H.R. 4348 (119th)Bill Overview

To reauthorize the Kay Hagan Tick Act, and for other purposes.

Health|Health
Cosponsors
Support
Lean Democratic
Introduced
Jul 10, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Energy and Commerce.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief

This bill amends the Public Health Service Act to reauthorize and update existing federal programs concerning tick‑borne and other vector‑borne diseases.

It amends Section 317U to add language referencing the Tick‑Borne Disease Working Group and other appropriate individuals, adds an explicit goal of increasing capacity to identify, report, prevent, and respond to such diseases, and extends the program authorization period from 2021–2025 to 2026–2030.

It also amends Section 2822(c) to extend enhanced support for state and local health departments from 2021–2025 to 2026–2030.

Passage75/100

Content is narrowly focused, technical, and addresses public health infrastructure — factors that historically favor enactment absent strong controversy. The bill primarily extends and clarifies existing authorities rather than creating contentious new policy, making it relatively likely to clear committee and floor consideration. Final enactment still depends on appropriations and legislative scheduling.

CredibilityAligned

Relative to its intended legislative type, this bill is a narrowly focused statutory housekeeping measure that precisely amends cited provisions to extend authorization periods and make minor textual clarifications.

Contention30/100

Scope of federal role and safeguards: conservatives worry about mission creep and unfunded spending; liberals want robust funding and expansion to address equity and climate drivers.

02 · What it does

Who stands to gain, and who may push back.

Who this appears to help vs burden50% / 50%
Federal agenciesFederal agencies · States
Likely helped
  • Federal agenciesContinued federal authorization could sustain or enable funding for CDC and regional centers that support surveillance,…
  • Federal agenciesMaintaining and expanding program activities may support public health jobs and research positions at federal, state, a…
  • Targeted stakeholdersStronger coordination (including the Tick-Borne Disease Working Group) could improve standardized reporting and informa…
Likely burdened
  • Federal agenciesReauthorization creates expectations for continued federal spending that will require appropriations; without specified…
  • StatesCritics may argue the bill risks duplicating or overlapping existing CDC/state programs and regional efforts, creating…
  • Local governmentsState and local entities could face increased reporting or programmatic requirements tied to federal grants, producing…
03 · Why people split

Why the argument around this bill splits.

Scope of federal role and safeguards: conservatives worry about mission creep and unfunded spending; liberals want robust funding and expansion to address equity and climate drivers.
Progressive85%

A liberal/left‑leaning observer would likely view this bill positively as a modest but necessary step to sustain and slightly strengthen federal efforts against tick‑borne and other vector‑borne diseases.

They would welcome the explicit inclusion of the Tick‑Borne Disease Working Group and language about increasing capacity to identify, report, prevent, and respond.

They would also likely press for robust appropriations, attention to environmental and climate drivers of vector spread, and equity in how resources are distributed to underserved communities.

Leans supportive
Centrist75%

A centrist/moderate observer would view the bill as a pragmatic, narrowly targeted reauthorization of public health activity that is reasonable and mostly noncontroversial.

They would appreciate the continuity for surveillance and support to health departments but would want clarity on costs, oversight, and measurable outcomes.

Overall they would be inclined to support reauthorization while pressing for accountability and cost transparency.

Leans supportive
Conservative60%

A mainstream conservative observer would likely be cautiously supportive of a narrowly targeted public health reauthorization focused on surveillance and assistance to state/local health departments, but would be attentive to fiscal and federalism concerns.

They would prefer limited, well‑defined federal roles, oversight of spending, and assurances that this does not create broad new mandates or open‑ended entitlement spending.

Split reaction
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood75/100

Content is narrowly focused, technical, and addresses public health infrastructure — factors that historically favor enactment absent strong controversy. The bill primarily extends and clarifies existing authorities rather than creating contentious new policy, making it relatively likely to clear committee and floor consideration. Final enactment still depends on appropriations and legislative scheduling.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • The bill text does not specify funding levels or mandatory appropriations; actual fiscal impact and implementation depend on future appropriations decisions.
  • Potential for unrelated amendments or riders during committee or floor consideration could change the bill's political profile and affect passage prospects.
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Scope of federal role and safeguards: conservatives worry about mission creep and unfunded spending; liberals want robust funding and expan…

Content is narrowly focused, technical, and addresses public health infrastructure — factors that historically favor enactment absent stron…

Unlocked analysis

Relative to its intended legislative type, this bill is a narrowly focused statutory housekeeping measure that precisely amends cited provisions to extend authorization periods and make minor textual clarifications.

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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