[Senate Hearing 119-061]
[From the U.S. Government Publishing Office]




                                                        S. Hrg. 119-061

   AGRICULTURE, RURAL DEVELOPMENT, FOOD AND DRUG ADMINISTRATION, AND 
          RELATED AGENCIES APPROPRIATIONS FOR FISCAL YEAR 2026

=======================================================================





                                HEARINGS

                                before a

                          SUBCOMMITTEE OF THE

            COMMITTEE ON APPROPRIATIONS UNITED STATES SENATE

                    ONE HUNDRED NINETEENTH CONGRESS

                             FIRST SESSION

                                   on

                           H.R. 4121/S. 2256

 AN ACT MAKING APPROPRIATIONS FOR AGRICULTURE, RURAL DEVELOPMENT, FOOD 
   AND DRUG ADMINISTRATION, AND RELATED AGENCIES FOR THE FISCAL YEAR 
           ENDING SEPTEMBER 30, 2026, AND FOR OTHER PURPOSES

                               __________


                       Department of Agriculture
 Department of Health and Human Services: Food and Drug Administration

                               __________


         Printed for the use of the Committee on Appropriations






                 [GRAPHIC NOT AVAILABLE IN TIFF FORMAT]







       Available via the World Wide Web: https://www.govinfo.gov

                               __________


                 U.S. GOVERNMENT PUBLISHING OFFICE

60-249 PDF                WASHINGTON : 2026







                      COMMITTEE ON APPROPRIATIONS

                     SUSAN M. COLLINS, Maine, Chair

MITCH McCONNELL, Kentucky            PATTY MURRAY, Washington,  Vice 
LISA MURKOWSKI, Alaska                   Chair
LINDSEY GRAHAM, South Carolina       RICHARD J. DURBIN, Illinois
JERRY MORAN, Kansas                  JACK REED, Rhode Island
JOHN HOEVEN, North Dakota            JEANNE SHAHEEN, New Hampshire
JOHN BOOZMAN, Arkansas               JEFF MERKLEY, Oregon
SHELLEY MOORE CAPITO, West Virginia  CHRISTOPHER A. COONS, Delaware
JOHN KENNEDY, Louisiana              BRIAN SCHATZ, Hawaii
CINDY HYDE-SMITH, Mississippi        TAMMY BALDWIN, Wisconsin
BILL HAGERTY, Tennessee              CHRISTOPHER MURPHY, Connecticut
KATIE BOYD BRITT, Alabama            CHRIS VAN HOLLEN, Maryland
MARKWAYNE MULLIN, Oklahoma           MARTIN HEINRICH, New Mexico
DEB FISCHER, Nebraska                GARY C. PETERS, Michigan
MIKE ROUNDS, South Dakota            KIRSTEN E. GILLIBRAND, New York
                                     JON OSSOFF, Georgia

                  Elizabeth McDonnell, Staff Director
                  Evan Schatz, Minority Staff Director

                                 ------                                

     Subcommittee on Agriculture, Rural Development, Food and Drug 
                  Administration, and Related Agencies

                  JOHN HOEVEN, North Dakota, Chairman

MITCH McCONNELL, Kentucky            JEANNE SHAHEEN, New Hampshire, 
SUSAN M. COLLINS, Maine (ex              Ranking
    officio)                         JEFF MERKLEY, Oregon
JERRY MORAN, Kansas                  TAMMY BALDWIN, Wisconsin
CINDY HYDE-SMITH, Mississippi        MARTIN HEINRICH, New Mexico
DEB FISCHER, Nebraska                GARY PETERS, Michigan
MARKWAYNE MULLIN, Oklahoma           KIRSTEN E. GILLIBRAND, New York
MIKE ROUNDS, South Dakota            JON OSSOFF, Georgia

                           Professional Staff

                              Morgan Ulmer
                              Macie Kelly
                             Lindsay Morris

                        Hart Clements (Minority)
                      Rachel Erlebacher (Minority)
                       Claire Wengrod (Minority)








                            C O N T E N T S

                              ----------                              

                                hearings

                          Tuesday, May 6, 2025

                                                                   Page

Department of Agriculture........................................     1

                         Thursday, May 22, 2025

Department of Health and Human Services: Food and Drug 
  Administration.................................................    49

                              back matter

List of Witnesses, Communications, and Prepared Statements.......   117

Subject Index:

    Department of Agriculture....................................   119

    Department of Health and Human Services: Food and Drug 
      Administration.............................................   119









 
   AGRICULTURE, RURAL DEVELOPMENT, FOOD AND DRUG ADMINISTRATION, AND 
          RELATED AGENCIES APPROPRIATIONS FOR FISCAL YEAR 2026

                              ----------                              


                          TUESDAY, MAY 6, 2025

                                       U.S. Senate,
           Subcommittee of the Committee on Appropriations,
                                                    Washington, DC.
    The subcommittee met at 10:35 a.m. in Room SD-124, Dirksen 
Senate Office Building, Hon. John Hoeven (chairman) presiding.
    Present: Senators Hoeven, Collins, Moran, Hyde-Smith, 
Fischer, Shaheen, Murray, Merkley, Baldwin, Heinrich, Peters, 
and Ossoff.

                       DEPARTMENT OF AGRICULTURE

STATEMENT OF HON. BROOKE L. ROLLINS, SECRETARY


                opening statement of senator john hoeven


    Senator Hoeven. We will call this meeting of the Ag 
Appropriations Subcommittee to order.
    And I want to begin by thanking Secretary of Agriculture, 
Brooke Rollins, for being here today. We appreciate you being 
here. We also appreciate you getting out and about around the 
country, as you have, and getting a chance to meet with our 
great farmers and ranchers in our respective states. So thanks 
so much for that as well.
    I am very pleased to be joined by Senator Jeanne Shaheen. 
As you can tell, she is very young, but she and I were actually 
governors together.
    Senator Shaheen. We were both very young. Yes.
    Senator Hoeven. Starting about 25 years ago, when she was a 
teenager and I was not as old as I am now. And so we have had 
an opportunity to work together as governors, and we work 
together on various appropriations committees, like Homeland 
Security, and others. And I just want to welcome her in this 
new role as the Ranking Member on the Ag Appropriations 
Committee, and just express how much I appreciate her and 
working with her; so welcome, and really good to have you on 
the committee.
    Also, we are joined by our Chairman of the Full 
Appropriations Committee, who also, we have worked together a 
long time, and she is providing a strong leadership for the 
Appropriations Committee and doing everything in her power to 
see that we get back to regular order.
    And so I would pause here for just a minute and ask if our 
Chairman would like to make a few comments. Chairman Collins.


                   statement of senator susan collins


    Senator Collins. I just want to say that I am absolutely 
delighted that Senator Hoeven is chair of this committee and 
that Senator Shaheen is the vice chair. That means this 
subcommittee is in very good hands.
    And we welcome the Secretary.
    Senator Hoeven. Thank you, Chairman.
    Again, Secretary, thanks for being here today. We 
appreciate you, and appreciate you being here right away to 
talk about this Ag Appropriations Budget. You had a great 
chance out in North Dakota, and I know you have been to other 
states as well, to see what our farmers and ranchers are doing 
out there, firsthand. But I know you really don't--that is not 
new to you, having grown up on a ranch, which is incredibly 
important that you have that background, and then having gone 
to Texas A&M, an Ag school.
    Secretary Rollins. Well said. Thank you.
    Senator Hoeven. And a very good one at that.
    Secretary Rollins. Thanks.
    Senator Hoeven. And they play reasonably good football, 
too, last I checked.
    Secretary Rollins. Until November, but yes.
    Senator Hoeven. Yes. Well, again, we are pleased that you 
are getting out and about like you are, and that you are with 
us here today.
    Secretary Rollins. Thank you.
    Senator Hoeven. Obviously, our farmers and ranchers across 
the country are dealing with a lot of challenges right now. 
They always deal with challenges, whether it is markets, 
whether it is prices, and certainly always the weather, none of 
which they control. So it is vitally important that we do a 
good job for them in our farm program, but also in the things 
that we do here in the Ag Appropriations Committee, as well as 
the countercyclical safety net, and the other things that we 
think of, crop insurance, that our farmers and ranchers need 
every day to stay in business.
    And we can't, as you and I talked about before, we have in 
agriculture about 16 million people that work either directly 
or indirectly in agriculture. We have a system of small 
businesses out there in farming and ranching, family-based 
small businesses that produce the highest quality, lowest cost 
food supply in the world that benefits every single American 
every single day.
    And we, as Americans, spend less on our food and have the 
best food, and the best choice, and we spend less as a percent 
of our budget than pretty much any developed country in the 
world, brought to us by our family farms and ranches. And that 
we can't take that for granted.
    Secretary Rollins. Yes.
    Senator Hoeven. There is so much concentration in so many 
industries, and we have to recognize that it is not by accident 
that we have this great system. And so good farm policy is so 
important to keeping that, and it benefits every single 
American. Well, you were out in our state. You saw North Dakota 
State University and the incredible work that our land grant 
universities do, like A&M, and many others.
    But you also got to see the amazing new technology that is 
coming with Precision Ag, Grand Farm, example that we showed 
you out there of really leading the world with precision 
agriculture, as well as the research, and so forth, that is 
being done in tandem with land-grant universities through 
National Institute of Food and Agriculture (NIFA), Agricultural 
Research Service (ARS), your research function, and our farmers 
and ranchers, which has revolutionized agriculture.
    When I grew up in western North Dakota, we could grow a 
couple row crops. Now our state grows 40 different crops, and 
we lead the country in about 15 of them, which we try to rub 
into South Dakota as often as we can, because they do great 
stuff too, and we appreciate all of our ag states very much.
    So again, that is what we are talking about here today. And 
so the funding for these programs, and we talked to you about, 
Farm Service Agency (FSA) and all these things, out on the 
ground, we have got to make sure we are getting it done for our 
farmers and our ranchers every single day. So we want to find 
savings, we want to work with you to find savings, but we have 
got to know that we are still going to deliver that service 
that keeps those family businesses, those farms and ranchers 
going every single day to the benefit of every single American.
    So again, thanks for being here so much.
    And I will turn to our ranking member, Senator Shaheen.
    Secretary Rollins. Thank you, Senator.


                  statement of senator jeanne shaheen


    Senator Shaheen. Thank you, Mr. Chairman. And I would just 
echo your comments about how nice it is to work together again. 
Thank you for those very nice remarks.
    Secretary Rollins, thank you for coming before the 
committee.
    I think it is helpful as we think about questions today to 
take stock of where we are and how we got here more than 100 
days into this administration, because we all know that our 
farmers, producers, and rural communities are no strangers to 
uncertainty, the pressure from outside of their control, from 
fluctuating commodity prices, to rising output costs, to a 
rapidly changing climate and more extreme weather events.
    But what I have heard from farmers in New Hampshire is that 
the Federal Government has always been a critical partner that 
our farmers could rely on. That is until now, sadly, because 
what I have heard from farmers over the past 100 days of this 
administration is that they are not sure they can trust the 
Federal Government anymore. I have heard from farmers across 
our state who no longer know if they can rely on the Federal 
Government honoring a basic signed contract, and I have heard 
in great detail from all kinds of farms in New Hampshire about 
the hardship that this uncertainty, this delayed reimbursement 
causes for their ability to run their businesses.
    And as they say, in New England where the weather is very 
problematic, anything that contributes to that uncertainty and 
disruption is challenging. Rural communities can't be certain 
if their small businesses and operations will survive the added 
costs of tariffs on top of the other uncertainties, farmers 
risk losing hard-fought market access due to President Trump's 
trade war.
    And I am sorry that we had not yet received the fiscal year 
2026 Budget when we were preparing for this hearing, because 
the limited information that I have seen to date has been 
extremely disappointing. The proposed budget top lines released 
last Friday fall well short of the President's purported 
commitments to farmers and rural communities.
    I don't believe that we support farmers by gutting research 
that will boost yields and improve crop quality. And I don't 
believe we put rural America on a path to thrive by slashing 
core rural development programs, from housing, to water and 
waste infrastructure, to energy assistance. And when grocery 
prices are too high, we don't help families put food on the 
table by undercutting vital nutrition programs. Yet, that is 
exactly what this skinny budget would do.
    I hope that we will have a chance to move forward with 
bipartisan appropriations, with a serious nondefense 
discretionary number that reflects the urgent needs that are 
facing families and communities in New Hampshire and across 
this country, because there are plenty of places where we can 
work together to ensure that these programs deliver for 
producers in rural America, from investing in our rural 
communities and boosting the rural housing supply, to 
supporting programs that help local food systems thrive, to 
investing in cutting-edge research that will allow our farmers 
and ranchers to feed our nation and the world.
    So again, I appreciate your being here today, Secretary 
Rollins, and I look forward to the discussion.
    Thank you, Chair Hoeven.
    Secretary Rollins. Thank you.
    Senator Hoeven. Thank you, Senator Sheehan. At this point, 
we would turn to you, Secretary Rollins, for your opening 
comments.


