Hearings to examine the President's proposed budget request for fiscal year 2027 for the Department of Health and Human Services

Treasury and HHS ConfirmationsSenate Health, Education, Labor, and Pensions · April 22, 2026 · 119th Congress
The Senate Health, Education, Labor, and Pensions Committee convened this hearing to examine the President's proposed fiscal year 2027 budget for the Department of Health and Human Services, with Secretary Robert F. Begins at ▶ 0:17:03
Transcript
Highlights

Title

FY2027 HHS budget hearing with Secretary Robert F. Kennedy Jr.

Purpose

The Senate Health, Education, Labor, and Pensions Committee convened this hearing to examine the President's proposed fiscal year 2027 budget for the Department of Health and Human Services, with Secretary Robert F. Kennedy Jr. testifying. Discussion ranged over drug pricing, vaccine policy and the measles outbreak, food and nutrition regulation, rural hospital closures, Affordable Care Act premium tax credits, and disability program funding cuts. Begins at▶ 0:17:03

Who spoke

• Chair Bill Cassidy (R-LA)▶ 0:17:03: Opened on drug-price middlemen and his MVP affordability agenda▶ 0:18:56, pressed Kennedy on reinstating in-person dispensing requirements for chemical abortion drugs▶ 0:33:30, questioned CDC political appointees' authority▶ 0:36:25, and later disputed the CDC study Kennedy cited on vaccines and mortality▶ 1:00:21▶ 2:13:51.

• Ranking Member Bernie Sanders (I-VT)▶ 0:22:10: Said the U.S. spends twice as much per capita on health care as other nations with lower life expectancy▶ 0:22:40, criticized CDC "false information" suggesting vaccines cause autism▶ 0:24:23, cited 3,800 measles cases as the worst outbreak in 30 years▶ 0:25:45, and pressed Kennedy on banning junk-food ads targeting kids▶ 0:42:33.

• Sec. Robert F. Kennedy Jr., HHS Secretary▶ 0:27:36: Touted negotiated "most favored nation" drug prices with 16 companies▶ 0:28:39, a $50 billion Rural Health Transformation Fund▶ 0:31:09, said measles has been controlled better than any country▶ 0:37:50, and defended terminating COVID-era mRNA contracts while calling mRNA promising for cancer▶ 1:56:51.

• Sen. Rand Paul (R-KY)▶ 0:44:17: Argued against price-transparency mandates since most prices are fixed by insurance▶ 0:45:12, proposed expanding HSAs and allowing co-op/association health plan purchasing across state lines▶ 0:46:15.

• Sen. Tim Kaine (D-VA)▶ 0:49:50: Detailed Virginia hospital and clinic closures — Augusta Health, Sentara OB/GYN in Farmville, Valley Health — citing the reconciliation bill as the stated cause and a projected $34 billion loss to Virginia hospitals over 10 years▶ 0:53:06.

• Sen. Roger Marshall (R-KS)▶ 0:55:06: Cited an extra $1 billion for Kansas Medicaid and $220 million for rural health transformation▶ 0:55:37, urged passage of price-transparency and HSA bills▶ 1:00:01.

• Sen. Maggie Hassan (D-NH)▶ 1:01:11: Challenged Kennedy on rising grocery prices under the Trump administration▶ 1:01:40, pressed him on the executive order boosting glyphosate/Roundup production and granting Monsanto liability immunity▶ 1:03:31.

• Sen. Tommy Tuberville (R-AL)▶ 1:07:07: Praised Kennedy's food-dye and food-pyramid work▶ 1:07:37, asked about the Medicare wage index disadvantaging low-wage states▶ 1:09:38, and raised psychedelic PTSD treatments for veterans▶ 1:10:37.

• Sen. Lisa Blunt Rochester (D-DE)▶ 1:12:06: Pressed Kennedy on whether the President knows about the "historic measles surge"▶ 1:12:06 and asked whether HHS delayed a Pan-American Health Organization review of U.S. measles-elimination status until after the election▶ 1:15:30.

• Sen. Lisa Murkowski (R-AK)▶ 1:16:41: Raised concerns about cuts to IHS sanitation construction funding▶ 1:17:36 and LIHEAP staffing after Alaska's 152 consecutive sub-zero days▶ 1:19:38.

• Sen. Chris Murphy (D-CT)▶ 1:34:33: Criticized the military ending mandatory flu vaccination▶ 1:35:00 and listed cancelled NIH grants — 58 vaccine grants ($94M), 59 Alzheimer's grants ($39M), 108 cancer grants ($29M)▶ 1:38:03.

