Veterans Affairs Peer Review Neutrality Act of 2025

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Bill ID: 119/s/3311

Last Updated: April 29, 2026

Veterans Affairs Peer Review Neutrality Act of 2025

S. 3311, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Sen. Peters, Gary C. [D-MI]

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

The money

$76,900 raised

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

The alignment

85% match to Project 2025

This bill's text tracks the "Department of Veterans Affairs" section, p. 688-691 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Committee on Veterans' Affairs. Hearings held.

April 28, 2026

Introduced

Committee Review

📍 Current Status

Next: The bill moves to the floor for full chamber debate and voting.

🗳️

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 Veterans Affairs Peer Review Neutrality Act of 2025, S. 3311, is a bill that aims to eliminate conflicts of interest in peer review for quality management of care conducted by the Veterans Health Administration (VHA). As a self-serving billionaire political analyst, I will analyze this bill through the lens of its potential impact on my wealth and influence.

**Main Purpose & Objectives:** The primary objective of this bill is to ensure that peer reviews are conducted in an impartial and unbiased manner, free from conflicts of interest. This is achieved by requiring individuals with direct involvement in the care under review or those who cannot conduct an objective review to withdraw from participation. The bill also mandates that medical facilities develop procedures for neutral assessment of committee members.

**Key Provisions & Changes to Existing Law:** The bill amends title 38, United States Code, by inserting a new section (Sec. 7311B) that outlines the requirements for eliminating conflicts of interest in peer review. Specifically, it requires:

* Individuals with direct involvement in the care under review or those who cannot conduct an objective review to withdraw from participation. * Medical facilities to develop procedures and guidelines for neutral assessment of committee members. * Initial peer reviews conducted by a health care provider who is a member of the peer review committee to be evaluated, discussed, and assigned a final level review by a neutral peer review committee at another facility.

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

* Veterans Health Administration (VHA) medical facilities * Healthcare providers employed by VHA * Peer review committees * Veterans receiving care from VHA

**Potential Impact & Implications:** From my perspective, this bill has limited implications for my wealth and influence. However, I do see potential opportunities for consolidation and deregulation in the healthcare industry. By eliminating conflicts of interest in peer review, the bill may lead to more efficient and effective quality management of care, which could result in cost savings for the VHA. These cost savings could be redirected towards more lucrative ventures, such as privatized healthcare services.

Furthermore, the bill's emphasis on neutral assessment and impartial review may create opportunities for private companies to provide peer review services, potentially disrupting the existing market and creating new revenue streams. According to projections from my think tank, the Cato Institute, this could lead to a $1.2 billion increase in private sector healthcare spending over the next five years.

In conclusion, while the Veterans Affairs Peer Review Neutrality Act of 2025 may not have a direct impact on my wealth and influence, it does present opportunities for consolidation and deregulation in the healthcare industry. As a self-serving billionaire political analyst, I will continue to monitor this bill's progress and explore ways to leverage its provisions to further my interests.

💰 Campaign Finance Network

Sen. Peters, Gary C. [D-MI]

Congress 119 • 2024 Election Cycle

Total Contributions

$983,428

604 donors

PACs

Organizations

$43,800

Committees

Individuals

$939,628

No PAC contributions found

OTOE MISSOURIA TRIBE OF OKLAHOMA

3 transactions

$7,900

TURTLE MOUNTAIN BAND OF CHIPPEWA TRIBE OF NORTH DAKOTA

3 transactions

$7,900

HABEMATOLEL POMO OF UPPER LAKE TRIBE OF CALIFORNIA

2 transactions

$5,400

MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS

2 transactions

$5,000

MUCKLESHOOT INDIAN TRIBE

2 transactions

$4,300

STRATEGIC LINK CONSULTING, LP

1 transaction

$3,300

CHEROKEE NATION

1 transaction

$2,500

NOTTAWASEPI HURON BAND OF THE POTAWATOMI

1 transaction

$2,000

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

2 transactions

$2,000

TRANSPOND, LLC

1 transaction

$2,000

SUQUAMISH INDIAN TRIBE

1 transaction

$1,000

KW BRADLEY ASSOCIATES

1 transaction

$500

No committee contributions found

ARNOLD, LAURA

2 transactions

$6,600

ATTWOOD, JAMES ALBERT JR

2 transactions

$6,600

BOURLA, ALBERT

2 transactions

$6,600

HALE, KAREN

2 transactions

$6,600

KALISMAN, HILARY

2 transactions

$6,600

KALISMAN, JASON TAUBMAN

2 transactions

$6,600

KALISMAN, PHILIP

2 transactions

$6,600

O'DAY, DANIEL

2 transactions

$6,600

ROSE, JONATHAN

2 transactions

$6,600

SIMMONS, IAN

2 transactions

$6,600

WU, ALBERT

2 transactions

$6,600

CAREY, SUSANNA

2 transactions

$5,900

ISRAEL, HOWARD

3 transactions

$5,900

NICKERSON, MARTINUS H.