                summary statement of hon. brooke rollins


    Secretary Rollins. Great. Thank you, Chairman Collins, 
Chairman Hoeven, Vice Chair Murray, Ranking Member Sheehan, and 
distinguished members of this subcommittee. I am so grateful 
for the opportunity to appear before you to share what we have 
accomplished at USDA in the last 100 days, but also to answer 
your questions on the President's budget request and the 
priorities moving forward.
    When farmers prosper, rural America prospers, and I want to 
thank you all for your shared bipartisan commitment to that 
effort in ensuring that our farmers, and our ranchers, and our 
rural communities thrive.
    During my confirmation hearing, which some of you attended, 
not all, I quoted Thomas Jefferson's 1787 letter to George 
Washington in which he wrote, ``Agriculture is our wisest 
pursuit because it will, in the end, contribute most to real 
wealth, to good morals, and to happiness.'' I have had the 
distinct privilege of serving American farmers and ranchers for 
the past 82 days, and I can tell you our farmers continue to 
embody every single day the ideals that Thomas Jefferson 
described over two centuries ago, and serving as their champion 
continues to be my greatest honor.
    We at the Department of Agriculture have wasted no time in 
implementing President Trump's bold policy agenda. The 
President's fiscal year 2026 discretionary budget that we are 
talking about today identifies the priorities of our 
administration with the same degree of prudence and frugality 
our family farmers practice when they draft their annual 
budgets. Let me touch on a few highlights of the last 82 days 
and then turn it back to you, Mr. Chairman.
    Upon taking office, I was tasked by President Trump to 
lower the cost of eggs in the short term, and also to provide 
farmers with resources that are needed to combat the avian 
influenza in the long term.
    In February, at the direction of President Trump, we 
announced a five-point plan to meet this challenge head on, and 
I am proud to report that since that plan was introduced, the 
wholesale price of eggs has decreased 56 percent, with the 
retail price following. In taking this position, I fully 
understood that American agriculture was facing one of the most 
economically challenging times in our country's history.
    For generations, American producers and consumers enjoyed 
the fruits of an agricultural trade surplus, but under the last 
4 years, that surplus went from zero--or that trade deficit 
went from zero to a nearly $50 billion trade deficit, and the 
newest numbers coming in are actually significantly more than 
that.
    President Trump and I know this problem will not solve 
itself. That is why he is taking action, bold action, which I 
am sure we are going to talk about today, to address our 
imbalanced trade commitments, and I am working tirelessly to 
promote American agricultural products on the world stage.
    In April, USDA launched our agricultural trade promotion 
programs for fiscal year 2026 and is currently accepting 
applications for four export market development programs. As 
part of this effort, I will be traveling to seven countries in 
the next few months. The first trip begins Sunday when I head 
to the UK, where I will be making sure our trading partners 
know that American agriculture is the crown jewel of American 
production.
    And in fact, Chairman Hoeven, I have to leave here at noon 
because the Secretary of Agriculture from Mexico has just 
landed here in Washington, and I am going to meet and talk with 
him momentarily as soon as we finish.
    We are also streamlining unnecessary regulations and 
cutting red tape for agricultural producers and industries so 
that they can continue to do what they do best, and that is to 
every day feed, fuel, and clothe America and our world.
    To that end, my team and I have sought to eliminate waste, 
fraud, and abuse in all USDA programs, including the SNAP 
improper payments, fraud, and programs that fail to fulfill the 
USDA mission of putting farmers first. Our team is meeting 
daily with our partners at the Department of Government 
Efficiency, with DOGE, which again I am sure we will get into, 
to ensure that we are doing right by the American taxpayer 
while also protecting critical USDA programs.
    What is also of paramount importance at the United States 
Department of Agriculture is our mission to make America 
healthy again. We have been taking major steps to fulfill this 
mandate by accepting SNAP waivers and working alongside our 
country's great governors, both Republican and Democrat, as we 
move that project forward.
    The Make America Healthy Again (MAHA) movement at USDA has 
also supported major, major voluntary changes to make food 
healthier, including just last week the International Dairy 
Foods Association's most recent announcement related to dyes in 
school lunch dairy products. We are also working around the 
clock to address major threats to our farmers and our ranchers, 
including the new world screw worm, which would devastate our 
cattle industry in this country.
    Alongside Secretary of State, Marco Rubio, and Deputy 
Secretary of State Christopher Landau, we were pleased to share 
just last week that we have negotiated a deal with the 
Government of Mexico to allow the best preventative tools we 
have to land our response aircraft in Mexico without further 
hindrance, additionally working to ensure that Mexico abides by 
the 1944 Water Treaty, providing the water it owes to our ag 
producers in America.
    Finally, and again, just a quick summary of the last 82 
days: Just last week, alongside Senator Rounds and some other 
great Americans, we stood with Charles and Heather Maude, a 
South Dakota cattle family, fifth-generation cattle ranching 
family who operates small cattle and hogs, who endured a 
senseless, politically motivated prosecution over 25 acres of 
forest land that had had a fence line on it for almost 100 
years.
    The criminal charges against the family were dropped last 
week, and to prevent further injustices against our farmers and 
our ranchers, we launched a portal for farmers and ranchers to 
tell us their stories, if they, too, are being treated in a 
similar situation as to the Maudes.
    And since we launched that a week ago, Thursday, so I guess 
just four or five days ago now, we have had over 100 farmers 
and ranchers reply and move their stories into our portal. So 
we are already following up on that.
    Again, during my first 82 days, as the Secretary of 
Agriculture, we have visited 15 states. If we have not visited 
yours yet, we are coming very, very soon. I have attended over 
100 events, given dozens and dozens of keynote speeches, and 
met with nearly 1,000 farmers and ranchers across this great 
country, both here in Washington and out in the states.
    We will continue to build based on their feedback, based on 
their hard work, and based on reconstituting, rebuilding, and 
revivifying the United States Department of Agriculture to 
better serve our customers.
    American ag does not rest, and I can assure you that under 
my tenure, neither will the U.S. Department of Ag. I am proud 
to be at the helm of the People's Department, as President 
Lincoln so aptly launched and said in the 1860s, I am proud to 
be at the Department, I am proud to be at the table with 
President Trump, and I am so proud to be fighting for the most 
American of all Americans, and that is our farmers, and our 
ranchers, and our agriculture communities.
    Thank you so much.
    [The statement follows:]
               Prepared Statement of Hon. Brooke Rollins
    Chairman Hoeven, Ranking Member Shaheen, and distinguished members 
of this subcommittee, I appreciate the opportunity to appear before you 
to present on the U.S. Department of Agriculture (USDA) and what we've 
accomplished since President Trump took office. President Dwight D. 
Eisenhower said, ``Farming looks mighty easy when your plow is a 
pencil, and you're a thousand miles from the corn field.'' I can assure 
you, being a part of agriculture and visiting with the people who tend 
the land and our Nation's livestock every day, farming isn't easy. I am 
proud of the work we are doing at USDA. Making Agriculture Great Again 
means promoting efficiencies, cutting regulatory red tape, and 
refocusing the mission to expand market opportunities for farmers 
rather than promoting programs that only satisfy the special interests 
of Washington D.C., bureaucrats who have never set foot in a field or 
pasture.
    For far too long, the hardworking Americans who feed, fuel, and 
clothe the world were left on the sidelines. Farmers and Ranchers now 
have a seat at the table. We have had an action- packed first one 
hundred days of the Trump Administration, affirming the bold leadership 
of President Donald J. Trump. I've visited 15 States, attended or held 
over one hundred events, and have visited with hundreds of different 
agricultural stakeholders. In the first one hundred days we have 
reprioritized American Agriculture.
    Since my first day, we have been intensely focused on tackling the 
avian influenza crisis. It was my very first briefing at USDA and I 
fully understand the importance of animal health issues and the effects 
they have not just on ranchers and producers, but on everyday 
consumers. In February, at the direction of President Trump, we 
announced a five-pronged plan to curb avian influenza to protect 
producers and lower egg prices for all Americans. A plan which has been 
applauded by agriculture and government leaders across the country. 
Today, a dozen eggs at wholesale cost less than half of what they did 
at the end of February. The expansion of biosecurity assessments 
available to commercial poultry producers has also been successful. I 
am happy to report that, since I've taken office, we have completed 
over four hundred wildlife biosecurity assessments and biosecurity 
incentive-focused assessments combined. As this program expands, we 
expect these results to continue to impress. We also know that America 
thrives when it innovates. That's why we have such hope for the up to 
one hundred million dollars announced as a funding opportunity to 
explore prevention, therapeutics, research, and potential vaccine 
candidates to protect poultry from avian influenza. These projects 
should give us new and innovative tools to use to keep the virus away, 
protect producers, and keep prices low for consumers.
    While much of the public attention has been on avian influenza, we 
are also working around the clock to address the other threats to our 
farmers and ranchers, including New World screwworm. This pest feeds on 
livestock and could seriously jeopardize our food supply and create an 
economic impact of well over a billion dollars if it enters through our 
southern border. This devastating pest started spreading north through 
Central America under Joe Biden's failed leadership. Under President 
Trump, we are working to drive this pest south, out of Mexico by using 
proven sterile insect technology. This approach has been successful in 
previous eradication efforts, and it remains the most effective 
strategy to protect our domestic industry from this devastating pest. 
To address the ongoing spread of New World screwworm I recently sent a 
letter to my counterpart in Mexico demanding Mexico eliminate 
impediments to aircraft operations and landings that were impairing the 
U.S. response, which was successful, and we are now landing the planes 
we need to.
    On the eve of a nearly fifty-billion-dollar agricultural trade 
deficit, USDA is not sitting idle, but taking action to move our 
industry back to becoming a net exporter. USDA's Trade and Foreign 
Agricultural Affairs is well positioned to help producers gain new 
market access opportunities. Since President Trump took office, USDA's 
Foreign Agricultural Service has expanded access to foreign markets for 
U.S. agricultural products. Panama partially opened its pork import 
quota mechanism, which will allow an estimated additional thirty 
million dollars in U.S. pork product exports. South Africa also 
restored market access for U.S. microwave popcorn shipments, valued at 
two to three million dollars. USDA conducted two trade missions to 
Thailand and Guatemala and hosted USA Pavilions at six global trade 
shows with a combined total of two hundred and eighty-two million 
dollars in projected exports. In the last 2 months, FAS has worked with 
India to reduce India's tariff on U.S. bourbon imports by fifty 
percent, resulting in a likely two million dollar increase in distilled 
spirits exports to India in 2025. We worked with Japan to lift the 
mandatory aflatoxin testing requirements on U.S. almonds, resulting in 
a likely eight to 10 percent increase of U.S. almond exports to Japan 
annually.
    Looking ahead, USDA will continue its efforts to improve foreign 
market access for U.S. producers and address the agricultural trade 
deficit. In April, USDA launched agricultural trade promotion programs 
for fiscal year 2026 and is accepting applications for four export 
market development programs totaling over two hundred and fifty million 
dollars. I will also visit seven countries in the next 6 months: 
Vietnam, Japan, India, Peru, Brazil, Italy, and the United Kingdom. 
Together with the U.S. Trade Representative, we will build new markets, 
expand current markets, and hold existing trading partners accountable 
to ensure trade is fair and reciprocal and that the competitive 
position of U.S. agriculture reaches new heights. USDA is committed to 
leveling the playing field by identifying unfair imports, breaking down 
export barriers, tackling non-tariff sanitary and phytosanitary 
obstacles, advocating for lower foreign tariffs on U.S. agricultural 
exports, and diversifying foreign markets for U.S. exports. USDA is 
dedicated to an America First policy, ensuring that every action USDA 
takes overseas makes America safer, stronger, and more prosperous.
    On March 19, ahead of its statutory deadline, we issued 10 billion 
dollars in economic assistance for farmers and ranchers through the 
FSA-administered Emergency Commodity Assistance Program which was 
passed by congress in December of 2025. The program has been extremely 
efficient, paying farmers within three business days of an application 
submission. A note of thanks to all of you for your unwavering support 
for producers in times of economic crisis by passing that legislation. 
USDA is working to soon roll out its Congressionally authorized 
Supplemental Disaster Relief, over 20 billion dollars. On April 22, 
USDA dispersed three hundred and forty million Congressionally mandated 
disaster dollars across thirty-one States to deliver relief to farmers, 
ranchers and rural communities impacted by natural disasters such as 
hurricanes and wildfires that have caused devastation across the 
country. We are also making sure these programs are offering the most 
effective assistance where needed and not duplicating and wasting 
taxpayer money.
    There is a very public, yet very important endeavor to make America 
healthy again through the President's Executive Order No. 14212. It is 
no secret diet-related, chronic disease is plaguing American families, 
including a substantial portion of children and adolescents from low-
income households. At the direction of President Trump, I, along with 
relevant stakeholders, will continue to explore ways to encourage 
better health through the Make America Healthy Again Commission. In 
talking to Governors, many States are interested in testing innovative 
solutions to our Nation's many health crises. I have made it clear, and 
I will do so here, that I am open to these requests and look forward to 
providing technical assistance and dialogue. There have been 
significant developments on this around the country during State 
legislative sessions, and we look forward to receiving State requests 
to operate pilot programs to make the program more nutritious.
    On February 13, upon my swearing in, I sent a letter to States and 
Tribal, territory, and local government partners. I reminded them that 
the mission of the Department's 16 nutrition programs is critical, but 
that the American taxpayer expects their generosity to be valued and 
for programs to be executed with integrity and accountability. The 
letter noted a suite of guiding principles, each of which can serve as 
catalysts for change, allowing the Department-and the American 
taxpayer-to better serve vulnerable families and communities. It is 
important to note, USDA spends four hundred and five million dollars a 
day on nutrition programs. Furthermore, USDA issued guidance to all 
State agencies directing them to enhance identity and immigration 
verification practices when determining eligibility for the 
Supplemental Nutrition Assistance Program (SNAP). This is to make 
certain that SNAP benefits exclude any ineligible alien who entered the 
United States illegally, or is otherwise unlawfully present in the U.S. 
A recent Government Accountability Office (GAO) report indicated a 
staggering 10 and a half billion dollars in improper SNAP payments were 
made in fiscal year 2023 alone. This was about 12 percent of total SNAP 
payments that year. The inadequate verification of an applicant's 
identity and citizenship by States is specifically highlighted as 
contributing to the improper payments of SNAP funds.
    Under President Trump's leadership, we are streamlining unnecessary 
regulations and cutting red tape for agricultural producers, and other 
industries under the USDA purview, to allow them to feed, fuel, and 
clothe the world. This includes making sweeping reforms to protect 
national forests and boost domestic timber production, ending 
regulations that have stifled energy and mineral development on Federal 
lands so we may reaffirm America's role as a global energy powerhouse, 
and reducing wildfire risk through public-private partnerships and many 
other actions. I have been fortunate to spend time with our wildland 
firefighters to thank them for their heroic service. I value their 
perspectives and feedback, and I am proud of the work they do to save 
lives and protect our beautiful homeland. We will continue to execute 
President Trump's agenda to make America's forests healthy and 
productive again.
    In March, I announced new action to reduce burdens on the U.S. pork 
and poultry industries, allowing for greater efficiency while 
maintaining food safety standards. We are extending waivers allowing 
existing establishments to maintain higher line speeds and are moving 
towards rulemaking to make these standards permanent for more pork and 
poultry plants. We have also withdrawn overly burdensome proposals 
related to Salmonella in poultry as we reconsider more effective ways 
to achieve public health objectives. These reforms will strengthen U.S. 
food production, reduce costs for producers, and support a more 
resilient supply chain-all without compromising food safety. It is also 
important for farmers and ranchers to have access to timely, accurate, 
and useful statistics to help make important decisions about their 
operations; however, the Biden Administration ignored this directive 
and cancelled the July Cattle Report and the County Estimates for Crops 
and Livestock last year. I am so pleased to share that the National 
Agricultural Statistics Service has reinstated these critical reports, 
and they will be published later this year.
    American agriculture began four centuries ago, when neighbors born 
across an ocean came together in a New World to clear fields, build 
homes, and plant crops on the edge of wilderness. That same spirit 
animates us now. Our farmers who tend the fields do not rest from their 
labor-neither do our ranchers and livestock producers who steward their 
lands, herds, and flocks-and neither do the American mothers and 
fathers who rely upon American agriculture to feed their families. 
American agriculture does not rest-and neither will we at USDA. I'm 
proud to be at the helm of the People's Department, at the table with 
President Trump, and fighting for the most American of industries--
agriculture.

