Affordable Prescriptions for Patients Act

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Bill ID: 119/s/1041
Last Updated: August 9, 2026

Sponsored by

Sen. Cornyn, John [R-TX]

ID: C001056

Follow the money

The bill

Affordable Prescriptions for Patients Act

S. 1041, 119th Congress — read as touching Pharmaceuticals.

The sponsor

Sen. Cornyn, John [R-TX]

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

The money

$440,480 raised

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

The alignment

85% match to Project 2025

This bill's text tracks the "Department of Health and Human Services" section, p. 488-490 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Held at the desk.

July 20, 2026

Introduced

📍 Current Status

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

🏛️

Committee Review

🗳️

Floor Action

✅

Passed Senate

🏛️

House Review

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

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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

**Affordable Prescriptions for Patients Act (S. 1041): A Prescription for Patent Theater**

**1. Main Purpose & Objectives** Despite its feel-good title, the *Affordable Prescriptions for Patients Act* is not about lowering drug prices—it’s about managing patent litigation in the biosimilars arena. The bill amends 35 U.S.C. § 271(e) to tweak how reference product sponsors (i.e., big biopharma) can assert patent infringement claims against biosimilar applicants. Its stated goal? To “address infringement” of patents claiming biological products. In reality, it’s a carefully calibrated compromise: pretend to rein in patent abuse while giving innovators just enough legal ammo to delay competition—without triggering a full-blown revolt from either side. Think of it as a placebo for policymakers who want to look like they’re fighting drug monopolies while actually preserving the status quo.

**2. Key Provisions & Changes to Existing Law** The bill makes two key changes to the Hatch-Waxman/BPCI Act framework: - First, it clarifies that patent infringement under § 271(e)(2) now extends to patents claiming the biological product, its uses, or manufacturing methods—closing a loophole where biosimilar challengers could argue certain method patents weren’t “covered.” - Second, and more significantly, it caps the number of patents a reference product sponsor can assert in an infringement suit against a biosimilar applicant: **no more than 20 total patents**, with **no more than 10** issued after the reference product’s approval date (per § 351(l)(7)(A)). Courts can increase this limit for “good cause”—such as the biosimilar applicant withholding required data, making manufacturing changes, or if the patent office delayed issuance through its own fault. Importantly, method-of-treatment patents (e.g., new indications) are **excluded** from the cap, preserving a major evergreening tactic.

**3. Affected Parties & Stakeholders** - **Innovator biologics companies**: Slightly constrained in patent stacking but retain powerful tools (especially method-of-use patents) to delay biosimilars. They win by avoiding backlash over abusive patent thickets while keeping evergreening avenues open. - **Biosimilar applicants**: Gain predictability in litigation exposure but still face costly, complex patent challenges. The cap helps, but exclusions and judicial discretion mean delays remain likely. - **Patients**: Theoretically benefit from faster biosimilar entry, but real-world savings depend on whether courts actually enforce the caps—or just wave through “good cause” extensions. - **Courts**: Now tasked with judging “good cause” in patent disputes—a role they’re ill-equipped for, inviting inconsistent rulings and more litigation over litigation strategy. - **The Patent Office**: Indirectly implicated; delays in patent issuance can now be used as grounds to increase assertion limits, perversely rewarding inefficiency.

**4. Potential Impact & Implications** This is legislative cosmetics dressed as reform. By capping assertion numbers but exempting lucrative method-of-treatment patents and allowing judicial overrides, the bill maintains the innovator’s ability to obstruct biosimilars through evergreening and litigation hardball. It may reduce the most egregious patent thickets (e.g., 100+ patents on a single molecule), but it won’t meaningfully accelerate biosimilar competition or drop drug prices. The real impact? It gives Congress a bipartisan “win” to trumpet while doing little to challenge the pharmaceutical industry’s pricing power. Patients get a sugar-coated placebo; lawyers get more work; and the system stumbles on, slightly less absurd but still deeply ill. In short: a bandage on a hemorrhage, signed with a smile.

