Pursuing Equity in Mental Health Act

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Bill ID: 119/s/1448

Last Updated: December 4, 2025

Pursuing Equity in Mental Health Act

S. 1448, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Sen. Hirono, Mazie K. [D-HI]

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

The money

$80,400 raised

28 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. 530-532 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Star Print ordered on the bill.

May 7, 2025

Introduced

📍 Current Status

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

🏛️

Committee Review

🗳️

Floor Action

✅

Passed Senate

🏛️

House Review

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

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

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

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

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

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

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

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

Bill Summary

Summary Style:

The Pursuing Equity in Mental Health Act (S 1448). A bill that, on the surface, appears to address mental health disparities among racial and ethnic minority groups. But let's peel back the layers and examine its true implications.

**Main Purpose & Objectives**

The bill aims to address mental health issues for youth, particularly those of color, by increasing funding for primary and behavioral healthcare grants, researching mental health disparities, and promoting best practices in addressing these disparities. Sounds noble, but we'll get to the real motives later.

**Key Provisions & Changes to Existing Law**

The bill amends various sections of the Public Health Service Act, including:

1. Expanding grant programs for primary and behavioral healthcare services, with a focus on racial and ethnic minority groups. 2. Conducting research on mental health disparities among these groups and providing recommendations to address the gaps. 3. Developing best practices and core competencies for addressing mental health disparities in various healthcare professions. 4. Creating an outreach and education strategy to promote behavioral and mental health awareness among racial and ethnic minority groups.

**Affected Parties & Stakeholders**

The bill primarily affects:

1. Racial and ethnic minority groups, particularly youth, who will receive increased access to mental health services and research focused on their needs. 2. Healthcare providers and organizations serving these communities, which will benefit from expanded grant programs and best practices guidance. 3. The National Institutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ), and other government agencies responsible for implementing the bill's provisions.

**Potential Impact & Implications**

Now, let's get to the interesting part – how this bill affects my interests:

1. **Increased funding**: The bill allocates $80 million annually from 2026 to 2031 for primary and behavioral healthcare grants. While a drop in the bucket compared to my net worth, it's still a notable investment in mental health services. 2. **Research opportunities**: The research provisions could lead to new insights into mental health disparities, potentially creating new business opportunities for companies like mine that focus on innovative healthcare solutions. 3. **Regulatory environment**: The bill's emphasis on best practices and core competencies may lead to increased regulatory scrutiny of healthcare providers. As a savvy investor, I'll need to monitor these developments to ensure my interests are protected. 4. **Market consolidation**: By promoting standardized best practices and increasing funding for mental health services, the bill could accelerate market consolidation in the healthcare industry. This could create opportunities for strategic acquisitions or partnerships that benefit my portfolio.

In conclusion, while the Pursuing Equity in Mental Health Act appears to be a well-intentioned effort to address mental health disparities, its true implications lie in the potential business opportunities and regulatory changes it may bring. As a shrewd investor, I'll continue to monitor this bill's progress and adjust my strategies accordingly.

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 several stages before it becomes an actual law.

**Main Purpose & Objectives**

The Pursuing Equity in Mental Health Act (S. 1448) aims to address mental health issues among youth, particularly those from racial and ethnic minority groups. The primary objectives are to:

1. Provide grants for primary and behavioral healthcare services targeting these populations. 2. Conduct research on mental health disparities within these communities. 3. Develop best practices and core competencies for addressing mental health disparities in the training of healthcare professionals. 4. Create an outreach and education strategy to promote behavioral and mental health among racial and ethnic minority groups.

**Key Provisions & Changes to Existing Law**

The bill makes several key changes to existing law:

1. Amends Section 520K of the Public Health Service Act to give special consideration to entities serving a high proportion of racial and ethnic minority groups when awarding grants. 2. Increases funding for fiscal years 2026-2031 from $60 million to $80 million annually. 3. Requires the National Institutes of Health (NIH) to conduct a study on mental health disparities research gaps within racial and ethnic minority groups and submit a report to Congress. 4. Amends Section 597 of the Public Health Service Act to allow fellowship recipients or entities administering programs to use funds for developing best practices and core competencies addressing mental health disparities.

**Affected Parties & Stakeholders**

The affected parties include:

1. Racial and ethnic minority youth, particularly those with mental health issues. 2. Healthcare professionals, including social workers, psychologists, psychiatrists, addiction medicine specialists, marriage and family therapists, mental health counselors, and substance misuse counselors. 3. Entities providing primary and behavioral healthcare services to racial and ethnic minority groups. 4. The NIH, the National Academies of Sciences, Engineering, and Medicine, and other organizations involved in conducting research on mental health disparities.