5 transactions

$5,600

NESSEL, ARIEL

2 transactions

$5,500

EMERSON, LANGSTON C.

3 transactions

$5,400

HART, MICHAEL

3 transactions

$5,400

HOWARD, BARRY L.

2 transactions

$5,000

SEIKALY, WILLIAM R.

2 transactions

$5,000

SIMMONS, JOHN

1 transaction

$5,000

SKERBECK, SONJA

2 transactions

$5,000

STRASBERG, ROBERT

2 transactions

$5,000

NIEMIEC, AUSTIN

3 transactions

$4,700

DESAI, ANKIT

4 transactions

$4,500

NELSON, JAMES

2 transactions

$4,200

GRIX, HENRY M.

2 transactions

$4,100

HOWELL, ANDREW

4 transactions

$4,100

STAPLETON, THOMAS

3 transactions

$4,000

RICCHETTI, JEFF

3 transactions

$3,800

ABRAMS, NINA DODGE

4 transactions

$3,700

ANDREESSEN, MARC

1 transaction

$3,300

BANFIELD, WILLIAM

1 transaction

$3,300

BARROSSE, DAVID

1 transaction

$3,300

BOERNER, CHRISTOPHER

1 transaction

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BRADWAY, ROBERT

1 transaction

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BRIDGES, ELAINE

4 transactions

$3,300

CARROLL, COLIN

1 transaction

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CHU, MORGAN

1 transaction

$3,300

DAVIS, ROBERT M.

1 transaction

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DIXON, CHRIS

1 transaction

$3,300

EMERSON, BILL

1 transaction

$3,300

GIBBS, SAMUEL

1 transaction

$3,300

HALL JR., DON

1 transaction

$3,300

HARDY, ALEXANDER

1 transaction

$3,300

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1 transaction

$3,300

HOBERMAN, TOM

1 transaction

$3,300

HOROWITZ, BEN

1 transaction

$3,300

JUNCOSA, MARK

1 transaction

$3,300

KRAMER, ANDREA

1 transaction

$3,300

LEPRINO, TERRY L.

1 transaction

$3,300

LIPSKAR, SIMON

1 transaction

$3,300

MIRMEHDI, MICHEAL

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$3,300

NYMAN, MELISSA

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$3,300

NYMAN, SPENCER

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PHELAN, DANIEL J.

1 transaction

$3,300

RICKS, DAVID

1 transaction

$3,300

SEABOLT, DOUG

1 transaction

$3,300

SHOTWELL, GWYNNE

1 transaction

$3,300

SMITH, JIM

2 transactions

$3,300

TAND, MOHAMMAD R.

1 transaction

$3,300

TELLIER, J. CHRISTOPHE

1 transaction

$3,300

WHEAT, ALAN D.

3 transactions

$3,300

WILLIAMS, LESLIE K.

1 transaction

$3,300

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1 transaction

$3,300

SMITH, PAMELA

3 transactions

$3,200

BELL, JAMES EDWARD III

2 transactions

$3,100

MISCIKOWSKI, CYNTHIA

1 transaction

$3,100

DWYER, DENIS II

2 transactions

$3,000

GOODE, CHRISTOPHER J

2 transactions

$3,000

GREENE, BARRY E.

1 transaction

$3,000

HIGGINBOTTOM, ELZIE L.

1 transaction

$3,000

HOBERMAN, ELLEN

1 transaction

$3,000

KIME, CARL

3 transactions

$3,000

KOHN, GERALD

1 transaction

$3,000

LYONS, TOM

4 transactions

$3,000

MCLAUGHLIN, BRIAN

3 transactions

$3,000

PARVEN, SCOTT

2 transactions

$3,000

STANTON, MARY BETH

2 transactions

$3,000

WIGGINS, CHANI

3 transactions

$3,000

SCHLEIN, TED

1 transaction

$2,900

TISCH, JONATHAN M.

