Close ties between the administration and a prominent conservative think tank correlate with several Trump administration health policy decisions, according to new information from a liberal government watchdog group shared exclusively with CQ Roll Call.

The 35-page Equity Forward report says that The Heritage Foundation’s influence plays a large role in decisions related to abortion, fetal tissue research, contraception and protections for same-sex couples.

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Think tanks that support an administration are known to yield influence over policy decisions, but Equity Forward calls the ties with The Heritage Foundation “alarming” because the organization says Heritage is succeeding in securing policy decisions that contradict HHS’ intended mission.

“The fundamental difference of what we are seeing with the Heritage Foundation versus think tank influence in the past is what the fundamental reason is for influencing the policy,” said Equity Forward Executive Director Mary Alice Carter, adding that she believes the foundation is “putting forth policies that are harmful to people.”