    Senator Hoeven. Thank you, Secretary Rollins.
    We will now start rounds of five-minute questions.
    And I am going to defer to our Full Committee Chairman, 
Senator Collins, to start that process.
    Senator Collins. Thank you very much, Mr. Chairman. 
Welcome, Secretary Rollins.
    Secretary Rollins. Thank you.
    Senator Collins. It is great to see you here today. When we 
first met, we discussed Per-and Polyfluoroalkyl Substances 
PFAS.
    Secretary Rollins. Yes.
    Senator Collins. Those are the toxic class of forever 
chemicals that are being found in our soils, water, animal 
feed, crops, and livestock. In Maine, the presence of PFAS and 
wastewater sludge that was spread decades ago as a fertilizer 
is preventing some of our family farmers from being able to 
sell their products, causing them significant financial harm.
    To support these affected farmers and to come up with 
solutions, the University of Maine is undertaking research on 
the presence of PFAS in agricultural land. To build upon this 
work, I secured $17 million in fiscal year 2024 for the ARS and 
the University of Maine to establish a new center of Excellence 
for PFAS solutions, and the whole purpose is to help address 
these very serious PFAS contamination in agriculture.
    Madam Secretary, will you continue to support the 
partnership between ARS and the University of Maine in 
establishing this research center to help our farmers? And I 
would note that the research that is being done there won't 
just help the farmers in Maine, but across the nation.
    Secretary Rollins. Across the country. Well, Madam 
Chairman, as we discussed, this is an issue that is very close 
to my family's heart. My mom, Helen Kerwin, is almost 78. She 
is the youngest elected freshman to the Texas House of 
Representatives in Texas history, and her number one issue is 
PFAS. And she decided to run for a lot of reasons, but one of 
those was, I believe it was the New York Times did an expose or 
a big story, if you will, on a farm in Johnson County, Texas, 
which is close to where we grew up and where my mom still 
lives, rural Texas.
    And she was so stunned by what had happened to these 
farmers, and specifically through the PFAS contamination, it 
had destroyed their lives. And so she became very, very 
passionate about this particular issue. She is crushing it in 
her first session in the Texas Legislature right now. And, in 
fact, her very first bill that she will get a hearing on is her 
PFAS Bill, and it will be tomorrow in Austin.
    So I have been hearing a lot about this at the family 
dinner table for quite some time now. But yes, we remain 
committed to this research, very proud of that $7 million grant 
to the Center for Excellence. And I think that, at least 
according to my mom, who is amazing, raised my sisters and me, 
by herself, she was a single mom, but at least according to my 
mom, Maine leads the way in many respects on this important 
issue for all of our farmers and our ranchers.
    And I am excited to learn more. Perhaps even come visit the 
center in Maine, see the work that they are doing firsthand, 
and to continue to support it. So thank you for your leadership 
on that.
    Senator Collins. Thank you so much. And, in this case, 
listening to your mother makes all the sense in the world.
    Secretary Rollins. All the sense in the world. I need to 
tell my four teenagers that.
    Senator Collins. Yes. In late March, I wrote you a letter 
detailing my concerns about USDA's delay in releasing some 
program funds.
    Secretary Rollins. Yes.
    Senator Collins. I have heard from constituents who have 
received grant award letters from USDA in the previous 
administration, only to later receive letters from USDA 
informing them that their grant funding is frozen. Now, this is 
obviously very troubling to them. It creates a lot of 
uncertainty. And we are a state that has lost 600 farms in the 
past decade. And that is very troubling to me. I grew up in 
Northern Maine. One of my first jobs was picking potatoes for a 
farmer. And I am aware of how important that heritage is to our 
state and to our food supply.
    So we have seen a situation where farmers, landowners, 
loggers, natural resource businesses that have applied for USDA 
loans, still have no clarity on what decisions will be made. 
And the timing of this funding is absolutely critical, because 
as you know well, agricultural producers are making purchases 
now for this year's crops, and processing facilities need to 
order equipment for the summer and the fall harvest.
    Local farm economies are fragile. And timing is really 
important. So I know and appreciate that you have made some 
significant strides in releasing program funding over the past 
few weeks. Could you provide the subcommittee with an update on 
Federal funding at USDA that remains frozen, and a time line 
for when you plan to finish your reviews?
    Secretary Rollins. I will, and I take to heart so sincerely 
everything you have said. And I know many of you have reached 
out during this process of frozen funds from both sides of the 
aisle. And my goal is to respond immediately. Sometimes it is 
at midnight. Sometimes it is at 5 a.m. But my goal is always to 
respond and to be available. I have an amazing team. Kailee 
Buller, is our chief of staff, she is here, Jen Tiller and a 
few others that you all probably know well. And we are working 
around the clock, going line, by line, by line. We are down to 
the final 5 billion out of, I believe, almost 20 billion of 
frozen funds. But $5 billion is a lot of money. And when you 
think about that in terms of, you know, grant or contract and 
moving that out quickly, we are very hopeful to keep moving 
through that very, very quickly and have that done very soon.
    But what I will say, and you all know this that have worked 
with me, I am always available. So if there is one or a group 
in particular that you want us to make sure we are getting to, 
please just let me know. I know almost everybody here has my 
cell phone number, maybe not a few of you, but I am always 
available. Several of these guys have it too. So just call me 
and just know we are doing our very, very, very best.
    Some of the funding that we have pulled back and then 
reopened, we have asked for reapplications to realign around 
this President's priorities, which, of course, not 
surprisingly, is not diversity, equity, and inclusion, or some 
climate programs, but instead to reapply where the farmer would 
receive, farmer or rancher would receive 65 percent of the 
funding or more, that is another piece of this as well.
    So we, again, are going line by line. We are working around 
the clock. And believe me, we are on it. But please know to 
always reach out if there is something specific. And I hear 
you.
    Senator Collins. Thank you very much.
    Secretary Rollins. Thank you, Madam Chairman.
    Senator Hoeven. Appreciate it.
    Senator Sheehan.
    Senator Shaheen. Thank you, Mr. Chairman. And just to 
follow up on that. I referenced this in my opening statement, 
but in New Hampshire USDA has frozen an $11 million RCPP award 
for the Connecticut River Conservancy. It is a project that has 
leveraged public-private partnerships for critical ecosystem 
restoration across the watershed. And unfortunately, the 
months'-long delay has slowed seasonal work, and it has driven 
up the costs of the project.
    Given that it is been more than 3 months since the 
administration froze this program, when will USDA release the 
funding?
    Secretary Rollins. What is the name of it again?
    Senator Shaheen. It is a Regional Conservation Partnership 
Program (RCPP) award for the Connecticut River Conservancy, and 
we are happy to follow up with whoever the appropriate person 
is. And just to follow up on that, one of the things, as we 
know, that Congress did at the end of last year was to pass 
disaster funding, that included $220 million as a set-aside for 
small farms in the six New England States, plus Hawaii and 
Alaska. And we have got apple growers in New Hampshire who, in 
2023, lost about 90 percent of their crop. Virtually all stone 
crops were wiped out in that season. They have been waiting 
desperately for the funding to be released from that emergency 
supplemental.
    Senator Tillis and I sent you a letter back in March 
emphasizing the need to get this assistance out. So again, 
along the lines of Senator Collins' question, can you provide 
an update for when the remaining funds will be released, and 
how we will ensure that the funding goes particularly to the 
small farms in states like New Hampshire, where they are 
desperately in need of some assistance?
    Secretary Rollins. Yes, ma'am. I appreciate that. The 
Emergency Commodity Assistance Program (ECAP) funding, the 
economic assistance, of course, we were given a statutory 
deadline of March 21st, I believe, when you all passed that, or 
when it was passed in late last year. I think March 16th or 
March 17th the portal opened, and it is a three-day turnaround 
in most cases. I think we have already moved out, I don't have 
the number in front of me, but of the $10 billion, almost $8 
billion. You all correct me if I am wrong.
    So we have actually moved almost all of that money out in, 
I would argue, record speed, but maybe there have been a few 
that we haven't. So please let us follow up on that.
    I have got right in front of me, Madam Chairman, that in 
your state we have moved out $395 million just into New 
Hampshire to 17,476 of your producers in New Hampshire. So I 
think we have done pretty well on that. But again, if there are 
instances where you are not hearing those stories and that it 
hasn't moved as quickly as we believe it has, please let us 
know, and we will run that down.
    On the disaster relief part of it, which is the additional 
$20 billion, in the coming weeks, by the end of May, that 
portal will open also. Obviously as part of that $20 billion 
there was specific funding for the Mexican water issue in 
Texas, and then of course up in the northeast where you are, 
and I believe Alaska was the third specific instance. But we 
are working with governors across the country. That was a 
little more complicated than the ECAP, the disaster--or the 
emergency relief payments; but we are really close, within a 
matter of days, where we certainly by the end of this month, 
that money will begin moving as well.
    Senator Shaheen. Well, thank you. I appreciate that. As you 
know, farming is very different in New England than it is in 
the Midwest, and many states in the west, and anything that we 
can do to be helpful in terms of getting information from out 
farmers to make sure that they qualify for those programs, 
please work with us.
    Secretary Rollins. Absolutely. Yes.
    Senator Shaheen. I also served on the Foreign Relations 
Committee, and of the things the fiscal year 2026 Budget 
Request eliminates, is the Food for Peace Program, and the 
McGovern-Dole Food for Education Program. In 2023, those 
programs provided over 1.1 million metric tons of U.S.-grown 
commodities to people abroad.
    For weeks earlier this year, more than 550 metric tons of 
U.S.-grown rice, peas, wheat, beans, super cereal, and ready-
to-use therapeutic food sat at risk of spoilage in ports, on 
ships, and in warehouses across the world, because of the 
dismantling of USAID. We are tracking that more than 350 metric 
tons of mixed commodities from American farmers are either 
pending purchase or will not be purchased this year due to the 
administration's terminations and delays.
    So can you talk about what you are saying to farmers to 
address this and how we are replacing that food that is so 
desperately needed by people around the world?
    Secretary Rollins. Yes. I will talk briefly about the 
McGovern-Dole Program first. And I think it is important to 
realize that that is a $240 million program, but our numbers 
show only about $37 million of that is directly tied to 
agriculture, which of course is what I am focused on. So as we 
are looking to realign the government, to reorganize, to make 
it more efficient for the American taxpayer, looking at 
programs like McGovern-Dole, which obviously all these 
government programs have a very worthy mission statement with 
very wonderful intentions, but at the end of the day, are they 
serving the American taxpayer who is funding them? And are we 
providing and meeting the metrics of what the original intent 
was?
    And without knowing all the details of the McGovern-Dole 
Program, for example, the fact that of a $240 million program, 
only $37 million is being used regarding commodities, our 
American farmer commodities. And I don't say $37 million isn't 
a big number, and especially for our farmers and our ranchers, 
but I think in the context of what the effort is to ensure that 
everything we are doing is aligned with the best and highest 
use of taxpayer dollars, and understanding that the layers of 
bureaucracy, and the administration, and all of the money going 
to lots of other places other than our ag community, that we 
need a wholesale reapproach to all of it.
    And that is what I realize, Senator, I will agree to 
disagree on this, but that is what President Trump's vision is. 
And while we are going through, it is never easy to change the 
status quo. The easiest thing for us to do is just say: Oh. It 
is great, and we don't want to make anyone mad, and let us just 
keep moving forward and keep adding money to the programs. This 
is what I believe the voters asked for and we will continue to 
have these discussions.
    So I hear you. It is something we are looking at every day, 
and the Food for Peace Program as well. But programs like 
McGovern-Dole, it is time to really take a deep look and see 
what we are spending the money on, and if it is being 
effective.
    Senator Shaheen. I am out of time. And I appreciate what 
you are saying. And I think most of us would agree that 
examining the programs and being more efficient and effective 
is something that we all support.
    Secretary Rollins. Sure.
    Senator Shaheen. But when we do it in a way that allows 
millions of tons of food and medicine to rot because we have 
cut off funding to ensure that that goes where it is supposed 
to go, that is not efficient and effective.
    Thank you, Mr. Chairman.
    Senator Hoeven. Thank you, Ranking Member Sheehan.
    Secretary, so at the end of the year we ended up with a 1 
year extension of the Farm Bill because we did not have 
agreement to update the countercyclical safety net like we need 
to, which as you know we are working on very hard. But with 
that 1 year extension we put in place $33.5 million (sic) in 
emergency assistance, for the $10 million excuse me, $33.5 
billion--for the $10 billion that is market conditions based we 
put a number of conditions on it. One that you would provide 
it--start providing it within 90 days, and you would follow a 
format called WHIP+, which we put in statute back in 2017. You 
did both.
    Secretary Rollins. Yes.
    Senator Hoeven. And you started dispersing, or started the 
process of dispersing March 19th. I think of that 10- you are 
probably closing on $7 billion. You have already dispersed 
states, my state it is about $0.5 billion, I think. You already 
referenced the Ranking Member and other states as well. That is 
how we want to work with you. So I want to put right out front, 
that is how we want to work between this subcommittee, and I 
think Senator Boozman will tell you our Ag Committee, Full Ag 
Committee and USDA.
    So then I just want to step over now to the weather-based 
$20 billion. What is your plan on that for getting it going, 
and kind of the format so we know? We are getting questions on 
that now from our producers.
    Secretary Rollins. That is right. So we are within days of 
announcing the application process. Of course, that is a little 
more complicated because we don't have the specifics and it 
isn't--yeah, as you mentioned in North Dakota, 15,794 of your 
farmers and ranchers have received money through that first 
tranche, through the first $10 billion, the emergency aid. On 
the weather-related programs, that application opens in the 
next week or two and we will be moving very, very quickly.
    We realize that this is a long time coming and it is 
related to disasters that happened a while ago, and so ensuring 
that we get that out as quickly as we possibly can with the 
team that we have in place. I am really proud of, I believe, 
how efficiently and how quickly the team moved out that first 
tranche. And I believe that you will see the same sort of 
efficiency and effectiveness with the second tranche. So it is 
within the coming weeks.
    Senator Hoeven. And I know you have to wait until you get 
the data from the different locations that had the weather 
disasters. Like in our case, it was fires and ranchers, we lost 
lives.
    Secretary Rollins. Right.
    Senator Hoeven. Not only cattle, but lives of people.
    Secretary Rollins. Yeah.
    Senator Hoeven. And so I know you have to wait to get that 
data, but you are thinking within weeks, timeframe?
    Secretary Rollins. Um-hum.
    Senator Hoeven. Okay.
    Secretary Rollins. By the end of the month, the 
applications will be open, and we will be moving out. Now, we 
have already moved out the $280 million to the Texas Department 
of Agriculture for the water issue in South Texas with the 
Mexicans, and so the ones that were specifically named in the 
legislation that you all worked on so hard.
    Senator Hoeven. Right.
    Secretary Rollins. Those have already moved, those have 
been moving for a little while. But this next round, the big 
round, will be within the next few weeks.
    Senator Hoeven. Yes. And that is what I was referring to.
    Secretary Rollins. Yes.
    Senator Hoeven. And that is, again, in line with what we 
passed, and so I appreciate that very much. Restructuring USDA, 
we all want to find waste, fraud, and abuse. We want to find 
savings, efficiencies, reductions, clearly, here in D.C., I 
think there is plenty of room for that in terms of reducing the 
size and scope of the bureaucracy. One of the keys for us, 
though, out on the ground, you and I have talked about it, and 
I know you know this, is FSA.
    Talk to me about how we make sure that we have those 
frontline FSA officers or employees out there working directly 
with our farmers and ranchers; that is, you know, key. So talk 
about that. So again, yeah, we definitely--and we are seeing 
the reductions in the bureaucracy. Again, we want to find 
those, but we want the frontline folks out there, the hands-on 
folks.
    Secretary Rollins. I don't know, at least at USDA, if there 
is any role more important than those frontline FSA offices, 
and those remain a priority. Of course, right next to that is 
our wildland firefighters as we are moving into wildfire 
season, that is extremely important in being operationally 
ready, which we are. Also, our Animal and Plant Health 
Inspection Service (APHIS), our veterinarians, et cetera, those 
are as important.
    But the FSA operators that are managing and working with 
our farmers and our ranchers every single day, it is not in our 
plan to close any of those offices. There are 4,500, I think, 
total across the country, which is a big number, but we are 
also working to be, again, more efficient with online, et 
cetera, technical assistance, et cetera, that in the future may 
not rely so much on an on-the-ground presence.
    But today we can't rip that rug out from underneath our 
farmers and producers, and that remains a priority. I signed a 
memorandum; I don't know, maybe last week, all the days are 
running together, that put as a priority ensuring that those 
offices are fully staffed. As I know we all in this room know, 
often hiring in rural America is a little bit more difficult 
because you just don't have the numbers of people.
    But what I have told the team, and as we continue to focus 
on rural prosperity moving forward, is that finding the men and 
women out there, the patriotic Americans that are willing to 
work around the clock. We already have a lot of that in the 
FSA, but I think we can do better and more, so we will be 
spending some good time on that moving forward.
    Senator Hoeven. Thank you, Secretary.
    Secretary Rollins. Thank you.
    Senator Hoeven. Excuse me. Thank you.
    And I am going to turn to our ranking member on the Full 
Committee, Senator Murray.
    Secretary Rollins. Good morning.
    Senator Murray. Good morning. And thank you very much, 
Chair Hoeven. I look forward to working with you and with our 
new ranking member, Senator Shaheen, in her new role as the two 
of you lead this committee. It is a really critical one.
    Secretary Rollins, thank you for being here. Let me be 
really frank with you. The very mission of USDA is under 
incredible threat from this administration. We are seeing 
dedicated researchers and experts who are being pushed out the 
door. Research, safety efforts have been put on hold, funds 
that Congress passed have been frozen and canceled by this 
administration, and nearly $17 billion in investments are now 
being held up at USDA.
    That to me is really unacceptable and needs to change. We 
are seeing our food banks with less, increased prices at the 
grocery store. We are seeing Forest Service personnel who have 
been fired. They respond to our wildfires, we need them. 
Experts working on avian flu gone, and my farmers are extremely 
concerned about these illegal funding freezes and the illegal 
tariffs that are impacting them.
    We also know that 15,000 employees have been pushed out, 
that is more than 15 percent of your Department. We know USDA 
cannot help farmers or communities without the people and the 
resources that it needs, which is really to me why this 
arbitrary workforce cuts combined with the sweeping cuts that 
President Trump proposed in the new budget that we just got is 
really alarming.
    Secretary Rollins, let me just say to you, this committee 
needs a lot more information about how your Department is 
spending this funding that Congress provided earlier this year, 
and the fiscal year 2025 spend plan that you submitted last 
year, required by law, part of the Continuing Resolution, just 
isn't satisfactory. We need to have that information in order 
to write our appropriations bills.
    And I just want you to know I expect you to work with 
members on both sides of this aisle to provide the details so 
we understand how you are spending money, and what is actually 
needed in the coming year. That is what I really want you to 
know and why I especially wanted to be here today.
    But I do have some questions for you, because in Washington 
State, my home state and across the country, these abrupt 
terminations and resignations of ARS scientists and support 
staff have really gutted some of our vital agricultural 
research programs overnight. This is really undermining years 
of progress, research on plant diseases, making crops more 
resilient, extreme weather, that work is really fundamental to 
our farmers, and they are deeply worried about that being gone.
    I know that many of the ARS scientists have been 
reinstated. Essential support staff has not. So will you commit 
to taking steps to reinstate the ARS support staff and 
stabilize these research units across the country?
    Secretary Rollins. Well, there was a lot in that, Senator. 
So I will try to talk really quickly and answer as much as I 
can. And then please, reach out to me directly, and we can 
always have this conversation anytime. I don't think you were 
in here, but I have had long conversations with members on both 
sides of the aisle about all of this in the last couple of 
months, so I welcome that conversation anytime.
    The first thing I want to say is the 15,000 number it is 
less than 15 percent of our total workforce. I realize that is 
still a very, very big number, but I think it is important to 
realize in the context that every year, USDA, through 
attrition, loses between 8,000 and 10,000 employees, so as a 
massive government agency.
    Senator Murray. But they are refilled.
    Secretary Rollins. Well, and that is what we are looking to 
refill, the frontliners that is what I was talking about right 
now. So whether it is FSA, APHIS, the wildland firefighters, 
those are, through a memorandum I just signed, we are actively 
looking and recruiting to fill those positions that are 
integral to the efforts and the key frontlines.
    Senator Murray. So you let people go and you are looking 
for new people to fill the positions that they had experience 
in?
    Secretary Rollins. We are having those discussions right 
now. We are working with all of you around the country in your 
states. We believe our firefighters are operationally ready for 
wildfire season. Our FSA offices, we are looking, you know, we 
are making things more efficient, but bringing on new people 
that could potentially bring and be a game changer in those 
offices.
    But by the way, the people that you are talking about, the 
15,000, those are all deferred resignations. None of those 
people were fired. So if they want to come back and if they 
were in a key position, then we would love to have that 
conversation.
    The other thing in the second round of Deferred Resignation 
Program (DRPs), which just happened about, I don't know, a 
couple of weeks ago, we did not accept the DRPs of employees 
that were in those key positions that I outlined, that a few of 
them, I think we had several hundred that said, all right, we 
are going to take it. And we said, no, those are, your role is 
too important right now. We are not going to accept it.
    So we are very intentionally approaching this. Have we done 
it perfectly? No. Any type of whole scale change and big effort 
to basically realign an entire government agency is difficult. 
And we know that. And we know that it hasn't been perfect. But 
we are working every day to solve for a lot of this. And I 
think we are making a lot of really good progress.
    Senator Murray. Okay. You didn't answer my question 
specifically on ARS scientists, research, the support staff.
    Secretary Rollins. Well, what I would love if you or your 
team could get us exactly what you are talking about, who you 
are talking about, and where you are talking about it. Because 
we have been, like I say, line by line, keeping the staff in 
place where we believe it is of utmost importance and aligns 
with the Agency's mission in areas where we don't believe we 
haven't been as focused on that. But again, that is a 
conversation I would so welcome to understand exactly where and 
what that looks like.
    Senator Murray. That is important. But this is on record. 
And so one of my concerns is that you let people go however you 
want to characterize it, who knew these jobs, and now you are 
looking for people to fill these jobs because now we know how 
essential they are, that doesn't seem to me to be very 
efficient.
    But I need to ask you about nutrition programs in my last 
minute here.
    Secretary Rollins. Sure.
    Senator Murray. Because we have about 134,000 people in 
Washington State, 7 million people nationwide who rely on 
Women, Infants, and Children (WIC) Program. It provides, as you 
know, essential nutrition support to moms and kids during the 
earliest, most vulnerable stages of life. It is one of the most 
effective programs that we have. It has always received 
bipartisan support on this committee, it is glaringly absent 
from the President's budget request.
    WIC, Supplemental. Nutrition Assistance Program (SNAP), 
Commodity Supplemental Food Program (CSFP), these are really 
key, important programs for seniors. They are not optional. 
They are essential programs that feed moms and babies and the 
elderly. So I wanted to ask you, do you fully support funding 
WIC; yes or no?
    Secretary Rollins. Well, okay, so are you talking about the 
Local Food for Schools Cooperative Agreement Program (LFS) and 
Local Food Purchase Assistance (LFPA) contracts that were 
canceled, or SNAP?
    Senator Murray. I am talking about the budget that came 
over to us on Friday.
    Secretary Rollins. WIC is fully funded. SNAP is, so that is 
why I am confused by your question. I am sorry, Senator.
    Senator Murray. Well, in our looking at this, it is absent. 
I am happy to get the information to you. But this, for this 
committee, I know it is something we have always supported on a 
bipartisan basis. It is something we need to continue.
    Secretary Rollins. Yeah. WIC is fully funded. I am happy to 
talk SNAP or some of the other cuts, but.