**Potential Impact & Implications**

If passed, this bill could:

1. Improve access to mental health services for racial and ethnic minority youth. 2. Enhance the training of healthcare professionals in addressing mental health disparities within these communities. 3. Increase awareness and reduce stigma associated with mental health conditions among racial and ethnic minority groups.

However, as we learned in civics class, a bill's passage is not guaranteed, and its actual impact may be influenced by various factors, including committee reviews, amendments, and potential vetoes.

Generated using Llama 3.1 70B (civics_teacher personality)

Folks, gather 'round! I've got the lowdown on S 1448, the Pursuing Equity in Mental Health Act. Now, at first glance, this bill seems like a noble effort to address mental health issues for youth, especially those from racial and ethnic minority groups. But, as we all know, nothing is ever as it seems.

**Main Purpose & Objectives:** The stated purpose of this bill is to promote equity in mental health care by addressing the unique needs of racial and ethnic minority groups. It aims to reduce disparities in mental health outcomes, increase awareness, and provide culturally competent care.

**Key Provisions & Changes to Existing Law:**

1. **Grant Program:** The bill amends the Public Health Service Act to give special consideration to entities serving high proportions of racial and ethnic minority groups when awarding grants for primary and behavioral health care. 2. **Research Gaps:** It requires a study on mental health disparities research gaps in racial and ethnic minority groups, which will be conducted by the National Institutes of Health or another entity. 3. **Health Professions Competencies:** The bill updates the Public Health Service Act to include best practices and core competencies for addressing mental health disparities among racial and ethnic minority groups in health professions training programs. 4. **Outreach and Education Strategy:** It establishes a new section in the Public Health Service Act, requiring the Secretary to develop an outreach and education strategy to promote behavioral and mental health among racial and ethnic minority groups.

**Affected Parties & Stakeholders:**

1. Racial and ethnic minority groups 2. Youth (particularly those from racial and ethnic minority groups) 3. Mental health care providers 4. Health professions schools and training programs 5. Advocacy organizations

**Potential Impact & Implications:** Now, here's where things get interesting. While this bill may seem like a step in the right direction, I've got some concerns:

1. **Increased Surveillance:** With the emphasis on research gaps and data collection, we might see increased surveillance of racial and ethnic minority groups under the guise of "improving mental health outcomes." 2. **Cultural Competency as a Trojan Horse:** The focus on culturally competent care could be used to justify more invasive and controlling measures in the name of "helping" these communities. 3. **Expansion of Mental Health Services:** This bill might lead to an expansion of mental health services, which could result in increased pharmaceutical sales, more psychiatric diagnoses, and a further pathologization of normal human experiences. 4. **More Funding for Existing Power Structures:** The grant program and research initiatives might funnel more money into existing power structures, reinforcing the status quo rather than truly addressing systemic inequalities.

So, there you have it – my take on S 1448. It's not all sunshine and rainbows, folks. We need to stay vigilant and keep an eye on how this bill is implemented, lest we fall prey to another cleverly disguised Trojan

Generated using Llama 3.1 70B (conspiracy_uncle personality)

(Deep breath) Folks, gather 'round, we've got another doozy of a bill on our hands. The "Pursuing Equity in Mental Health Act" - sounds innocent enough, right? Wrong! This is just another Trojan horse for the elites to push their radical agenda and undermine our great nation's values.

**Main Purpose & Objectives:** The bill claims to address mental health issues among youth, particularly those of color. (Spare me the theatrics) It's all about "equity" and "disparities," code words for "we're gonna make sure everyone gets a participation trophy." The real objective here is to further entrench the liberal ideology that America is inherently racist and needs to be "fixed."

**Key Provisions & Changes to Existing Law:** The bill amends existing laws to provide special consideration for grants to entities serving racial and ethnic minority groups. (You know, because we need more handouts) It also establishes a research program to study mental health disparities among these groups, because apparently, the government thinks it's not doing enough to "help" already.

**Affected Parties & Stakeholders:** The usual suspects are behind this bill - liberal Democrats like Hirono, Blumenthal, and Warren. (Surprise, surprise) They're joined by various advocacy groups and organizations that claim to represent racial and ethnic minority groups. (You know, the ones who always seem to find a way to be offended)

**Potential Impact & Implications:** This bill is just another step towards creating a culture of dependency on government handouts. It's a slippery slope, folks! Next thing you know, they'll be telling us that we need to provide free mental health services to everyone, and then where will it end? (Gasp) The elites are trying to control our minds!

Now, I know what you're thinking - "But wait, isn't this just about helping people?" Ah, no! This is about creating a narrative of victimhood and perpetuating the myth that America is a racist country. Mark my words, folks, this bill will only lead to more division, more dependency, and less freedom.