Related Topics

Healthcare & Insurance ReformResearch & Innovation PolicyWater & Air Quality Regulations
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💰 Campaign Finance Network

Sen. Cornyn, John [R-TX]

Congress 119 • 2024 Election Cycle

Total Contributions
$440,480
20 donors
PACs
$0
Organizations
$0
Committees
$0
Individuals
$440,433

No PAC contributions found

No organization contributions found

No committee contributions found

1
WEEKLEY, RICHARD W
1 transaction
$100,000
2
MCINGVALE, JAMES F
1 transaction
$50,000
3
MCINGVALE, LINDA
1 transaction
$50,000
4
DUNN, TIMOTHY
1 transaction
$45,000
5
MIDDLETON, MAYES
2 transactions
$25,000
6
MARTIN, KIMBERLY R
1 transaction
$20,000
7
BLAINE, JAY C.
1 transaction
$16,478
8
THOMPSON, JERE W. MR. JR.
1 transaction
$13,200
9
MIDDLETON, MACEY
1 transaction
$12,500
10
BOLDRICK, MILES
1 transaction
$12,500
11
BOLDRICK, LAURIE
1 transaction
$12,500
12
MIDDLETON, MACY
1 transaction
$12,500
13
WHITEHILL, KIT
1 transaction
$10,755
14
CARROLL, TRACEY
1 transaction
$10,000
15
HUFFINES, PHILLIP
1 transaction
$10,000
16
ALBIN, ALAN S.
1 transaction
$10,000
17
AGRESTI, JOSEPH A
1 transaction
$10,000
18
ADAMSON, MARK
1 transaction
$10,000
19
WILKS, JO ANN
1 transaction
$10,000

Cosponsors & Their Campaign Finance

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

Sen. Blumenthal, Richard [D-CT]

ID: B001277

Top Contributors

20

1
OLSON, LYNDON
NOT EMPLOYED • NOT EMPLOYED
IndividualWACO, TX
$3,300
Dec 20, 2024
2
ALIX, JAY
ALIX PARTNERS • FOUNDER
IndividualBIRMINGHAM, MI
$3,300
Oct 2, 2023
3
KIM, CHRISTINE M.
BBB LLC • ATTORNEY
IndividualNEW YORK, NY
$3,300
Oct 31, 2023
4
ALIX, JAY
ALIX PARTNERS • FOUNDER
IndividualBIRMINGHAM, MI
$3,300
Apr 15, 2024
5
ROURE, RITA
PAGNY - LINCOLN HOSPITAL • PHYSICIAN
IndividualGREENWICH, CT
$3,300
Apr 10, 2024
6
ROURE, RITA
PAGNY - LINCOLN HOSPITAL • PHYSICIAN
IndividualGREENWICH, CT
$3,300
Apr 10, 2024
7
CHAVEZ, TOM
KRUX INC. • CEO
IndividualSAN FRANCISCO, CA
$3,300
Jul 13, 2024
8
CHAVEZ, TOM
KRUX INC. • CEO
IndividualSAN FRANCISCO, CA
$3,300
Jul 13, 2024
9
JONES, JERRY C.
LIVERAMP INC. • EXECUTIVE
IndividualLITTLE ROCK, AR
$3,300
Sep 19, 2024
10
NESSEL, ARIEL
NESSEL DEVELOPMENT • OWNER
IndividualROSS, CA
$3,300
Jul 12, 2024

Sen. Grassley, Chuck [R-IA]

ID: G000386

Top Contributors

23

1
SAC & FOX TRIBE OF THE MISSISSIPPI IN IOWA
COMTAMA, IA
$2,000
Aug 8, 2023
2
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
COMPRIOR LAKE, MN
$1,000
Jul 23, 2024
3
WINRED
PACARLINGTON, VA
$25
Jul 4, 2024
4
SCHWARZMAN, CHRISTINE
RETIRED • RETIRED
IndividualNEW YORK, NY
$6,600
Jan 10, 2024
5
SCHWARZMAN, STEPHEN
BLACKSTONE • CEO
IndividualNEW YORK, NY
$6,600
Jan 16, 2024
6
KUMAR, SHALLI
AVG ADVANCED TECHNOLOGY • CHAIR
IndividualBETTENDORF, IA
$6,600
Jun 11, 2024
7
STARRETT, RONALD
RETIRED • RETIRED
IndividualCENTENNIAL, CO
$5,800
Jan 24, 2023
8
COLLINS, RICHARD
RETIRED • RETIRED
IndividualMARSHALLTOWN, IA
$5,523
Oct 1, 2024
9
COLLINS, RICHARD
IndividualMARSHALLTOWN, IA
$5,523
Oct 7, 2024
10
WEISS, LUKE
HOOVER'S HATCHERY • PRESIDENT
IndividualMASON CITY, IA
$3,300
Dec 11, 2024

