Analyst Brief September 14, 2026

S. 2398 β€” Kay Hagan Tick Reauthorization Act

Executive Summary

S. 2398, the 'Kay Hagan Tick Reauthorization Act,' extends critical federal programs addressing vector-borne diseases for an additional five years, through 2030. The bill reauthorizes the National Strategy and Regional Centers of Excellence in Vector-Borne Diseases, as well as enhanced support grants for local health departments. Notably, it removes the specific statutory mandate for the Tick-Borne Disease Working Group established under the 21st Century Cures Act, instead granting the agency flexibility to act through 'appropriate individuals,' streamlining administrative processes while maintaining focus on tick-borne illnesses.

Arguments For

  • Public Health Continuity: Ensures uninterrupted funding and strategic focus for regional centers of excellence combating the rising threat of Lyme and other vector-borne diseases.
  • Administrative Streamlining: By sunsetting the specific statutory working group and replacing it with 'appropriate individuals,' the bill reduces bureaucratic overhead and allows agencies more flexibility in convening experts.
  • Bipartisan Appeal: Reauthorizing a named, previously bipartisan public health initiative (originally named for former Senator Kay Hagan, who died from a tick-borne virus) provides an easy, non-controversial win for members.

Likely Supporters

Infectious Diseases Society of AmericaNational Association of County and City Health Officials (NACCHO)Association of State and Territorial Health Officials (ASTHO)

Arguments Against

  • Loss of Dedicated Advocacy Forum: Patient advocacy groups may oppose the dissolution of the specific Tick-Borne Disease Working Group, viewing it as a loss of a dedicated, high-profile platform for Lyme disease patients.
  • Status Quo Spending: Fiscal conservatives might object to a straight five-year reauthorization without corresponding offsets or reforms to the underlying grant structures.

Likely Opponents

Certain Lyme Disease Patient Advocacy Groups (due to Working Group removal)

πŸ“‹ Key Provisions

  • Reauthorizes the National Strategy and Regional Centers of Excellence in Vector-Borne Diseases through 2030.
  • Reauthorizes enhanced support grants to assist health departments in addressing vector-borne diseases through 2030.
  • Removes the specific statutory mandate for the Tick-Borne Disease Working Group, replacing it with a broader mandate to consult 'appropriate individuals.'
  • Amends the Public Health Service Act to require the agency to act 'through' rather than 'in coordination with' designated entities.
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Claim Analysis Page 2, Line 10

Removes the specific mandate for the Tick-Borne Disease Working Group.

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"striking β€˜β€˜the Tick-Borne Disease"

Claim Analysis Page 2, Line 18

Reauthorizes the National Strategy and Regional Centers of Excellence through 2030.

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"2025’’ and inserting β€˜β€˜2026 through 2030’’"

Claim Analysis Page 3, Line 2

Reauthorizes enhanced support for health departments through 2030.

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"through 2025’’ and inserting β€˜β€˜2026 through 2030’’"