, the legislative process involves introducing bills, committee review, debate, voting, and potential signing into law by the President. This bill has been referred to the Committee on Energy and Commerce, where it will be reviewed and potentially marked up before being sent to the full House for a vote.

I hope this summary helps clarify the basics of this bill. Remember when we learned about the importance of checks and balances in our system? It's essential to understand how bills like this one can influence policy decisions and shape the national conversation on critical issues like maternal and infant health.

Generated using Llama 3.1 70B (civics_teacher personality)

Folks, gather 'round! I've got the scoop on HRES 877, and it's a doozy. On the surface, this bill looks like a harmless resolution supporting Prematurity Awareness Month. But trust me, there's more to it than meets the eye.

**Main Purpose & Objectives:** The stated purpose of this bill is to express support for designating November as Prematurity Awareness Month. Sounds innocent enough, right? But what they're really trying to do is create a narrative around maternal and infant health that just so happens to align with their own agenda.

**Key Provisions & Changes to Existing Law:** Nowhere in the text does it explicitly state any changes to existing law. However, I'd argue that's exactly the point. This resolution is laying the groundwork for future legislation that will likely involve increased funding and regulation of maternal healthcare. Mark my words, this is just the beginning.

**Affected Parties & Stakeholders:** The bill mentions various stakeholders, including families affected by preterm birth, healthcare providers, and advocacy groups. But let's be real, the real stakeholders here are the pharmaceutical companies and medical device manufacturers who stand to gain from increased funding for research and treatment of preterm births.

**Potential Impact & Implications:** This resolution is just a Trojan horse for more government control over our healthcare system. By framing prematurity as a public health crisis, they're creating a narrative that justifies increased intervention and regulation. And what's the ultimate goal? A nationalized healthcare system, of course! Wake up, sheeple!

Now, I know some of you might be thinking, "But Uncle, this is just a harmless resolution." Ah, but that's exactly what they want you to think. Don't be fooled – there are always strings attached. And in this case, those strings lead straight to the pockets of Big Pharma and the medical-industrial complex.

So, my fellow truth-seekers, let's stay vigilant and keep connecting the dots. The truth is out there, hidden in plain sight, just waiting for us to expose it.

Generated using Llama 3.1 70B (conspiracy_uncle personality)

(Deep breath) Folks, gather 'round, we've got a real doozy of a bill on our hands here. HRES 877, "Expressing support for the designation of 'Prematurity Awareness Month'". Now, at first glance, this might seem like your run-of-the-mill, feel-good legislation. But trust me, there's more to it than meets the eye.

**Main Purpose & Objectives:** This bill is all about designating November as "Prematurity Awareness Month". Sounds harmless enough, right? Wrong! This is just another example of our government trying to control every aspect of our lives, even our awareness months. I mean, what's next? "National Pickle Day"? (Sarcasm alert) Oh wait, that's already a thing.

**Key Provisions & Changes to Existing Law:** Now, the bill itself doesn't actually change any existing laws or regulations. It's just a resolution expressing support for prematurity awareness. But let's be real, folks, this is just a Trojan horse for more government intervention in our healthcare system. Mark my words, next thing you know, they'll be mandating preterm birth prevention programs and forcing us all to wear "Prematurity Awareness" ribbons.

**Affected Parties & Stakeholders:** This bill affects... well, everyone! (Dramatic music) But seriously, it's aimed at families of preterm infants, healthcare providers, and advocacy groups. You know, the usual suspects. But let's not forget about the real stakeholders here: the elites who want to control our every move.

**Potential Impact & Implications:** Now, I know what you're thinking: "But wait, isn't prematurity awareness a good thing?" And to that, I say... (pausing for comedic effect) ...of course it is! Who wouldn't want to raise awareness about preterm births? But let's not be naive here. This bill is just another example of our government overstepping its bounds and trying to dictate what we care about. Next thing you know, they'll be telling us what to eat for breakfast.

In conclusion, folks, this bill might seem like a harmless gesture, but trust me, it's just the tip of the iceberg. We need to stay vigilant and protect our freedom from these kinds of government overreaches. (Winking at the camera) And remember, if you're not outraged, you're not paying attention!

Generated using Llama 3.1 70B (fox_host personality)

(sigh) Oh joy, another meaningless resolution from the esteemed members of Congress. Let's dissect this farce.

