delete PART 91—NONDISCRIMINATION ON THE BASIS OF AGE IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM HHS
Prohibits age discrimination in programs receiving HHS federal financial assistance. Requires recipients to self-evaluate age policies, maintain extensive records, and submit to HHS oversight. Allows age distinctions only if necessary for normal program operation or statutory objectives. Enforcement through fund termination, administrative hearings, mediation, and private lawsuits.
Imposes billions in hidden compliance costs on schools, hospitals, nonprofits, and local governments. Duplicates state anti-discrimination laws while federalizing matters reserved to states under Tenth Amendment. Creates perverse incentives: entities avoid age-targeted programming (even when beneficial) to reduce legal risk. Regulatory overhead diverts resources from core missions like patient care and education, raising costs for all Americans while delivering minimal marginal protection beyond existing state frameworks.