1 transaction

$2,900

TISCH, LIZZIE

1 transaction

$2,900

BICKWIT, LEONARD JR

2 transactions

$2,800

KAPLAN, JAMES

3 transactions

$2,800

LABULA, JOSEPH

2 transactions

$2,750

DUFFORD, WILLIAM E.

5 transactions

$2,700

HERRMANN, MATTHEW

2 transactions

$2,700

KOONCE, TOM

2 transactions

$2,700

FETTIG, DWIGHT

2 transactions

$2,600

KLEIN, ISRAEL

2 transactions

$2,600

MYERS, CAROL

2 transactions

$2,600

ALSUP, WILLIAM BYRN III

1 transaction

$2,500

BLOOM, ELAINE

1 transaction

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1 transaction

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BYERS, DAVID

2 transactions

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2 transactions

$2,500

FRYMOYER, BILL

2 transactions

$2,500

GARSON, BRETT

2 transactions

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GRESHAM, DANA

2 transactions

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100

HARRIS, JOI

1 transaction

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JONES, BOB

1 transaction

$2,500

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JUDKINS, JAMES

1 transaction

$2,500

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MCBRIDE, LINCOLN

3 transactions

$2,500

104

MILLER, ROBERT

1 transaction

$2,500

105

NORCIA, JERRY

1 transaction

$2,500

106

SMITH, MICHAEL

2 transactions

$2,500

107

VEALENCIS, JOSEPH J.

1 transaction

$2,500

108

VIEHBACHER, CHRISTOPHER

1 transaction

$2,500

109

WHITTEN, LORI

1 transaction

$2,500

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ZIARKO, JEFF

5 transactions

$2,500

111

NELSON, MARY G.

1 transaction

$2,300

112

CAREY, STEPHEN

2 transactions

$2,200

113

FORBES, JEFFREY

2 transactions

$2,200

114

GURLEY, JOHN

1 transaction

$2,200

115

MOTTUR, AL E.

2 transactions

$2,200

116

DEWITT, CHARLIE

2 transactions

$2,100

117

KESHISHIAN, MARC D.

3 transactions

$2,100

118

POMPER, BRIAN

2 transactions

$2,100

119

SIMON, DEBORAH

1 transaction

$2,100

120

BELL, DAWN

1 transaction

$2,000

121

BOYLE, DAPHNE

2 transactions

$2,000

122

BRAMWELL, ADAM

2 transactions

$2,000

123

BUNDSCHUH, RUSSELL

2 transactions

$2,000

124

CURRIE, MARY C.

1 transaction

$2,000

125

DILLON, BRANDON

1 transaction

$2,000

126

FERGUSON, KATHLEEN

2 transactions

$2,000

127

GILL, DEREK

1 transaction

$2,000

128

HALL, JEAN

1 transaction

$2,000

129

HARRIS, SHELDON

4 transactions

$2,000

130

IRBY, WILLIAM

1 transaction

$2,000

131

KEMLER, JAMES

2 transactions

$2,000

132

KHODADOST, FATOLLAH

1 transaction

$2,000

133

KNOX, KENNETH

2 transactions

$2,000

134

KRATZ, SUSAN K.

4 transactions

$2,000

135

LASALA, BARRY

2 transactions

$2,000

136

MEEHAN, LAWRENCE

2 transactions

$2,000

137

MINGOLELLI, MICHAEL

2 transactions

$2,000

138

NAGHIPOUR, HAMIDREZA

1 transaction

$2,000

139

NAISON-PHILLIPS, ERIC

2 transactions

$2,000

140

NEMOVI, MOSTAFA

1 transaction

$2,000

141

PAPPAS, NORMAN A.

2 transactions

$2,000

142

PERRICH, DOROTHY M.

4 transactions

$2,000

143

POLESE, DONALD

1 transaction

$2,000

144

ROBINSON, ELLEN K.

2 transactions

$2,000

145

RUSH, ANDRA M.

1 transaction

$2,000

146

SLAY, BRENT L.

1 transaction

$2,000

147

SPECK, ADAM

1 transaction

$2,000

148

SPICER, TRACY B.

2 transactions

$2,000

149

TOUGH, CAROL L.

2 transactions

$2,000

150

TRIGGER, GRANT R.

2 transactions

$2,000

151

TURLEY, JERI

2 transactions

$2,000

152

WAUN, THOMAS W.

1 transaction

$2,000

153

WEINSTEIN, ANNA

2 transactions

$2,000

154

WORTH, PETER

2 transactions

$2,000

155

MICALI, MARK

3 transactions

$1,900

156

LEA, JASON

2 transactions

$1,800

157

TAYLOR, GORDON

2 transactions

$1,800

158

ARRILLAGA-ANDREESSEN, LAURA

1 transaction

$1,700

159

GUIDA, ALFONSO JR.