    Senator Murray. Yeah, WIC, it is eliminated in the budget 
that the President sent on Friday.
    Senator Shaheen. We also thought that, so.
    Secretary Rollins. We will clarify that and get that right 
back to you. I know there had been some realigning in SNAP and 
in some of the food banks, et cetera, that is kind of where we 
have been talking and focusing on.
    Senator Murray. The President--for the committee members, 
the President sent over his budget on Friday. It does eliminate 
WIC in it. So we obviously need to have better information from 
the administration.
    Senator Hoeven. Our understanding is that--I mean, number 
one, we fully funded WIC in the last go around in the CR, as 
you know, Senator. And our understanding is just in the skinny 
budget, it just wasn't included. It is funded for this year.
    Secretary Rollins. Yeah, it is funded.
    Senator Hoeven. This is the skinny budget. There are things 
we don't have yet. So that, at least, was our understanding.
    Secretary Rollins. It is fully funded.
    Senator Murray. That would be interesting to see in 
writing.
    Secretary Rollins. You are welcome.
    Senator Hoeven. Thank you, Senator Murray.
    Secretary Rollins. Thank you, Senator Murray.
    Senator Hoeven. Let me turn to Senator Moran.
    Senator Moran. Chairman, thank you. Thank you to you and 
Senator Shaheen.
    Secretary, welcome. Thank you for coming to Kansas, 
although you came when I had the flu.
    Secretary Rollins. We missed you.
    Senator Moran. Please come back.
    Secretary Rollins. Yes. I know.
    Senator Moran. On a day that is not 16 below zero, and we 
will show you a different side of our state. I want to talk a 
bit before I get to a couple other topics, about Food for 
Peace. Senator Hoeven and I, when we saw what was happening 
with Food for Peace at USAID and the State Department, we 
introduced legislation to transfer the authority to manage and 
operate Food for Peace to the Department of Agriculture.
    It was my understanding that both OMB and the Department of 
Agriculture, your Department, responded to that idea favorably. 
And I am anxious to have you tell me what it is that I and my 
colleagues ought to be doing to keep providing the commodities 
that we grow in the United States to people who are starving 
around the globe, and is this something you are still 
interested in acquiring?
    Secretary Rollins. Yes. And it is my understanding this 
program was started in Kansas; is that right?
    Senator Moran. That is true.
    Secretary Rollins. Yes. The Great State of Kansas, with 
about 150 farmers who came together and came up with the 
program. So not surprisingly, I don't want to get ahead of my 
boss, and certainly Secretary Rubio and I have had very initial 
conversations about it.
    Senator Moran. And I would add. I also understood that 
Secretary Rubio was willing or capable of sharing that 
responsibility or giving you that responsibility.
    Secretary Rollins. Yeah. We have had really great 
conversations about it. Obviously, we will follow your lead, 
and if in fact this is the will of Congress, I think we would 
be very willing to take that on if that was your direction and 
would be excited to partner on that.
    Senator Moran. And to the elimination of McGovern-Dole, 
which we call in Kansas Dole-McGovern, the elimination of that 
program is not an indication of the lack of interest in the 
Department of Agriculture making available American-grown 
commodities to people who are hungry around the globe; is that 
true?
    Secretary Rollins. That is true. Thank you for that 
clarification. That is really important.
    Senator Moran. In the conversation that you have had about 
employees at USDA and the efforts to right-size, downsize, 
whatever the right words are, the Department, let me highlight 
for you the importance of FSA and NRCS employees in county 
offices across the state of Kansas and around the country, I 
assume. And it was particularly troublesome when those on 
probation were those who were eliminated. We love the 
circumstance when a young man or woman out of college, returns 
home, goes to work for USDA in a county office. We do not have 
sufficient personnel in those county offices today.
    Secretary Rollins. Right.
    Senator Moran. But we particularly love when they are 
somebody who is in their 20s, they come home, and they raise a 
family in a small county of Kansas. And so would you pay 
particular attention to trying to make certain that county 
offices where farmers sit across the table from USDA employees 
and have a conversation about--certainly about the farm 
programs and conservation programs takes place, that is 
different than ever trying to do that on a computer.
    Secretary Rollins. That is right.
    Senator Moran. So what would you tell me about your 
commitment to that?
    Secretary Rollins. Well, I think it is of paramount 
importance. And you think about what USDA who we are called to 
serve, the initial intention of the Agency, of course, in the 
founding of our country, we had the original four agencies, 
Treasury, Defense, the Attorney General, and Justice and then 
just a few years later, a couple decades later, Interior was 
added, and right after that was Agriculture.
    So this goes back to almost the founding of our country, 
and certainly we take that very, very, very seriously. In 
President Lincoln's best vision and his intention in founding 
this agency, it was to have that on-the-ground support for our 
farmers and our ranchers.
    So as President Trump is working to make America great 
again and restore prosperity across our country, my role in 
that is to ensure that rural America sees a level of prosperity 
that perhaps they haven't seen in our lifetimes. And there is a 
lot that goes into that formula, right, there is a lot we have 
got to do. We have got to get government off the back of our 
people. We have got to cut taxes.
    Senator Moran. Let me ask you one more question.
    Secretary Rollins. We have got to deregulate but, yes, the 
FSA remains at the very top of that list.
    Senator Moran. Thank you. And I do appreciate having 
employees return to the office to work, it is as important as 
well.
    Secretary Rollins. Yes. That is an important part, too, 
yes.
    Senator Moran. I had mentioned to you when we visited about 
the National Bio Ag Facility that is in Kansas, it is the 
replacement for Plum Island, we had this conversation when you 
were in my office before the confirmation.
    Secretary Rollins. Yes.
    Senator Moran. I want to just highlight, because I have one 
second left, but I want to highlight that facility, that 
institution, and ask you to either tell me or get me a report 
on National Bio and Agro-Defense Facility (NBAF) operational 
status as of today?
    Secretary Rollins. I think it is a huge asset, and it is an 
important asset to the greater good of the country. And as we 
talked about in your office that day, a couple of months ago 
now, my commitment in fulfilling Congress' intent has not 
changed. And so I think, Senator, you and I can just make sure 
you need to send me reports if you are hearing anything 
different. But we are committed to ensuring that that facility 
moves forward in a way that best serves all of America and, 
frankly, the world. It is a really important asset.
    Senator Moran. Thank you, Secretary.
    Secretary Rollins. Thank you, Senator.
    Senator Hoeven. Senator Baldwin.
    Senator Baldwin. Thank you, Mr. Chairman.
    Secretary Rollins. Good morning.
    Senator Baldwin. Secretary Rollins, thank you for joining 
us today.
    Secretary Rollins. Thank you.
    Senator Baldwin. The Dairy Business Innovation Initiative 
has delivered critical and high-impact support to small dairy 
farms and businesses in Wisconsin and across the country. Since 
its inclusion in the 2018 Farm Bill, the program has helped 
producers expand their product lines, access new markets, and 
modernize their operations. In Wisconsin, these small-dollar 
grants have made a real difference in helping expand a globally 
respected dairy industry.
    As we consider additional funding for USDA in 2026, I am 
really deeply concerned about the treatment of the Dairy 
Business Innovation Initiative under this administration. 
Congress has secured funds annually in statute in the 
bipartisan annual appropriation bills, and they were promised 
to farmers by the USDA. Yet over 400 dairy businesses had 
nearly $30 million on the chopping block due to a Diversity, 
Equity, and Inclusion Executive Order issued by President Trump 
this February. I hope we don't confuse diversity and 
biodiversity, as important issues.
    But I appreciated the opportunity to discuss this with you 
personally, and you know, the need to issue these funds to 
Wisconsin and other farmers expeditiously, especially when 
their margins are already incredibly slim. But I still have 
concerns. How are you planning to restore Congress' confidence 
in USDA's ability to implement and fund programs required by 
statute, like the Dairy Business Innovation Initiative? And how 
will you ensure the Agency's communication to farmers and small 
businesses can be relied upon when they make real-time 
investment decisions in their operations based on awards?
    Secretary Rollins. Well, I appreciate that question. And on 
my second trip, it wasn't to your beautiful state, but it was 
to Kansas, as we talked about. I think Senator Moran stepped 
out. But we talked about--we actually visited a major dairy 
operation and have since visited half a dozen more in 
Pennsylvania and several other states. So I look forward to 
coming to Wisconsin and seeing the operation there.
    The program you are talking about is not frozen. I think 
after we spoke, we looked into that. But I want to make sure 
that is clear from your understanding as well.
    Senator Baldwin. It is.
    Secretary Rollins. So that is moving forward.
    Senator Baldwin. After my intervention and our 
conversation, the funds were released. But that was still, you 
know, people make expenditures in reliance of an award that 
they have gotten.
    Secretary Rollins. I understand. It was maybe a 30-day 
delay, and I apologize for that. Any delay, I think, on a 
worthy program, especially with our dairy farmers is, one day 
is one day too many. I know you understand.
    Senator Baldwin. There was uncertainty of whether they were 
ever going to get the funds.
    Secretary Rollins. That is fair.
    Senator Baldwin. Let me move on to another one that you 
have already referenced briefly. I was really deeply concerned 
when the USDA abruptly cut funding to critical food assistance 
programs in March, including the Local Food Purchase Assistance 
Program and the Emergency Food Assistance Program (TEFAP).
    In 2024, through the TEFAP program, Wisconsin distributed 
over 21 million pounds of food, serving over 618,000 
households. Hunger Task Force in Milwaukee had about $615,000 
worth of food they expected to help feed people during this 
summer, halted by the Trump administration.
    And Wisconsin farmers and producers worked tirelessly to 
grow food that feeds hungry children and stocks our local food 
pantries. And the decision to cancel these vital programs only 
hurts families trying to put food on the table and the 
Wisconsin farmers who produce it.
    So Secretary Rollins, will you reinstate these critical 
food assistance programs in fiscal year 2026?
    Secretary Rollins. So let us talk about that for a second. 
First of all, those were COVID-era programs. They were never 
meant to go forever and ever. This is part of the problem 
with--and again, not Democrat or Republican, but any 
government, in general, you put an era program in, and then it 
literally never goes away, which, by the way, is not fair to 
taxpayers. But let me answer your question directly.
    Senator Baldwin. Well, I would also argue that the 
situation of hunger for----
    Secretary Rollins. Well, that is what I was going to--may I 
respond to that part of it? So specifically to Wisconsin, your 
program in Wisconsin, aside from what was pulled back, still 
has $1.2 million left sitting in a bank account, out of $8.1 
million in your Local Food Purchase Assistance Program. You 
also had your state, not you, Senator, but your state asked for 
a contract extension because they couldn't spend the money fast 
enough. Your tribes have 500,000 left out of 700,000.
    Senator Baldwin. I think you are confusing the programs, 
because the local food assistance purchased that creates 
opportunities for local farms to produce fresh produce. 
Secretary Rollins: I am not.
    Secretary Rollins. That is the LFPA.
    Senator Baldwin. Some of these others, you know, get canned 
commodities, et cetera. I visited several food banks in 
Wisconsin.
    Secretary Rollins. I am talking about the LFPA, Senator.
    Senator Baldwin. Right now and we have 200 to 300 farms 
that were engaged in this, and this was an expected customer 
that they no longer have.
    Secretary Rollins. But, Senator, it was an era--it was 
COVID-era program that, by the way, you still have millions of 
dollars left, right, that you can use to pay those farmers.
    Senator Baldwin. The need is still there.
    Secretary Rollins. That is the point. Most of that--a lot 
of that money was never spent, you couldn't spend it fast 
enough, that is not fair to the taxpayers. Do you know USDA 
spends $400 million a day on nutrition and food programs, just 
USDA? That is aside from this food bank. There is plenty of 
money in the system. We just have to be better about how we are 
spending it.
    So I hear you. But I think that it is important to look at 
where this money is sitting, how it is being spent, and making 
sure that we are using the taxpayer dollars effectively. But 
thank you.
    Senator Hoeven. Senator Fischer.
    Senator Fischer. Thank you, Mr. Chairman.
    Secretary Rollins, it is so good to see you here today. 
Thank you.
    Secretary Rollins. Thank you.
    Senator Fischer. I share your desire to realign and 
reprioritize resources across USDA to put our ranchers and our 
farmers first. This is especially important for USDA's 
Agricultural Research Service to ensure that we are funding 
innovative and high-impact research that benefits our farmers 
and ranchers. I have been working to secure funding for an ARS 
facility that is focused on innovative, precision agriculture 
research that is co-located at the University of Nebraska-
Lincoln.
    And I look forward to continuing to work with you on that 
facility to ensure we can have high-impact, high-priority 
research taking place there. You have also talked about having 
more USDA's workforce located closer to the people that they 
serve.
    Secretary Rollins. Yes.
    Senator Fischer. And while no official announcements have 
been made, I think this would be a great step, and I know 
Nebraska would be a great location to relocate parts of USDA, 
like the Ag Research Service, giving our proximity to a number 
of strong land-grant institutions, lower cost of living, and 
strong existing relationship with the Agency at the facilities 
I mentioned beforehand.
    Can you talk about your plans for relocating parts of USDA 
to the heartland, and how do you anticipate relocation efforts 
could save taxpayer dollars and create greater efficiencies for 
the Agency itself?
    Secretary Rollins. We are very close, I will say, in the 
coming weeks you will hear a lot more about these plans, and I 
have really--I am so grateful because I have gotten a lot of 
feedback from you and from others about potential locations 
around the country. What I am most excited about in this 
realignment, though, is exactly how you outlined it, Senator, 
that we have to move--this is a customer-service-oriented 
agency; and why do we have so many people in Washington, D.C.?
    And then you bring the force part into that, and then the 
nutrition into that, and it just doesn't make as much sense. It 
will also be cheaper for the taxpayer, and the customer service 
agent will be closer to the people that they serve. So we are 
very in the weeds on that today, and an announcement is 
forthcoming.
    Senator Fischer. I appreciated your comments to Senator 
Moran about the FSA and keeping those local offices open. I am 
very well aware in rural communities across my state how 
important it is that farmers have that in-person access. And 
while we may be using technology in many areas, there still, I 
think, at this point in time, needs to be that face-to-face 
contact.
    Secretary Rollins. I agree.
    Senator Fischer. So thank you for that as well. In 
Nebraska, we are also so proud of the work that is being done 
at USDA's Meat Animal Research Center at Clay Center. That is a 
strong relationship that the Center has with our livestock 
producers in the state.
    Last month, both Nebraska cattlemen and Nebraska pork 
producers talked to me about how they valued the research that 
is being done there. The President's budget does call for cuts 
to ARS funding, but I think it is also important for us to make 
sure that the dollars that we do spend on research and 
facilities gets stretched as far as it can. Due to 
overregulation, you have touched on that in some of your 
answers, a lot of burdensome contracting requirements out 
there, simple maintenance and upkeep costs end up costing 
sometimes three to four times more than they should.
    And this is especially true for unique research centers 
like U.S. Meat Animal Research Center (USMARC) at Clay Center, 
who operate--they are working farms, they are working ranches, 
they handle livestock on a daily basis.
    So would you agree that research done in collaboration with 
the livestock industry at USMARC's Working Farm and Ranch is 
important? And would your team work with mine to ensure that 
the improvements that we make to ARS facilities don't end up 
dramatically costing more than it would for the private sector 
to operate those?
    Secretary Rollins. I will, Senator. And I appreciate that 
and the great research that happens in Nebraska. A quick note 
on ARS, while we are decreasing the budget, it is $2.1 billion 
currently under the President's budget from Friday. It goes 
down to $1.9 billion. that is about a 7.5 percent decrease, and 
that is really focused on just some facilities that are way 
behind on repair and just out of date, and not meeting the 
mark, obviously not yours in Nebraska. So that is a very 
targeted decrease in funding that shouldn't affect, we remain 
highly, highly focused on the priorities of ARS and ensuring 
those are funded.
    Senator Fischer. You know, I hope you can also look at that 
overregulation that we have with contracting that I mentioned, 
because a lot of times just those really simple maintenance, it 
does end up costing more, and more, and more, where if we can, 
you always hear about government regulation and how burdensome 
it is, and there is some good examples that we need to get rid 
of those good examples and make sure that we are dealing with 
common sense and in the real world to meet those lower costs 
that should be available.
    Secretary Rollins. And the most important thing you can do 
is send us, have your team send us those examples, and we will 
get on it right away.
    Senator Fischer. Great.
    Secretary Rollins. Thank you, Senator.
    Senator Fischer. Thank you, Madam Secretary.
    Senator Hoeven. Senator Heinrich.
    Senator Heinrich. Thank you, Chairman.
    Secretary, the Iron Fire is currently burning in the Gila 
National Forest, and you and I have talked about the Silver 
City Dispatch Center, which is in charge of coordinating the 
response between air assets and frontline firefighters in the 
Southwest. It is still among the dispatch centers that DOGE is 
seeking to close. And in our conversations, you assured me that 
you would seek to keep this dispatch center open, that you 
would designate it mission critical. Talk to me about what you 
are doing to make good on that promise?
    Secretary Rollins. Yeah, we have been in conversations with 
GSA on that, Senator, and certainly as we have many hands 
working across the Trump administration to deliver on our 
promise for a more effective and efficient government, we agree 
that this is important, and especially as wildfire season is 
heating up, ensuring that we are operationally ready at every 
turn in your state and in other states that are highly affected 
by that. So we remain focused on that. And if you hear 
something different, please call me.
    Senator Heinrich. Let us return to something that you 
discussed with my colleague from Wisconsin. The local Food 
Purchasing Assistance and Local Food for Schools programs, in 
my view, are two of the best, and they may be COVID programs, 
but they are two of the best examples of using American-grown 
produce to produce healthier outcomes in our students. To me, 
that is making America healthy again.
    You have canceled both of those contracts, even though 
those contracts were signed and farmers had bought supplies for 
planting based on those contracts. So what would you say to 
both the producers and the schools who made financial decisions 
based on those commitments?
    Secretary Rollins. Well, I would love, Senator--the first 
thing I will say is could you send me specific information on 
that, because that would be really helpful. We have talked a 
lot in broad strokes, but if I could see the details. In New 
Mexico, you still have $1.5 million of the last tranche left 
out of 6 million.
    Senator Heinrich. I can't speak to what the state is doing, 
and we will be happy to run that to ground. But the people I am 
hearing from are, literally, the schools and the producers who 
were impacted, the growers.
    Secretary Rollins. Yeah. I would love to get more details 
on that and what that looks like. Again, it is a COVID-era 
program. The other side of this, and I want to make sure you 
have got plenty of time to ask your other questions, but the 
other side of this as far as the local nutritious farms, et 
cetera, I mean, I think that is a massive push.
    I think it is important we remain prioritized on that. But 
again, the $400 million a day we spend at USDA on nutrition, 
just on nutrition, I believe sincerely that we will be able to 
check a lot of those boxes without continuing a program that 
was supposed to end at the end of COVID and that, in fact, most 
states still have a lot of money left in the bank. They haven't 
been able to spend it.
    Senator Heinrich. My colleague from Kansas mentioned Food 
for Peace and McGovern-Dole. These programs have provided life-
saving, American-grown food to people around the world. I have 
literally met with mothers and children who relied on American 
food aid for their survival. So I appreciate that you have had 
initial discussions with Secretary Rubio about these programs, 
but what I saw two weeks ago with several of my Republican 
colleagues on the ground at a refugee camp, was kids who were 
on fractional rations, who didn't have enough calories per day 
to thrive.
    So what are we doing to fill the gap between the historic 
commitment of those programs and whatever that replaces them, 
in the meantime, when the impact is kids who are not getting 
enough to eat?
    Secretary Rollins. And you are talking specifically on the 
international programs. Yes, that is a great conversation. We 
continue to talk about it. The President has been very clear 
that we have to ensure that our kids here in America that are 
hungry, that we are serving, obviously they are the priority. 
It doesn't mean that we don't care about or want to move out 
our American farmers' produce, and we should, and commodities 
across the world, but really focusing here in America first.
    But secondly, understanding what those programs are, which 
I talked a little bit about with the back and forth with 
Senator Baldwin, I think--it may have been Senator Murray. But 
how important and effective those are, where we are spending 
the money, how it is being spent, and what that looks like.
    Senator Heinrich. I think you will get a lot of support 
from this committee to go after overhead, excess overhead.
    Secretary Rollins. Yes.
    Senator Heinrich. I think we have to check too many boxes, 
and there are a lot of entities that have gotten good at 
running those contracts because they can check those boxes. But 
what we saw on the ground was kids who had malaria and other 
diseases because they simply didn't have enough food to eat, 
because commitments we made were not being made good on.
    Secretary Rollins. Well, I would love more details on that. 
That would help me understand, in fact, where it was you all 
went, and then my commitment to you is to study that. And you 
know, my heart is with what you are saying, but again we, 
putting America first, understanding how we are feeding our 
children, and we haven't had a MAHA discussion yet, but if we 
do, we can talk a little bit more about that, is important.
    But also understanding that, again, the mission and that 
the intention of these programs are always good, it is how we 
are effectuating them and putting them into play and really 
looking at that closely.
    Senator Hoeven. Thanks. Senator Hyde-Smith.
    Senator Hyde-Smith. Thank you, Mr. Chairman, and thank you, 
Ranking Member. And thank you, Madam Secretary, for being here.
    Secretary Rollins. Thank you, Senator.
    Senator Hyde-Smith. I am thrilled to have you there. I 
think you have already proven to be a great Secretary of 
Agriculture, my hat is off to you, the challenges that you are 
facing in reorganization and a new administration is a tall 
drink of water.
    Secretary Rollins. Yes.
    Senator Hyde-Smith. And I certainly want to be helpful any 
way I can, and I can attest to those 5 a.m. texts, that I don't 
know when you sleep. But there is so many challenges out there.
    Secretary Rollins. There are.
    Senator Hyde-Smith. And of course, as the former Head of 
the Mississippi Department of Agriculture, I know all the 
players. And getting the calls I am getting now on the concerns 
that you are desperately trying to address is very much 
appreciated.
    Secretary Rollins. Thank you.
    Senator Hyde-Smith. Because there is a lot of glaring 
concerns that we have to take a look at. And I just admire the 
speed that you are tackling this and the tasks that you have in 
front of you. And before I go to the questions, and I know that 
this is about the 2026 Budget Request, but before I go into 
these questions. I just want to say this to everybody in the 
room. Congress needs to address the outdated and inadequate 
safety nets that is in the Farm Bill during the budget 
reconciliation process.
    Secretary Rollins. Right.
    Senator Hyde-Smith. There is a lot of farmers in 
Mississippi and across this country that are not going to be 
able to continue unless we do address this. It is so concerning 
for me. And addressing one aspect of the Farm Bill, SNAP, in 
reconciliation without making improvements to the farm safety 
net, it will make it extremely difficult to pass a Farm Bill, 
but it is so critical.
    So American farmers, as you well know, desperately want a 
new and improved Farm Bill. And I think it is our job to 
improve the Farm Bill. So let us give that to them by 
addressing the safety net and reconciliation. I can't scream 
that enough. Like I said, I know this is about the budget, but 
that is so critically important that we do this now.
    I want to just commend you on how efficiently and fast the 
Department got out the 10 billion in disaster aid Congress 
passed in December to help commodity producers cope with the 
unbelievable input and cost and the depressed commodity prices. 
You were excellent at doing that. And I have had my farmers 
call and thank me for that. But through the USDA's Emergency 
Commodity Assistance Program (ECAP) that you have referenced, 
you know, many farmers are able to farm this crop this year 
that, literally, they would not be able to otherwise.
    Secretary Rollins. Yes.
    Senator Hyde-Smith. When I have bankers come to me and say, 
we are not going to finance your farmers next year without 
something, it was that critical. And it was not sounding the 
alarm; it was just pure fact is what we were dealing with.
    Secretary Rollins. Yes.
    Senator Hyde-Smith. So thank you for that. But when can we 
expect USDA to distribute the remaining disaster funds for 2023 
and 2024 for the weather-related losses? That is the questions 
that we are being asked right now; if you could address that?
    Secretary Rollins. Yes, ma'am. And I appreciate all the 