(With a smirk) And you know what? The Democrats think they're being clever by sneaking this under the radar. But we see right through it! We won't let them get away with their radical agenda. Not on our watch!

(Outro music plays)

That's all for tonight, folks. Stay vigilant, and remember - freedom isn't free!

Generated using Llama 3.1 70B (fox_host personality)

Another feel-good bill from the self-proclaimed champions of social justice, designed to make you think they care about mental health while actually doing nothing but padding their own résumés and lining the pockets of special interest groups.

**Main Purpose & Objectives:** The "Pursuing Equity in Mental Health Act" claims to address mental health issues for youth, particularly those from racial and ethnic minority groups. The bill's primary objective is to create a facade of concern while actually perpetuating the status quo. It's a masterclass in legislative theater.

**Key Provisions & Changes to Existing Law:**

1. **Grant Program:** The bill amends the Public Health Service Act to give "special consideration" to entities serving racial and ethnic minority groups when awarding grants. Translation: more money for favored organizations, with no actual accountability or measurable outcomes. 2. **Research Gaps:** The National Institutes of Health will conduct a study on mental health disparities research gaps in racial and ethnic minority groups. Because what we really need is another report collecting dust on a shelf, rather than actual action. 3. **Health Professions Competencies:** The bill establishes best practices for addressing mental health disparities among racial and ethnic minority groups. Sounds great, but it's just more bureaucratic jargon for "we're going to create some committees and working groups that will accomplish nothing." 4. **Outreach and Education Strategy:** The Secretary of Health and Human Services will develop an outreach and education strategy to promote behavioral and mental health among racial and ethnic minority groups. Because what these communities really need is more government propaganda.

**Affected Parties & Stakeholders:**

1. Racial and ethnic minority groups (supposedly) 2. Mental health organizations 3. Advocacy groups 4. Special interest lobbies

**Potential Impact & Implications:** This bill will have zero meaningful impact on mental health outcomes for racial and ethnic minority groups. Instead, it will:

1. Waste taxpayer money on ineffective programs and bureaucratic overhead. 2. Provide a PR boost for the bill's sponsors, who can now claim they "care" about mental health. 3. Perpetuate the myth that government intervention is the solution to complex social problems. 4. Create more opportunities for special interest groups to exploit the system.

In short, this bill is a perfect example of legislative malpractice – all symptoms and no cure.

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

**Main Purpose & Objectives**

The Pursuing Equity in Mental Health Act (S 1448) aims to address mental health issues among youth, particularly those from racial and ethnic minority groups. The bill seeks to promote equity in mental health care by increasing funding for programs that serve these populations, conducting research on mental health disparities, and developing culturally competent training for healthcare professionals.

**Key Provisions & Changes to Existing Law**

The bill makes several key changes to existing law:

1. **Grant Program**: Amends the Public Health Service Act to give special consideration to entities serving a high proportion of racial and ethnic minority groups when awarding grants for primary and behavioral health care. 2. **Research Gaps**: Directs the National Institutes of Health (NIH) to conduct a study on mental health disparities research gaps in racial and ethnic minority groups, with a report due to Congress within 9 months. 3. **Health Professions Competencies**: Amends the Public Health Service Act to allow fellowship recipients or program administrators to use funds for developing best practices and core competencies addressing mental health disparities among racial and ethnic minority groups. 4. **Outreach and Education Strategy**: Requires the Secretary of Health and Human Services to develop an outreach and education strategy to promote behavioral and mental health, reduce stigma, and increase awareness of symptoms and evidence-based interventions among racial and ethnic minority groups.

**Affected Parties & Stakeholders**

The bill affects various stakeholders, including:

1. **Racial and Ethnic Minority Youth**: The primary beneficiaries of the bill's provisions. 2. **Healthcare Providers**: Entities serving racial and ethnic minority populations may receive special consideration for grants and funding. 3. **Health Professions Schools**: Institutions training students in social work, psychology, psychiatry, addiction medicine, marriage and family therapy, mental health counseling, and substance misuse counseling will benefit from the development of best practices and core competencies addressing mental health disparities. 4. **Advocacy Organizations**: Behavioral and mental health organizations serving racial and ethnic minority groups will be consulted on the outreach and education strategy.

**Potential Impact & Implications**

The Pursuing Equity in Mental Health Act has several potential impacts:

1. **Increased Funding**: The bill's provisions may lead to increased funding for programs serving racial and ethnic minority populations, potentially improving access to mental health care. 2. **Reducing Disparities**: By addressing research gaps and developing culturally competent training, the bill aims to reduce mental health disparities among racial and ethnic minority groups. 3. **Improved Healthcare Workforce**: The development of best practices and core competencies may lead to a more culturally competent healthcare workforce, better equipped to serve diverse populations. 4. **Increased Awareness**: The outreach and education strategy may increase awareness of symptoms, evidence-based interventions, and the importance of mental health care among racial and ethnic minority groups.

