Heritage Foundation's
Project 2025

Chapter 14 - Department of Health and Human Services

• Restructure CDC into two separate entities: one for data collection and one for public health recommendations
• Prohibit CDC from making prescriptive public health recommendations
• Ban CDC from accepting pharmaceutical industry contributions
• Modernize CDC's data infrastructure
• Transfer vaccine safety programs from CDC to FDA
• Eliminate CDC programs that don't "respect human life and conscience rights"
• Update CDC's abortion and maternity mortality reporting systems
• End CDC's collection of gender identity data
• Reform FDA's drug approval process to encourage generic competition
• Change laboratory-developed test regulations
• Implement measures to prevent drug shortages
• Reverse FDA approval of chemical abortion drugs
• Reinstate and strengthen safety protocols for abortion medication
• Prohibit mail-order abortions
• Allow importation of ethically-derived vaccines
• Impose "cooling off" periods to prevent FDA reviewers from working for companies they regulated
• Restrict direct-to-consumer drug advertising
• End NIH research using fetal tissue from elective abortions
• Eliminate NIH's human embryonic stem cell registry
• Reconvene a National Council on Bioethics
• Reform NIH funding allocation process
• Impose term limits on NIH leadership
• Decommission CDC and NIH Foundations
• Abolish NIH Office of Equity, Diversity, and Inclusion
• Reform Medicare to increase beneficiary control and reduce regulations
• Implement site-neutral payments in Medicare
• Remove restrictions on physician-owned hospitals
• Make Medicare Advantage the default enrollment option
• Repeal drug price negotiation program in Medicare
• Reform Medicaid financing, including block grants or per capita caps
• Add work requirements and time limits to Medicaid
• Allow states to implement premiums and cost-sharing in Medicaid
• Separate subsidized ACA exchange market from non-subsidized insurance market
• Strengthen hospital price transparency rules
• Expand association health plans and short-term health plans
• Expand health savings accounts
• Eliminate the Head Start program
• Support palliative care instead of physician-assisted suicide
• Restore Trump-era religious and moral exemptions to contraceptive mandate
• Expand inclusion of fertility awareness-based methods in women's preventive services
• Withdraw guidance allowing Ryan White HIV/AIDS Program funds for gender transition support
• Prioritize funding for home-based childcare over universal daycare
• Reform Indian Health Service to increase access to private providers
• Restrict HHS's ability to declare indefinite public health emergencies
• Reinstate the HHS SUNSET rule for regulation review
• Create a Special Representative for Domestic Women's Health
• Combine Assistant Secretary for Health and Surgeon General positions
• Reframe Title X family planning program to focus on fertility awareness
• Move Office of Refugee Resettlement to Department of Homeland Security
• Implement policies to strengthen marriage and fatherhood in various programs