good words. And just quickly, it is the team sitting over my 
right shoulder and the people back at USDA that literally 
worked seven days a week, 18- 20-hour days to get that first 
tranche of funding out. And I am so grateful to them and the 
unbelievable amount of time and effort they put into it. They 
are putting that same amount of time and effort into this now 
second tranche on the disaster relief.
    The portal should open within a matter of weeks, before the 
end of the month, to allow those grant applications to begin 
being processed, our goal is timely, efficient, and turn it 
around quickly. With the first tranche, that first $10 billion, 
the ECAP, we were turning it in two to three days, which I 
believe is unprecedented for any government program, but 
certainly for USDA.
    Senator Hyde-Smith. We had four.
    Secretary Rollins. And our goal is to have the same sort of 
speed, timeliness, and hopefully effectiveness on the second 
tranche as well.
    Senator Hyde-Smith. And thank you for that. And there is no 
doubt that you are not going to accomplish that because you 
have done so well so far. And we have talked about the FSA 
county levels, and the staffing, and the decisions that have 
been made, but again, as I hear from all of my producers and so 
many throughout the country, we know that some of this is so 
necessary and it is going to benefit us in the long run. It is 
kind of like cleaning out a closet. You dread doing it, and you 
get everything out, and it is just stuff everywhere until you 
get it sorted and organized and put back.
    Secretary Rollins. That is an amazing metaphor, but I can 
completely understand and appreciate.
    Senator Hyde-Smith. Yes, we have four children. We can 
clean out closets.
    Secretary Rollins. Yes, we can.
    Senator Hyde-Smith. Because that is where we are.
    Secretary Rollins. Yes, ma'am.
    Senator Hyde-Smith. And to get it organized, put in the 
proper place.
    Secretary Rollins. Right.
    Senator Hyde-Smith. But to get to the end of, you know, the 
conclusions, is it being spent properly? And are we doing the 
most that we can to make it efficient? So my question is just, 
it is so critically important that support continues to reach 
these producers. And can we just ask that you work with the 
subcommittee on doing that?
    Secretary Rollins. Absolutely. And it brings up a bigger 
question, I think, Senator, that the average age of the farmer 
is 58. That is a whole other hearing for another time, how we 
reverse that trend. But I think it goes to not to cast any of 
us, you know, around that age or older, aspersions at any of 
us, but that, you know, moving to online is important at some 
point.
    But that is my point. It isn't today. And especially with 
all the challenges and the headwinds against our producers, we 
have to keep those front liners in place as we are moving these 
projects out.
    Senator Hyde-Smith. Well, you have an unbelievable task 
with a huge agency. But I just want you to know you have got my 
support. I have been on the frontlines. I have been there. And 
I am very, very pleased with what you are doing and the 
direction you are headed.
    Secretary Rollins. Thank you.
    Senator Hyde-Smith. And thank you for being willing to do 
it.
    Secretary Rollins. Thank you, Senator. Thank you.
    Senator Hoeven. Senator Peters.
    Senator Peters. Thank you, Mr. Chairman.
    Secretary Rollins. Good morning.
    Senator Peters. Secretary Rollins, good to see you again.
    Secretary Rollins. You, too.
    Senator Peters. And welcome to the committee.
    Secretary Rollins. Thanks.
    Senator Peters. Secretary, as part of the 2018 Farm Bill, 
Congress passed the PAWS Act legislation, which I authored to 
establish a grant program to provide shelter options for 
domestic violence survivors with companion animals. Research 
had found that up to 84 percent of women entering domestic 
violence shelters reported that their partners had threatened, 
abused, or had killed the family pet, used that as a source of 
intimidation for these survivors.
    In fact, nearly half the survivors report that they have 
stayed with their abuser longer, sometimes months, sometimes 
years, because of fear of what would happen to that beloved 
part of their family. PAWS funding is a priority that I pushed 
throughout my time on this committee and in the Senate. And it 
is a line item that I hope to see in the President's budget 
once we receive the details.
    So my question for you, Secretary Rollins, is would you be 
willing to support this important issue, and certainly I would 
hope to count on you to get that continuing support that 
survivors have been able to get these last few years.
    Secretary Rollins. Senator, if we could follow up and have 
a longer conversation, I would welcome that opportunity. This 
is the first I have heard of it, so I don't want to commit 
without knowing more. But I really appreciate your leadership 
and your quiet, steady hand in all of this, and I would love to 
have a longer conversation about that.
    Senator Peters. Great. We will follow up with you and your 
team.
    Secretary Rollins. Yeah, it would be great.
    Senator Peters. I will be happy to do that. In my home 
state of Michigan, food and agriculture is the second largest 
contributor to our state's economy. Everybody thinks about 
manufacturing and making cars. We do that really well, but ag 
is incredibly important. And specialty crop industries are the 
biggest part of that equation. That is why I have long fought 
for strong, consistent funding for the APHIS Specialty Crop 
Pest Program. And that is also why I am so alarmed by some of 
the recent reports that more than 1,300 APHIS employees have 
accepted the deferred resignation option.
    So my question for you, Madam Secretary, is how will your 
Agency continue to meet its responsibilities after such a major 
reduction in staffing?
    Secretary Rollins. Well, it is a really important question, 
and one that I have been talking about quite a bit in media. I 
think that while we are moving through the reduction in force, 
one point that I made, Senator, I don't know if you were in the 
room, that while 15,000 of our employees of 106,000 staffed 
agencies, a little less than 15 percent have accepted the 
deferred resignation program, our typical attrition is between 
8,000 and 10,000. Now, obviously, this is a significant jump 
from that, but it is one that I believe is manageable.
    I signed a memorandum a few weeks ago at USDA putting our 
key areas, such as APHIS, such as wildland firefighting, such 
as FSA offices, at the very top of the list. So as we have lost 
important employees as part of this process, we are out 
recruiting and ensuring that they become and are prioritized as 
we rehire, realign, and reorganize the Agency.
    Senator Peters. Okay. Well, I look forward to working with 
you on that as well.
    Secretary Rollins. Yes, sir.
    Senator Peters. It is a major concern for us. As you know, 
public investment in agricultural research has decreased since 
2002. While we have seen competitors such as China surge in 
their research efforts, they have now far surpassed U.S. 
investment in agricultural research as well as development. And 
given the critical importance of food security, to national 
security, China competitiveness in this context I think is of 
utmost importance for us to keep an eye on. That is why I am 
frustrated to see that the President's budget calls for hefty 
cuts in ag research funding.
    So my question for you, Madam Secretary is, is ag research 
a priority for this administration? And if so, how do you 
square that with this year's budget request?
    Secretary Rollins. Obviously, the research is a key 
component of this, of the work at USDA. In this budget 
discussion, we are just talking about the discretionary 
funding, which is about 30 billion of our total $200-plus 
billion annual budget, so at about 20 percent total is what we 
are discussing today. In total of that, the research part of it 
in the budget that came out Friday went from $2.1 billion down 
to $1.9 billion. So while it is a cut, it is not a massive cut. 
It is a 7 percent cut, and it is very much focused on outdated 
facilities.
    So as we continue the high priority and the focus on the 
important research, I believe that none of that will be 
compromised, Senator. If you see something different on the 
ground in Michigan or across the country, would you please flag 
it for us, because it shouldn't affect the key, most important 
parts of the research.
    Senator Peters. Great. Well, thank you for that.
    Thank you, Mr. Chairman.
    Secretary Rollins. Thank you, Senator. Good to see you.
    Senator Hoeven. Senator Ossoff.
    Secretary Rollins. Good morning.
    Senator Ossoff. Thank you, Mr. Chairman.
    Good morning, Madam Secretary.
    Secretary Rollins. Good morning.
    Senator Ossoff. Thank you for joining us. I want to follow 
up on hurricane disaster assistance, key, key priority for 
farmers in Georgia, Madam Secretary. It is worth noting that 
after Hurricane Michael in 2018, it took the Congress the 
better part of a year to pass disaster assistance. We worked 
together across the aisle here to get it done after Hurricane 
Helene in less than 90 days.
    Here is a quote from Arren Moses, owner of Moses Pecan in 
Uvalda, Georgia, ``We lost almost our entire 2024 pecan crop 
when Hurricane Helene hit our orchards. We lost the majority of 
our mature pecan trees, which will set our farms' production 
back for years. We were thankful that Congress approved 
disaster assistance funding at the end of last year, but it is 
critical that these funds get to those that need help.''
    Here is a quote from Chris Hopkins, a cotton producer in 
Toombs County, he said that ``The storm has created a void due 
to loss of yield and quality as well as cost of cleanup that 
has become untenable to a first-generation operation like 
mine.''
    When can farmers in Georgia expect that hurricane relief, 
which we passed timely in Congress, to be out the door?
    Secretary Rollins. Yeah. And first of all, thank you for 
that. That relief was passed very quickly and very impressively 
at the end of last year, and so we have been tracking it very, 
very closely. I have visited Georgia. Hopefully next time I 
will see you. I have visited some of those peanut farmers 
especially. I have seen the devastation firsthand. It is 
heartbreaking to witness it. I had mentioned earlier, but it is 
good to keep repeating it, that within a matter of weeks, the 
portal will open on those grant applications. Under ECAP which 
was the first tranche, that first 10 billion that went out for 
emergency assistance.
    Senator Ossoff. That is the economic assistance.
    Secretary Rollins. That is right.
    Senator Ossoff. I am referring to the disaster assistance.
    Secretary Rollins. I understand, but I just want to use 
that as an explanation of how we are going to be also doing the 
second tranche, which is the disaster. We, on March 17th, 
announced it. On March 20th, funds were moving out and into 
farmers' bank accounts.
    Senator Ossoff. When will the portal be open for disaster 
assistance?
    Secretary Rollins. By the end of the month, hopefully in 
the next week.
    Senator Ossoff. And how will that impact states that are 
using a block grant arrangement with USDA?
    Secretary Rollins. Well, that is a state-by-state question, 
so I will be happy to follow up with Tyler Harper, your Ag 
Commissioner, who I know is tracking this very, very closely, 
and I ensure that we both understand----
    Senator Ossoff. When do you expect those discussions with 
the state to be resolved?
    Secretary Rollins. Well, again, there are 50 states. We are 
talking to all of them. When we open that portal, hopefully it 
moves almost immediately. We have already moved the 280 million 
that was outlined in that disaster relief into Texas. Because 
it was outlined, it was obviously easier than, the open book on 
the rest of the states. But it will move very, very quickly.
    Senator Ossoff. Because time is of the essence.
    Secretary Rollins. Then would you please let me know?
    Senator Ossoff. Yes, I will.
    Secretary Rollins. And we will do everything we can.
    Senator Ossoff. Madam Secretary, are you familiar with the 
Local Foods for Schools Program?
    Secretary Rollins. Yes, sir.
    Senator Ossoff. So here is a few quotes from my 
constituents, this is from Scott Richardson of the Dawson 
County School District: ``Local Foods for Schools Program has 
transformed our ability to bring healthy, fresh, and locally 
grown fruits and vegetables to our students. Prior to the LFS, 
purchasing from local farmers was often cost prohibitive.''
    Here is a quote from Parrish Akins, he owns a family farm 
in Nashville, Georgia. Mr. Akins said, this program, quote, 
``Has allowed our farming operation to capture some of the 
profits, which in the past would have gone to another member of 
the supply chain, and has allowed us to increase our 
revenues.''
    Here is Colquitt County School Nutrition Office, 
``Purchasing local foods has significantly enriched our school 
community by providing fresher, healthier meal options for 
students.''
    Here is Atlanta Neighborhood Charter School Nutrition, ``We 
bought some Georgia shrimp from a guy who has been in the 
shrimp industry since he was a teenager.''
    In Brunswick, Crisp County School Nutrition, ``Through the 
Local Food for Schools Program, we were able to establish 
reliable and stable local food sources.'' This is a program, of 
course, that helps Georgia farmers sell food to Georgia 
schools. Why did you cancel the program?
    Secretary Rollins. Well, let us talk about Georgia for a 
second.
    Senator Ossoff. I have 50 seconds left, so I just want to 
know about the----
    Secretary Rollins. Well, that is a big question. You have 
got to give me a little bit more time.
    Senator Ossoff. You can take your time, but I want to know 
why you canceled the program.
    Secretary Rollins. Well, we canceled the program. It was a 
COVID-era program, first of all. Second of all, the money was 
not being spent. In the current tranche, your state has $2 
million of $7 million left in the account. You are asking for 
contract extensions because you cannot spend the money quickly 
enough. The food for the FPA and the LFPA, we have got $10 
million of $20 million left, so you have got money in the bank.
    Senator Ossoff. Why rather than tailor the program did you 
cancel it?
    Secretary Rollins. It is not a good use of taxpayer funds 
when you have got taxpayer dollars.
    Senator Ossoff. Well, my constituents believe that it 
Constituents, the farmers----
    Secretary Rollins. Well, I would love to talk to your 
constituents, I wonder if they know that the State of Georgia 
has not moved that money out, we just can't continue that.
    Senator Ossoff. Constituents, the farmers--Will you please 
provide to the committee an economic justification for the 
outright cancellation of that program?
    Secretary Rollins. An economic justification for the 
outright cancellation of the COVID-era program that was due to 
end, yes, we will do that.
    Senator Ossoff. Of the Local Food for Schools program that 
the constituents enjoy and rely on?
    Secretary Rollins. Yes, we will be happy to do that, sir.
    Senator Ossoff. Thank you, Madam Secretary.
    Secretary Rollins. Thank you.
    Senator Hoeven. Senator Merkley.
    Secretary Rollins. Good morning.
    Senator Merkley. Thank you, Mr. Chairman.
    And welcome.
    Secretary Rollins. Thank you.
    Senator Merkley. So agricultural research is very important 
in the State of Oregon. We have such varied types of 
agricultural activity. Just to give you an example, in 
Corvallis the work is done on sudden oak death, which has a 
huge threat to our nursery stock industry but also a huge 
threat, potentially, to our timber. In Pendleton, the research 
being done on drought-resistant dry land wheat varieties is 
essential. In Burns, the research on how to reseed grasses that 
are beneficial to cattle after a fire, rather than having cheap 
grass take over, is essential.
    Secretary Rollins. Sure.
    Senator Merkley. So we were shocked when all these 
scientists were fired. We lobbied like hell to get them back. 
We got them back, thank you very much. But I am very concerned 
about the proposed cut of 160 million to research in the 
proposed budget.
    Can you ensure, or can you assure the farmers and all the 
ranchers in all these different places in Oregon that the 
research will go on in a vibrant and significant way? Not only 
for these reasons, that is just a short list, I mean, we have 
invasive flies affecting the berries.
    Secretary Rollins. Right.
    Senator Merkley. You know, we have warmer conditions in the 
ocean affecting our shellfish. Can you assure us that we are 
not going to end up without this essential research being done?
    Secretary Rollins. Yes, sir. And I really appreciate this 
question, Senator. So the ARS portion of USDA has a $2.1 
billion budget. The President's budget suggests, as you 
mentioned, the $160 million decrease. That takes us down to 
1.9. That is about a 7 percent decrease, so it is not, you 
know, as big as maybe it is being made out to be in the press. 
And that specifically is focused on closing outdated facilities 
around the country that have nothing to do with the different 
issues that are being researched that are outlined.
    So yes, we can commit to ensure that the robust body of 
research that is so important to our agriculture producers 
continues. And I look forward to working with you. And if you 
hear anything differently, please call me direct.
    Senator Merkley. Are there any outdated facilities that you 
think are outdated in Oregon?
    Secretary Rollins. I do not believe so, but we will follow 
up on that.
    Senator Merkley. Okay. Thank you.
    Secretary Rollins. Thank you.
    Senator Merkley. Because I don't know of it, I have 
visited, I think, all of them, and they are incredibly 
important.
    Secretary Rollins. We will follow up on that today, sir.
    Senator Merkley. Okay. I want to turn to the question about 
the funding to decrease, essentially, the challenge of food 
insecurity. And we have one in six kids in Oregon who are 
facing that insecurity, which basically means they are going 
hungry. And so the suspension of the Commodity Credit 
Corporation payments to food assistance programs, including 
TEFAP, have really been shocking. I don't think President Trump 
campaigned on: I am going to help increase the number of hungry 
kids. So what is going on there with that?
    Secretary Rollins. Well, and let me pull up the Oregon 
numbers just so you are aware. So again, USDA spends about, 
$400 million a day on nutrition programs. That is a stunning 
number. The specific program you are talking about, sir, to 
answer your question, was a COVID-era program that, at the 
time, probably made a tremendous amount of sense but never was 
meant to continue indefinitely.
    And specifically to Oregon, of the $2 million under the LFS 
program and the $7 million under the LFPA, Oregon has $330,000 
left in the first and $5 million left in the second. Almost 
every state was asking for contract extensions because they 
couldn't spend the money quickly enough. So I think it just 
goes to the balance we have to strike every single day on 
ensuring that every taxpayer dollar is spent to the best and 
highest use.
    And it was the decision of our President and this 
administration that perhaps that COVID-era program had 
fulfilled its purpose. But we can still continue to make sure 
that we are supporting our farmers and getting nutritious foods 
into the schools and into the food banks, but through different 
and other programs.
    Senator Merkley. You know, I guess I would like to have you 
look at this from the perspective: Is there a current need that 
needs to be addressed, whether or not it was originated under 
COVID or not? I have visited those food banks. I have seen the 
high increase in demand, which, it is kind of scary to see how 
that need has grown. I have the estimate from the Oregon Food 
Bank that the changes that are currently happening under the 
credit corporation, the suspension, will reduce their ability 
to provide about three million meals, 2.88 they said, three 
million meals.
    It seems like a pretty significant impact to an ongoing 
problem, regardless of whether the program was created under 
COVID. So could you just take a look at that in more detail?
    Secretary Rollins. I will.
    Senator Merkley. All of those numbers you provided, I did 
not catch if one of those was a TEFAP number?
    Secretary Rollins. Yes, sir.
    Senator Merkley. Okay. Because I know that has been the top 
priority of the Oregon Food Bank, is being able to move produce 
around the state, which had been very helpful to our farmers in 
one place that have a surplus, or grocery stores that have a 
surplus, they are donating it, but it has to be moved to where 
it is needed, and it has to move in a timely fashion so it 
doesn't rot.
    Secretary Rollins. Right.
    Senator Merkley. And all the vegetables and so forth. So I 
see that five minutes have vanished, and my stack of another 
ten questions are ongoing.
    Secretary Rollins. Well, I am always available. So I 
welcome a phone call. Just, you know, call me anytime, and we 
will be so happy to walk through any of this with you.
    Senator Merkley. Thank you. Thank you very much.
    Secretary Rollins. Yeah, thank you, Senator. Nice to meet 
you.
    Senator Hoeven. Secretary, we know you have a time line. We 
certainly want you visiting with the Mexican Ambassador. We 
will go to close up.
    Let me turn to Ranking Member Shaheen for her final 
comment.
    Secretary Rollins. Yeah. And Senator Shaheen, if you have 
any other questions, we can, we can go a few more minutes.
    Senator Shaheen. Well, I just wanted to clarify what 
Senator Murray and I think we were asking you about with 
respect to the WIC Program which, as you pointed out, is not 
mentioned at all in the skinny budget. And what also is not 
mentioned is the cash value benefit for fruits and vegetables. 
So what we wanted to know from you is whether you would support 
fully funding WIC, including that cash benefit?
    Secretary Rollins. If you do not mind, I would like to take 
a good look at it, since it wasn't in this particular round. I 
haven't spent the time on it, but obviously this administration 
believes that WIC is very important.
    Secretary Kennedy and I have had conversations about it 
pretty extensively already. So the more that I can learn and be 
in contact with you all, I would welcome that.
    Senator Shaheen. We would appreciate your getting back to 
us on whether you support both aspects of the WIC Program. The 
other thing I just wanted to clarify is, I was not quite clear 
where you got the numbers of money that has gone out to New 
Hampshire and the number of recipients, because when we check 
the online dashboard, New Hampshire has received 24,000 only, 
of the $10 billion in economic disaster assistance that was 
provided in the December supplemental, and the dashboard states 
that 51 applications have been approved. So I am not sure where 
those numbers came from, but they are a lot higher than any 
numbers I have ever heard related to the agricultural sector in 
New Hampshire.
    Secretary Rollins. So you know what, Senator, my apologies, 
it looks like there was a typo on yours--you and South Dakota 
are exactly the same on this sheet. And we know that those are 
two very different states, so my sincere, sincere apologies. 
This is unacceptable. It will not happen again. And we will 
make sure and get it right, and today we will follow up. Now, I 
do not know we will get this up today.
    Senator Shaheen. Thank you. And actually, the numbers are 
not as big a concern for me as making sure that the funding 
goes to the people who need it in New Hampshire.
    Secretary Rollins. Yes, ma'am.
    Senator Shaheen. That is the concern.
    Secretary Rollins. We will follow up with your team today 
on that and make sure you have the up-to-date numbers.
    Senator Hoeven. Yeah. And I can add there. Again, I think 
that is weather-related, which you will have coming out. We put 
a number of different components in there.
    Secretary Rollins. Right.
    Senator Hoeven. So I think, Senator Shaheen, correct me if 
I am wrong. You just want to make sure in that weather 
component they are cognizant of the language you talked about 
with the allocation specifically regarding small farms; is that 
right?
    Senator Shaheen. Well, the $220 million set aside for the 
eight states for New England is a concern.
    Senator Hoeven. Yes.
    Secretary Rollins. Yes.
    Senator Shaheen. But the other concern is the halt on 
funding and the applications that have been submitted for all 
of the assistance programs. Thank you.
    Secretary Rollins. Yeah. We will get direct information on 
that.
    Senator Shaheen. Mr. Chairman, yes.
    Senator Hoeven. Right. There were like five different 
pieces to that, and so I think she is referring to a piece that 
was weather-related, separate from the market conditions base--
the 10 billion-base that we talked about.
    Secretary Rollins. That is right.
    Senator Hoeven. I think that is the confusion.
    Secretary Rollins. We will fix that. Yes, ma'am.
    Senator Hoeven. So I will follow up with her on that. And 
again, from what I have seen, you are following very well what 
we laid out in that emergency assistance, and we appreciate it 
in getting this squared away.
    Secretary Rollins. Thank you.
    Senator Hoeven. Just final couple comments or questions. 
Any update on tariff agreement timelines?
    Secretary Rollins. Yes. I don't want to speak for Secretary 
Lutnick, Secretary Bessent, or our U.S. Trade Rep, Jamieson 
Greer, or the President, but we are exceedingly close to having 
significant announcements that of anyone that will be impacted, 
no one will be impacted positively more than our agriculture 
industry, as these announcements begin to roll out very 
quickly.
    Senator Hoeven. And we think weeks, not months?
    Secretary Rollins. Oh yes. That is right.
    Senator Hoeven. Yes.
    Secretary Rollins. That is exactly right, within week/
weeks.
    Senator Hoeven. Yeah. Okay. And then there was some 
discussion regarding ARS restructuring, those kind of things. 
Obviously, the policy centers, you have got one at A&M, FAPRI, 
NDSU, Nebraska, Omaha, we are going to want to be involved in 
that very closely with you, very important, as well as the NIFA 
funding. So those are things that we are going to want to talk 
to you about closely more.
    Secretary Rollins. We would welcome that.
    Senator Hoeven. Critically important.
    Secretary Rollins. Yes. Thank you.
    Senator Hoeven. Yeah. And then, just anything else that you 
want to add for the record, Secretary, before we adjourn?
    Secretary Rollins. I would just say that I really, really 
appreciate the opportunity. This is my first hearing, other 
than the confirmation hearing. And I have been--you know, 
obviously there are some differences of opinion, and we can 
agree to disagree, but the agriculture side of this effort, we 
are all in this together. And I think even on the other side of 
the aisle, you know, understanding that every one of our 
elected officials on both sides really want what is best for 
our ag producers, and our farmers, and our ranchers.
    And I know you know this, Senator Hoeven; and Senator 
Shaheen, you may not yet, but I am always available. And I just 
want this to be a productive conversation and productive 4 
years where we can hopefully get these farmers and ranchers 
back to a place of prosperity, and where they are not worrying 
about losing their farm every single year. So that is my goal, 
and I look forward to working across party lines to do that.
    Senator Hoeven. Well again, Secretary, thank you for being 
here.
    Secretary Rollins. Well, easy. Thank you. And I should not 
say that before the questions come in, but we will do that. And 
one other thing for you all to know too, we are working really 
hard on the letters to make sure we are timely on responding to 
letters. We have gotten about 140 since I took office about 80 
days ago, and we have responded to more than half of those to 
date. And we have responded to everyone on this committee. So I 
feel really good, and we are way understaffed. So I think that 
we will be able to be much more timely, moving forward. And 
that is really important to me as well.

