S. 2398 (119th)Bill Overview

Kay Hagan Tick Reauthorization Act

Health|HealthHealth programs administration and funding
Cosponsors
Support
Bipartisan
Introduced
Jul 23, 2025
Discussions
Bill Text
Current stageCommittee

Placed on Senate Legislative Calendar under General Orders. Calendar No. 154.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill, titled the Kay Hagan Tick Reauthorization Act, reauthorizes existing federal programs addressing vector‑borne diseases (including tick‑borne illnesses) by amending the Public Health Service Act. The amendments primarily extend authorization periods for the national strategy and regional centers of excellence in vector‑borne disease and for enhanced support to health departments, changing covered years from 2021–2025 to 2026–2030.

Why people may split

Degree of support tied to funding: liberals want explicit funding guarantees; conservatives worry about potential new spending.

Watch point

Relative to its intended legislative type, this bill is a narrow procedural reauthorization that primarily updates statutory language and authorization timeframes.

This bill, titled the Kay Hagan Tick Reauthorization Act, reauthorizes existing federal programs addressing vector‑borne diseases (including tick‑borne illnesses) by amending the Public Health Service Act.

The amendments primarily extend authorization periods for the national strategy and regional centers of excellence in vector‑borne disease and for enhanced support to health departments, changing covered years from 2021–2025 to 2026–2030.

The text also clarifies coordination language referencing the Tick‑Borne Disease Working Group established under the 21st Century Cures Act.

Passage80/100

Based purely on the bill text, this is a routine, narrowly focused reauthorization of existing public health activity with little ideological content, a modest fiscal footprint, and built‑in sunset dates — characteristics that historically make such measures likely to be enacted. Remaining barriers are procedural (scheduling, inclusion of appropriations) rather than substantive.

CredibilityAligned

Relative to its intended legislative type, this bill is a narrow procedural reauthorization that primarily updates statutory language and authorization timeframes. It identifies the specific statutory provisions to amend and sets a clear, limited objective.

Contention25/100

Degree of support tied to funding: liberals want explicit funding guarantees; conservatives worry about potential new spending.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agencies · Local governmentsFederal agencies · Local governments

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Federal agenciesContinued federal authorization enables ongoing funding (subject to appropriations) for surveillance, research, regiona…
  • Local governmentsImproved coordination among federal programs, the Tick‑Borne Disease Working Group, regional centers, and state/local h…
  • Federal agenciesSustained program activity could support jobs in public health, laboratory services, epidemiology, and related research…
Likely burdened
  • Federal agenciesThe bill extends federal program authorizations but does not itself appropriate funds; critics may argue it obligates o…
  • Local governmentsStates and local health departments could face administrative or reporting burdens to comply with enhanced coordination…
  • Potential burdenOpponents might contend that reauthorization without substantial programmatic reform risks continuing investments that…
03 · Why people split

Why the argument around this bill splits.

Degree of support tied to funding: liberals want explicit funding guarantees; conservatives worry about potential new spending.
Progressive85%

A mainstream progressive would generally welcome continued federal commitment to vector‑borne disease surveillance, research, and public health capacity, viewing the reauthorization as necessary given rising tick‑borne disease incidence and climate impacts on vectors.

They would see this as a modest but important public health investment, while also noting the bill lacks explicit new funding levels and equity or prevention provisions.

They would likely press for stronger language on funding, community outreach to underserved groups, environmental prevention, and research into long‑term effects and treatments.

Leans supportive
Centrist75%

A pragmatic moderate would view the bill as a low‑risk, bipartisan, incremental extension of existing public health authorities that helps sustain surveillance and support to states without creating large new programs.

They would appreciate the continuity for public health infrastructure but seek clarity on costs, oversight, and measurable outcomes.

Overall, they would favor the reauthorization if accompanied by cost discipline and transparency on implementation.

Leans supportive
Conservative60%

A mainstream conservative would likely see this as a modest renewal of a specialized public health authority that is largely non‑controversial, but would be cautious about further expansion of federal programs and ongoing unfunded mandates.

They would favor state and local responsibility where practical, seek to limit new spending, and demand evidence of effectiveness and fiscal restraint.

If the bill is purely an authorization extension without new mandatory outlays, they may accept it; if it requires substantial new appropriations, they would scrutinize costs.

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 likelihood80/100

Based purely on the bill text, this is a routine, narrowly focused reauthorization of existing public health activity with little ideological content, a modest fiscal footprint, and built‑in sunset dates — characteristics that historically make such measures likely to be enacted. Remaining barriers are procedural (scheduling, inclusion of appropriations) rather than substantive.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • The provided text does not include authorization or appropriation amounts or an official Congressional Budget Office (CBO) cost estimate; the fiscal impact depends on future appropriation decisions.
  • The excerpt contains some duplicated and partially redacted or garbled language (sponsor list and insertion text), leaving minor ambiguity about exact statutory wording changes beyond date updates.
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

Degree of support tied to funding: liberals want explicit funding guarantees; conservatives worry about potential new spending.

Based purely on the bill text, this is a routine, narrowly focused reauthorization of existing public health activity with little ideologic…

Unlocked analysis

Relative to its intended legislative type, this bill is a narrow procedural reauthorization that primarily updates statutory language and authorization timeframes. It identifies the specific statutory provisions to amen…

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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