Editing Openai/68ed1597-5990-8013-b135-c90c92460fd3 (section)

==== Key Proposals in Project 2025 on Health / Health Care ====

Some of the health-related policy changes envisioned in Project 2025 include:

| Area                                                   | Proposed Change                                                                                                                                                                                                                                                                                                                                   | What It Would Mean in Practice                                                                                                                      |
| ------------------------------------------------------ | ------------------------------------------------------------------------------------------------------------------------ | ------------------------------------------------------------------------------------------------------------------------ |
| Medicaid                                               | Convert Medicaid funding to block grants or per capita caps; impose stricter eligibility, increased administrative barriers, lifetime limits, work requirements. 
Medscape
+3
Center For Children and Families
+3
Leadership Conference
+3                                                                                                        | States would have more discretion but less financial cushion; many low-income people could lose coverage or face reduced benefits.                  |
| Medicare / Medicare Advantage                          | Make Medicare Advantage (MA, i.e. private plans) the default enrollment option for all beneficiaries, shift more users from traditional Medicare into MA. 
Center for American Progress
+2
Medscape
+2                                                                                                                                            | More Medicare enrollees would be constrained by network restrictions, prior authorizations, plan rules, and less flexibility in provider choice.    |
| Private Insurance / ACA                                | Repeal or roll back ACA protections: e.g. guaranteed issue (insurers must cover people with preexisting conditions), community rating, essential health benefit mandates, and limitations on short-term plans. 
Center for American Progress
+3
Physicians for a National Health Program
+3
Leadership Conference
+3                              | Insurers would have more leeway to deny or limit coverage; people with health conditions could face major challenges obtaining insurance.           |
| Direct Primary Care and HSAs                           | Encourage “direct primary care” (DPC) models funded via Health Savings Accounts (HSAs) combined with high-deductible plans. 
Physicians for a National Health Program
+2
Leadership Conference
+2                                                                                                                                                 | This tends to favor people who are healthier and wealthier (able to pay upfront), and could leave vulnerable populations without adequate coverage. |
| Public Health / Agencies                               | Significantly reduce or curtail authority of federal agencies like the CDC; prohibit CDC from issuing prescriptive mandates about masking or vaccination; limit their role to cost/benefit analysis, excluding social/behavioral impacts. 
American Public Health Association
+2
Medscape
+2                                                      | Public health decisions (e.g. mask mandates during pandemics) would shift to states or local providers; federal coordination would be weaker.       |
| HHS Reorganization                                     | The proposal calls for restructuring the Department of Health and Human Services (HHS), consolidating agencies, cutting staff, and changing oversight roles. 
Wikipedia
+3
KFF Health News
+3
National Health Law Program
+3                                                                                                                      | Efficiency arguments are made, but there is concern that institutional capacity and expertise would be lost.                                        |
| Reproductive Health / Abortion / Gender-Affirming Care | Strong restrictions: reverse approvals of abortion medication (e.g. mifepristone), limit access to contraception, defund providers that offer abortions (including non-abortion services), politicize HHS to enforce pro-life priorities, restrict gender-affirming care especially for minors. 
Wikipedia
+4
Guttmacher Institute
+4
Medscape
+4 | This would sharply reduce reproductive autonomy and access to reproductive and gender-affirming health services.                                    |