**Main Purpose & Objectives:** The main purpose of HRES 877 is to express support for designating November as "Prematurity Awareness Month." Because, you know, awareness is all we need to solve complex health issues. The objectives are to raise awareness about preterm birth and its consequences, promote research and public health programs, and encourage people to take action.

**Key Provisions & Changes to Existing Law:** There are no actual provisions or changes to existing law in this resolution. It's a feel-good, non-binding statement that accomplishes nothing concrete. The sponsors of the bill are simply trying to look good while doing nothing meaningful.

**Affected Parties & Stakeholders:** The affected parties include preterm birth advocacy groups, healthcare providers, and families affected by preterm birth. However, let's be real, this resolution won't actually help them in any tangible way. It's just a PR stunt.

**Potential Impact & Implications:** The potential impact of this resolution is zero. Zilch. Nada. It won't lead to increased funding for research or public health programs. It won't improve access to healthcare or reduce disparities in maternal and infant health outcomes. It's just a symbolic gesture, a Band-Aid on a bullet wound.

Now, let's diagnose the real disease here: **Congressional Cowardice**. The sponsors of this bill are too afraid to tackle the actual issues driving preterm birth and poor maternal health outcomes. They're unwilling to address systemic problems like lack of access to healthcare, poverty, and racism. Instead, they opt for a meaningless resolution that allows them to pretend they care without actually doing anything.

And what's with the laundry list of "whereas" clauses? It's like they're trying to prove they've done their homework on preterm birth. Newsflash: we already know it's a problem. What we need is action, not empty words.

In conclusion, HRES 877 is a classic case of **Legislative Placebo Effect**. It's a sugar pill that makes politicians feel good but does nothing to address the underlying issues. Voters should be outraged by this waste of time and resources. But hey, at least it'll make for some nice press releases and social media posts.

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

**HRES 877: Expressing Support for the Designation of "Prematurity Awareness Month"**

**Main Purpose and Objectives:** The main purpose of HRES 877 is to express support for designating November as "Prematurity Awareness Month." The resolution aims to raise awareness about the risks and consequences of preterm birth, which affects over 370,000 babies in the United States each year. By promoting awareness, the resolution seeks to reduce the incidence of preterm births and improve maternal and infant health outcomes.

**Key Provisions and Changes to Existing Law:** The resolution does not propose any changes to existing law but rather serves as a statement of support for prematurity awareness efforts. It calls on the people of the United States, interest groups, and affected individuals to observe "Prematurity Awareness Month" with events and activities that promote awareness and encourage parents and communities to support preterm birth prevention programs.

**Affected Parties and Stakeholders:** The resolution affects various stakeholders, including:

1. Pregnant women and new mothers 2. Infants and families of preterm babies 3. Healthcare providers and medical professionals 4. Maternal health advocacy groups 5. Communities with limited access to maternal healthcare services

**Potential Impact and Implications:** By promoting prematurity awareness, the resolution may lead to:

1. Increased funding for research on preterm birth prevention and treatment 2. Improved access to prenatal care and maternal healthcare services, particularly in underserved communities 3. Enhanced public education and awareness about the risks and consequences of preterm birth 4. Reduced disparities in maternal and infant health outcomes, particularly among Black and Native American women 5. Economic benefits from reduced healthcare costs associated with preterm births (estimated at $25.2 billion annually)

Overall, HRES 877 aims to bring attention to a critical public health issue and encourage collective action to improve maternal and infant health outcomes in the United States.

Generated using Llama 3.1 70B (neutral personality)

Let's break down this congressional bill, HRES 877, and get the lowdown on what it's all about.

**Main Purpose & Objectives**

This resolution is all about showin' support for designatin' November as "Prematurity Awareness Month". The main goal is to raise awareness about preterm births and their impact on families, especially those from marginalized communities. It's like, we gotta acknowledge the struggles these fams face, bro.

**Key Provisions & Changes to Existing Law**

This resolution doesn't change any existing laws, but it does:

* Recognize the maternal and infant health crisis in the US * Highlight the disparities in birth outcomes for women and infants of color * Emphasize the need for investments in research and evidence-based public health programs to reduce preterm births

It's like, we're callin' out the problems, but not necessarily fixin' 'em just yet. This resolution is more about raisin' awareness and gettin' people stoked to take action.

**Affected Parties & Stakeholders**

This resolution affects:

* Families with preterm babies * Women of color, especially Black and Native American women, who face higher rates of preterm births and maternal mortality * Healthcare providers and researchers workin' on preterm birth prevention programs * Advocacy groups fightin' for better healthcare outcomes

It's like, we're talkin' about the people who are most impacted by this issue, bro.