Sen. Durbin, Richard J. [D-IL]

ID: D000563

Top Contributors

23

1
MIAMI TRIBE OF OKLAHOMA
OrganizationMIAMI, OK
$1,700
Mar 29, 2024
2
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,000
May 17, 2024
3
MIAMI TRIBE OF OKLAHOMA
OrganizationMIAMI, OK
$800
Mar 29, 2024
4
KUJAWSKI, JOHN
SELF-EMPLOYED • ATTORNEY
IndividualSAINT LOUIS, MO
$5,000
May 28, 2024
5
KUJAWSKI, JOHN
IndividualSAINT LOUIS, MO
$5,000
Jun 4, 2024
6
KUJAWSKI, JOHN
SELF-EMPLOYED • ATTORNEY
IndividualSAINT LOUIS, MO
$3,600
May 29, 2024
7
KUJAWSKI, JOHN
IndividualSAINT LOUIS, MO
$3,600
Jun 4, 2024
8
BARKER, MARA MILLS
NOT EMPLOYED • NOT EMPLOYED
IndividualCHICAGO, IL
$3,300
Dec 26, 2024
9
BARKER, MARA MILLS
NOT EMPLOYED • NOT EMPLOYED
IndividualCHICAGO, IL
$3,300
Dec 26, 2024
10
CHOWDHURY, SHUVRO
BOWERY ENGINE • ENGINEER
IndividualNEW YORK, NY
$3,300
Nov 1, 2024

Donor Network - Sen. Cornyn, John [R-TX]

PACs
Organizations
Individuals
Politicians

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

Loading...

Showing 32 nodes and 34 connections

Total contributions: $34

Top Donors - Sen. Cornyn, John [R-TX]

Showing top 20 donors by contribution amount

1 Committee19 Individuals

Industry Impact

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

  • −Pharmaceuticalsconfidence 0.90

    Section 2(a)(2) limits the number of patents a reference product sponsor can assert against a subsection (k) applicant (biosimilar) to 20 total patents, with no more than 10 issued after a certain date, reducing patent protection and increasing competition for biologics manufacturers.

  • −Biotech & Researchconfidence 0.85

    Same provision as above restricts patent assertions for biological products, which directly impacts biotech firms that rely on patent protection for biologics and biosimilars, limiting their ability to enforce patents against follow-on applicants.

Who funds the sponsor on these industries

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

Industries this bill HARMS

  • from 3 contributions
    • STEERE, WILLIAM C. MR. JR.$3,300
    • NOWELL, RICHARD$175

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

Strong
Vector: 67%
Pages: 488-490AI Enhanced

AI Analysis:

"The bill’s focus on limiting patent assertions to accelerate biosimilar/generic entry aligns with Project 2025’s goals of reducing brand‑name tactics that delay competition and increasing access to affordable drugs."

Key themes:generic drug competitionbiosimilar accesspatent reformlower drug costsincreased medication availability