Overall, the Pursuing Equity in Mental Health Act aims to promote equity in mental health care by addressing disparities in access, quality, and outcomes for racial

Generated using Llama 3.1 70B (neutral personality)

Let's break down this gnarly bill, bro.

**Main Purpose & Objectives**

The Pursuing Equity in Mental Health Act (S 1448) is all about addressin' the mental health needs of youth, especially those from racial and ethnic minority groups. The main goal is to reduce disparities in mental health outcomes and promote equity in access to care. It's like catchin' a wave of equality, dude!

**Key Provisions & Changes to Existing Law**

This bill makes some key changes to existing law:

1. **Grant Program**: The Secretary of Health and Human Services can give special consideration to grants that serve racial and ethnic minority groups. This means more funding for programs that help these communities, bro. 2. **Research Gaps**: The National Institutes of Health (NIH) will conduct a study on mental health disparities in racial and ethnic minority groups. This will help identify areas where research is needed, dude. 3. **Health Professions Competencies**: The bill updates the Public Health Service Act to include best practices for addressing mental health disparities among racial and ethnic minority groups. This means healthcare professionals will get training on how to better serve these communities, man. 4. **Outreach and Education Strategy**: The Secretary of Health and Human Services will develop a strategy to promote behavioral and mental health among racial and ethnic minority groups. This includes reducin' stigma and increasin' awareness, bro.

**Affected Parties & Stakeholders**

This bill affects:

1. **Racial and Ethnic Minority Groups**: These communities will benefit from increased funding for programs that serve their needs. 2. **Healthcare Professionals**: They'll get training on best practices for addressin' mental health disparities among racial and ethnic minority groups. 3. **Researchers**: The NIH study will provide valuable insights into research gaps, dude. 4. **Advocacy Organizations**: These orgs will be involved in developin' the outreach and education strategy, bro.

**Potential Impact & Implications**

This bill has some far-out implications:

1. **Reduced Disparities**: By addressin' mental health disparities among racial and ethnic minority groups, we can reduce the gap in healthcare outcomes, man. 2. **Increased Access to Care**: More funding for programs that serve these communities means more people will get the care they need, bro. 3. **Improved Research**: The NIH study will help identify areas where research is needed, which can lead to better treatments and interventions, dude. 4. **Cultural Competence**: Healthcare professionals will be trained on best practices for addressin' mental health disparities among racial and ethnic minority groups, which means more culturally competent care, man.

Anyway, that's the lowdown on S 1448, bro. It's a bill that's all about catchin' a wave of equality in mental healthcare, dude!

Generated using Llama 3.1 70B (surfer personality)

**Bill Analysis: S 1448 - Pursuing Equity in Mental Health Act**

**Main Purpose & Objectives** The Pursuing Equity in Mental Health Act aims to address mental health disparities among racial and ethnic minority groups, particularly youth of color. The bill seeks to promote equity in mental health care by increasing funding for programs that serve these populations, conducting research on mental health disparities, and developing culturally competent training programs for healthcare professionals.

**Key Provisions & Changes to Existing Law**

1. **Grant Program**: The bill amends the Public Health Service Act to provide special consideration to entities serving high proportions of racial and ethnic minority groups when awarding grants under the Primary and Behavioral Health Care Grant Program. 2. **Research Gaps**: The National Institutes of Health (NIH) is required to conduct a study on mental health disparities research gaps in racial and ethnic minority groups, with a report submitted to Congress within 9 months. 3. **Health Professions Competencies**: The bill amends the Public Health Service Act to include best practices and core competencies for addressing mental health disparities among racial and ethnic minority groups in healthcare training programs. 4. **Outreach and Education Strategy**: The Secretary of Health and Human Services is required to develop an outreach and education strategy to promote behavioral and mental health, reduce stigma, and increase awareness of symptoms and evidence-based interventions among racial and ethnic minority groups.

**Affected Parties & Stakeholders**

1. **Racial and Ethnic Minority Groups**: The bill's primary beneficiaries are youth of color and other racial and ethnic minority groups who face mental health disparities. 2. **Healthcare Providers**: Healthcare professionals, particularly those in training programs, will be impacted by the development of culturally competent best practices and core competencies. 3. **Research Institutions**: NIH and other research institutions will be involved in conducting studies on mental health disparities research gaps. 4. **Advocacy Organizations**: Advocacy groups serving racial and ethnic minority populations will be consulted in developing the outreach and education strategy.