                     ADDITIONAL COMMITTEE QUESTIONS

    Senator Hoeven. Questions for the record are due by next 
Tuesday, May 13th. And we would appreciate responses back from 
USDA within 30 days.
               Questions Submitted to Hon. Brooke Rollins
               Questions Submitted by Senator John Hoeven
    Question. On May 16, I was informed of a round of terminations of 
the McGovern-Dole Food for Education grants; some of which were mid-way 
through a multi-year program. The FY2025 bill provided $240 million to 
this program, which is the largest global donor to school feeding 
efforts. The program provides U.S. agricultural commodities, funding, 
and technical assistance to reduce hunger, support nutrition, and 
improve literacy, primary education and training around the world. The 
McGovern-Dole Program supports domestic agricultural producers, 
advances U.S. diplomatic interests, and has received bipartisan support 
since 2002. Can you provide details such as which programs were 
terminated and the justification for termination?
    Answer.In line with President Trump's January 20, 2025, Executive 
Order: Reevaluating and Realigning United States Foreign Aid, USDA 
terminated the below 17 McGovern-Dole projects that do not align with 
the foreign assistance objectives of the Department. USDA continues to 
maintain 30 active McGovern-Dole projects in 22 countries, and the FY25 
Notice of Funding Opportunity for the program was posted on May 9.

 
 
------------------------------------------------------------------------
               FY                       Country          Organization
------------------------------------------------------------------------
FY19............................          Uzbekistan         Mercy Corps
FY19............................                Togo                 CRS
FY20............................           Guatemala                 CRS
FY20............................            Honduras                 CRS
FY20............................                Mali                 CRS
FY21............................               Benin                 CRS
FY21............................        Burkina Faso                 CRS
FY21............................          Kyrgyzstan         Mercy Corps
FY21............................                Laos                 CRS
FY21............................        Sierra Leone                 CRS
FY22............................             Burundi                 CRS
FY22............................             Lesotho                 CRS
FY22............................          Madagascar                 CRS
FY22............................         Timor-Leste                CARE
FY23............................               Nepal                 WFP
FY23............................           Nicaragua     Project Concern
                                                                   Int'l
FY24............................       Guinea-Bissau                 CRS
------------------------------------------------------------------------


                                 ______
                                 

            Questions Submitted by Senator Cindy Hyde-Smith
    Question. USDA Watershed and Flood Prevention Operations 
administered by the Natural Resources Conservation Service (NRCS) are 
vital to rural Mississippi. Local sponsoring organizations throughout 
Mississippi are working constantly to prevent flood, erosion, and 
sedimentation damage in various watersheds--all of which affect 
conservation, water disposal, and land utilization. Should Congress 
provide funding for NRCS watershed operations above the FY2026 budget 
request, are you confident that the Department could effectively put 
those additional funds to good use?
    Answer. NRCS is committed to supporting the technical and financial 
assistance needs of local sponsoring organizations who have watershed 
flooding, erosion and sedimentation concerns using funds provided to 
the Watershed and Flood Prevention Operations program.
    Question. I was pleased to see that the FY26 USDA budget request 
calls for increased funding for the Food Safety and Inspection Service 
(FSIS). Since USDA assumed responsibility over catfish inspection, 
along with meat, poultry and egg products, the import of products 
containing substances that could be harmful to human health has 
declined. But USDA can do more to stop foreign countries, like Vietnam, 
from sending us catfish grown in unsanitary conditions and treated with 
chemicals not approved for U.S. aquaculture. With any additional 
funding provided for FSIS in FY26, will you work to make sure USDA 
catfish inspections are strengthened to the maximum--especially for 
imports from known violators?
    Answer. FSIS is committed to ensuring foreign suppliers meet the 
same rigorous food safety standards as domestic catfish producers. USDA 
will also continue working with the Department of Commerce and across 
the Trump administration to ensure our producers have a level playing 
field with our trading partners, including for our catfish producers.
    Question. USDA administers the National Veterinary Stockpile (NVS), 
a repository of materiel that can support State-based outbreaks of 
livestock infectious disease. The unabated threat from H5N1 avian 
influenza necessitates that those responding to these outbreaks have 
access to effective personal protective equipment (PPE). It also 
necessitates even more robust preparedness for any mutation of the 
virus that could be especially virulent and transmissible to people. 
This latter scenario would require significant levels of PPE to ensure 
the safety of all animal agriculture workers and outbreak response 
personnel. Can you please report back on the following: What specific 
PPE supplies have the USDA stockpiled in the NVS? What planning 
scenarios are these assets tied to? How many critical personnel could 
be supported by this PPE in these scenarios? Have you coordinated with 
the Department of Health and Human Services to plan for leveraging PPE 
assets in the Strategic National Stockpile in the event of an emergency 
that exceeds the assets in the NVS?
    Answer. The PPE in the NVS includes goggles, disposable coveralls, 
respirators, gloves, boot covers, and bouffant caps. The NVS is 
designed to maintain sufficient amounts of countermeasures capable of 
deployment against the most damaging animal diseases within 24 hours. 
USDA is committed to working with our partners across the Federal 
Government and routinely communicates with other agencies to ensure the 
best outcomes in the event of large-scale emergencies.

                                 ______
                                 

               Questions Submitted by Senator Mike Rounds
    Question. As you know, Highly Pathogenic Avian Influenza (HPAI) 
continues to devastate producers in South Dakota. While farmers in my 
state are taking proactive steps to protect poultry and dairy 
populations, the presence of migratory birds continues to exacerbate 
the spread of HPAI. These circumstances have led many producers to 
support the development of an HPAI vaccine.
    Secretary Rollins, it was encouraging to see USDA support the 
conditional approval of an avian flu vaccine for poultry. Do you 
believe the USDA Agricultural Research Service (ARS) has the necessary 
resources to support the development of additional HPAI vaccine 
candidates?
    Answer. ARS is fully committed to providing the necessary resources 
to combat HPAI through detection, biosecurity, and vaccine development 
and testing. Several vaccines against the currently circulating viruses 
for chickens have been tested by ARS and licensed by the USDA Center 
for Veterinary Biologics. ARS is currently receiving congressionally 
appropriated funding for poultry vaccine development and approaches, 
such as mass vaccination of birds and vaccines that enable 
differentiating infected from vaccinated animals (DIVA vaccines).
    For other species (cattle, small ruminants, and swine), ARS 
received additional Commodity Credit Corporation funding through an 
interagency agreement with APHIS. These additional resources support 
foundational research on species-specific animal models and vaccine 
testing, thereby enhancing our knowledge and understanding of a disease 
previously unknown in these species.
    Question. Secretary Rollins, South Dakota ranch families work 
tirelessly to produce the safest, highest quality and most affordable 
beef in the world. Yet as you know, foreign animal disease threats have 
the ability to halt the U.S. beef trade. Unfortunately, the previous 
administration lifted a long-standing ban on Paraguayan beef imports.
    Secretary Rollins, does USDA's Animal and Plant Health Inspection 
Service (APHIS) currently have the necessary resources to effectively 
combat foreign animal diseases such as Foot and Mouth Disease (FMD) or 
New World Screwworm?
    Answer. Yes, APHIS currently has the resources needed to combat 
foreign animal diseases and will continue to reassess needs as 
warranted.
    Question. For too long, American producers have been forced to 
compete with lower quality foreign beef that falsely bears the 'Product 
of USA' label. I previously introduced the USA Beef Act to make certain 
the ``Product of USA'' label is only applied to beef derived from 
livestock raised and slaughtered in the United States. Since this time, 
USDA has implemented this change through rulemaking.
    Secretary Rollins, with USDA set to implement this rule next year, 
can you confirm whether the Food Safety and Inspection Service (FSIS) 
will be fully prepared to administer the voluntary ``Product of USA'' 
labeling program?
    Answer. USDA is thoroughly reviewing significant rules put in place 
by the previous administration, such as the voluntary ``Product of the 
USA'' labeling program. FSIS will continue to review stakeholder and 
Congressional input as this review is ongoing.
    Question. USDA's Rural Utilities Service (RUS) provides critical 
financing to electric cooperatives across rural America, enabling many 
small South Dakota communities to upgrade their rural electric 
infrastructure. While the agency has traditionally worked well with 
rural leaders, cooperatives in my state have recently encountered 
lengthy delays due to RUS environmental reviews-a problem that 
originated during the previous administration.
    Secretary Rollins, will you work to help resolve these bureaucratic 
delays and make sure that appropriated RUS funding is disbursed 
promptly to rural electric cooperatives?
    Answer. RUS has been working to identify process improvements to 
streamline reviews to ensure compliance with the National Environmental 
Policy Act. We have already implemented emergency procedures to comply 
with Executive Order EO 14156, Declaring a National Emergency. USDA is 
actively participating with other Federal agencies to comply with EO 
14154, Unleashing American Energy, by identifying and adopting agency 
level implementing regulations to expedite permitting approvals and 
meet deadlines established in the Fiscal Responsibility Act of 2023 
(Public Law 118-5).

                                 ______
                                 

             Questions Submitted by Senator Jeanne Shaheen
    Question. There are several Regional Conservation Partnership 
Program awards in New Hampshire that have been disrupted by this 
administration's funding freezes. The pauses and failure to provide 
clear communication to grantees about the review have injected 
unnecessary uncertainty in the process and delayed key seasonal work. 
Given that it has been more than 3 months since the administration 
froze this program and many others, when will USDA release the funding 
and allow RCPP projects to proceed?
    Answer. On June 11, USDA notified all RCPP partners of the status 
of their project.
    Question. More than 12,000 women, infants and children in New 
Hampshire rely on the WIC program for healthy food, breastfeeding 
support and nutrition education. An important part of this program is 
the WIC Cash Value Benefit, which helps participants afford the level 
of fresh fruits and vegetables each month recommended by the National 
Academies of Sciences, Engineering and Medicine. Do you agree that 
failing to fully fund the fruit and vegetable cash value voucher 
undermines the nutritional quality of the WIC program?
    Answer. I appreciate the value of the Special Supplemental 
Nutrition Program for Women, Infants, and Children (WIC) to pregnant 
and postpartum mothers and their children. WIC has a proven track 
record of improving children's health by providing access to 
supplemental foods, nutrition education, and health referrals. It 
allows health- conscious food purchases that are adjusted according to 
participants' life stage nutritional needs. The President's Budget 
would continue to ensure WIC participants receive nutritious 
supplemental foods--including support for purchasing fresh fruits and 
vegetables--to promote healthy eating habits and improved health 
outcomes.
    Question. The Snow Telemetry Network (SNOTEL) has been providing 
western States with vital measurements of snow accumulation and snow 
melt prediction data for decades. In recent years, this Committee 
provided additional funding to expand the SNOTEL program to the 
Northeast-this data will be key for the region to better understand 
flood potential, water supplies and the effects on seasonal businesses. 
Do you commit to continuing the SNOTEL expansion to the Northeast? What 
resources are needed in Fiscal Year 2026 to keep the expansion on track 
and what benchmarks does NRCS hope to reach over the course of the next 
year?
    Answer. As our new Administration continues to evaluate all USDA 
agency programs to identify opportunities to reduce inefficiencies, and 
enhance customer service, especially to agricultural producers, NRCS is 
currently focused on protecting our historical investments in the Snow 
Survey and Water Supply Forecasting Program. We will continue to 
collaborate with other federal, State and local agencies to develop and 
encourage use of new techniques, improving data collection and 
processing. Additionally, NRCS is evaluating a request for a no cost 
extension of the existing Cooperative Agreement with the Northeast Snow 
Survey Feasibility Study partners to accomplish the following 
benchmarks though Fiscal Year 2026:

  --Summary report on interest holder engagement process and outcomes 
        to share with interest holders.

  --Summary report of snow monitoring in northern New England and New 
        York to share with NRCS colleagues and interest holders.

  --Systems Engineering plan linking network objectives to data 
        products, processing workflow, measurement specifications, and 
        spatial design.

    Question. New England experiences significant weather variability, 
including historically dry and historically wet years over the last 
decade. For many small and diversified operations in New Hampshire, 
protected agriculture systems are critical to reducing weather 
exposure, limiting damage from pests and diseases and helping farmers 
extend their growing seasons. There is an opportunity for ARS to do 
further research into optimal uses of these systems, and there are 
ready partners like the University of New Hampshire who have done 
related extension work.
    Will you work with me on expanding investments in research relating 
to protected agriculture?
    Answer. If ARS is provided with funding from Congress to support 
research relating to protected agriculture, I look forward to working 
with you and ARS leadership to find ways to work with ready partners to 
conduct this research.
    Question. In Fiscal Year 2024, this Committee created a pilot 
program to add an additional tool to preserve the rural affordable 
housing portfolio. Do you commit to continuing to pursue and providing 
the committee with regular updates regarding the Multifamily Housing 
decoupling pilot? How many staff will be dedicated to affordable 
housing preservation, and how many properties does RD plan to offer 
decoupled rental assistance agreements to in Fiscal Year 2026?
    Answer. We will ensure sufficient staff are dedicated to affordable 
housing preservation to meet the statutory requirements. In Fiscal Year 
2026 there are 52 units initially eligible for the pilot, with 1,209 
units eligible for preservation through the pilot program.
    Question. In October 2023, the Government Accountability Office 
released a report titled ``Sugar Program: Alternative Methods for 
Implementing Import Restrictions Could Increase Effectiveness''. GAO 
made recommendations on improving the trade aspects of the program, and 
USDA and USTR stated that they concurred with the recommendations. 
Career officials at USDA communicated to stakeholders that policy 
announcements to implement the GAO recommendations would be initiated 
within 18 months of the report's release. When will USDA announce 
policies to initiate implementation of the GAO recommendations?
    Answer. USDA remains in close coordination with the Office of the 
United States Trade Representative as it implements its GAO 
recommendation. In 2024, USDA concurred with GAO's recommendation for 
USDA to evaluate the effectiveness of the WTO raw sugar tariff rate 
quota allocation methods. USDA committed to providing USTR an 
evaluation report within 2 years and expects to share this evaluation 
in 2025; USDA will inform GAO once the report has been shared to close 
out its recommendation.