— 456 — Mandate for Leadership: The Conservative Promise abortion providers and whether better prenatal physical, mental, and social care improves infant outcomes and decreases abortion rates, especially among those who are most vulnerable. The Ensuring Accurate and Complete Abortion Data Reporting Act of 20239 would amend title XIX of the Social Security Act and Public Health Service Act to improve the CDC’s abortion reporting mechanisms by requiring states, as a condition of federal Medicaid payments for family planning services, to report streamlined variables in a timely manner. The CDC should immediately end its collection of data on gender identity, which legitimizes the unscientific notion that men can become women (and vice versa) and encourages the phenomenon of ever-multiplying subjective identities. FOOD AND DRUG ADMINISTRATION (FDA) The FDA’s mission includes ensuring the safety and efficacy of drugs, biological products, and medical devices. Federal Laws That Shield Big Pharma from Competition. Because generics generally cost far less than brand-name drugs, consumers begin to save money as soon as a generic product comes on the market. The vast majority are very afford- able with 93 percent of generic products costing $20 or less. Savings would be even higher under proposals that prevent brand-name man- ufacturers from slowing down or impeding the entrance of generic products into the marketplace. Specifically, the FDA should prohibit pharmaceutical companies from purposely sitting on their legally available right to be the first to sell generic versions of their drugs. Additionally, Congress should create legal remedies for generic companies to obtain samples of brand-name products for their generic development efforts and should prohibit meritless “citizen petitions” submitted by manufacturers to delay approval of a generic competitor.10 Approval Process for Laboratory-Developed or Modified Medical Tests. Learning from the failed early COVID-19 testing experience, Congress and the FDA should focus on reforming laws and regulations governing medical tests, especially with respect to laboratory-developed tests. Commercial tests are developed with the intention of being widely marketed, distributed, and used, while laboratory-developed tests are created with the intention of being used solely within one laboratory. A test developed by a lab in accordance with the protocols developed by another lab (non-commercial sharing) currently constitutes a “new” laboratory-developed test because the lab in which it will be used is different from the initial developing lab. To encourage interlab- oratory collaboration and discourage duplicative test creation (and associated regulatory and logistical burdens), the FDA should introduce mechanisms through which laboratory-developed tests can easily be shared with other laboratories with- out the current regulatory burdens.11 — 457 — Department of Health and Human Services The “laboratory-developed tests” category currently encompasses a range of possible tests, many of which would be characterized more appropriately as “lab- oratory-modified tests” because they are not truly novel tests but rather modified versions of existing tests. To avoid stifling innovation and access to medical care, the applicable statutes and regulations should be revised to facilitate greater access to such modified tests.12 Finally, the FDA has long held that it has regulatory authority over such tests, while others have argued that they should be considered clinical services regulated by the Centers for Medicare and Medicaid Services (CMS). The FDA currently has regulatory authority over in vitro diagnostics, and under the Clinical Lab- oratory Improvement Amendments (CLIA),13 the CMS ensures that labs meet analytical validity standards for test methods. Congress, the FDA, and the CMS need to clarify and disentangle overlapping authorities over tests to eliminate regulatory confusion.14 Drug Shortages. The very thin profit margins and the regulatory burdens associated with generic drug manufacturing discourage inventory and capacity investments by manufacturers and contribute to drug shortages. HHS and the FDA should encourage more dependable generic drug manufacturing. The FDA should expand its current pass/fail approach to drug facility inspec- tions into a graded system that recognizes manufacturers that exceed minimum standards by investing in improving production reliability. The FDA should also add facility codes to drug packaging and construct a searchable database that cross-references product codes and facility codes. That would enable wholesalers and pharmacy benefit managers to identify and preference drugs manufactured at more reliable facilities, thus encouraging generic drug manufacturers to compete on reliability as well as on price. For its part, HHS should exempt multi-source generic drugs from requirements to pay rebates to Medicaid and other federally funded health programs, as those provisions penalize new investments in expanding manufacturing capacity when supply is unable to meet demand.15 Additionally, FDA and NIH should promote efficacy trials of new applications for generic drugs, which might include NIH fund- ing such trials or conducting its own. Abortion Pills. Abortion pills pose the single greatest threat to unborn chil- dren in a post-Roe world. The rate of chemical abortion in the U.S. has increased by more than 150 percent in the past decade; more than half of annual abortions in the U.S. are chemical rather than surgical. The abortion pill regimen is typically a two-part process. The first pill, mifepris- tone, causes the death of the unborn child by cutting off the hormone progesterone, which is required to sustain a pregnancy. The second pill, misoprostol, causes con- tractions to induce a delivery of the dead child and uterine contents, usually into a toilet at home. The abortion-pill regimen is currently approved for up to 70 days

Department of Health and Human Services

Strong
Vector: 61%
Pages: 488-490AI Enhanced

AI Analysis:

"The bill’s focus on limiting patent assertions to accelerate biosimilar/generic entry aligns with Project 2025’s FDA objective of preventing brand‑name companies from delaying generic competition and lowering drug costs."