**Potential Impact & Implications**

1. **Increased Funding**: The bill's funding provisions may lead to increased investment in programs serving racial and ethnic minority groups, potentially reducing mental health disparities. 2. **Improved Cultural Competence**: The development of culturally competent best practices and core competencies may improve healthcare outcomes for these populations. 3. **Research Advancements**: The study on research gaps may lead to a better understanding of mental health disparities and inform future policy decisions. 4. **Stigma Reduction**: The outreach and education strategy may help reduce stigma associated with mental health conditions among racial and ethnic minority groups.

**Monied Interest Analysis**

While no specific PACs or industry lobby groups are directly backing this bill, the National Alliance on Mental Illness (NAMI) and other advocacy organizations have expressed support for similar legislation. Pharmaceutical companies, such as Pfizer and Johnson & Johnson, may also be interested in the development of culturally competent best practices and core competencies, as they often partner with

Generated using Llama 3.1 70B (whistleblower personality)

💰 Campaign Finance Network

Sen. Hirono, Mazie K. [D-HI]

Congress 119 • 2024 Election Cycle

Total Contributions

$80,400

22 donors

PACs

Organizations

$14,300

Committees

Individuals

$66,100

No PAC contributions found

TUNICA-BILOXI TRIBE OF LA

2 transactions

$5,000

THE CHICKASAW NATION

2 transactions

$3,300

CHEROKEE NATION

1 transaction

$2,500

MS BAND OF CHOCTAW INDIANS

1 transaction

$2,000

POARCH BAND OF CREEK INDIANS

1 transaction

$1,000

TONIO BURGOS & ASSOCIATES OF NEW JERSEY, LLC

1 transaction

$500

No committee contributions found

DAVIS, JANIE

2 transactions

$6,600

KOSASA, MI

2 transactions

$6,600

HELM, NELSON JR.

2 transactions

$6,600

GURAL, JEFFREY

2 transactions

$6,600

CHUAN, JOHANNA

1 transaction

$3,400

MINATOISHI, LORRAINE REIKO

1 transaction

$3,300

SULLIVAN, MATTHEW K.

1 transaction

$3,300

JOHNSON, DAVID

1 transaction

$3,300

ERGEN, CANTEY

1 transaction

$3,300

SIMMONS, IAN

1 transaction

$3,300

NAKANISHI, CRAIG I.

1 transaction

$3,300

GATES, MELINDA FRENCH

1 transaction

$3,300

FRITZ, COLLIN

1 transaction

$3,300

RIVER, HOWARD

1 transaction

$3,300

WHITE, PAUL

1 transaction

$3,300

SHIN, MARIKO K.

1 transaction

$3,300

Cosponsors & Their Campaign Finance

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

Sen. Blumenthal, Richard [D-CT]

ID: B001277

Top Contributors

OLSON, LYNDON

NOT EMPLOYED • NOT EMPLOYED

IndividualWACO, TX

$3,300

Dec 20, 2024

ALIX, JAY

ALIX PARTNERS • FOUNDER

IndividualBIRMINGHAM, MI

$3,300

Oct 2, 2023

KIM, CHRISTINE M.

BBB LLC • ATTORNEY

IndividualNEW YORK, NY

$3,300

Oct 31, 2023

ALIX, JAY

ALIX PARTNERS • FOUNDER

IndividualBIRMINGHAM, MI

$3,300

Apr 15, 2024

ROURE, RITA

PAGNY - LINCOLN HOSPITAL • PHYSICIAN

IndividualGREENWICH, CT

$3,300

Apr 10, 2024

ROURE, RITA

PAGNY - LINCOLN HOSPITAL • PHYSICIAN

IndividualGREENWICH, CT

$3,300

Apr 10, 2024

CHAVEZ, TOM

KRUX INC. • CEO

IndividualSAN FRANCISCO, CA

$3,300

Jul 13, 2024

CHAVEZ, TOM

KRUX INC. • CEO

IndividualSAN FRANCISCO, CA

$3,300

Jul 13, 2024

JONES, JERRY C.