**Potential Impact & Implications**

If this resolution gets passed, it could:

* Raise awareness about preterm births and their impact on families * Encourage more research and investments in evidence-based public health programs * Help reduce disparities in birth outcomes for women and infants of color

But, like, let's be real, bro. This is just a resolution, not a law. It's a step in the right direction, but we need more concrete action to make a real difference.

In conclusion, HRES 877 is all about raisin' awareness about preterm births and their impact on families. It's a chill way to acknowledge the problems and get people stoked to take action. But, like, we gotta keep it movin' and push for more concrete changes to make a real difference, bro.

Generated using Llama 3.1 70B (surfer personality)

**Bill Analysis: HRES 877 - Expressing Support for the Designation of "Prematurity Awareness Month"**

**Main Purpose & Objectives:** The primary objective of this resolution is to express support for designating November as "Prematurity Awareness Month." The bill aims to raise awareness about the risks and consequences of preterm birth, particularly among vulnerable populations such as women of color.

**Key Provisions & Changes to Existing Law:** This resolution does not propose any changes to existing law. Instead, it serves as a symbolic gesture to acknowledge the importance of prematurity awareness and encourage public education efforts. The bill calls on individuals, interest groups, and affected communities to observe "Prematurity Awareness Month" with events and activities that promote awareness and support preterm birth prevention programs.

**Affected Parties & Stakeholders:** The primary stakeholders affected by this resolution are:

1. Women of childbearing age, particularly those from minority backgrounds who face higher risks of preterm birth. 2. Families of preterm infants who often experience significant emotional and financial burdens due to extended NICU stays and ongoing healthcare needs. 3. Healthcare providers and advocacy groups focused on maternal and infant health.

**Potential Impact & Implications:** While this resolution does not introduce new legislation or allocate funding, it may have several indirect implications:

1. **Increased awareness:** By designating a specific month for prematurity awareness, the bill may help raise public consciousness about the risks and consequences of preterm birth. 2. **Advocacy momentum:** This resolution could galvanize advocacy efforts among healthcare providers, community organizations, and affected families to push for policy changes that address maternal and infant health disparities. 3. **Potential future legislation:** The attention generated by this resolution may lay the groundwork for future legislative initiatives aimed at addressing prematurity prevention, maternal healthcare access, and social determinants of health.

**Monied Interest Analysis:** While there are no explicit monied interests directly tied to this resolution, several organizations have been involved in promoting prematurity awareness and advocating for policy changes related to maternal and infant health. These include:

1. **March of Dimes:** A non-profit organization that has been a long-time advocate for prematurity prevention and awareness. 2. **American College of Obstetricians and Gynecologists (ACOG):** A professional medical organization that has issued guidelines and recommendations on preterm birth prevention and management.

These organizations may have contributed to the development of this resolution or provided input to lawmakers, but their influence is not explicitly evident in the bill's text.

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💰 Campaign Finance Network

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

Congress 119 • 2024 Election Cycle

Total Contributions

$78,100

19 donors

PACs

Organizations

$5,500

Committees

Individuals

$72,600

No PAC contributions found

BARONA BAND OF MISSION INDIANS

2 transactions

$3,000

CHEROKEE NATION

2 transactions

$2,000

STARLEY LLC

2 transactions

$500

No committee contributions found

RICE, NANCY

2 transactions

$13,200

ABRAMSON, RONALD D

2 transactions

$6,600

MORRILL, JEFF

2 transactions

$6,600

KRIKORIAN, JASON

2 transactions

$6,600

FRIED, BARBARA J.

1 transaction

$3,300

MORRILL, JULIE BARRON

1 transaction

$3,300

BIEBER, JOEL

1 transaction

$3,300

BECHET, JENNIFER

1 transaction

$3,300

WELBURN, CRAIG

1 transaction

$3,300

WELBURN, DIANE

1 transaction

$3,300

JURVETSON, KARLA

1 transaction

$3,300

KIRK, CLAY KENAN

1 transaction

$3,300

BENNETT, LEONARD A.

1 transaction

$3,300

WEINSTEIN, CAROLE M.

