Real bill currently in Congress  c/o  HR/119/3302

Healthy Start Reauthorization Act of 2025

Policy area: Health ▲ 245 days since action Sponsor: Alexandria Ocasio-Cortez, NY-14, D → Congress.gov

Latest action (2025-10-03): Placed on the Union Calendar, Calendar No. 284.

The Framers

“Founders’ Verdict”

CONDITIONAL

Confidence 0.50

Synthesis

2-2 split: Hamilton and Marshall (CONSTITUTIONAL under Article I, Section 8 spending power for general welfare); Madison and Jefferson (UNCONSTITUTIONAL as reserved to states)

Hamilton YES

The Healthy Start Reauthorization Act falls within Congress's enumerated power to tax and spend for the general welfare, as promoting maternal and infant health contributes to the strength and prosperity of the nation, safeguarding future generations essential to republican government. Such expenditures do not usurp state prerogatives in local police matters but operate through voluntary grants, consistent with federal supremacy in fiscal matters where the Constitution grants authority. This aligns with the broad latitude necessary for national funding to secure the public good, without violat…

Article I, Section 8, Clause 1 Federalist No. 33
Jefferson NO

The Healthy Start Reauthorization Act of 2025 proposes federal funding and grants for maternal and infant health services, a matter of local concern not enumerated among the powers delegated to Congress. The taxing and spending authority is confined to purposes tied to expressly granted powers, not an unbounded provision for 'general Welfare' that would swallow state prerogatives. Such interventions in health and family welfare properly belong to the states or the people, as they involve no aspect of national defense, foreign affairs, or interstate commerce.

Tenth Amendment Article I, Section 8, Clause 1
Madison NO

The powers of Congress are carefully enumerated in Article I, Section 8, and do not extend to the direct provision of health services or grants for maternal and infant care programs, which fall under the reserved powers of the states. Such legislation represents an unwarranted expansion beyond the specified objects of federal taxation and spending, risking the aggrandizement of federal authority at the expense of state sovereignty and local administration, as I cautioned against in my defense of the Constitution's federal structure.

Article I, Section 8 Amendment X Federalist No. 45
Marshall YES

The Healthy Start Reauthorization Act of 2025 pertains to federal expenditures for health services aimed at maternal and infant care in underserved communities. Congress possesses the enumerated power under Article I, Section 8, Clause 1, to lay and collect taxes to provide for the general welfare of the United States. Such a program constitutes a legitimate exercise of the spending power, as it promotes the health of the populace, which is integral to the national welfare. Moreover, pursuant to the necessary and proper clause, as expounded in McCulloch v. Maryland (1819), Congress may select …

Article I, Section 8, Clause 1 McCulloch v. Maryland (1819)

What should pass

“AI Consensus Solution”

No solution yet

Daily synthesis runs at 06:00 UTC. This bill's consensus draft will appear on the next pass.

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