The ACLU submitted these comments to the Department of Health and Human Services on its draft Strategic Plan for Fiscal Years 2018-22. HHS has a statutory obligation to submit a Strategic Plan describing its plan to address evolving health and human services issues, but we are concerned that the proposal constitutes a harmful departure from past plans. The comments touch on the Strategic Plan’s expansive view of the role of religion in healthcare and the discriminatory effect on LGBTQ people and women; its troubling implications for reproductive healthcare; its failure to identify specific populations most affected by health disparities; and detailed implications for community integration for people with disabilities.