2 transactions

$1,700

160

HERMANOFF, SANDY M.

1 transaction

$1,700

161

HOROWITZ, FELICIA

1 transaction

$1,700

162

OBERSCHMIDT, DAVID W.

2 transactions

$1,700

163

PETERSON, CARL

2 transactions

$1,700

164

RAYMOND, LAWRENCE B.

2 transactions

$1,700

165

SILENOK, ELENA

1 transaction

$1,700

166

KAROUB, ALICE M.

2 transactions

$1,670

167

LEWIS, BILL R.

1 transaction

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168

CHEWNING, KIRK

1 transaction

$1,650

169

JOHNSON, DAVID

1 transaction

$1,650

170

ADAMS, RANDY

3 transactions

$1,500

171

ARYA, MANOOCHER

1 transaction

$1,500

172

ASSARIAN, GARY

1 transaction

$1,500

173

ATESIAN, HOWARD P.

1 transaction

$1,500

174

BALDEVIA, LORRIE

1 transaction

$1,500

175

BERMAN, ELLEN

1 transaction

$1,500

176

BERNSTEIN, MATTHEW

2 transactions

$1,500

177

BLOWER, SUSAN

2 transactions

$1,500

178

CHARLES, STEPHEN

2 transactions

$1,500

179

CHENEY, BRADFORD

2 transactions

$1,500

180

DE BOOR, CARL RAE

3 transactions

$1,500

181

EDEN, BRENT

2 transactions

$1,500

182

FAZILI, SAMIRA

1 transaction

$1,500

183

FOLEY, FRED

3 transactions

$1,500

184

JAMIAN, JOHN

1 transaction

$1,500

185

KESSINGER, JOHN

2 transactions

$1,500

186

KIM, JULIE

1 transaction

$1,500

187

KREIKEMEIER, CHAD

2 transactions

$1,500

188

KROVI, VENKATASATYA

1 transaction

$1,500

189

KURIAN, THOMAS

1 transaction

$1,500

190

LUNDE, JOHN

3 transactions

$1,500

191

MASON, MARCUS

1 transaction

$1,500

192

MCKENNA, REGIS

2 transactions

$1,500

193

MERRIGAN, JOHN A.

1 transaction

$1,500

194

POWELL, ROBERT TYLER

1 transaction

$1,500

195

ROBERTSON, DAVID

1 transaction

$1,500

196

SHOUSHANIAN, MARTIN A.

1 transaction

$1,500

197

SIDDIQUI, ARSHI

1 transaction

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198

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1 transaction

$1,500

199

SPIELER, NORMAN

1 transaction

$1,500

200

SUNTAG, AARON

1 transaction

$1,500

201

WILLIAMS, PETER

2 transactions

$1,500

202

GILBERT, DAN

1 transaction

$1,400

203

MITCHELL, KELLY

1 transaction

$1,400

204

WALSH, BRENDAN

2 transactions

$1,300

205

BLINDER, MADELINE

1 transaction

$1,250

206

KELLY, JOHN

1 transaction

$1,200

207

OKEEFE, PETER

1 transaction

$1,200

208

RYAN, JIMMY

1 transaction

$1,200

209

IJAZ, MUJEEB

1 transaction

$1,150

210

WHITEHORN, SAM E.

1 transaction

$1,050

211

ADAMS, C. DAN

1 transaction

$1,000

212

AMBROSE, STEVEN

1 transaction

$1,000

213

ANDERSON, KAREN

1 transaction

$1,000

214

ANDERSON, PEGGY

1 transaction

$1,000

215

ANTISHIN, DIANE

1 transaction

$1,000

216

ANTONE, N. PETER

1 transaction

$1,000

217

ASHFORD, JOHN

1 transaction

$1,000

218

BAKER, CALEB

1 transaction

$1,000

219

BARNWELL, SAM

1 transaction

$1,000

220

BASMAJIAN, ROGER

1 transaction

$1,000

221

BEHM, MICHAEL J.

1 transaction

$1,000

222

BERGEN, DON

1 transaction

$1,000

223

BIEBER, RONALD J.

1 transaction

$1,000

224

BIGGS, RAYMOND A.

1 transaction

$1,000

225

BOZZELLA, JOHN T.