Key themes:generic drug competitionpatent evergreening limitsaffordable prescriptionsFDA reformbiosimilar access

— 455 — Department of Health and Human Services family formation. It should ensure that it is not promoting abortion as health care. It should fund studies into the risks and complications of abortion and ensure that it corrects and does not promote misinformation regarding the comparative health and psychological benefits of childbirth versus the health and psychological risks of intentionally taking a human life through abortion. The CDC oversaw and funded the development and testing of the COVID-19 vaccines with aborted fetal cell lines, insensitive to the consciences of tens of thousands to hundreds of thousands of people who objected to taking a vac- cine with such a link to abortion. As evidenced by litigation across the country, it is likely that thousands were fired unjustly because of the exercise of their consciences or faith on this question, which could have been avoided with a modicum of concern for this issue from CDC. There is never any justification for ending a child’s life as part of research, and the research benefits from splicing or growing aborted fetal cells and aborted baby body parts can easily be provided by alternative sources. All such research should be prohibited as a matter of law and policy. CDC should update its public messaging about the unsurpassed effectiveness of modern fertility awareness–based methods (FABMs) of family planning and stop publishing communications that conflate such methods with the long-eclipsed “rhythm” or “calendar” methods. CDC should fund studies exploring the evi- dence-based methods used in cutting-edge fertility awareness. Data Collection. The CDC’s abortion surveillance and maternity mortality reporting systems are woefully inadequate. CDC abortion data are reported by states on a voluntary basis, and California, Maryland, and New Hampshire do not submit abortion data at all. Accurate and reliable statistical data about abortion, abortion survivors, and abortion-related maternal deaths are essential to timely, reliable public health and policy analysis. Because liberal states have now become sanctuaries for abortion tourism, HHS should use every available tool, including the cutting of funds, to ensure that every state reports exactly how many abortions take place within its borders, at what gestational age of the child, for what reason, the mother’s state of residence, and by what method. It should also ensure that statistics are separated by category: spontaneous miscarriage; treatments that incidentally result in the death of a child (such as chemotherapy); stillbirths; and induced abortion. In addition, CDC should require monitoring and reporting for complications due to abortion and every instance of children being born alive after an abortion. Moreover, abortion should be clearly defined as only those procedures that intentionally end an unborn child’s life. Miscarriage management or standard ectopic pregnancy treatments should never be conflated with abortion. Comparisons between live births and abortion should be tracked across vari- ous demographic indicators to assess whether certain populations are targeted by — 456 — Mandate for Leadership: The Conservative Promise abortion providers and whether better prenatal physical, mental, and social care improves infant outcomes and decreases abortion rates, especially among those who are most vulnerable. The Ensuring Accurate and Complete Abortion Data Reporting Act of 20239 would amend title XIX of the Social Security Act and Public Health Service Act to improve the CDC’s abortion reporting mechanisms by requiring states, as a condition of federal Medicaid payments for family planning services, to report streamlined variables in a timely manner. The CDC should immediately end its collection of data on gender identity, which legitimizes the unscientific notion that men can become women (and vice versa) and encourages the phenomenon of ever-multiplying subjective identities. FOOD AND DRUG ADMINISTRATION (FDA) The FDA’s mission includes ensuring the safety and efficacy of drugs, biological products, and medical devices. Federal Laws That Shield Big Pharma from Competition. Because generics generally cost far less than brand-name drugs, consumers begin to save money as soon as a generic product comes on the market. The vast majority are very afford- able with 93 percent of generic products costing $20 or less. Savings would be even higher under proposals that prevent brand-name man- ufacturers from slowing down or impeding the entrance of generic products into the marketplace. Specifically, the FDA should prohibit pharmaceutical companies from purposely sitting on their legally available right to be the first to sell generic versions of their drugs. Additionally, Congress should create legal remedies for generic companies to obtain samples of brand-name products for their generic development efforts and should prohibit meritless “citizen petitions” submitted by manufacturers to delay approval of a generic competitor.10 Approval Process for Laboratory-Developed or Modified Medical Tests. Learning from the failed early COVID-19 testing experience, Congress and the FDA should focus on reforming laws and regulations governing medical tests, especially with respect to laboratory-developed tests. Commercial tests are developed with the intention of being widely marketed, distributed, and used, while laboratory-developed tests are created with the intention of being used solely within one laboratory. A test developed by a lab in accordance with the protocols developed by another lab (non-commercial sharing) currently constitutes a “new” laboratory-developed test because the lab in which it will be used is different from the initial developing lab. To encourage interlab- oratory collaboration and discourage duplicative test creation (and associated regulatory and logistical burdens), the FDA should introduce mechanisms through which laboratory-developed tests can easily be shared with other laboratories with- out the current regulatory burdens.11

