Hearings to examine the President's 2026 health care agenda

Treasury and HHS ConfirmationsSenate Finance · September 4, 2025 · 119th Congress
The Senate Finance Committee held a mark-up session on three HHS/USTR nominations before convening this oversight hearing with Secretary of Health and Human Services Robert F. Begins at ▶ 0:45:22
Transcript
Highlights

Title

Kennedy testifies on Trump 2026 health agenda, vaccines, rural hospitals

Purpose

The Senate Finance Committee held a mark-up session on three HHS/USTR nominations before convening this oversight hearing with Secretary of Health and Human Services Robert F. Kennedy, Jr. on President Trump's 2026 health care agenda. Chair Crapo focused on rural hospital funding and chronic disease policy while Ranking Member Wyden and other Democrats pressed Kennedy on vaccine advisory panel changes, the firing of CDC Director Susan Monarez, and COVID-19 vaccine safety claims; Republicans largely highlighted the Rural Health Transformation Fund, pharmacy benefit manager reform, and support for Operation Warp Speed. Begins at▶ 0:45:22

Who spoke

• Chair Mike Crapo (R-ID)▶ 0:12:56: Opened the nominations markup for Britt Sweitzer, Gus Chiarello, and Mike Stuart▶ 0:12:56, then gaveled in the Kennedy hearing citing 2.8 million Americans found dually enrolled in Medicaid/ACA plans, worth a potential $14 billion in annual savings▶ 0:47:17, and questioned Kennedy on rural hospital funding▶ 1:06:22 and the $50 billion Rural Health Transformation Program▶ 1:07:13.

• Sen. Ron Wyden (D-OR), Ranking Member▶ 0:14:30: Opposed the three nominees over trade and health policy concerns▶ 0:14:30, accused Secretary Kennedy of running the "worst measles outbreak in decades"▶ 0:14:51, asked the committee to formally swear in Kennedy as a witness (rejected by Crapo)▶ 0:57:15, and later pressed Kennedy on whether he told CDC Director Susan Monarez to pre-approve vaccine panel recommendations, which Kennedy denied▶ 1:13:16▶ 1:13:34.

• Sec. Robert F. Kennedy, Jr., HHS Secretary▶ 0:58:43: Opened by honoring slain DeKalb County officer David Rose▶ 0:58:43, touted the Rural Health Transformation Fund as a 50%+ increase in rural hospital funding▶ 1:08:43, said 76.4% of Americans have a chronic disease▶ 1:10:44, defended firing all 17 ACIP members as removing conflicts of interest▶ 1:17:08, said he did not know how many Americans died from COVID▶ 1:47:55, and repeatedly clashed with Democratic senators over vaccine safety and CDC data▶ 2:03:39.

• Senator (unspecified, prior to gavel)▶ 0:13:26: Continued the pre-hearing statement on the nominees, noting the vote would occur off the Senate floor at 11:30 a.m.▶ 0:13:26.

• Senator Chuck Grassley (R-IA)▶ 1:19:27: Praised HHS for adding 10 rural hospitals to a demonstration program▶ 1:19:27, pressed Kennedy on staying consistent with his confirmation pledge to leave farm regulation to USDA/EPA▶ 1:20:00, and raised his bipartisan bill with Sen. Durbin requiring drug price disclosure in TV ads▶ 1:22:03.

• Senator John Cornyn (R-TX)▶ 1:24:54: Noted the U.S. spends ~18% of GDP on health care but ranks roughly 10th in outcomes▶ 1:24:54 and asked Kennedy whether COVID-19 was politicized, which Kennedy affirmed▶ 1:27:59.

• Senator Michael Bennet (D-CO)▶ 1:30:23: Challenged Kennedy over appointing vaccine panel members Dr. Robert Malone and a "Dr. Leva" who made unfounded claims about mRNA vaccine harms, which Kennedy said he agreed with▶ 1:32:14; pressed for transparency on the panel's evidence six weeks in advance▶ 1:35:03.

• Senator Bill Cassidy (R-LA)▶ 1:36:40: Said Trump deserves a Nobel Prize for Operation Warp Speed, which Kennedy agreed with▶ 1:37:06, but challenged Kennedy's cancellation of $500 million in mRNA vaccine contracts▶ 1:38:39 and shared a constituent's difficulty accessing a COVID vaccine for his wife with stage IV cancer▶ 1:42:01.

