AISenate Finance business meeting and RFK Jr. hearing on HHS health agenda

Treasury and HHS ConfirmationsSenate Finance · September 4, 2025 · 119th Congress
The Senate Finance Committee first held a brief business meeting to consider three nominations — Bryan Switzer for Deputy U.S. Begins at ▶ 0:12:56
Transcript
Highlights

Title

Senate Finance business meeting and RFK Jr. hearing on HHS health agenda

Purpose

The Senate Finance Committee first held a brief business meeting to consider three nominations — Bryan Switzer for Deputy U.S. Trade Representative, Gustav Chiarello III for Assistant Secretary at HHS, and Michael Stuart for HHS General Counsel — before recessing to hear testimony from HHS Secretary Robert F. Kennedy, Jr. on the administration's 2026 health care agenda. The hearing covered vaccine policy, rural hospital funding, drug pricing, the "One Big Beautiful Bill," and the recent firing of CDC Director Susan Monarez, producing sharp, often combative exchanges between Kennedy and Democratic senators. Begins at▶ 0:12:56

Who spoke

• Chair Mike Crapo (R-ID)▶ 0:12:56: Opened the business meeting urging favorable votes on the three nominees▶ 0:13:26; later opened the health hearing citing CMS savings from stopping duplicate Medicaid/ACA enrollment▶ 0:47:17 and the $50 billion Rural Health Transformation Program▶ 1:07:13; rejected Wyden's request to formally swear in Kennedy▶ 0:57:31.

• Sen. Ron Wyden (D-OR), Ranking Member▶ 0:14:30: Opposed all three nominees, citing Stuart's vague EMTALA answers▶ 0:14:51 and Kennedy's handling of vaccine policy▶ 0:15:17; later accused Kennedy of lying to the committee on vaccine commitments▶ 0:56:18, entered Susan Monarez's Wall Street Journal op-ed into the record▶ 1:12:16, and pressed on the upcoming ACIP meeting's hepatitis B, MMR, and RSV recommendations▶ 1:13:55▶ 1:16:24.

• Sec. Robert F. Kennedy, Jr. (HHS Secretary)▶ 0:58:43: Opened by honoring slain CDC officer David Rose▶ 0:58:43; cited 76.4% of Americans with chronic disease▶ 1:10:44, $50 billion rural health investment▶ 1:08:43, and repeatedly said "nobody knows" how many Americans died of COVID▶ 1:47:55; said he agreed with a claim that mRNA vaccines cause serious harm including death▶ 2:58:30.

• Sen. Chuck Grassley (R-IA)▶ 1:19:27: Asked Kennedy to confirm he'd leave farm regulation to USDA/EPA▶ 1:20:00; pressed on drug-ad price disclosure legislation with Sen. Durbin▶ 1:22:03 and organ-transplant "line skipping" abuses▶ 1:23:25.

• Sen. John Cornyn (R-TX)▶ 1:24:54: Noted the U.S. spends ~18% of GDP on health care but ranks ~10th globally▶ 1:24:54; got Kennedy to agree COVID was "politicized"▶ 1:28:01.

• Sen. Michael Bennet (D-CO)▶ 1:30:23: Challenged Kennedy over appointing vaccine panelists Robert Malone and a Dr. Leva who linked mRNA vaccines to serious harm and death▶ 1:30:54▶ 1:31:59; pressed on transparency for the ACIP's upcoming review▶ 1:35:03.

• Sen. Bill Cassidy (R-LA)▶ 1:36:40: Said Trump deserves a Nobel Prize for Operation Warp Speed▶ 1:37:06; challenged Kennedy on canceling $500 million in mRNA vaccine contracts▶ 1:38:39 and shared a personal account of his wife, a stage IV lung cancer patient, being unable to get a COVID vaccine▶ 1:42:01.

• Sen. Maria Cantwell (D-WA)▶ 1:42:41: Called Kennedy a "charlatan" for interrupting her▶ 1:43:59; cited the Trump administration's own surgeon general crediting mRNA vaccines with saving over 2 million lives▶ 1:44:47.

• Sen. Mark Warner (D-VA)▶ 1:47:18: Got Kennedy to admit he doesn't know how many Americans died from COVID or whether vaccines prevented deaths▶ 1:47:55▶ 1:48:29; discussed rural hospital and OB/GYN closures in Virginia▶ 1:50:34▶ 1:51:52.

