Department of Health and Human Services

What the document says

“Abortion and euthanasia are not health care.”

The chapter says the Secretary must ensure that all department programs and activities are rooted in respect for innocent human life from day one until natural death, and frames this as the first of five goals for the department. Much of the rest of the chapter follows from it.

What the document says

“The CDC should be split into two separate entities housing its two distinct functions.”

The chapter proposes a national epidemiological agency responsible only for publishing data, required by law to publish everything gathered from states and other sources, and a separate public health agency with what it calls a severely confined ability to make policy recommendations, with a firewall between them.

What the document says

“By statute or regulation, CDC guidance must be prohibited from taking on a prescriptive character.”

The chapter gives as its example that officials should never again be able to say in an official capacity that school children should be masked or vaccinated, and says such decisions should be left to parents and medical providers. It argues that when the agency says what people should do it readily becomes a must backed by severe punishments including criminal penalties, and that the agency should report on risks and effectiveness dispassionately and leave the policy calls to politically accountable parties.

What the document says

“The CDC should immediately end its collection of data on gender identity”

The chapter states that collecting the data legitimizes what it calls the unscientific notion that men can become women and vice versa, and encourages what it describes as ever-multiplying subjective identities.

What the document says

“As an interim step, the FDA should immediately restore the REMS by removing the in-person dispensing requirement to eliminate dangerous tele-abortion and abortion-by-mail distribution.”

The Risk Evaluation and Mitigation Strategy formerly required mifepristone to be dispensed in person. The chapter calls this an interim step, and asks separately for reporting of complications through the adverse event system and for transparency about inspections of the manufacturers.

What the document says

“Policymakers should end taxpayer funding of Planned Parenthood and all other abortion providers”

The chapter says the funding should be redirected to health centers that provide what it calls real health care for women, that most such federal funding comes through Medicaid, and asks Congress to pass the Protecting Life and Taxpayers Act. It also asks the agency to resolve pending waivers from Idaho, South Carolina and Tennessee seeking to bar abortion providers from state Medicaid programs.

What the document says

“HHS/CMS should withdraw appropriated funding, up to and including 10 percent of Medicaid funds, from states that require abortion insurance coverage.”

The chapter asks that the Justice Department commit to litigating the defense of those funding decisions promptly to the Supreme Court, in order to maximize the department's ability to withdraw funds from entities it says violate the Weldon Amendment, which bars discrimination against health entities that decline to provide abortion.

What the document says

“Research using human embryonic stem cells also involves the destruction of human life and should not be subsidized with taxpayer dollars.”

The chapter says research using fetal tissue from elective abortions is immoral and obsolete, asks that the ethics advisory committee overseeing it be restored and that Congress prohibit such research altogether, and that intramural projects using tissue from aborted children end along with the human embryonic stem cell registry. It separately asks that three-parent embryo creation and human cloning research be banned.

What the document says

“Regulators should have a long “cooling off period” on their contracts (15 years would not be too long)”

The chapter says the revolving door between government and pharmaceutical companies should be shut and locked, that executives should likewise be restricted from moving into regulatory agencies, and that regulators at the health agencies should be entirely free from private biopharmaceutical funding, which it calls agency capture and a thin veneer for corporatism. It cites a finding that more than two-thirds of FDA reviewers later joined companies whose products they had reviewed.

What the document says

“Term limits should be imposed on top career leaders at the NIH, and Congress should consider block granting NIH’s grants budget to states”

The chapter says research funding should not be controlled by what it calls a small group of highly paid and unaccountable insiders, many of whom stay in power for decades, and that the monopoly on directing research should be broken. It notes that states could partner to co-fund larger projects and that state funding would not preclude more modest federal funding.

What the document says

“the NIH Office of Equity,”

The full passage asks that the Office of Equity, Diversity, and Inclusion be abolished, and that the practice of refusing to sponsor scientific conferences without a certain number of women panelists be ended, which the chapter says violates federal civil rights law against sex discrimination.

What the document says

“it should fund studies into the short-term and long-term negative effects of crosssex interventions”

The chapter names affirmation, puberty blockers, cross-sex hormones and surgeries, and asks for study of the likelihood of desistence if young people are given counseling that does not include medical or social interventions. It says the agency has been at the forefront of pushing what it calls junk gender science.

What the document says

“Add work requirements and match Medicaid benefits to beneficiary needs.”

The chapter proposes that states be allowed to run what it calls a personal option letting families use Medicaid dollars to buy coverage outside the program, that private insurance options and health savings account style arrangements be allowed, that benefit mandates exceeding the private market be removed for able-bodied recipients, and that eligibility determinations and asset tests be strengthened.

What the document says

“This “negotiation” program should be repealed”

The program, created by the Inflation Reduction Act, lets Medicare set prices for selected drugs. The chapter puts the word negotiation in quotation marks, and says that if the act is not repealed an Administration required to implement it must do so prudently, minimizing the harmful effects of the law's policies.

What the document says

“HHS should use every available tool, including the cutting of funds, to ensure that every state reports exactly how many abortions take place within its borders”

The chapter asks that reports cover gestational age, reason, the mother's state of residence and method, separated by category, and that complications and every instance of a child born alive after an abortion be monitored and reported. It says abortion should be defined only as procedures that intentionally end an unborn child's life, and that miscarriage management and standard ectopic pregnancy treatment should never be conflated with abortion.

What the document says

“These policies should be repealed and replaced by policies that support the formation of stable, married, nuclear families.”

The chapter says current policies focus on LGBTQ+ equity, subsidizing single motherhood, disincentivizing work and penalizing marriage. It asks that the department prioritize married father engagement in its messaging, health and welfare policies, and says that in reproductive technology policy the desires of adults should never be placed over the right of children to be raised by the biological parents who conceive them.

What the document says

“HHS needs to restore and enhance conscience protection regulations”

The chapter says the regulations should allow medical practitioners to take part in federal health care programs without being compelled to provide sex changes or similar services.

What the document says

“regulations should advance site neutrality by eliminating the inpatient-only list”

The chapter says Medicare generally pays more for procedures performed as hospital inpatient care and less for the same procedure done as an outpatient, and that payment should be the same whether the service is delivered in a physician's office, a clinic or a hospital. It says this would level the playing field and remove financial disabilities for practitioners competing with hospital systems.