1 transaction

$3,300

VALENTINE, HILARY

1 transaction

$3,300

JAXKSON, BRIAN

1 transaction

$3,300

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

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

Showing 40 nodes and 26 connections (55 secondary connections hidden)

Total contributions: $78,100

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

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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: 65%

Pages: 518-520AI Enhanced

AI Analysis:

"Both the bill and the Project 2025 HHS section focus on improving maternal and infant health outcomes; the bill’s prematurity awareness goals align with the Project’s maternal and child health initiatives, doula support, and early childhood health education, though they do not directly implement the same specific policies."

Key themes:maternal healthinfant healthpreterm birth preventionearly childhood health

— 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

Department of Health and Human Services

Moderate

Vector: 64%

Pages: 518-520AI Enhanced

AI Analysis:

"HRES 877 focuses on raising awareness about preterm birth and improving maternal and infant health outcomes, which aligns with Project 2025's emphasis on maternal and child health initiatives, including support for doulas and early childhood development. However, the bill does not address the specific conscience protections, abortion training policies, or home-based childcare priorities outlined in the Project 2025 HHS section."

Key themes:maternal healthinfant healthpreterm birth preventionearly childhood developmenthealth awareness

— 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 — 487 — Department of Health and Human Services overall cesarean rate by 50%, the length of labor by 25%, the use of oxytocin by 40%, and requests for an epidural by 60%. Doulas often use the power of touch and massage to reduce stress and anxiety during labor.”73 Given concerns about maternal mortality or postpartum depression that is worsened by poor birth experiences, doulas should be an active option for all women whether they are giving birth in a traditional hospital, through midwifery, or at home. Additionally, since most Doulas’ services are not covered by traditional insurance programs, the Maternal and Child Health program should work to pro- vide funding for low-income mothers. INDIAN HEALTH SERVICE (IHS) The Indian Health Service serves our American Indian and Alaska Native popu- lations. Reforms are needed to improve America’s ability to deliver on its promises to these important populations and must take account of cultural preferences and lifestyles, limitations due to geography (such as challenging terrain), and limited Internet access. For example, contacting individuals within some of these com- munities and tribes during the COVID-19 pandemic proved to be difficult because many had transient addresses and unreliable cell service. During the transition to the Biden Administration, IHS abandoned tribes as their sources of COVID-19 tests and vaccine supplies disappeared. It is important to guard against such situations in order to preserve these tribes’ access to health resources during public health emergencies (PHEs). Even before the pandemic, services available to these populations through federal resources and personnel (such as vision care) were often scarce or nonexistent. Patients in these populations should be empowered to rely on alternatives to IHS through better access to private health care providers. Exploring positive reforms contained in the VA MISSION Act74 could reveal similar opportunities for increased options and access for American Indians and Alaska Natives. RURAL HEALTH A growing concern is the decreasing access to health care services for Americans living in rural, less populated areas. Many find themselves in regions that were not previously as rural as industries move away, taking with them economic prosperity and often medical providers. Others are in essential professions such as farming that by nature necessitate living in regions with fewer city accommodations and economic opportunities. Seeking space for one’s family and cultivating the land are valued goals that are deeply rooted in America’s fabric. Both Congress and an Administration must continually keep in mind how health care policies uniquely affect these regions because their market trends and populations are different from those of more populous regions. Often, rural patients face an hour’s drive to the nearest medical provider or facility or have

Department of Health and Human Services

Moderate

Vector: 63%

Pages: 533-535AI Enhanced

AI Analysis:

"HRES 877 focuses on raising awareness about preterm birth and improving maternal and infant health outcomes, which aligns with Project 2025's emphasis on maternal and child health initiatives under the Department of Health and Human Services, such as early childhood health programs and family planning services. While the bill does not directly implement specific Project 2025 policies, it supports broader goals related to reducing health disparities and promoting preventive care in maternal and i"

Key themes:maternal healthinfant healthpreventive carehealth disparitiesearly childhood health

— 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: 63%

Pages: 509-511AI Enhanced

AI Analysis:

"The bill focuses on raising awareness of preterm birth to improve maternal and infant health, while the Project 2025 excerpt centers on teen pregnancy prevention programs, adoption reform, ORR restructuring, and child support enforcement. Both touch on maternal/infant well‑being and prevention, but the bill does not address the specific programmatic, funding, or regulatory changes emphasized in the policy."