                                 ______
                                 

              Questions Submitted by Senator Jeff Merkley
    Question. According to the Oregon Food Bank, 1 in 8 people and 1 in 
6 kids in Oregon and Southwest Washington are going hungry. However, 
earlier this year, the USDA announced that it would suspend Commodity 
Credit Corporation payments to food assistance programs, including the 
Emergency Food Assistance Program (TEFAP). As a result, this year, 
Oregon food banks will be unable to provide 2.88 million meals. How 
many fewer meals will be delivered as a result of the decision to spend 
Commodity Credit Corporation payments?
    Do you agree that suspending CCC payments to food assistance 
programs has resulted in more individuals going hungry?
    Answer. USDA spends roughly $400 million per day across its 16 
nutrition programs. Currently, one in four Americans will participate 
in a USDA Food and Nutrition Service Program at some point over the 
course of the year. Taxpayers generously fund these programs to help 
ensure that no children, in Oregon or any other state, go hungry. We 
owe it to taxpayers to ensure these programs are effective and 
accountable. And with these nutrition programs and the Section 32 
market support program in place, USDA remains focused on its core 
mission: supporting agricultural markets and ensuring access to 
nutritious food. The Department will continue to use its procurement 
authority to support producers and consumers where appropriate, and 
ensure families continue to have access to affordable and abundant 
food.
    Question. When will Commodity Credit Corporation (CCC) payments to 
food assistance programs resume?
    Answer. USDA continues to purchase food for TEFAP, with more than 
$669 million spent in Fiscal Year 2025, as of May 14, 2025, to connect 
families to food. Additionally, since March 27, 2025, USDA has 
announced $328 million in available fruits, vegetables, tree nuts, 
Atlantic groundfish, canned pears, dried sweet cherries, great northern 
beans, and Pacific pink shrimp made possible through Section 32 
purchases. These foods go directly to food banks and other charitable 
organizations.
    Question. At the hearing, you stated that the proposed $159 million 
decrease for the Agricultural Research Service is ``specifically 
focused on closing outdated facilities around the country that have 
nothing to do with the different issues that are being researched... 
yes, we can commit to ensure that the robust body of research that is 
so important to our agriculture producers continues.'' You also 
committed to following up with me to assure that no facilities in 
Oregon were targeted for closure. Are any ARS units in Oregon proposed 
for closure or consolidation?
    Answer. The President's Budget does not propose the closure or 
consolidation of any ARS units in Oregon.
    Question. What facilities or ARS units are proposed for closure or 
consolidation? Why?
    Answer. The President's Budget proposes the closure of three 
locations to support the Administration's priority of reducing the 
Federal footprint. These include Newark, Delaware; Riverside, 
California; and Urbana, Illinois. The research programs and resources 
will be consolidated with other existing ARS laboratories and 
locations.
    Question. You stated clearly that the proposed funding cut to the 
Agricultural Research Service would only be used to close outdated 
facilities. This statement contradicts the President's so-called 
``skinny budget,'' which States, ``The Budget reduces funding for 
research sites across the Nation that have exceeded their ideal 
lifespan and reduces funding for research projects that are not of the 
highest national priority.'' Please clarify whether the U.S. Department 
of Agriculture intends to cut funding for research projects. If so, 
which projects does the Department intend to cut?
    Answer. The President's Budget proposal for ARS terminates $145 
million for Climate Science research and the Climate Hubs. These 
activities are not aligned with the Administration's priorities.
    Question. I am concerned with this administration's attempt to 
withhold funds that were directly allocated for specific purposes by 
Congress. For example, this administration initially froze the 
Partnerships for Climate-Smart Commodities (PCSC) program which had 
awarded grants to more than 130 agriculture projects across the 
country, including in some of Oregon's most rural communities. Now, the 
program has been rebranded by the Department of Agriculture and 
possesses a different set of criteria for applicants to reapply for 
funding. I have heard from ranchers in Oregon who received a PCSC grant 
that has been terminated. They do not intend to reapply for the 
rebranded program because they do not trust that the USDA will uphold 
its commitments for funding and because they do not believe that the 
USDA understands the time and resources it takes for small farms to 
apply to Federal grants. How does USDA intend to maintain trust with 
our farmers and ranchers while creating an environment of uncertainty 
and pulling funding from critical projects in agricultural communities 
across the country?
    Answer. The Partnerships for Climate-Smart Commodities (PCSP) 
program was established by the previous administration utilizing 
discretionary authorities under the Commodity Credit Corporation 
without funding direction or input from Congress. In creating the 
Advancing Markets for Producers initiative, USDA will continue to 
support farmers and encourage partners to ensure their projects are 
farmer focused or re-apply to continue work that is aligned with the 
priorities of this Administration.
    Question. On May 5th I sent a letter to the U.S. Department of 
Agriculture requesting that the Agricultural Marketing Service (AMS) 
approve the Westcoast Seafood Processors request for a Section 32 
purchase of Pacific pink shrimp. If approved, the Section 32 purchase 
of Pacific pink shrimp would provide economic certainty to Oregon 
fisheries and coastal communities in addition to providing much needed 
relief in response to the impacts of this administration's tariff war. 
Although the U.S. and EU have paused tariffs and retaliatory tariffs, 
European customers cancelled their orders of American seafood products, 
including up to 50% of the Oregonian pacific pink shrimp in response to 
the President's announcement of tariffs. The pacific pink shrimp season 
opened on April 2, 2025--leaving no time for the industry to find 
alternative markets to offset the loss of consumers from the European 
market. Will the Agricultural Marketing Service approve of the 
Westcoast Seafood Processors request for a Section 32 purchase?
    Answer. On May 23, AMS announced a Section 32 purchase of up to $16 
million of Pacific Pink Shrimp.
    Question. The Watershed and Flood Prevention Operations (WFPO) 
Program--also known as PL-566--has been integral to agricultural 
producers in the west to modernize their irrigation systems through 
piping to respond to increased drought conditions. This program is ran 
through USDA's Natural Resources Conservation Service (NRCS). During 
the President's first term, a group of NRCS State Conservationists 
developed a white paper proposing improvements to the PL-566 program to 
streamline the approval of watershed plans and break ground on more 
projects in a timely manner. In the years that followed, the 
recommendations in this white paper were never fully adopted/
implemented by the agency. The President's ``Skinny'' Budget released 
last week would provide $0 for WFPO, which specifically supported 
multi-benefit projects in the West. Given the President's Budget 
request calls for eliminating funds specifically for projects that 
support Western farmers combat drought and implement multi-benefit 
projects, how do you plan to maintain these activities at the agency?
    Answer. There is permanent funding of $50 million provided annually 
through the Farm Bill to support watershed projects. In addition, this 
program received an enormous influx of funding through IIJA, which NRCS 
is still working to obligate.
    Question. Does the agency have plans to modernize the WFPO program 
to facilitate multi- benefit projects? What steps will you be taking to 
accomplish this modernization?
    Answer. The NRCS WFPO program utilizes a continuous process 
improvement strategy to prioritize changes related to Congressional 
directions and local project sponsor feedback. Specifically, NRCS plans 
to streamline:

  --the Preliminary Investigation and Findings Report (PIFR) 
        development process,

  --the Watershed Project Plan development, review and implementation 
        authorization process,

  --and the development of Environmental Assessments or Environmental 
        Impact Statements for WFPO projects.

                                 ______
                                 

              Questions Submitted by Senator Tammy Baldwin
                                biofuels
    Question. What actions is USDA taking to ensure that EPA 
understands the importance to US agriculture of quickly getting the 
upcoming Renewable Volume Obligation rulemaking out the door that 
includes biomass-based diesel volumes at 5.25 billion gallons and 
implied ethanol volumes at no less than 15 billion gallons? When do you 
expect the EPA proposal to be released?
    Answer. USDA staff have been and will continue to be in 
communication with EPA about rules that impact U.S. farmers and rural 
communities. On June 13, the Environmental Protection Agency released 
the Proposed Renewable Fuel Standards for 2026 and 2027 including a 
proposed 15 billion gallons of conventional renewable fuels.
    Question. Once volumes are set, they must not be undermined by 
small refinery exemptions. What steps is USDA taking to ensure that EPA 
and the White House understand the need for a careful and judicious 
approach to any justified small refinery exemptions that ensures that 
blending requirements are not reduced?
    Answer. USDA staff have been and will continue to be in 
communication with EPA about rules that impact U.S. farmers and rural 
communities.
                       climate smart commodities
    Question. On April 14, 2025, USDA announced cancellation of the 
Partnership for Climate Smart Commodities program. The program had 
funded 28 projects that had touch points and conservation enrollment 
opportunities for Wisconsin producers as well as sizeable projects 
focused on our State's vital dairy community. At the same time the 
cancellation notice was provided USDA also announced the new 
``Advancing Markets for Producers'' initiative. Could USDA please share 
with the Committee:

  --A breakdown (including funding allocations) of both terminated 
        projects as well as projects selected to continue;

  --What if any modifications were required for projects selected to 
        continue;

  --Specific details on Advancing Markets for Producers (AMP) 
        initiative, including but not limited to:

    --Eligible applicants.

    --AMP objectives and timelines.

    --Size, scope and duration of projects sought through AMP.

    --Application materials and deadlines.

    --Expected Federal funding committed to AMP.

    --Application review and grant awarding process.''

    Answer. The Partnerships for Climate-Smart Commodities (PCSP) 
program was established by the previous administration utilizing funds 
under the Commodity Credit Corporation without funding direction or 
input from congress. In creating the Advancing Markets for Producers 
initiative, USDA will continue to support farmers and encourage 
partners to ensure their projects are farmer focused or re-apply to 
continue work that is aligned with the priorities of this 
Administration.
                            organic concerns
    Question. The Organic Agriculture Research and Extension Initiative 
(OREI) and the Organic Transition Program (ORG) run under the National 
Institute of Food and Agriculture (NIFA) are the only competitive grant 
programs dedicated to organic agriculture research topics. We are 
hearing from organic researchers across the country that OREI and ORG's 
request for applications (RFA's) have been pulled from the NIFA 
website. This is very concerning because under normal timelines, the 
review process for both of these programs would be almost done at this 
point. For OREI, which is Congressionally authorized and has permanent 
and mandatory funding through the Farm Bill, we have also heard that 
the Scientific Review Board has been disbanded. No Scientific Review 
Board means no awards given out.
    Can you confirm if the RFA's for the only two grant programs 
dedicated to organic agriculture topics will be released soon? Lastly, 
can you confirm if the Scientific Review Board for OREI has truly been 
disbanded?
    Answer. The RFAs for both programs (OREI and ORG) are currently 
being reviewed and will be released in the near future.
    Additionally, no scientific peer review panel for any NIFA program 
has disbanded. To make the scientific peer review panel more efficient, 
NIFA recently transitioned to using a ``panel chair'' selected from the 
members of the scientific peer review panel to manage the review 
process. This is a change from the previous ``panel managers'' who were 
recruited to serve as temporary Federal employees, and this recruitment 
slowed down the review process.
    Question. Federal funding freezes and Federal employee deferments 
have crippled NIFA research projects as well as the in-house research 
efforts at ARS. ARS and NIFA research projects require steady 
monitoring and evaluation since they often revolve around organic 
materials such as animals, crops, soil, and so on. Shuttering 
agriculture research before their intended end date can risk spoiling 
research results and the tax payer dollars spent to find agricultural 
innovations.
    What efforts is the USDA taking to protect ongoing research from 
being sullied by the deferments and funding freeze?
    Answer. USDA continues to work with stakeholders to ensure that 
priority research continues by prioritizing their review and release.
    Question. The Economic Research Service (ERS) States, ``it is 
widely agreed that increased productivity, arising from innovation and 
changes in technology, is the main contributor to economic growth in 
U.S. agriculture.'' Increased agriculture productivity not only spurs 
growth but makes our products more competitive domestically and abroad. 
According to ERS, organic agriculture has grown by over 600% in the 
last 20 years to become a more than $64 billion industry. However, less 
than one percent of the Agriculture Research Service's (ARS) budget and 
less than two percent of NIFA's budget goes towards organic farming 
research. Meanwhile, ERS shows us having a more than 400% trade deficit 
in organics.
    If you believe ERS' original statement about productivity deriving 
from innovation is true, what ways does the President's budget address 
our organic farming research funding problem so our organic producers 
can have the best innovation to better compete at home and abroad?
    Answer. In addition to the two NIFA grants programs specific to 
organic agriculture (OREI and ORG), NIFA will continue to accept 
submission of proposals focusing on organic agriculture to other 
relevant programs like Agriculture and Food Research Initiative (AFRI).
                             aphis staffing
    Question. Recent reports indicate that USDA, and specifically 
APHIS, is experiencing significant staffing changes, including 
reductions in force (RIF) and delayed replacement practices (DRP). 
These workforce losses raise serious concerns about APHIS's ability to 
carry out its core functions, including disease detection and response, 
permitting, and safeguarding animal and plant health. Specifically, 
USDA does not have the personnel and resources to effectively manage 
multiple threats simultaneously with the four active threats to animal 
agriculture including the Highly Pathogenic Influenza (ongoing outbreak 
in the USA and globally); New World Screwworm (active in Mexico); Foot 
and Mouth Disease (active in many parts of the world, including recent 
outbreaks in Germany, Hungary, and Slovakia); and African Swine Fever 
(active on the island of Hispaniola).
    What is the number of APHIS employees lost due to RIF, DRP, or 
other budgetary cuts?
    Answer. APHIS has not initiated any layoffs in recent months. All 
APHIS employees were offered the opportunity to participate in DRP 1.0 
and DRP 2.0. To date, 1,386, or approximately 17% of all APHIS 
employees participated in the DRP and the program has closed. USDA has 
not initiated a reduction in force (RIF).
    Question. What part(s) of APHIS did they work for, and what were 
their job titles and roles?
    Answer. APHIS employees taking the DRP were from all APHIS programs 
and support units and represent a wide range of positions.
    Question. What are the impacts of employee losses on functionality?
    Answer. APHIS has the resources needed to maintain mission critical 
activities.
    Question. Given the severe understaffing in USDA APHIS's travel 
approval office-resulting in delayed approvals, reduced outreach 
capacity, missed deadlines, and increased costs- what is the 
Department's plan to address this issue, and what is the timeline for 
implementation?
    Answer. APHIS has the resources needed to maintain mission critical 
activities, including mission critical travel.
                     national milk testing strategy
    Question. Many States have agreed to participate but have yet to 
begin testing as part of the NMTS.
    Will all States be required to actively participate in the NMTS?
    Answer. Though States are not required to actively participate in 
the NMTS, 45 of the 48 continental States have enrolled in the program. 
USDA's goal is to enroll the remaining States by 2026.
    Question. How will USDA sustainably fund NMTS to protect food 
security, trade, and animal agriculture over the next 2 years?
    Answer. USDA will continue to use the CCC funding authorized by 
Congress and dedicated to NMTS and reassess any additional needs as 
warranted.
                   highly pathogenic avian influenza
    Question. We understand the current CCC funds available to support 
HPAI-related activities to be $490 million.
    What will happen if the current funds are expended in the next wave 
of HPAI outbreaks? Will the Secretary be requesting additional funds?
    Answer. I will examine budgetary issues related to HPAI and report 
to Congress as appropriate.
 local food for schools (lfs) & local food purchase assistance program
    Question. The abrupt end to LFS and LFPA, after agreements had been 
signed for the second round, devastated farmers like Stacey and Tenzin 
Botsford of Red Door Family Farm in Marathon County, Wisconsin. How 
will you ensure farmers can trust this Administration and trust that a 
signed contract with USDA is honored? Will you re-obligate FY25 funds? 
Will you allow States to utilize FY26 funds?
    Answer. Over $340 million is still available under existing 
agreements for LFPA and LFS, and these programs will continue to be in 
effect for the remainder of the period of performance. The period of 
performance varies by agreement, but entities with agreements may 
request extensions. Upon request, LFPA agreements may be extended 
through December 2026 and LFS agreements may be extended through June 
2026.
    Question. It's imperative that USDA support local food market 
channels through programs other than LFS, some of which the Secretary 
pointed to during her testimony. How will the agency ensure that these 
programs are strengthened, including fully funded and staffed? How will 
the agency ensure that they are accessible to small- and medium-sized 
operations, as well as beginning farmers?
    Answer. I will continue to assess staffing needs to ensure mission 
critical activities are carried out and will use the funding provided 
by Congress to implement programs across the Department. I will also 
continue to work with agencies to understand where opportunities and 
challenges are for small and medium-sized operations and beginning 
farmers.

                                 ______
                                 

             Questions Submitted by Senator Martin Heinrich
    Question. The New World Screwworm (NWS) is a serious threat to 
cattle and wildlife in New Mexico and throughout the west.
    What do you need from this committee to ensure that we not only 
prevent the further spread of NWS but push it back south of the Darien 
gap in Panama?
    Answer. Sterile insect technology is one key tool of several we 
have for fighting New World screwworm. Should the screwworm continue 
moving north, having access to many more flies than the existing 
production facility in Panama can produce will be important to protect 
U.S. agriculture. We are exploring possible options for increasing our 
capacity to produce these sterile insects, which could include a 
domestic facility here in the United States.
    Question. The President's budget decreases USDA's Rural Development 
by $721 million, including the complete elimination of Community 
Facilities Grants. These grants are in incredibly high demand and have 
been critical to improving rural health and public safety. Many of 
these grants are also specifically directed by Members of Congress, who 
know their districts better than any bureaucrat in Washington DC. Is it 
this Administration's position that rural communities don't need or 
deserve these funds or that they should just be forced to fend for 
themselves?
    Answer. The Administration is fully supportive of the Community 
Facilities program; the Budget proposes $1.2 billion in Community 
Facilities Direct Loans level and $650 million in loan guarantees, 
which will provide sufficient investment in rural infrastructure and is 
expected to have a measurable impact by fostering competition based on 
the program's point system and program design. Reducing Community 
Facilities Grants accounts for $18 million of the $721 million in 
decreases included for USDA Rural Development as part of the 
President's FY26 Budget, and will have little impact. Funds that are 
provided for these grants are 100 percent earmarked by Congress. This 
has resulted in carryover funding of $569M in unspent funds at the 
beginning of FY25, which could be seen as a waste of tax payer dollars.
    Question. Some of this country's best wildlife and habitat 
conservation work has been done through voluntary partnerships with 
private landowners and has relied on NRCS Conservation Technical 
Assistance. The Working Lands for Wildlife program and the Migratory 
Big Game Initiative have been particularly successful. How do you plan 
to support these programs and other critical conservation efforts with 
a budget that completely eliminates Conservation Technical Assistance 
funding?
    Answer. The Budget eliminates discretionary funding for 
conservation technical assistance because it has historically received 
over a billion dollars in mandatory funding, in addition to funding at 
the State and local levels. While funding has helped producers deploy 
conservation practices on their lands, many have been forced to 
participate in the program in order to comply with State environmental 
regulations such as California's Irrigated Lands Regulatory Program, 
which regulates agricultural runoff. These cost drivers should be 
connected to the resource demands they impose.
    Question. Chronic Wasting Disease is an untreatable disease found 
in deer, elk, and moose that is always fatal. It has been detected in 
34 States, including New Mexico. For years, the Animal and Plant Health 
Inspection Service has partnered with state fish and wildlife agencies 
to monitor and prevent the spread of Chronic Wasting Disease. Given the 
impact of chronic wasting disease, why does your budget request 
eliminate resources that would allow the USDA to continue its work to 
reduce the impact of this disease?
    Answer. Since 2021, APHIS has invested over $41 million for 
projects to research, manage, and respond to CWD in conjunction with 
State and Tribal partners. USDA will continue to make decisions to 
accommodate the most pressing needs of the Department.
    Question. There are approximately 321,370 people facing hunger due 
to food insecurity in New Mexico, including at least 37,500 seniors. 
For these seniors, the Commodity Supplemental Food Program funds local 
food banks to access their next meal. You intend to completely 
eliminate the $425 million Commodity Supplemental Food Program and 
replace it with ``MAHA food boxes.'' How can these boxes be distributed 
without utilizing the already well-established food bank networks 
across the country?
    Answer. All nutrition programs, old or new, should be oriented to 
promote healthy choices and healthy outcomes for the families that 
receive them. CSFP is a relatively small program, and it is crucial to 
focus limited resources on nutrition programs that are universally 
available to serve low-income populations, like SNAP. To promote 
healthier foods and support American farmers, the Administration 
envisions converting a portion of SNAP benefits into MAHA boxes. These 
boxes will be filled with commodities sourced from domestic farmers and 
distributed to American households. Current CSFP participants will be 
eligible for MAHA boxes. I look forward to discussing this legislative 
proposal in more detail in the future.
    Question. As of March 2025, egg prices have continued to rise to a 
whopping cost of $6.23 for a dozen eggs, according to the U.S. Bureau 
of Labor Statistics. On February 7th, I asked what your plans were to 
combat Highly Pathogenic Avian Influenza and lower egg and poultry 
prices. You said you would use every tool at your disposal to eradicate 
this disease--including vaccine research at the Agricultural Research 
Service. But now, the President is proposing a $159 million cut to the 
Agriculture Research Services. How can USDA carry out critical vaccine 
research and fulfill its commitments to food affordability and animal 
health while slashing funding to one of the very agencies tasked with 
delivering on those goals?
    Answer. The President's Budget does not reduce any research funding 
for animal vaccine development and testing. Instead, it proposes an 
increase of $51,221,000 to enhance efforts in protecting U.S. 
agriculture and food from invasive pests and diseases, as well as to 
develop advanced technologies that will improve animal and plant health 
and production.
    Specific to HPAI, ARS is currently receiving congressionally 
appropriated funding for research in poultry and there are no proposed 
funding reductions to these programs in the President's Budget. For 
other species (cattle, small ruminants, and swine), ARS received 
additional Commodity Credit Corporation funding through an interagency 
agreement with APHIS. These additional resources support foundational 
research on species-specific animal models and vaccine testing, thereby 
enhancing our knowledge and understanding of a disease previously 
unknown in these species.
    Question. With the ongoing threat of Highly Pathogenic Avian 
Influenza, USDA's mission to monitor and mitigate this disease is more 
critical than ever and yet, the Administration has sewn chaos 
throughout the workforce, pushing more than 2,632 employees from the 
Animal and Plant Health Inspection Service and the Agriculture Research 
Services. What is your plan for replacing this institutional knowledge 
and expertise essential to effectively dealing with and preventing 
future avian flu outbreaks?
    Answer. APHIS has not pushed employees out or initiated any 
layoffs. APHIS and ARS employees were offered the opportunity to 
participate in the Deferred Resignation Programs, DRP 1.0 and DRP 2.0. 
Some APHIS job series were included in the Department's exemption from 
the hiring freeze for public safety mission delivery. ARS has also been 
able to use the exemption memo for filling key public safety positions. 
I will continue to work to optimize delivery of the Agency's critical 
mission to safeguard U.S. agriculture.
    Question. On May 6, the Food and Nutrition Service (FNS) issued 
guidance to States requiring them to share with the Federal Government 
detailed records about more than 42 million past and current 
Supplemental Nutrition Assistance Program (SNAP) participants, 
including sensitive information such as names, dates of birth, 
addresses, Social Security numbers, and the amount of food benefits 
received. This information is protected by 7 U.S.C. 2020(e)(8)(A), 
which allows States to share information only with ``persons directly 
connected with the administration or enforcement'' of the Food and 
Nutrition Act, regulations issued pursuant to the Food and Nutrition 
Act, Federal assistance programs, or federally-assisted State programs. 
The law also limits the subsequent use of the information disclosed to 
such individuals ``only for such administration or enforcement.''
    Please describe the individuals ``directly connected'' with 
administration or enforcement who will have access to these records.
    How will FNS ensure this information is disclosed only to the 
individuals authorized under 7 U.S.C. 2020(e)(8)(A) and is not 
disclosed to unauthorized individuals?
    How will FNS ensure this information is used only for the purposes 
allowable under 7 U.S.C. 2020(e)(8)(A) and is not used for unallowable 
purposes?
    How long will FNS store these sensitive records?
    What is the total cost associated with implementing this guidance, 
including collecting, protecting, storing, and analyzing these records? 
What funding will FNS use for this purpose?
    Answer. Due to pending litigation, USDA does not have any comment.