• Senator Maria Cantwell (D-WA)▶ 1:42:41: Argued Kennedy is not following science despite promising to▶ 1:42:41, said Trump's own surgeon general credited mRNA vaccines with saving over 2 million lives▶ 1:44:47, and called Kennedy "a charlatan"▶ 1:43:59.

• Senator Mark Warner (D-VA)▶ 1:47:18: Noted Kennedy did not know how many Americans died from COVID or whether vaccines prevented deaths▶ 1:47:55▶ 1:48:29, described rural Virginia hospitals afraid to close▶ 1:50:10, and secured Kennedy's commitment to support raising rural provider reimbursement to 80% of urban rates▶ 1:51:33.

• Senator James Lankford (R-OK)▶ 1:52:58: Thanked HHS for progress on the $50 billion rural fund▶ 1:52:58, asked about PBM reform and rural pharmacy closures▶ 1:54:05, and questioned Kennedy on the FDA's review of mifepristone safety▶ 1:55:31 and Title X abortion-separation rules▶ 1:56:57.

• Senator Maggie Hassan (D-NH)▶ 1:58:13: Cited an 18% median rise in commercial insurance premiums this fall▶ 1:58:13, pressed Kennedy to affirm the COVID vaccine saved millions of lives as Trump claimed▶ 1:59:30, and accused him of "crazy talk" in exchanges over off-label vaccine access▶ 2:02:01▶ 2:02:05.

• Senator John Barrasso (R-WY)▶ 2:03:43: Praised Operation Warp Speed and cited estimates of 154 million lives saved by vaccines over 50 years▶ 2:04:42, and asked Kennedy how vaccine guidance would remain evidence-based and trustworthy▶ 2:05:40.

• Senator Steve Daines (R-MT)▶ 2:09:02: Cited a study finding nearly 11% of women experienced a serious adverse event within 45 days of taking mifepristone, versus the FDA's long-standing estimate of under 0.5%▶ 2:09:34, and asked about restoring in-person visit requirements for the drug▶ 2:12:49.

• Senator Ron Johnson (R-WI)▶ 2:14:23: Cited VAERS data showing 30,472 reported COVID vaccine deaths worldwide, with 9,252 within one to two days of vaccination▶ 2:15:55, and referenced an upcoming hearing on vaccine-injured children▶ 2:16:49.

• Senator Sheldon Whitehouse (D-RI)▶ 2:24:16: Detailed a 23-26% CMS payment gap disadvantaging Rhode Island providers versus Massachusetts and Connecticut▶ 2:24:16 and pressed for movement on Medicare end-of-life care waivers▶ 2:26:44.

• Senator Catherine Cortez Masto (D-NV)▶ 2:30:01: Said the "big beautiful bill" shields drugs like Keytruda (nearly $18 billion in U.S. sales last year) from Medicare price negotiation▶ 2:30:29, and noted Medicare Part D premiums will rise about $15/month and Part B premiums 11.6% next year▶ 2:34:03.

• Senator Marsha Blackburn (R-TN)▶ 2:35:53: Raised her PBM Act with Sen. Wyden requiring pricing disclosure▶ 2:36:56 and asked about interoperability framework alignment▶ 2:38:18 and overprescribing of stimulant drugs to children▶ 2:39:33.

• Senator Elizabeth Warren (D-MA)▶ 2:41:45: Challenged Kennedy on his promise not to take away vaccines after HHS restricted the COVID vaccine for healthy people under 65▶ 2:42:18, and noted Kennedy previously called Monarez "unimpeachable" before firing her a month later▶ 2:46:46.

• Senator Bernie Sanders (I-VT)▶ 2:47:41: Pressed Kennedy on whether Monarez told him she was "not a trustworthy person"▶ 2:47:41, noted the AMA, American Academy of Pediatrics, and other major medical groups disagree with Kennedy on vaccines▶ 2:50:22, and highlighted Kennedy's own $300,000 in campaign contributions▶ 2:52:00.

• Senator Thom Tillis (R-NC)▶ 2:53:39: Criticized the "word salad" responses on the economic impact of the "big beautiful bill" on North Carolina, estimated at $25 billion over 10 years▶ 2:56:26, and pressed Kennedy on his agreement with Dr. Leva's mRNA-harm claims▶ 2:58:09.