• Sen. James Lankford (R-OK)▶ 1:52:58: Raised Medicare Advantage payment delays to rural hospitals▶ 1:53:45 and pressed on PBM reform and mifepristone safety review timing▶ 1:54:05▶ 1:55:31.

• Sen. Maggie Hassan (D-NH)▶ 1:58:13: Noted commercial insurance premiums rising 18% this fall▶ 1:58:13; pressed Kennedy on whether Operation Warp Speed's vaccine was a "monumental achievement" that saved millions of lives, which he affirmed but then hedged on▶ 1:59:35▶ 2:00:04.

• Sen. John Barrasso (R-WY)▶ 2:03:43: A physician, said vaccines have saved 154 million lives worldwide over 50 years▶ 2:04:42; asked what safeguards ensure vaccine guidance stays evidence-based rather than political▶ 2:07:24.

• Sen. Steve Daines (R-MT)▶ 2:09:02: Cited a study finding nearly 11% of women had a serious adverse event within 45 days of taking mifepristone, 22 times the FDA's estimate▶ 2:09:34▶ 2:10:06; asked about reinstating in-person visit requirements▶ 2:12:49.

• Sen. Ron Johnson (R-WI)▶ 2:14:23: Cited VAERS data showing 30,472 reported COVID-vaccine-associated deaths worldwide▶ 2:15:55; previewed a September 16 hearing on a study of vaccinated-vs-unvaccinated chronic illness rates▶ 2:16:49.

• Sen. Sheldon Whitehouse (D-RI)▶ 2:24:16: Detailed a 23–26% Medicare payment gap disadvantaging Rhode Island providers versus Massachusetts/Connecticut▶ 2:24:16; raised end-of-life care waiver requests▶ 2:26:44; Kennedy said he hadn't heard from him in seven months and invited a call▶ 2:29:01.

• Sen. Catherine Cortez Masto (D-NV)▶ 2:30:01: Challenged Kennedy on the "Big Beautiful Bill" shielding Keytruda ($175,000/year, ~$18 billion in 2023 sales) from Medicare price negotiation▶ 2:30:29; cited 2026 Part D premium increases to $50/month and 11.6% Part B premium hikes▶ 2:34:03.

• Sen. Marsha Blackburn (R-TN)▶ 2:35:53: Pressed on PBM reform legislation▶ 2:36:56 and interoperability framework alignment▶ 2:38:18; raised overprescribing of stimulant drugs to children▶ 2:39:33.

• Sen. Elizabeth Warren (D-MA)▶ 2:41:45: Confronted Kennedy over restricting COVID vaccine approval for healthy under-65s despite earlier promises not to take vaccines away▶ 2:42:18; Kennedy accused her of taking $855,000 from pharmaceutical companies▶ 2:44:10.

• Sen. Bernie Sanders (I-VT)▶ 2:47:41: Noted the "Big Beautiful Bill" removed 15 million Americans from health coverage▶ 2:48:47; cited a Lancet study crediting COVID vaccines with preventing almost 20 million deaths in the first year▶ 2:49:27; challenged Kennedy for calling mainstream medical organizations "co-opted"▶ 2:51:30.

• Sen. Thom Tillis (R-NC) [2:53:50 as recorded speaker cue, statement continues at 2:54:17]: Criticized Kennedy for firing CDC Director Monarez four weeks after praising her▶ 2:54:22; requested economic-impact estimates on the "Big Beautiful Bill" for North Carolina▶ 2:56:26.

• Sen. Tina Smith (D-MN)▶ 2:58:43: Accused Kennedy of contradicting himself on vaccine safety statements▶ 2:59:11; pressed on his blaming antidepressants for the Annunciation Catholic School shooting▶ 3:00:48; criticized Medicaid mental-health cuts▶ 3:01:43.

• Sen. Roger Marshall (R-KS)▶ 3:04:04: A physician, questioned the necessity of universal hepatitis B vaccination for newborns of low-risk mothers▶ 3:05:00; Kennedy responded citing a four-day, 143-child safety study for the vaccine▶ 3:06:13.