Department of Health and Human Services

Strong
Vector: 61%
Pages: 530-532AI Enhanced

AI Analysis:

"The Affordable Prescriptions for Patients Act aligns with Project 2025's focus on reducing drug prices and increasing access to affordable medications, particularly through biosimilar competition. Both emphasize curbing abusive patent practices that delay lower-cost alternatives while preserving incentives for genuine innovation."

Key themes:drug pricing reformbiosimilar accesspatent abuse preventionhealthcare affordabilityinnovation balance

— 498 — Mandate for Leadership: The Conservative Promise ENDNOTES 1. U.S. Department of Health and Human Services, Strategic Plan, FY 2018–2022, p. 50, https://aspe.hhs.gov/ sites/default/files/documents/feac346aca967bfadc446398679e14ec/hhs-strategic-plan-fy-2018-2022.pdf (accessed February 7, 2023). 2. “Strategic Goal 1: Protect and Strengthen Equitable Access to High Quality and Affordable Healthcare” in ibid. “In the context of HHS, this Strategic Plan adopts the definition of underserved communities listed in Executive Order 13985: Advancing Racial Equity and Support for Underserved Communities through the Federal Government to refer to ‘populations sharing a particular characteristic, as well as geographic communities, who have been systematically denied a full opportunity to participate in aspects of economic, social, and civic life’; this definition includes individuals who belong to underserved communities that have been denied such treatment, such as Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders and other persons of color; members of religious minorities; lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons; persons with disabilities; persons who live in rural areas; and persons otherwise adversely affected by persistent poverty or inequality. Individuals may belong to more than one underserved community and face intersecting barriers. This definition applies to the terms underserved communities and underserved populations throughout this Strategic Plan.” Ibid. Emphasis in original. 3. Karen Weintraub, “Americans’ Life Expectancy Continues to Fall, Erasing Health Gains of the Last Quarter Century,” USA Today, December 22, 2022, https://www.usatoday.com/story/news/health/2022/12/22/us-life- expectancy-continues-fall-erasing-25-years-health-gains/10937418002/ (accessed February 6, 2023). 4. Apoorva Mandavilli, “The C.D.C. Isn’t Publishing Large Portions of the Data It Collects,” The New York Times, updated February 22, 2022, https://www.congress.gov/117/meeting/house/114450/documents/HHRG-117- IF02-20220302-SD004.pdf (accessed March 22, 2023). 5. Zachary B. Sluzala and Edmund F. Haislmaier, “Lessons from COVID-19: How Policymakers Should Reform the Regulation of Clinical Testing,” Heritage Foundation Backgrounder No. 3696, March 28, 2022, https://www. heritage.org/public-health/report/lessons-covid-19-how-policymakers-should-reform-the-regulation-clinical. 6. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, “Centers for Disease Control and Prevention (C),” https://www.cdc.gov/maso/pdf/cdcmiss.pdf (March 16, 2023). 