• Senator Tina Smith (D-MN)▶ 2:58:43: Accused Kennedy of contradicting himself on vaccine claims▶ 2:59:11 and challenged his suggestion linking antidepressants to the Annunciation Catholic School shooting in Minnesota, which Kennedy denied making▶ 3:00:48▶ 3:01:13.

• Senator Roger Marshall (R-KS)▶ 3:04:04: A physician, questioned the value of universal hepatitis B vaccination for newborns of low-risk mothers▶ 3:05:29 and pressed on vaccine safety study transparency▶ 3:04:04.

• Senator Ben Ray Luján (D-NM)▶ 3:10:19: Pressed Kennedy on HHS contractor David Geier's role in an autism study despite lacking a medical degree and a prior finding of practicing medicine without a license▶ 3:11:39▶ 3:12:45, and referenced the CDC shooting motivated by anti-vaccine views▶ 3:18:05.

• Senator Raphael Warnock (D-GA)▶ 3:19:07: Asked a rapid series of yes/no questions about Kennedy's meeting with Monarez before her firing▶ 3:19:54 and whether he called CDC staff "horrible people," which Kennedy denied▶ 3:22:06.

• Senator Peter Welch (D-VT)▶ 3:23:28: Cited a Vermont family of four's ACA premium rising from $6,970 toward $23,000-$30,000▶ 3:24:20, and said 45,000 Vermonters will lose health coverage under the "big beautiful bill"▶ 3:24:46.

• Senator Todd Young (R-IN)▶ 3:29:08: Asked about accelerating long COVID clinical trials▶ 3:29:25 and pharmaceutical companies acting as barriers to trials▶ 3:33:04, and raised civil commitment for homeless individuals with mental illness▶ 3:34:33.

Key moments

• Kennedy said HHS's crackdown on duplicate Medicaid/ACA enrollment could save taxpayers $14 billion annually, per a July CMS announcement▶ 0:47:17.

• Kennedy defended firing all 17 ACIP vaccine advisory panel members as removing conflicts of interest, while Wyden and the American Academy of Pediatrics warned the replacement panel had lost scientific credibility▶ 1:14:26▶ 1:14:53.

• Kennedy denied CDC Director Susan Monarez's Wall Street Journal claim that she was told to pre-approve vaccine panel recommendations, calling her a liar▶ 1:13:34▶ 1:13:54; later, under Sen. Warnock's questioning, Kennedy confirmed he demanded she fire career scientists▶ 3:21:04 but denied demanding blanket acceptance of the panel's recommendations▶ 3:21:17.

• Sen. Warner and Sen. Cantwell both got Kennedy to acknowledge he did not know how many Americans died of COVID or whether the vaccine prevented additional deaths▶ 1:47:55▶ 1:48:29.

• Sen. Bennet confronted Kennedy over ACIP appointee statements claiming mRNA vaccines cause "serious harm, including death," which Kennedy said he agreed with▶ 1:32:14.

• Kennedy said $50 billion in new Rural Health Transformation funding represents a 50%+ increase in federal support for rural hospitals over five years, addressing 120 rural hospital closures in the past decade▶ 1:07:42▶ 1:08:43.

• Sen. Daines cited a study finding nearly 11% of women had a serious adverse event within 45 days of taking mifepristone — 22 times the FDA's historic estimate of under 0.5%▶ 2:09:34▶ 2:10:06.

• Sen. Cortez Masto said the "big beautiful bill" exempts high-cost cancer drugs like Keytruda (~$18 billion in U.S. sales, $175,000/year per patient) from Medicare price negotiation, and cited a projected 11.6% Part B premium increase in 2026▶ 2:30:29▶ 2:34:03.

• Sen. Lujan pressed Kennedy on HHS contractor David Geier's role analyzing vaccine data for an autism study despite no medical degree and a prior finding of practicing medicine without a license in Maryland▶ 3:11:39▶ 3:12:45.

• Sen. Johnson entered into the record VAERS data reporting 30,472 worldwide deaths associated with COVID vaccination, including 9,252 within one to two days of vaccination▶ 2:15:55.

Metadata

CommitteeSenate Finance
Chamber / CongressSenate · 119th Congress
DateSeptember 4, 2025
TypeMeeting
Witnesses
(none listed in event metadata)
Videosenate-isvp
Transcript681 caption blocks · 23,344 words · 3:40:56 runtime
EventCongress.gov 337368