Andrew Guernsey

  • Senior Advisor, Immediate Office of the Secretary, HHS
    • Department of Health and Human Services
    • Office of the Secretary
  • As Senior Advisor, Guernsey directly advises the HHS Secretary and works with the Department’s Chief of Staff to develop regulations and policy recommendations, including on HHS’s reproductive and sexual health portfolio. In his role, Guernsey has focused on restricting bodily autonomy, including supporting a “comprehensive review” of studies on gender-affirming care for minors, and helping with the release of gender-affirming care “whistleblower protection” guidance. As a spokesperson for HHS, Guernsey has attended inter-agency meetings and appeared on podcasts to attack the right to bodily autonomy.

    Andrew Guernsey assumed office in January 2025.
Top Red Flags

Top Red Flags

  • Lobbied Congress to pass bills restricting access to reproductive health care, particularly abortions.
  • Worked at the anti-abortion Family Research Council and served as Executive Director of the Senate Pro-Life Caucus.
  • Contributed to Project 2025, the Heritage Foundation’s blueprint for a second Trump term, which advocates for extreme abortion restrictions and the rescission of key protections for reproductive health care and gender-affirming care. 
Legislation

Legislation

As a lobbyist for the anti-abortion Family Research Council, Guernsey lobbied for the following pieces of anti-abortion federal legislation, none of which have been enacted.  

  • “Born-Alive Abortion Survivors Protection Act of 2016” (S. 2066)
    • Uses stigmatizing language and the threat of harsh penalties to shame patients and scare providers from offering safe, quality abortion care.
  • “Conscience Protection Act of 2016” (H.R. 4828)
    • Grants anti-abortion health care providers broad discretion to sue on “conscience” claims, making it easier to deny patients access to reproductive health care. 
  • “Pain-Capable Unborn Child Protection Act” (H.R. 36)
    • Prohibits abortion after 20 weeks gestation with narrow exceptions. 
    • Promotes junk science to stigmatize abortion.

Guernsey served as a policy advisor for multiple members of Congress with A+ ratings from the anti-abortion group Susan B. Anthony Pro-Life America. This included managing Sen. Roy Blunt’s (R-MO) abortion and religious-freedom portfolios, working for Sen. Cindy Hyde-Smith (R-MS) while she chaired the Senate Pro-Life Caucus, and for House Majority Leader Rep. Steve Scalise (R-LA). These lawmakers consistently sponsored anti-abortion legislation and voted in favor of bills restricting access to reproductive health care. For instance, in addition to the so-called “Born Alive Abortion Survivors Protection Act”, Sen. Hyde-Smith cosponsored the following anti-abortion bills while Guernsey was on her staff and serving as Executive Director of her Caucus.

  • “No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2023” (S.62)
    • Prohibits the use of federal funds for abortions, except in cases of rape, incest, or to save the life of the pregnant person.
    • Requires burdensome administrative reporting in an attempt to dissuade health plans from offering abortion coverage.
  • “SAVE Moms and Babies Act of 2023” (Support And Value Expectant Moms and Babies Act of 2023) (S.95)
    • Prohibits the approval or study of new abortion medications, bans investigational use of abortion medications, and imposes additional onerous regulatory requirements on previously approved abortion medications.
    • Requires medically unnecessary in-person administration of medication abortion by FDA-certified health care practitioners.
  • “Protecting Life in Foreign Assistance Act” (S.3624
    • Restricts the availability of federal funds to organizations associated with abortion, both domestically and internationally.  
Statements

Statements

  • On an anti-abortion news channel, Guernsey promoted federal legislation to “decimate” Planned Parenthood.
  • While serving as Executive Director of the Senate Pro-Life Caucus, Guernsey falsely claimed that the Inflation Reduction Act of 2022 “blatantly violates the principles of the Hyde Amendment” and financed “elective abortion” “on demand.”
  • Guernsey advocated against the Biden Administration’s 2021 final rule on the Title X Family Planning Program, which restored access to the program for many providers who were pushed out during the first Trump administration. 
Publications

Publications

Guernsey wrote extensively on his anti-abortion stance while working at the Family Research Council, including: 

  • blog post praising the Hyde Amendment, a federal abortion ban that bars people living on low incomes and receiving their medical insurance or health care through the federal government from receiving covered abortion care. 
  • blog post criticizing efforts to protect people from mis- and dis-information at anti-abortion crisis pregnancy centers by requiring these fake clinics to offer factual information about abortion care. Guernsey called these laws “harmful, anti-life discrimination.”
    • He also called on Members of Congress to permanently codify the Weldon Amendment, an anti-abortion federal appropriations policy that emboldens providers to refuse to offer reproductive health and abortion services based on their personal beliefs, even in medical emergencies.   
  • blog post promoting the repeal of the Affordable Care Act’s requirement that most Americans purchase and maintain health insurance coverage, claiming that this would protect so-called “conscience rights,” especially in states where “there are few or no pro-life health insurance plans that exclude coverage of abortion.” 
Extremist Connections

Extremist Connections

  • Guernsey worked for the Family Research Council, a prominent anti-abortion group.
  • Guernsey served as the Executive Director of the Senate Pro-Life Caucus, working to “educate U.S. senators on the dignity of Life and protect the unborn through the advance of prolife legislation.”
  • Guernsey spoke on a panel, hosted by Harvard Law Students for Life, with the President of the National Institute of Family and Life Advocates.
  • Guernsey founded “Voice for Life,” an anti-abortion student group.

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