Section 3 · The General Welfare
🏥Ch. 14 — Department of Health and Human Services
HHS · 27 tracked
Split CDC into separate epidemiology-data and public-health-policy agencies
Proposed
Mandate says CDC’s data-gathering and political recommendation roles conflict and should be firewalled into two agencies, with epidemiology required to publish all state/other data and policy advice severely confined.
Prohibit CDC guidance from being prescriptive (no “should/must” school masks/vax)
Proposed
Mandate directs that by statute or regulation CDC guidance must be prohibited from taking on a prescriptive character—e.g., officials must never say schoolchildren “should be” masked or vaccinated or barred from in-person school.
Ban pharmaceutical contributions to CDC via CDC Foundation
Proposed
Mandate treats CDC Foundation pharma donations as a conflict of interest that should be banned; broader Goal #5 calls for NIH/CDC/FDA regulators free of private biopharma funding and long cooling-off periods.
Transfer CDC vaccine-safety systems (VAERS/VSD/CISA) to FDA
Proposed
Mandate says CDC vaccine-safety programs and funding should move to FDA, which handles post-market surveillance for other drugs/biologics.
Condition Medicaid family-planning funds on mandatory state abortion reporting
Proposed
Mandate urges HHS to use every tool including cutting funds so every state reports detailed abortion statistics, and cites legislation tying Medicaid family-planning payments to reporting.
End CDC collection of gender-identity data
Proposed
Mandate says CDC should immediately end collecting gender-identity data because it allegedly legitimizes unscientific notions of sex change.
Withdraw mifepristone approval and restore pre-2016/2021 REMS and mail bans
Proposed
Mandate directs FDA to reverse chemical abortion drug approval, restore REMS/in-person dispensing, reinstate earlier protocols, stop mail-order distribution under federal mailing statutes, and tighten FAERS reporting.
Restore RFRA waiver for importing vaccines free of aborted-fetal cell lines
Proposed
Mandate says FDA should restore the January 2021 OCR–FDA waiver allowing bulk importation of certain Japanese vaccines to accommodate religious needs, revoked by Biden FDA, and require future biologics free of moral taint.
Restore fetal-tissue ethics board; end intramural aborted-tissue and hESC registry
Proposed
Mandate calls to restore ethics advisory board limits on abortion-derived fetal tissue research, end NIH intramural aborted-tissue projects and embryonic stem-cell registry, ban three-parent embryos/cloning, and fund pro-life research agenda.
Impose NIH leadership term limits and block-grant much of NIH to states
Proposed
Mandate says NIH’s research-directing monopoly should be broken via term limits for top career leaders and congressional consideration of block-granting NIH grants budgets to states.
Restore Trump-era Medicare demos (MCIT, RADV, MAQI, GPDC/ACO REACH) and site neutrality
Proposed
Mandate urges reintroduction of withdrawn Trump Medicare regulations/demos and expansion of site-neutral payment, plus conscience rules against compelled sex-change services.
Make Medicare Advantage default; shift to competitive bidding and cut MA micromanagement
Proposed
Mandate’s legislative Medicare Advantage package includes default MA enrollment, beneficiary control of dollars, competitive bidding replacing formula payments, and removing restrictions on key benefits.
Repeal IRA Medicare drug “negotiation” and shift Medicaid to caps/block grants with work rules
Proposed
Mandate seeks repeal of Inflation Reduction Act drug price negotiation, Medicaid financing via caps/block grants, ending enhanced ACA match, work requirements, time limits, and private-coverage diversion of Medicaid dollars.
Separate subsidized ACA market from non-subsidized; expand AHPs/STHPs/HRAs
Proposed
Mandate tells CMS to separate non-subsidized insurance from ACA exchanges for regulatory relief, and to expand association health plans, short-term plans, and HRAs while shrinking CCIIO’s benefit prescriptions.
Defund Planned Parenthood via Medicaid; withdraw abortion-travel 1115s; enforce Weldon cuts
Proposed
Mandate directs withdrawing Medicaid abortion-travel guidance/1115s, disqualifying elective abortion providers from Medicaid, Weldon Amendment funding cuts to states requiring abortion coverage, Section 1303 separate-payment enforcement, Hyde audits, and EMTALA abortion-guidance rescission.
Roll back Section 1557 SOGI/gender-identity sex discrimination protections
Proposed
Mandate says HHS must reverse redefinition of sex to cover gender identity and sexual orientation across HHS/CMS/CHIP, restore Trump 1557 rule, and OCR should refuse to enforce SOGI bans.
Nonenforce CMS COVID hospital vaccine mandate and pay damages to fired staff
Proposed
Mandate tells CMS to announce nonenforcement of hospital vaccine mandate, revoke related rules, refrain from mask mandates, and pay damages to professionals dismissed because of the mandate.
Repeal 2016 SOGI grant conditions; restore faith-based adoption waivers
Proposed
Mandate says ACF/ASFR should repeal 2016 sexual orientation/gender identity grant nondiscrimination conditions and restore religious waivers for faith-based adoption/foster agencies.
Reinstate Trump Title X physical/financial separation and end abortion-referral mandate
Proposed
Mandate directs rescinding Biden Title X rule, restoring Trump separation requirements, ending mandatory abortion referrals, and expanding grantees beyond abortion providers.
Eliminate Head Start / Office of Head Start
Proposed
Mandate argues Head Start should be eliminated (or at least COVID vaccine/mask rules rescinded) citing abuse incidents and weak long-term academic gains.
Move ORR to DHS; ban ORR facilitation of elective abortions for unaccompanied minors
Proposed
Mandate would transfer unaccompanied children functions to DHS, eliminate Flores settlement via statute, and bar ORR from facilitating elective abortions including interstate transport.
Limit PHE duration; reinstate SUNSET rule; replace reproductive access task force with pro-life task force
Proposed
Mandate wants Congress to time-limit PHEs, reinstate HHS SUNSET automatic expiration of unreviewed rules, eliminate Reproductive Healthcare Access Task Force for a pro-life task force, and restore “conception to natural death” mission language.
FDA generics competition, LDT sharing reforms, graded facility inspections for shortages
Proposed
Mandate pushes FDA/Congress to stop brand tactics delaying generics, ease interlab sharing of laboratory-developed/modified tests, clarify FDA–CMS CLIA overlap, and use graded inspections plus Medicaid rebate exemptions to fix shortages.
Lift ACA ban on physician-owned hospitals; ease DPC; scrap No Surprises arbitration
Proposed
Mandate would remove ACA restrictions on Medicare reimbursement to physician-owned hospitals, clarify DPC is not insurance for HSA purposes, and replace No Surprises Act dispute resolution with truth-in-advertising.
Expand TANF work rules to noncash benefits; require marriage/family formation metrics
Proposed
Mandate would apply Trump SNAP-style definitions so TANF work requirements cover noncash benefits ≥$50/month for six months, and require measuring marriage/family-formation goals.
Restore Conscience and Religious Freedom Division power and Trump RFRA rules
Proposed
Mandate directs restoring fully funded CRFD, OCR RFRA enforcement authority (vs OGC), Trump RFRA/religious freedom rule, vaccine religious accommodations, and withdrawing pharmacy abortion and HIPAA abortion guidances.
Restore Trump contraceptive religious/moral exemptions; cut Ella; expand FABM coverage
Proposed
Mandate would restore Trump religious/moral exemptions, require APA rulemaking for women’s preventive services, expand fertility awareness–based method coverage, remove male condoms and ulipristal (Ella) from the mandate, and end ACOG exclusive advising contracts.