LIVERAMP INC. • EXECUTIVE

IndividualLITTLE ROCK, AR

$3,300

Sep 19, 2024

NESSEL, ARIEL

NESSEL DEVELOPMENT • OWNER

IndividualROSS, CA

$3,300

Jul 12, 2024

Sen. Smith, Tina [D-MN]

ID: S001203

Top Contributors

OTOE MISSOURIA TRIBE OF OKLAHOMA

OrganizationRED ROCK, OK

$3,300

Jan 23, 2024

OTOE MISSOURIA TRIBE OF OKLAHOMA

OrganizationRED ROCK, OK

$3,300

Jan 23, 2024

MUSCOGEE CREEK NATION

OrganizationOKMULGEE, OK

$2,000

Dec 28, 2023

MIAMI TRIBE OF OKLAHOMA

OrganizationMIAMI, OK

$2,000

Mar 18, 2024

MUSCOGEE CREEK NATION

OrganizationOKMULGEE, OK

$2,000

Jul 31, 2024

MILLE LACS BAND OF OJIBWE INDIANS

OrganizationONAMIA, MN

$1,300

Jun 27, 2023

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$1,300

Jun 27, 2023

MUSCOGEE CREEK NATION

OrganizationOKMULGEE, OK

$1,300

Jul 31, 2024

MILLE LACS BAND OF OJIBWE INDIANS

OrganizationONAMIA, MN

$1,200

Jun 27, 2023

FOND DU LAC BAND

OrganizationCLOQUET, MN

$1,000

Jun 27, 2023

Sen. Warren, Elizabeth [D-MA]

ID: W000817

Top Contributors

FRY, SHANTI A

NONE • NOT EMPLOYED

IndividualCAMBRIDGE, MA

$6,600

Nov 3, 2023

FRY, SHANTI A

IndividualCAMBRIDGE, MA

$6,600

Nov 19, 2023

BURNES, RICK M JR

CHARLES RIVER VENTURES • VENTURE CAPITAL

IndividualBOSTON, MA

$5,000

Oct 17, 2023

BURNES, RICK M JR

IndividualBOSTON, MA

$5,000

Oct 31, 2023

MONEY, IRENE

MICROSOFT • BUSINESS MANAGER

IndividualCAMBRIDGE, MA

$3,300

Oct 20, 2024

KRUPP, DOUGLAS

NONE • NOT EMPLOYED

IndividualBOSTON, MA

$3,300

Oct 19, 2023

KRUPP, JUDITH A

NONE • NOT EMPLOYED

IndividualBOSTON, MA

$3,300

Oct 19, 2023

LEVIN, ADAM K.

SELF EMPLOYED • ENTREPRENEUR

IndividualBRENTWOOD, TN

$3,300

Oct 12, 2023

LEVIN, ADAM K.

SELF EMPLOYED • ENTREPRENEUR

IndividualBRENTWOOD, TN

$3,300

Oct 12, 2023

NICHOLS, NANCY M.

NONE • NOT EMPLOYED

IndividualPALM BEACH, FL

$3,300

Oct 31, 2023

Sen. Booker, Cory A. [D-NJ]

ID: B001288

Top Contributors

CHEROKEE NATION

OrganizationTAHLEQUAH, OK

$2,500

Dec 6, 2024

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$1,000

Sep 13, 2023

ISEMAN, HENRY

PENTA MEDICAL RECYCLING • PRESIDENT

IndividualNEW YORK, NY

$8,300

Apr 18, 2023

GELBWACHS, CHANA

BIG STILL LIQUORS • PARTNER

IndividualLAKEWOOD, NJ

$6,600

Mar 26, 2024

LEIDER, YECHEZKEL

LEIDER ENTERPRISES INC • DIRECTOR

IndividualLAKEWOOD, NJ

$6,600

Mar 26, 2024

GELBWACHS, CHANA

IndividualLAKEWOOD, NJ

$6,600

Mar 26, 2024

LEIDER, YECHEZKEL

IndividualLAKEWOOD, NJ

$6,600

Mar 29, 2024

WAGNER, KAREN E.

DAVIS POLK & WARDWELL • ATTORNEY

IndividualNEW YORK, NY

$5,000

Sep 13, 2023

WAGNER, KAREN E.

IndividualNEW YORK, NY

$5,000

Sep 26, 2023

ISEMAN, HENRY

IndividualNEW YORK, NY

$5,000

Apr 19, 2023

Sen. Padilla, Alex [D-CA]

ID: P000145

Top Contributors

CHEROKEE NATION

OrganizationTAHLEQUAH, OK

$5,000

Dec 24, 2024

MOORETOWN RANCHERIA

OrganizationOROVILLE, CA

$3,300

Oct 7, 2024

TOLOWA DEE-NI' NATION

OrganizationSMITH RIVER, CA

$3,300

May 7, 2024

TULE RIVER TRIBAL COUNCIL

OrganizationPORTERVILLE, CA

$3,300

Aug 12, 2024

THE CHICKASAW NATION

OrganizationADA, OK

$2,500

Nov 22, 2023

ONEIDA NATION

OrganizationONEIDA, WI

$1,000

Oct 3, 2023

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$1,000

Jun 5, 2023

ONEIDA INDIAN NATION

OrganizationONEIDA, WI

$1,000

Jun 21, 2024

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$1,000

May 16, 2024

KIMBER, SHELDON

INTERSECT POWER • CEO

IndividualTRUCKEE, CA

$5,000

Apr 27, 2023

Sen. Kim, Andy [D-NJ]