7. Judith Garber, “CDC ‘Disclaimers’ Hide Financial Conflicts of Interest,” Lown Institute Accountability Blog, November 6, 2019, https://lowninstitute.org/cdc-disclaimers-hide-financial-conflicts-of-interest/ (accessed February 6, 2023). See also U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, “CDC Foundation Active Programs (October 1, 2014–September 30, 2015),” https://www. cdcfoundation.org/sites/default/files/upload/pdf/CDCFoundation-ActivePrograms-FY2015.pdf (accessed February 7, 2023); “CDC Active Programs (October 1, 2015–September 30, 2016),” https://www.cdcfoundation. org/sites/default/files/upload/pdf/CDCFoundation-ActivePrograms-FY2016.pdf (accessed February 7, 2023); “CDC Foundation Active Programs (October 1, 2016–September 30, 2017),” https://www.cdcfoundation.org/ sites/default/files/upload/pdf/CDCFoundation-ActivePrograms-FY2017.pdf (accessed February 7, 2023); “CDC Foundation Active Programs (October 1, 2017–September 30, 2018),” https://www.cdcfoundation.org/sites/default/ files/upload/pdf/CDCFoundation-ActivePrograms-FY2018.pdf (accessed February 7, 2023); “CDC Foundation Active Programs, October 1, 2018–September 30, 2019,” https://www.cdcfoundation.org/sites/default/files/upload/ pdf/CDCFoundation-ActivePrograms-FY2019.pdf (accessed February 7, 2023); “CDC Foundation Active Programs, October 1, 2029–September 30, 2020,” https://www.cdcfoundation.org/CDCF-ActivePrograms-CDC-FY20?inline (accessed February 7, 2023); and “CDC Foundation Active Programs, October 1, 2020–September 30, 2021,” https://www.cdcfoundation.org/CDCF-ActivePrograms-CDC-FY21?inline (accessed February 7, 2023). 8. Joel White and Doug Badger, “In Order to Defeat COVID-19, the Federal Government Must Modernize Its Public Health Data,” Heritage Foundation Backgrounder No. 3527, September 3, 2020, https://www.heritage. org/sites/default/files/2020-09/BG3527_0.pdf. 9. S. 15, Ensuring Accurate and Complete Abortion Data Reporting Act of 2023, 118th Congress, introduced January 23, 2023, https://www.congress.gov/118/bills/s15/BILLS-118s15is.pdf (accessed March 22, 2023), and H.R. 632, Ensuring Accurate and Complete Abortion Data Reporting Act of 2023, 118th Congress, introduced January 30, 2023, https://www.congress.gov/118/bills/hr632/BILLS-118hr632ih.pdf (accessed March 22, 2023). 10. Doug Badger, “How Congress Can Make Real Progress on Drug Prices,” Heritage Foundation Issue Brief No. 5016, December 9, 2019, https://www.heritage.org/sites/default/files/2019-12/IB5016_1.pdf. — 499 — Department of Health and Human Services 11. Sluzala and Haislmaier, “Lessons From COVID-19: How Policymakers Should Reform the Regulation of Clinical Testing.” 12. Ibid. 13. H.R. 5471, Clinical Laboratory Improvement Amendments of 1988, Public Law No. 100-578, 100th Congress, October 31, 1988, https://uscode.house.gov/statutes/pl/100/578.pdf (accessed March 17, 2023). 14. Sluzala and Haislmaier, “Lessons From COVID-19: How Policymakers Should Reform the Regulation of Clinical Testing.” 15. Edmund F. Haislmaier, “Ensuring Americans’ Access to Pharmaceuticals: A Primer and Road Map for Policymakers,” Heritage Foundation Backgrounder No. 3545, October 20, 2020, https://www.heritage.org/ sites/default/files/2020-10/BG3545.pdf. 16. 18 U.S.C. 1461, https://www.law.cornell.edu/uscode/text/18/1461 (accessed March 16, 2023), and 18 U.S.C. 1462, https://www.law.cornell.edu/uscode/text/18/1462 (accessed March 16, 2023). 17. H.R. 1308, Religious Freedom Restoration Act of 1993, Public Law No. 103-141, 103rd Congress, November 16, 1993, https://www.congress.gov/103/statute/STATUTE-107/STATUTE-107-Pg1488.pdf (accessed March 18, 2023). 18. Charles Piller, “Is FDA’s Revolving Door Open Too Wide?” Science, Vol. 361, No. 6397 (July 6, 2018), p. 21, https://www.science.org/doi/epdf/10.1126/science.361.6397.21 (accessed February 6, 2023). 