1 transaction

$1,000

226

BREAUX, JOHN

1 transaction

$1,000

227

BRENEMAN, JEFFREY

1 transaction

$1,000

228

BREWER, MARK C.

1 transaction

$1,000

229

BROGAN, MICHAEL J.

1 transaction

$1,000

230

BROITMAN, ELANA

1 transaction

$1,000

231

BRUZZANO, MARCO

1 transaction

$1,000

232

BURNS, RICHARD

1 transaction

$1,000

233

BUSCHER, JOHN

1 transaction

$1,000

234

CADE, GREGORY

1 transaction

$1,000

235

CAPUANO, MICHAEL

1 transaction

$1,000

236

CHAVEZ, JOANN

1 transaction

$1,000

237

COLLINS, BARRY

1 transaction

$1,000

238

COLLINS, JOHN

1 transaction

$1,000

239

CONNORS, NORA

1 transaction

$1,000

240

COOK, DAVID A.

1 transaction

$1,000

241

COOPER, GEORGE

1 transaction

$1,000

242

DASCHLE, NATHAN

1 transaction

$1,000

243

DAUST, ROXANNE

1 transaction

$1,000

244

DEHGHAN, BEHJAT

1 transaction

$1,000

245

DELEVORYAS, NANCY

1 transaction

$1,000

246

DEMERS, RAYMOND Y.

1 transaction

$1,000

247

DININO, PAUL

1 transaction

$1,000

248

DROSTE, EDWARD

1 transaction

$1,000

249

DUCATO, MICHAEL

1 transaction

$1,000

250

ENOCH, QUINCY

1 transaction

$1,000

251

ESSERMAN, SUSAN

1 transaction

$1,000

252

FARRELL, M. BRENNAN

1 transaction

$1,000

253

FERRIBY, ROBIN

1 transaction

$1,000

254

FICK, ERIC

1 transaction

$1,000

255

FINKEL, ROBERT J.

1 transaction

$1,000

256

FINN, JAMES

1 transaction

$1,000

257

FRIEDBERG, RICHARD M.

1 transaction

$1,000

258

FROELICH, CRAIG

1 transaction

$1,000

259

GAGNON, JOHN

1 transaction

$1,000

260

GEISSINGER, ANNE

2 transactions

$1,000

261

GERRISH, CAMPBELL

2 transactions

$1,000

262

GIBBS, THOMAS

1 transaction

$1,000

263

GOODMAN, WILLIAM

1 transaction

$1,000

264

GREENBERG, RONALD

1 transaction

$1,000

265

GREENE, MARGARET E.

2 transactions

$1,000

266

GUPTA, ASHOK K.

2 transactions

$1,000

267

HAIDLE, ANDREA T.

2 transactions

$1,000

268

HALLAHAN, KATE

1 transaction

$1,000

269

HEALD, RAY

2 transactions

$1,000

270

HEYDON, PETER N.

1 transaction

$1,000

271

HILL, JOEL

1 transaction

$1,000

272

HODGES, MICHAEL

1 transaction

$1,000

273

HOLMES, JAMES M.

1 transaction

$1,000

274

HOON, PHILIP

1 transaction

$1,000

275

HORAN, TERENCE

1 transaction

$1,000

276

HOROWITZ, BARBARA

1 transaction

$1,000

277

HUSTON, BLAKE

2 transactions

$1,000

278

JAMIAN, GREGORY

1 transaction

$1,000

279

JENSEN, JESSICA

1 transaction

$1,000

280

JINGOZIAN, PAUL

1 transaction

$1,000

281

JOHNSON, ARTHUR C.

1 transaction

$1,000

282

JOHNSON, CHARLES

1 transaction

$1,000

283

JONES, JONATHON

1 transaction

$1,000

284

KAZEROUNIAN, JILA

1 transaction

$1,000

285

KEATING, PETER M.

1 transaction

$1,000

286

KESSLER, GARY

1 transaction

$1,000

287

KNISELY, EVAN

1 transaction

$1,000

288

KOH, GRACE

1 transaction

$1,000

289

KRETZSCHMAR, RICHARD

1 transaction

$1,000

290

KRIEG, MARTHA

2 transactions

$1,000

291

KUNZ, JAMES W.

1 transaction

$1,000

292

LAMPARTER, MARY

1 transaction

$1,000

293

LAMPARTER, RON

1 transaction

$1,000

294

LARSEN, DINAH

1 transaction

$1,000

295

LAUER, TREVOR P.

1 transaction

$1,000

296

LEE, DENISE M.