• Sen. Ben Ray Luján (D-NM)▶ 3:10:19: Pressed on David Geier's role in the HHS autism study, noting the HHS website lists him as a "senior data analyst"▶ 3:12:10; asked Kennedy to commit to sharing study protocols▶ 3:15:07.

• Sen. Raphael Warnock (D-GA)▶ 3:18:38: Asked about the CDC shooting motivated by anti-vaccine sentiment▶ 3:18:38; ran a yes/no sequence on Kennedy's confrontation with Monarez, including whether he demanded she accept the vaccine panel's recommendations▶ 3:19:52▶ 3:21:04.

• Sen. Peter Welch (D-VT)▶ 3:23:28: Cited a Vermont family of four seeing premiums rise from $6,970 toward $23,000–$30,000▶ 2:24:20; said 45,000 Vermonters will lose coverage under the bill▶ 3:24:46; urged Kennedy to support legislation reversing pharma's Medicare negotiation carve-out▶ 3:28:41.

• Sen. Todd Young (R-IN)▶ 3:29:08: Focused on long COVID, noting it affects over 20 million diagnosed Americans and costs $1 trillion annually worldwide▶ 3:29:46; pressed for accelerated clinical trials and ARPA-H involvement▶ 3:33:29.

Key moments

• Kennedy testified CMS identified 2.8 million Americans simultaneously enrolled in multiple Medicaid/ACA plans, with potential savings of $14 billion a year from stopping duplicate enrollment▶ 0:47:17.

• Kennedy said 120 rural hospitals have closed in the last decade and the "One Big Beautiful Bill" provides $50 billion ($10 billion/year) in new rural health funding, more than a 50% increase over current rural Medicaid spending▶ 1:07:42▶ 1:08:43.

• Wyden entered Susan Monarez's Wall Street Journal op-ed stating she was told to pre-approve recommendations of a vaccine panel filled with people who had expressed anti-vaccine views; Kennedy called her account untrue▶ 1:12:51▶ 1:13:54.

• Kennedy said the U.S. has 4.2% of world population but had nearly 20% of COVID deaths, and that CDC officials responsible for pandemic-era school closures and masking were being removed▶ 1:05:09.

• Under repeated questioning from Sen. Warner, Kennedy said he did not know how many Americans died from COVID or whether the vaccine prevented additional deaths, despite having led HHS for eight months▶ 1:47:55▶ 1:48:29.

• Sen. Cassidy noted Kennedy's HHS canceled $500 million in mRNA vaccine contracts while Kennedy simultaneously said Trump deserved a Nobel Prize for Operation Warp Speed's mRNA-based vaccine▶ 1:38:39▶ 1:37:24.

• Sen. Warren and Kennedy clashed over whether restricting COVID vaccine approval to those 65+ or high-risk amounts to "taking vaccines away"; Kennedy insisted "anybody can get the booster" while acknowledging it is "not recommended" for healthy people▶ 2:42:41▶ 2:42:56▶ 2:42:58.

• Kennedy said he asked Monarez if she was "a trustworthy person" and she said "no," and stated she was fired for that reason; Sens. Warren and Sanders both characterized this account as calling Monarez a liar▶ 2:46:14▶ 2:47:07▶ 2:48:02.

• Sen. Cortez Masto said the reconciliation bill exempts top-selling drugs like Keytruda (~$18 billion in 2024 U.S. sales, $175,000/year per patient) from Medicare price negotiation for additional years; Kennedy said he was unsure of that provision despite his agency administering the negotiations▶ 2:30:29▶ 2:32:45.

• Kennedy said a 2002 internal CDC study of Fulton County, Georgia found Black boys vaccinated on time had a 260% greater chance of an autism diagnosis than those who waited, and alleged the senior scientist was ordered to destroy that data▶ 2:18:51▶ 2:19:08.

Metadata

Official titleBusiness meeting to consider the nominations of Bryan Switzer, of Virginia, to be a Deputy United States Trade Representative (Asia, Textiles, Investment, Services, and Intellectual Property), with the rank of Ambassador, and Gustav Chiarello III, of Virginia, to be an Assistant Secretary, and Michael Stuart, of West Virginia, to be General Counsel, both of the Department of Health and Human Services.
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 337385