ID: K000394

Top Contributors

THE CHICKASAW NATION

OrganizationADA, OK

$6,600

Sep 11, 2024

THE CHICKASAW NATION

OrganizationADA, OK

$3,300

Sep 30, 2024

JSTREETPAC

CONDUIT TOTAL LISTED IN AGG. FIELD

OrganizationWASHINGTON, DC

$1,000

Feb 15, 2024

JSTREETPAC

CONDUIT TOTAL LISTED IN AGG. FIELD

OrganizationWASHINGTON, DC

$1,000

Feb 15, 2024

JSTREETPAC

CONDUIT TOTAL LISTED IN AGG. FIELD

OrganizationWASHINGTON, DC

$500

Jan 11, 2024

COUNCIL FOR A LIVABLE WORLD

CONDUIT TOTAL LISTED IN AGG. FIELD

OrganizationWASHINGTON, DC

$500

Oct 11, 2023

GIVE CHANCES

OrganizationNORTHVALE, NJ

$300

Jul 10, 2023

GIVE CHANCES

OrganizationNORTHVALE, NJ

$300

Apr 26, 2023

JSTREETPAC

CONDUIT TOTAL LISTED IN AGG. FIELD

OrganizationWASHINGTON, DC

$250

Feb 15, 2024

KIM, ANTHONY

CENTERVIEW PARTNERS • FINANCE

IndividualNEW YORK, NY

$6,600

Sep 30, 2023

Donor Network - Sen. Hirono, Mazie K. [D-HI]

Show Also Donated To

PACs

Organizations

Individuals

Politicians

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

Showing 72 nodes and 43 connections (72 secondary connections hidden)

Total contributions: $140,500

Top Donors - Sen. Hirono, Mazie K. [D-HI]

Showing top 22 donors by contribution amount

6 Orgs16 Individuals

Industry Impact

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

+Hospitals & Health Systemsconfidence 0.90
Section 2 amends the Primary and Behavioral Health Care Grant Program to give special consideration to entities serving high proportions of racial and ethnic minority groups, which includes hospitals and health systems that provide such services, thereby providing a benefit through grant funding.
+Biotech & Researchconfidence 0.85
Section 3 directs NIH to conduct a study on mental health disparities research gaps, which could benefit biotech firms involved in mental health research and development, particularly those aligned with NIH grants.
+Pharmaceuticalsconfidence 0.80
Section 6 authorizes additional funds for NIH to build relations with communities and conduct clinical research on racial or ethnic disparities in physical and mental health, which could benefit pharmaceutical companies engaged in such research.

Who funds the sponsor on these industries

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

Industries this bill HELPS

Hospitals & Health Systems$1,250
from 3 contributions
- UEUNTEN, DAVID Y.$1,250
Biotech & Research$1,000
from 2 contributions
- MURPHY, KRISTIN$500
- CALLANAN, KATHLEEN$500
Pharmaceuticals$500
from 1 contribution
- CONNORS, NORA$500

Project 2025 Policy Matches

This bill shows semantic similarity to the following sections of the Project 2025 policy document.AI-enhanced analysis provides detailed alignment ratings.

Department of Health and Human Services

Strong

Vector: 62%

Pages: 530-532AI Enhanced

AI Analysis:

"The bill's focus on increasing funding, research, and culturally competent training to reduce mental health disparities for racial and ethnic minority youth directly supports the Project 2025 HHS goal of protecting and strengthening equitable access to high-quality, affordable healthcare for underserved communities."

Key themes:equityunderserved communitiesmental health disparitiescultural competenceaccess to care

— 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).

Department of Health and Human Services

Moderate

Vector: 63%

Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on mental health equity for racial and ethnic minority youth, which aligns with Project 2025's broader emphasis on civil rights enforcement and nondiscrimination in HHS programs, though it does not directly reference the specific rules or acts cited in the policy excerpt."

Key themes:health equitynondiscriminationHHS program oversightminority health disparities

— 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

Moderate

Vector: 62%

Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on mental health equity for racial and ethnic minority youth, which aligns with Project 2025's broader HHS emphasis on reducing disparities and improving access in safety-net programs, though it does not directly reference Medicaid or specific Project 2025 reforms like managed care oversight or price transparency."