19. Joel Achenbach, “NIH Halts $100 Million Study of Moderate Drinking That Is Funded by Alcohol Industry,” The Washington Post, May 17, 2018, https://www.washingtonpost.com/news/to-your-health/wp/2018/05/17/nih- halts-controversial-study-of-moderate-drinking/ (accessed February 6, 2023). 20. Alexander Tin, “Moderna Offers NIH Co-ownership of COVID Vaccine Patent amid Dispute with Government,” CBS News, November 15, 2021, https://www.cbsnews.com/news/moderna-covid-vaccine-patent-dispute- national-institutes-health/ (accessed February 6, 2023). 21. Informed Consent Action Network, “NIH Officials Profiting from COVID-19 Vaccine,” June 3, 2021, https://www. icandecide.org/nih-officials-profiting-from-covid-19-vaccine/ (accessed February 6, 2023). 22. Adam Andrzejewski, “Substack Investigation: Fauci’s Royalties and the $350 Million Royalty Payment Stream HIDDEN by NIH,” Open the Books Substack, May 9, 2022, https://openthebooks.substack. com/p/faucis-royalties-and-the-350-million?utm_source=/profile/24758236-adam-andrzejewski&utm_ medium=reader2&s=w (accessed February 6, 2023). 23. Robert E. Moffit, “Time to Reverse Hospital Market Consolidation,” Heritage Foundation Commentary, January 5, 2022, https://www.heritage.org/health-care-reform/commentary/time-reverse-hospital-market-consolidation. 24. H.R. 3590, Patient Protection and Affordable Care Act, Public Law No. 111-148, 111th Congress, March 23, 2021, https://www.congress.gov/111/plaws/publ148/PLAW-111publ148.pdf (accessed March 16, 2023). 25. Brian J. Miller, Robert E. Moffit, James Ficke, Joseph Marine, and Jesse Ehrenfeld, “Reversing Hospital Consolidation: The Promise of Physician-Owned Hospitals,” Health Affairs Forefront, April 12, 2021, https:// www.healthaffairs.org/do/10.1377/forefront.20210408.980640/ (accessed February 13, 2023). 26. Robert E. Moffit, “Medicare’s Future: Challenges and Opportunities,” testimony before the Special Committee on Aging, U.S. Senate, November 21, 2022, https://www.heritage.org/testimony/medicares-future-challenges- and-opportunities. 27. 42 U.S. Code § 256b, https://www.law.cornell.edu/uscode/text/42/256b (accessed March 16, 2023). 28. H.R. 3590, Patient Protection and Affordable Care Act, § 3022. 29. H.R. 5376, Inflation Reduction Act of 2022, Public Law No. 117-169, 117th Congress, August 16, 2022, https:// www.congress.gov/117/plaws/publ169/PLAW-117publ169.pdf (accessed March 16, 2023). 30. Robert E. Moffit, “Reducing Patient Access to New Medications Is the Left’s Latest Medicare Price-Fixing Scheme,” Heritage Foundation Commentary, July 22, 2022, https://www.heritage.org/medicare/commentary/ reducing-patient-access-new-medications-the-lefts-latest-medicare-price-fixing, and Badger, “How Congress Can Make Real Progress on Drug Prices.” 31. Nina Owcharenko Schaefer, “Medicaid at 55: Understanding the Design, Trends, and Reforms Needed to Improve the Health Care Safety Net,” Heritage Foundation Backgrounder No. 3604, April 14, 2021, https:// www.heritage.org/sites/default/files/2021-04/BG3604_0.pdf, and Brian C. Blase, “Punishing Conservative States: Payment Cuts to Hospitals Where Federal Spending Is Already Low,” Paragon Health Institute, December 2021, https://paragoninstitute.org/wp-content/uploads/2022/06/Punishing-Conservative-States- HTML.html (accessed February 13, 2023).

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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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