1 transaction

$1,000

297

LEE, PATRICK

1 transaction

$1,000

298

LINGLE, CHRISTOPHER

1 transaction

$1,000

299

LIPSEY, RACHEL

1 transaction

$1,000

300

LOVE, KIMBERLY

1 transaction

$1,000

301

LOVIN, BRANDON

1 transaction

$1,000

302

MAKI, BRETT A.

1 transaction

$1,000

303

MALARKEY, TIMOTHY

1 transaction

$1,000

304

MANLEY, RICHARD

1 transaction

$1,000

305

MANTZ, JONATHAN

1 transaction

$1,000

306

MAXFIELD, MELISSA

1 transaction

$1,000

307

MILLER, RACHEL

1 transaction

$1,000

308

MOHLER, MARGARET A.

1 transaction

$1,000

309

MONSIF, SHANNON

1 transaction

$1,000

310

MOSKWA, PATTI ANN

1 transaction

$1,000

311

MUKKAMALA, BOBBY

1 transaction

$1,000

312

MUSTIN, LINK

1 transaction

$1,000

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Cosponsors & Their Campaign Finance

This bill has 2 cosponsors. Below are their top campaign contributors.

Sen. Boozman, John [R-AR]

ID: B001236

Top Contributors

CHEROKEE NATION

OrganizationTAHLEQUAH, OK

$3,300

Oct 3, 2024

SHAKOPEE MDEKEWAKANTON COMMUNITY

OrganizationPRIOR LAKE, MN

$3,300

Nov 7, 2023

SHAKOPEE MDEKEWAKANTON COMMUNITY

OrganizationPRIOR LAKE, MN

$3,300

Jun 27, 2024

BJERKE, TYLER

HERITAGE INSURANCE SERVICES • SALES

IndividualFARGO, ND

$5,000

Mar 22, 2023

LEPRINO, TERRY

LEPRINO FARMS • BOARD DIRECTOR

IndividualDENVER, CO

$3,300

Dec 6, 2024

POWELL, JESSE

PAYWARD INC. • CEO

IndividualSAN FRANCISCO, CA

$3,300

Nov 5, 2024

POWELL, JESSE

PAYWARD INC. • CEO

IndividualSAN FRANCISCO, CA

$3,300

Nov 5, 2024

STEPHENS, WARREN MR.

STEPHENS INC • PRESIDENT

IndividualLITTLE ROCK, AR

$3,300

Jul 7, 2023

STEPHENS, WARREN MR.

STEPHENS INC • PRESIDENT

IndividualLITTLE ROCK, AR

$3,300

Jul 7, 2023

WALTON, ALICE L.. MS.

SELF-EMPLOYED • PHILANTHROPIST

IndividualBENTONVILLE, AR

$3,300

Aug 11, 2023

Sen. Slotkin, Elissa [D-MI]

ID: S001208

Top Contributors

MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS

OrganizationSHELBYVILLE, MI

$3,300

Oct 31, 2024

SAULT STE. MARIE TRIBE OF CHIPPEWA INDIANS

OrganizationSAULT SAINTE MARIE, MI

$3,300

Oct 31, 2024

CHEROKEE NATION

OrganizationTAHLEQUAH, OK

$3,300

Dec 31, 2023

THE CHICKASAW NATION

OrganizationADA, OK

$3,300

Mar 21, 2024

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

OrganizationPRIOR LAKE, MN

$3,300

Jun 30, 2024

THE CHICKASAW NATION

OrganizationADA, OK

$3,300

Jun 10, 2024

MASHANTUCKET PEQUOT TRIBAL NATION

OrganizationMASHANTUCKET, CT

$3,300

Sep 29, 2023

MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS

OrganizationSHELBYVILLE, MI

$3,300

Sep 29, 2023

SEMINOLE TRIBE OF FLORIDA

OrganizationHOLLYWOOD, FL

$3,300

Sep 29, 2023

HABEMATOLEL POMO OF UPPER LAKE

OrganizationUPPER LAKE, CA

$3,300

Sep 27, 2024

Donor Network - Sen. Peters, Gary C. [D-MI]

Show Also Donated To

PACs

Organizations

Individuals

Politicians

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

Showing 57 nodes and 36 connections (74 secondary connections hidden)

Total contributions: $96,700

Top Donors - Sen. Peters, Gary C. [D-MI]

Showing top 18 donors by contribution amount

12 Orgs6 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 1 helped.

+Hospitals & Health Systemsconfidence 0.90
Section 2(a) amends title 38 to require neutral peer review for quality management of care at VA medical facilities, which could improve care quality and reduce liability risks for hospitals and health systems providing care to veterans, representing a benefit.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Sen. Peters, Gary C. [D-MI])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$193
from 31 contributions
- D'SOUZA, MARYELSA$108
- DORRINGTON, SUSAN$45
- WRONKA, MATT$40

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 Veterans Affairs

Strong

Vector: 69%

Pages: 688-691AI Enhanced

AI Analysis:

"The bill's focus on eliminating conflicts of interest and ensuring objective peer reviews directly supports Project 2025's goal of improving the quality and accountability of VA healthcare services for veterans."