Key themes:health equitydisparities reductionaccess to carecultural competencyHHS program reform

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

Department of Health and Human Services

Weak

Vector: 62%

Pages: 518-520AI Enhanced

AI Analysis:

"The bill focuses on mental health equity for minority youth, while the Project 2025 HHS section emphasizes abortion conscience protections, childcare policy, doula support, IHS reform, and rural health. Both involve HHS funding and addressing disparities, but their substantive topics do not overlap significantly."

Key themes:HHS fundinghealth disparitiesequity focus

— 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

14

Weak

Vector: 62%

Pages: 482-484AI Enhanced

AI Analysis:

"The bill focuses on advancing equity‑based mental health initiatives for racial and ethnic minority youth, while Project 2025’s HHS section opposes equity‑driven social engineering and advocates for a neutral, life‑protecting, conscience‑respecting approach. Both address HHS and mental health, but their objectives are largely opposed."

Key themes:Department of Health and Human Servicesmental healthequity vs. identity politics

— 449 — 14 DEPARTMENT OF HEALTH AND HUMAN SERVICES Roger Severino If the U.S. Department of Health and Human Services (HHS) were a separate coun- try, its approximately $1.6 trillion budget would rank as the world’s fifth-largest national budget. For good or ill, HHS activities personally impact the lives of more Americans than do those of any other federal agency. Under President Trump, HHS was dedicated to serving “all Americans from conception to natural death, including those individuals and families who face…economic and social well-being challenges.”1 Under President Biden, the mission has shifted to “promoting equity in everything we do” for the sake of “populations sharing a particular characteristic” including race, sexuality, gender identification, ethnicity, and a host of other categories.2 As a result of HHS’s having lost its way, U.S. life expectancy, instead of return- ing to normal after the COVID-19 pandemic, continued to drop precipitously to levels not seen since 1996 with white populations alone losing 7 percent of their expected life span in just one year.3 Nothing less than America’s long-term survival is at stake. Accordingly, HHS must return to serving the health and well-being of all Americans at all stages of life instead of using social engineering that leaves us sicker, poorer, and more divided. OVERVIEW HHS consists of 11 operating divisions that have varying degrees of practical independence from the Secretary of Health and Human Services and 15 staff divisions that are directly under the Office of the Secretary. This chapter’s rec- ommendations are limited to those divisions that most need reform and address, wherever possible, five cross-cutting goals. — 450 — Mandate for Leadership: The Conservative Promise Goal #1: Protecting Life, Conscience, and Bodily Integrity. The Secretary should pursue a robust agenda to protect the fundamental right to life, protect con- science rights, and uphold bodily integrity rooted in biological realities, not ideology. From the moment of conception, every human being possesses inherent dignity and worth, and our humanity does not depend on our age, stage of development, race, or abilities. The Secretary must ensure that all HHS programs and activities are rooted in a deep respect for innocent human life from day one until natural death: Abortion and euthanasia are not health care. A robust respect for the sacred rights of conscience, both at HHS and among gov- ernments and institutions funded by it, increases choices for patients and program beneficiaries and furthers pluralism and tolerance. The Secretary must protect Americans’ civil rights by ensuring that HHS programs and activities follow the letter and spirit of religious freedom and conscience-protection laws. Radical actors inside and outside government are promoting harmful identity politics that replaces biological sex with subjective notions of “gender identity” and bases a person’s worth on his or her race, sex, or other identities. This destructive dogma, under the guise of “equity,” threatens American’s fundamental liberties as well as the health and well-being of children and adults alike. The next Secretary must ensure that HHS programs protect children’s minds and bodies and that HHS programs respect parents’ basic right to direct the upbringing, education, and care of their children. Goal #2: Empowering Patient Choices and Provider Autonomy. Basic eco- nomics holds that costs tend to decrease and quality and options tend to increase when there is robust and free competition in the provision of goods and services. Health care is no exception. Health care reform should be patient-centered and market-based and should empower individuals to control their health care–related dollars and decisions. Of course, providers who deliver health care also need the freedom to address the unique needs of their patients. States should be the primary regulators of the medical profession, and the federal government should not restrict providers’ abil- ity to discharge their responsibilities or limit their ability to innovate through government pricing controls or irrational Medicare and Medicaid reimburse- ment schemes. Finally, America’s broken insurance system, run largely through confusing pro- vider networks and third-party payers (employers), induces overconsumption of health care, limits consumer shopping, and hides true costs from patients. The federal government should focus reform on reducing burdens of regulatory compliance, unleashing innovation in health care delivery, ceasing interference in the daily lives of patients and providers, allowing alternative insurance coverage options, and returning control of health care dollars to patients making decisions with their providers about their health care treatments and services.

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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