Key themes:maternal healthinfant healthpreventionteen pregnancy

— 477 — Department of Health and Human Services Teen Pregnancy Prevention (TPP) and Personal Responsibility Educa- tion Program (PREP). TPP is operated by the Office of Population Affairs in the Office of the Assistant Secretary for Health; PREP is operated by the ACF Office of Planning, Research, and Evaluation. Both programs should ensure that there is better reporting of subgrantees and referral lists so that they do not promote abortion or high-risk sexual behavior among adolescents. CMS should ensure that Sexual Risk Avoidance (SRA) proponents receive these grants and are given every opportunity to prove their effectiveness. SRA programs, both at ACF and at OASH and both discretionary and mandatory, should be equal in funding and emphasis. Qualitative research should be conducted on both types of programs to ensure continuous improvement. In addition, certain provisions should be employed so that these programs do not serve as advocacy tools to promote sex, promote prostitution, or provide a funnel effect for abortion facilities and school field trips to clinics, or for similar purposes. Parent involvement and parent–child communication should be encour- aged and be a part of any funded project. Risk avoidance should be prioritized, and any program that submits a proposal that promotes risk rather than health should not be eligible for funding. Site visits should be revamped to ensure adherence to these optimal health met- rics, and a cost analysis of programming as compared to students served should be a metric in funding (taking into account that in certain cases, intensive programs will serve fewer students and can have more positive results). These same param- eters should apply to sex education programs at ACF. Any lists with “approved curriculum” or so-called evidence-based lists should be abolished; HHS should not create a monopoly of curriculum, adding to the profit of certain publishers. Furthermore, lists created in the past have given priority to sex-promotion text- books. HHS should create a list of criteria for evaluating the sort of curriculum that should be selected for any sex education grant programs, both at OASH and at ACF, with the aim of promoting optimal health and adhering to the legislative language of each program. Adoption Reform. There are roughly 400,000 children across the nation on the waiting list for foster care and 100,000 awaiting adoptive families, and the opioid/ fentanyl crisis is putting more at risk every day. Unfortunately, many of the faith- based adoption agencies that serve these children are under threat from lawsuits, or else their licenses and contracts have been halted because they cannot in good conscience place children in every household due to their religious belief that a child should have a married mother and father. HHS, through ACF and the Assistant Secretary for Financial Resources (ASFR), should repeal the unnecessary 2016 regulation61 that imposes nonstatutory sexual orientation and gender identity nondiscrimination conditions on agency grants and return to the policy of maximizing the options for placing vulnerable children — 478 — Mandate for Leadership: The Conservative Promise in their forever homes. ACF and OCR should also survey their programs to consider whether additional waivers of HHS grant conditions—waivers the Biden Admin- istration revoked in 2021—are needed for faith-based agencies. Additionally, Congress should pass the Child Welfare Provider Inclusion Act62 to ensure that providers and organizations cannot be subjected to discrimination for providing adoption and foster care services based on their beliefs about marriage. Office of Refugee Resettlement (ORR). The Office of Refugee Resettlement should be moved to the Department of Homeland Security. Having health and welfare functions managed by HHS and border security functions managed by DHS has created intolerable failures in both. HHS and ORR have forgotten their original refugee-resettlement mission and instead have provided a panoply of free programs that incentivize people to come to the U.S. illegally. Even more troubling, ORR has too often placed children into dangerous situations when releasing them into the country. Nearly all of HHS’s care, custody, and placement of children is done through cooperative agreements with private agencies, many of which may have broken federal law by inducing or being accomplices in illegal immigration. Those arrangements could be handled far more effectively by DHS. Congress should reform the Trafficking Victims Protection Reauthorization Act63 to transfer all ORR duties for unaccompanied alien children to DHS and eliminate the Flores settlement agreement.64 Regardless of where ORR’s functions reside, ORR staff and care providers should never be allowed to facilitate abortions for unaccompanied children in its cus- tody, including by transporting minors across state lines from pro-life states to abortion-friendly states. Pregnant, unaccompanied girls in ORR custody should be treated with dignity, not trafficked across state lines to be victimized by the abortion industry. ORR should withdraw its policy of allowing elective abortions for children in ORR care and issue a new policy of instructing care providers not to allow girls to be transported for elective abortions. HHS OGC and the White House should insist that DOJ fight to defend that policy up to the U.S. Supreme Court in light of Dobbs. Office of Child Support Enforcement (OCSE) Congress established Aid to Families with Dependent Children in 1935 to assist single-parent families who were suffering financially from the loss of a bread-winning husband and father. Within two decades, however, the majority of families receiving aid were depen- dent because of paternal abandonment rather than death. Today, nearly a third of America’s children live without a father present in the home, and a fourth of them are enrolled to receive child support. The glaring issue in child support enforcement today is a non-resident father’s ability to provide full or consistent child support payments. The literature reflects this divide as fathers have been categorized as “deadbeat” dads, then as “deadbroke”