• Sen. Markwayne Mullin (R-OK)▶ 1:40:30: Asked about AI accelerating FDA drug approvals▶ 1:41:16 and departmental consolidation of duplicative offices▶ 1:43:44.

• Sen. John Hickenlooper (D-CO)▶ 1:51:38: Detailed Colorado measles contact-tracing costs — nearly $500,000 for 10 cases in Broomfield▶ 1:52:33 — and asked how local governments will fund outbreak response amid federal cuts▶ 1:54:01.

• Sen. Josh Hawley (R-MO)▶ 1:57:48: Questioned an $8 million Title X grant to a Missouri abortion/gender-affirming-care provider, Beacon Health▶ 1:58:21, and asked about health risks from data centers' electromagnetic fields▶ 2:01:05.

• Sen. Ashley Moody (R-IN)▶ 2:08:30: Praised Kennedy's transparency record and asked about China conducting 42% of clinical drug trials▶ 2:12:25.

• Sen. Ed Markey (D-MA)▶ 2:19:55: Confronted Kennedy over the administration's Supreme Court brief siding with Monsanto in Monsanto v. Durnell despite Kennedy's past litigation against the company▶ 2:22:08.

• Sen. Angela Alsobrooks (D-MD)▶ 2:14:21: Questioned Kennedy on lawyer Aaron Siri's influence over vaccine policy▶ 2:14:53 and pressed him on remarks about Black children and "wellness farms"▶ 2:18:19.

• A committee member (raising disability program cuts)▶ 2:03:28: Questioned Kennedy on proposed elimination of the Limb Loss Resource Center and Paralysis Resource Center▶ 2:03:59 and opposed moving IDEA from the Department of Education to HHS▶ 2:06:31.

Key moments

• Kennedy said 16 major drug companies agreed to "most favored nation" pricing so Americans no longer pay more than other wealthy countries▶ 0:28:39.

• Sanders quoted Kennedy's book claiming vaccines' role in reducing infectious-disease mortality is "simply untrue," citing a WHO study crediting vaccines with saving 150 million lives; Kennedy cited a CDC study ("Guyer") attributing 20th-century mortality declines to non-vaccine factors▶ 0:39:51▶ 0:40:33.

• Cassidy later fact-checked Kennedy's citations, finding the McKinley paper predated the vaccine and that vaccination cut measles cases from 3.5 million to near zero and deaths from 550 to zero▶ 2:13:51.

• Kaine introduced Virginia hospital-closure announcements into the record naming the reconciliation bill as the stated cause, including Valley Health's loss of over $80 million annually▶ 0:51:43▶ 0:52:13.

• Baldwin pressed Kennedy on ACA marketplace losses: he initially couldn't cite the number of Americans who lost coverage; Baldwin stated it was 1.3 million nationally (22,000 in Wisconsin) and that a proposed rule would cause 2 million more to lose coverage▶ 1:24:00▶ 1:27:39.

• Hassan showed Kennedy's own 2024 social media post about high grocery prices and challenged his claim that beef prices dropped, while citing beef up 20%▶ 1:01:44▶ 1:02:24.

• Hassan and Kennedy sparred over the executive order boosting glyphosate production and shielding Monsanto/Bayer from liability, despite Kennedy's past lawsuits against the company▶ 1:03:31▶ 1:04:13.

• Murphy detailed cancelled NIH grants worth roughly $162 million total across maternal health, vaccine, Alzheimer's, and cancer research, calling the budget "a war budget," not an MAHA budget▶ 1:37:39▶ 1:38:30.

• Alsobrooks confronted Kennedy with a recording in which he allegedly said Black children could be "reparented" on wellness farms; Kennedy said he had no memory of it but would apologize if the recording confirmed it▶ 2:18:19▶ 2:19:22.

• Markey asked whether Kennedy was consulted before the administration filed a Supreme Court brief supporting Monsanto in Monsanto v. Durnell; Kennedy said yes and that he opposed it▶ 2:22:08▶ 2:22:27.

Metadata

CommitteeSenate Health, Education, Labor, and Pensions
Chamber / CongressSenate · 119th Congress
DateApril 22, 2026
TypeOpen Hearing
Witnesses
(none listed in event metadata)
Videosenate-isvp
Transcript357 caption blocks · 16,223 words · 2:28:35 runtime
EventCongress.gov 338242