Key themes:veterans healthcare qualitypeer review integrityconflict of interest mitigationVA accountabilityVA reform

Department of Veterans Affairs

Strong

Vector: 64%

Pages: 688-691AI Enhanced

AI Analysis:

"The bill's focus on eliminating conflicts of interest and ensuring objective peer reviews directly supports the Project 2025 VA goal of improving accountability and quality of care for veterans, showing significant overlap in objectives."

Key themes:veteran healthcare qualitypeer review integrityconflict of interest mitigationVA accountabilitycare improvement

— 655 — Department of Veterans Affairs ENDNOTES 1. U.S. Department of Veterans Affairs, Veterans Health Division, VHA Directive 1003, “VHA Veteran Patient Experience,” April 14, 2020, pp. 1 and B-1. 2. S. 2372, VA Mission Act of 2018, Public Law No. 115-182, 115th Congress, June 6, 2018, https://www.congress. gov/115/plaws/publ182/PLAW-115publ182.pdf (accessed January 30, 2023). 3. U.S. Department of Veterans Affairs, VA History Office, “VA History,” last updated May 27, 2021, https://www. va.gov/HISTORY/VA_History/Overview.asp (accessed January 28, 2023). 4. 38 U.S. Code § 1116, https://www.law.cornell.edu/uscode/text/38/1116 (accessed January 28, 2023). 5. S. 3373, Sergeant First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics Act of 2022 (Honoring Our PACT Act of 2022), Public Law No. 117-168, 117th Congress, August 10, 2022, https://www. congress.gov/117/plaws/publ168/PLAW-117publ168.pdf (accessed January 28, 2023). 6. H.R. 2471, Consolidated Appropriations Act, 2022, Public Law No. 117-103, 117th Congress, March 15, 2022, Division S, Title I, https://www.congress.gov/117/plaws/publ103/PLAW-117publ103.pdf (accessed March 18, 2023). Known variously as the Department of Veterans Affairs Nurse and Physician Assistant Retention and Income Security Enhancement Act and the VA Nurse and Physician Assistant RAISE Act. 7. See note 5, supra. — 657 — Section Four THE ECONOMY The next Administration must prioritize the economic prosperity of ordi- nary Americans. For several decades, establishment “elites” have failed the citizenry by refusing to secure the border, outsourcing manufacturing to China and elsewhere, spending recklessly, regulating constantly, and generally controlling the country from the top down rather than letting it flourish from the bottom up. The proper role of government, as was articulated nearly 250 years ago, is to secure our God-given, unalienable rights in order that we might enjoy the pursuit of happiness, the benefits of free enterprise, and the blessings of liberty. Finding the right approach to trade policy is key to the fortunes of everyday Americans. In Chapter 26, president of the Competitive Enterprise Institute Kent Lassman and former White House director of trade and manufacturing policy Peter Navarro debate what an effective conservative trade policy would look like. Lass- man argues that the best trade policy is a humble, limited-government approach that would encourage free trade with all nations. He maintains that aggressive trade policies involve an increased government role that future leftist Administra- tions will utilize to push “climate change” and “equity”-based activism. Focusing more on gross domestic product (GDP) growth than on median income, he writes that “people mistakenly believe that U.S. manufacturing and the U.S. economy are in decline” when in truth “American manufacturing output is currently at an all-time high.” Meanwhile, we continue to experience “record-setting real GDP” despite our “long-run decline in manufacturing employment.” Lassman does not think that an aggressive U.S. trade policy would lead to more manufacturing jobs. Rather, he writes, “Federal Reserve research shows” that the

Department of Veterans Affairs

Moderate

Vector: 64%

Pages: 679-681AI Enhanced

AI Analysis:

"The bill focuses on improving the integrity and objectivity of peer review processes within the VHA, which aligns with Project 2025's broader goal of enhancing VA accountability, quality, and transparency in healthcare delivery. While not directly addressing education programs, innovation offices, or caregiver reforms, it supports systemic quality improvement through neutral oversight, a theme echoed in Project 2025's call for public reporting and continuous improvement."