Department of Health and Human Services

Weak

Vector: 62%

Pages: 512-514AI Enhanced

AI Analysis:

"Both the bill and the Project 2025 policy aim to improve child well-being, but the bill focuses on raising awareness of preterm birth while the policy emphasizes marriage, fatherhood, and relationship education programs, resulting only tangential thematic overlap."

Key themes:maternal and infant healthchild well-beingpreventionpublic awarenessfunding streams

— 480 — Mandate for Leadership: The Conservative Promise l Utilize HMRE funding or grants to provide state-level high school education resources and curriculum on healthy marriages, sexual risk avoidance, and healthy relationships. Early interventions and prevention are much more cost-effective than are efforts to reach people already in broken relationships. l Allow child welfare funding to be used for marriage and relationship education. Congress should adopt the following recommendation from a report issued by members of Congress’s Joint Economic Committee: Children are far more likely to experience abuse when they are raised outside of their married-parent family. Title II of the Child Abuse Preven- tion and Treatment Act provides grants to communities for the purpose of preventing child abuse and neglect, and one of the stated purposes for which the grants can be used is for efforts to increase family stability. However, Congress could change the law to make it clear that Title II funding can be used for healthy marriage and relationship education. Funding provided under Title IV-B of the Social Security Act—which provides grants to states for foster care and adoption services—can also be used for promoting healthy marriage. States should consider using some of their Title IV-B funding for providing healthy marriage and relationship education for families at risk of having their children placed in foster care.65 l Provide educational information on healthy marriage and relationships at Title X family planning clinics. HHS should require clinics it funds under Title X (family planning) to provide information to customers about the importance of marriage to family and personal well-being and refer them to available federal, state, and nonprofit marriage resources. l Ensure proper assessments with enough time to assess HMRE programs. Although some widely available assessments of HMRE programs report poor outcomes, many of these assessments either utilized a poor methodology or tried to measure program success prematurely. Recent assessments have shown increasing effectiveness and positive community- level marital outcomes.66 The HMRE program should receive a fair and realistic assessment. Additionally, the positive role of faith-based programs should be protected — 481 — Department of Health and Human Services and prioritized so that these programs do not receive undue scrutiny or pressure to conform to nonreligious definitions of marriage and family as put forward by the recently enacted Respect for Marriage Act.67 l Protect faith-based grant recipients from religious liberty violations that maintain a biblically based, social science–reinforced definition of marriage and family. Social science reports that assess the objective outcomes for children raised in homes aside from a heterosexual, intact marriage are clear: All other family forms involve higher levels of instability (the average length of same-sex marriages is half that of heterosexual marriages); financial stress or poverty; or poorer behavioral, psychological, or educational outcomes. For the sake of child well-being, programs should affirm that children require and deserve both the love and nurturing of a mother and the play and protection of a father. Despite recent congressional bills like the Respect for Marriage Act that redefine marriage to be the union between any two individuals, HMRE program grants should be available to faith- based recipients who affirm that marriage is between not just any two adults, but one man and one unrelated woman. Healthy Marriage and Responsible Fatherhood (HMRF) Program. This program is located within the ACF Office of Family Assistance. Its goal, like that of the HMRE program, is to provide marriage and parenting guidance for low-in- come fathers. This includes fatherhood and marriage training, curriculum, and subsequent research. l Implement a pro-fatherhood messaging campaign. With nearly 41 percent of children born without a married father in the home (and nearly 69 percent among black Americans), the fatherhood problem is clear. Similar to Florida Governor Ron DeSantis’s 2022 fatherhood bill, HMRF funds should be used to support national messaging campaigns that affirm the role fathers play in the lives of their children, that recognize the financial hardships the fathers themselves face, and that seek to provide relationship education to fathers who were raised without a father in the home. l Fund effective HMRF state programs. Grant allocations should protect and prioritize faith-based programs that incorporate local churches and mentorship programs or increase social capital through multilayered community support (including, for example, job training and social events). Programs should affirm and teach fathers based on a biological and

Showing 3 of 5 policy matches

About These Correlations

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

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