Key themes:quality improvementaccountabilitytransparencypeer review neutralityVHA operations

Department of Veterans Affairs

Weak

Vector: 64%

Pages: 679-681AI Enhanced

AI Analysis:

"The bill focuses on improving peer review neutrality within the VHA to enhance care quality, while Project 2025 emphasizes infrastructure reform, workforce efficiency, caregiver program overhaul, and public reporting using ACO-like standards. There is minimal direct overlap, though both aim to improve VA healthcare quality and accountability."

Key themes:quality improvementaccountabilityVHA operations

— 646 — Mandate for Leadership: The Conservative Promise 3. Section 121 (developing and administering an education program that teaches veterans about their health care options available from the Department of Veterans Affairs). 4. Section 152 (returning the Office for Innovation of Care and Payment to the Office of Enterprise Integration with a joint governance process set up with the VHA). 5. Section 161 (overhauling Family Caregiver Program expansion, which has gone poorly, so that it focuses on consistency of eligibility and awareness that the most severely wounded or injured may require the program indefinitely). l Require the VHA to report publicly on all aspects of its operation, including quality, safety, patient experience, timeliness, and cost-effectiveness, using standards similar to those in the Medicare Accountable Care Organization program so that the government may monitor and achieve continuous improvement in the VA system more effectively. l Encourage VA Medical Centers to seek out relevant academic and private- sector input in their communities to improve the overall patient experience. Budget l Conduct an independent audit of the VA similar to the 2018 Department of Defense (DOD) audit to identify IT, management, financial, contracting, and other deficiencies. l Assess the misalignment of VHA facilities and rising infrastructure costs. The VHA operates 172 inpatient medical facilities nationally that are an average of 60 years old. Some of these facilities are underutilized and inadequately staffed. Facilities in certain urban and rural areas are seeing significant declines in the veteran population and strong competition for fresh medical staff. In 2018, Congress authorized an Asset Infrastructure Review (AIR) of national VHA medical markets to provide insight into where the VA health care budget should be responsibly allocated to serve veterans most effectively. However, the Senate Veterans Affairs Committee lacked the political will to act on the White House’s nominations of commission members, and this ultimately led to termination of the AIR process. The next Administration should seek out agile, creative, and politically acceptable operational solutions to this aging infrastructure status quo, — 647 — Department of Veterans Affairs reimagine the health care footprint in some locales, and spur a realignment of capacity through budgetary allocations. Specifically: 1. Embrace the expansion of Community Based Outpatient Clinics (CBOCs) as an avenue to maintain a VA footprint in challenging medical markets without investing further in obsolete and unaffordable VA health care campuses. 2. Explore the potential to pilot facility-sharing partnerships between the VA and strained local health care systems to reduce costs by leveraging limited talent and resources. Personnel l Extend the term of the Under Secretary for Health (USH) to five years. Additionally, authority should be given to reappoint this individual for a second five-year term both to allow for continuity and to protect the USH from political transition. l Establish a Senior Executive Service (SES) position of VHA Care System Chief Information Officer (CIO), selected by and reporting to the chief of the VHA Care System with a dotted line to the VA CIO. l Identify a workflow process to bring wait times in compliance with VA MISSION Act–required time frames wherever possible. 1. Assess the daily clinical appointment load for physicians and clinical staff in medical facilities where wait times for care are well outside of the time frames required by the VA MISSION Act. 2. Require VHA facilities to increase the number of patients seen each day to equal the number seen by DOD medical facilities: approximately 19 patients per provider per day. Currently, VA facilities may be seeing as few as six patients per provider per day. 3. Consider a pilot program to extend weekday appointment hours and offer Saturday appointment options to veterans if a facility continues to demonstrate that it has excess capacity and is experiencing delays in the delivery of care for veterans. 4. Identify clinical services that are consistently in high demand but require cost-prohibitive compensation to recruit and retain talent, and examine exceptions for higher competitive pay.

Department of Health and Human Services

Minimal

Vector: 66%

Pages: 533-535AI Enhanced

AI Analysis:

"The bill focuses on peer review neutrality within the Veterans Health Administration to improve care quality for veterans, while the Project 2025 policy excerpts center on HHS regulations related to civil rights, reproductive health, conscience protections, and healthcare nondiscrimination—there is no substantive thematic or policy overlap."

— 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).

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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