                                 ______
                                 

           Questions Submitted by Senator Kirsten Gillibrand
    Question. Since 1981, Puerto Rico has been excluded from the 
Supplemental Nutrition Assistance Program (SNAP), resulting in the loss 
of billions of dollars in aid and reduced nutrition benefits. Yet, 
Puerto Ricans pay billions in Federal taxes every year, including $5 
billion in 2023. Additionally, in 2022, the Food and Nutrition Service 
of the USDA published a feasibility study in which it concluded that 
Puerto Rico is ready to transition from the current Nutrition 
Assistance Program (NAP) to the Supplemental Nutrition Assistance 
Program (SNAP). I have legislation, the Puerto Rico Nutrition 
Assistance Fairness Act, which would authorize the transition from NAP 
to SNAP for Puerto Rico. Can you commit to working with my office to 
provide technical assistance and necessary budget information that 
would support development of this legislation and Puerto Rico's ability 
to transition?
    Answer. USDA is available to provide technical assistance as you 
and your office draft legislation.
    Question. The Community Eligibility Provision (CEP) for the 
National School Lunch Program is widely utilized in New York State as 
it reduces administrative burdens and helps to feed all students 
breakfast and lunch. In 2023, USDA changed the minimum Identified 
Student Percentage, or ISP, from 40 percent to 25 percent. This change 
has helped many schools and students in New York and throughout the 
country. Can you commit to maintaining the ISP at 25 percent, or if you 
are planning to change the ISP, what level do you believe it should be?
    Answer. States have a significant role in administering the 
National School Lunch Program (NSLP) and are granted various 
flexibilities to tailor its implementation to local needs and 
circumstances. As I mentioned at my confirmation hearing, children are 
suffering from diet-related chronic disease at unheard of rates. School 
lunch is an important part of that conversation, because we should all 
want it to be the best meal eaten, not just the best meal served. Like 
the rest of the Administration, USDA is conducting a comprehensive 
review of all rules from the previous administration to ensure they 
follow the law, align with current Administration priorities, and find 
opportunities to provide regulatory relief.
    Question. During your confirmation hearing, you testified that 
USDA's Special Supplemental Nutrition Program for Women, Infants, and 
Children (WIC) is an important part of the safety net, and that you 
hoped to learn more about the program in the weeks and days to come. 
The President's Budget Request for Fiscal Year 2026 discussed at the 
May 6 Agriculture subcommittee hearing is void of any mention of WIC. 
Accordingly, can you give this subcommittee your support for fully 
funding WIC in Fiscal Year 2026 so that no eligible mother or child 
will be turned away from receiving nutritional support and having their 
basic needs met?
    Answer. The President's Budget would support all eligible women, 
infants, and children who seek WIC benefits in 2026, and adjusts the 
vegetables and fruits benefit allowing more women, infants, and 
children access to the program and driving them towards better health 
outcomes.
    Question. More than 15,000 USDA staff have accepted the 
administration's offer of deferred resignation, and we are expecting 
Reductions in Force (RIFs) to eliminate more staff. The Plum Island 
Animal Disease Center, a mile off the North Fork of Long Island in New 
York, is transitioning its research mission to the National Bio and 
Agro-Defense Facility (NBAF) in Manhattan, Kansas. Right now, the 
Department of Homeland Security has an ongoing closure program that 
also relies on NBAF coming online and mission transfer to occur. Will 
the resignations and reductions-in-force affect this timeline, and can 
you provide an update on the status, timeline, and next steps of 
mission transfer from Plum Island to NBAF?
    Answer. There have not been any reductions in force at USDA. The 
standup of NBAF continues to be a priority, and voluntary resignations 
at USDA will not negatively impact the mission transfer timeline.
    Question. The President's Budget Request proposes to reduce funding 
for formula grants. This formula funding in the form of capacity 
grants, such as Smith-Lever capacity grants, goes to every single state 
and their land-grant university and cooperative extension. Capacity 
grants give each State flexibility to work on their State's 
agricultural and rural priorities. How do you propose to maintain youth 
and K-12 programs when a significant portion of that funding comes from 
formula grants?
    Answer. The President's Budget reduces funding for formula grants 
because they generally do not achieve the same results as competitive 
programs. The President's Budget protects funding to youth and K-12 
programs such as 4-H clubs, Tribal colleges, and universities. 
Additionally, NIFA will continue to accept submissions of education-
related proposals for competitive funding opportunities.

                          SUBCOMMITTEE RECESS

    Senator Hoeven. With that, we are adjourned.
    [Whereupon, at 12:14 p.m., Tuesday, May 6, the subcommittee 
was recessed, to reconvene subject to the call of the Chair.]



   AGRICULTURE, RURAL DEVELOPMENT, FOOD AND DRUG ADMINISTRATION, AND 
          RELATED AGENCIES APPROPRIATIONS FOR FISCAL YEAR 2026

                              ----------                              


                         THURSDAY, MAY 22, 2025

                                        U.S. Senate
            Subcommittee of the Committee on Appropriations
                                                    Washington, DC.
    The subcommittee met at 10:40 a.m. in Room 124, Dirksen 
Senate Office Building, Hon. John Hoeven (chairman) presiding.
    Present: Senators Hoeven, Collins, Hyde-Smith, Shaheen, 
Murray, Peters, and Ossoff.

                DEPARTMENT OF HEALTH AND HUMAN SERVICES

                      Food and Drug Administration

STATEMENT OF HON. DR. MARTIN A. MAKARY, M.D., M.P.H., 
            COMMISSIONER

                OPENING STATEMENT OF SENATOR JOHN HOEVEN

    Senator Hoeven. Good morning. We'll call this hearing to 
order. Dr. Makary, thanks for being here. We appreciate it very 
much.
    Dr. Makary. Thank you.
    Senator Hoeven. I know it's a busy day for you, and so 
appreciate you being here. And, of course, Ranking Member 
Shaheen. Thank you. Look forward to working with you on this 
Approap' Subcommittee. You and I have worked before on Approap' 
Subcommittee, and so I'm pleased now we're--I have that 
opportunity here with Ag.
    Agriculture is incredibly important. My state, and I know 
the ranking member's state, well, our great farmers and 
ranchers do every single day affects every American every 
single day with the highest quality, lowest cost food supply in 
the world. And of all the developed countries, Americans spend 
less their budget on food, and they have better choice and 
better quality than any other country in the world. And we 
can't take that for granted. And so, you'll, you'll find that 
we're pretty strong advocates for our farmers and ranchers.
    Dr. Makary. Great.
    Senator Hoeven. We understand that your job at FDA is to 
keep people safe whether it's primarily the drugs they eat, but 
many food products obviously as well. I've appreciated the 
conversations that we've had. And I must say, as I've told you 
in our conversations, I think you've got an incredible record 
in healthcare.
    I certainly believe that John Hopkins is one of the finest 
hospitals, medical centers in the country. I have direct 
personal experience where I've taken family members to John 
Hopkins, and I've been impressed not only with the quality of 
healthcare, but with the culture of the people there and the 
caring. And then not only your tenure there, but all that 
you've accomplished is remarkable. And so, we appreciate your 
willing to take on this public service, this incredibly, 
incredibly important job.
    In it, you're going to have to, of course, primarily make 
sure that our food and drugs are safe, that the organization is 
working as absolutely well as it can, which is why I appreciate 
your background, not only in medicine, but in business. 
Obviously, we're all trying to find savings across government 
to address the debt and the deficit. I know you've been charged 
with that task as well, but paramount, your job is safety. I 
understand, of course, they'll be releasing the Make America 
Healthy Again (MAHA) report today. You're looking at new ways 
to do things. That's important. We need to do those kinds of 
things.
    At the same time, there are practical realities, which you 
and I have talked about, that our farmers and ranchers face 
every day producing that highest quality, low cost food supply 
that I just referenced, that benefits every Americans every 
single day.
    So, whether it's the fertilizers, the pesticides, the 
equipment, all the things that go into them producing that food 
supply, they have to face the practical realities of operating 
in a market that every day they don't control. They don't 
control the weather, they don't control the prices, they don't 
control trade agreements, and on and on it goes.
    And when you look across our economy, so many industries 
are a few big companies. A few big companies that run the whole 
thing. I personally am not a fan of that. But when you look at 
agriculture, 16 million people directly or indirectly involved 
in agriculture, small family farms and businesses across this 
country that have become quite sophisticated with precision Ag 
and everything else. And we do it better than anybody in the 
world and have higher standards. But that is what we have. And 
I firmly believe that that's what Americans want to make sure 
we have for long into the future.
    So, I spent a little time on that in this opening 
statement, because we have to be aware, you have to be aware of 
how that works. And as we make changes, again, making sure we 
do all we can for a healthy America, that we understand those 
realities and the challenges that those people have, and that 
we can't just take it for granted, and that we have to 
understand and make sure that all of this works for everybody 
on both sides of the equation.
    So, with that, I'll turn to our Ranking Member, and I'm 
going to have to ask to excuse myself to vote. I may miss some 
of your opening statement, but I'll see if I can't get anything 
that I miss via the written remarks, and then be back. Ranking 
Member.

                  STATEMENT OF SENATOR JEANNE SHAHEEN

    Senator Shaheen. Well, thanks very much, Chair Hoeven. And 
let me just welcome, as you did, Commissioner Makary. Very nice 
to have you here this morning. And I would echo the chair's 
commitment to agriculture, and how important it is our farmers 
are to our food supply and to the economy of this country.
    It's a very different enterprise in New Hampshire with our 
farms, because they are small family farms, but very important 
to the state nevertheless. But of course, this morning, we're 
here to talk about the role of the Food and Drug 
Administration. Federal investment and stability in biomedical 
innovation are vital not just for our competitiveness and 
national security, but also for local economies, in New 
Hampshire and across the country.
    Right now, we have the earliest access to new cures and 
treatments, and we attract the best talent from across the 
globe because of the good paying jobs that are in emerging 
research. Those jobs fuel our small towns and cities, including 
in New Hampshire, where we have a growing industry in 
biomedical companies.
    It's very exciting to see the growth that's occurring in 
our state. As we speak, they're developing cutting-edge cell 
and gene therapies to cure terrible diseases like diabetes and 
cancer. And I think when we met, we talked about some of the 
work that's being done in New Hampshire, particularly at the 
Advanced Regenerative Manufacturing Institute (ARMI).
    But of course, to keep pioneering breakthroughs in curative 
treatments, they need stability and predictability, something 
this administration, sadly, has failed to provide so far. It's 
more than just a lack of stability. I fear the very mission of 
the FDA is at risk because of the actions of this 
administration. More than 4,000 people have been pushed out of 
FDA since January. The majority of those targeted by 
probationary terminations and reductions in force that don't 
seem to have any real analysis of who's important to keep and 
who is not critical to the mission.
    To date, this committee has not received key information on 
where specifically these workforce cuts are happening across 
centers and offices at the FDA, and that's information that we 
need as we're going to write this budget. What I want to 
emphasize is that it didn't really have to be that way. I think 
there is bipartisan support to see how we make our government 
agencies and departments more effective and efficient. But to 
do that, we need to have a process that people understand or 
are engaged in. And I fear that the process that's been done so 
far is going to prove to be very wasteful to patients and 
families in New Hampshire and across the country.
    Scientists at the FDA have been fired along with support 
staff who make their work possible, from those who assist with 
product reviewers to those who quite literally keep the lights 
on. Patients across this country are depending on the FDA, as 
you know, to review medical products to ensure that new and 
novel treatments are approved. And yet, reports now suggest 
that medical product reviews have slowed, that essential 
meetings have been postponed or canceled, and that deadlines 
for user fee agreements have been missed.
    And as Congress has provided the FDA with new authorities 
and directives from the Tobacco Control Act, to the Food Safety 
Modernization Act, to the Modernizing of Cosmetics Regulation 
Act, the FDA has hired talented people who have gotten the work 
done to keep the American people safe.
    Going backwards, I think, is unacceptable. I'm seriously 
concerned that the workforce cuts across the agency will harm 
the progress that this committee has supported on a bipartisan 
basis to ensure a strong FDA that supports innovative 
treatments and gives families peace of mind that the drugs we 
take, the food we eat, and the cosmetics we use are safe.
    Now, moving on to the fiscal year 2026 budget, which is the 
topic of this hearing. I wish we'd received and had a chance to 
review the full President's budget request prior to this 
hearing, though I would point out that that's not unique to 
FDA. We haven't gotten the details of the budget in any other 
Appropriations hearings that I've been part of. The FDA was not 
mentioned in the preliminary budget materials we received three 
weeks ago. So, we are sitting here today talking about a budget 
that this committee has not received.
    I'm disappointed to see the vast and drastic proposed cuts 
to the Department of Health and Human Services, and my priority 
is that the FDA has the resources that you need to carry out 
the core missions of the agency. But without a budget, it's 
hard for us to assume that the President's proposal will meet 
those goals.
    Now, in closing, the FDA at its core has an incredibly 
hopeful mission. The agency has the power to bring hope and 
comfort to millions of people by approving groundbreaking cures 
and treatments developed here in America by the best scientific 
minds in the world. So, I think, we, on this committee, stand 
ready to be partners in this effort.
    And I with that, Commissioner Makary, I appreciate your 
being here today, again, and I look forward to hearing your 
statement, and to the discussion that we will have with members 
of the committee about your budget proposals. Thank you.

             SUMMARY STATEMENT OF HON. DR. MARTIN A. MAKARY

    Dr. Makary. Thank you, Chair Hoeven, and thank you Ranking 
Member Shaheen, and members of the subcommittee. Thank you for 
having me here to testify on the FDA budget for 2026.
    The Trump Administration is proposing a $6.8 billion budget 
for the FDA, including $3.2 billion in budget authority and 3.6 
billion in user fees for fiscal year 2026. This allows us to 
take the necessary steps to support the Make America Healthy 
Again agenda, as we have already been busy implementing.
    Now, I've been at the FDA for about seven weeks, and I'm 
proud of the early progress we've made working to remove all 
nine petroleum-based food diets from the U.S. food supply, 
eliminating unnecessary animal testing requirements for drugs. 
We approved a new blood test for Alzheimer's, which could help 
enable more early treatment. For the pharmaceutical 
manufacturing facilities overseas that the FDA inspects, there 
has been a routine of using scheduled inspections, which in my 
opinion, are no inspections at all. They're a joke, and we are 
moving towards surprise inspections.
    We don't allow FDA inspectors anymore to accept limo rides 
from the pharmaceutical manufacturing companies that they are 
there to inspect. I'm amazed at some of the stuff that I'm 
learning when I look under the hood. We've begun taking action 
against new challenges such as gas station heroin, and 
childhood vaping with illegal Chinese vaping products.
    Our borders have been far too porous. Working with the 
Trump Administration's reenergized Customs and Border 
Protection, we're not wasting any time. Today, we are 
announcing the seizure of nearly 2 million illegal vaping 
products from China. Last week, we announced plans to withdraw 
from the market, chewable, ingestible fluoride tablets, 
currently prescribed to six-month-old babies.
    And this week we published in the New England Journal of 
Medicine, our framework for Covid vaccine booster regulation, 
so that developers and companies can see what we're thinking 
and have predictability. And we are planning to bring back gold 
standard science and common sense.
    We also have to modernize. On Day 1 of me being on the job, 
I actively began an effort to organize to use AI for our 
scientific reviewers to make their jobs easier. Well, two weeks 
ago, we just announced our first AI-assisted review with the 
latest generation AI technology. One reviewer said that what 
normally took him two to three days, the AI did in six minutes.
    I've set an aggressive goal of June 30th to have AI-
assisted scientific reviews help our reviewers agency-wide, and 
we're going to be ahead of schedule and under budget on meeting 
that aggressive goal. The goal is to reduce the paperwork 
burden of reviewers, which is tremendous, so that we can 
deliver more cures and meaningful treatments to the American 
people faster.
    That's been the first seven weeks of my job at the FDA. 
Here are other important goals I have for the FDA, and we're 
already hard at work on them. Healthier food for children, a 
universal flu shot, meaningful treatments for ALS, Parkinson's 
and other neurodegenerative disorders, treatments for rare 
diseases, cancer therapies that are so powerful a tumor is 
eliminated without the need for surgery or chemo. That's not a 
theoretical, that something we've already seen.
    And one of my highest priorities is to ensure that we are 
not wasting any time in evaluating novel treatments for PTSD. 
Many of our brave veterans served in unnecessary wars, and we 
owe it to them. I've not yet hit the two-month mark, so I'm 
doing a lot of listening. I appreciate all of your input, but 
one question we must ask is why does it take over 10 years for 
a new drug to come to market?
    My team and I are working very actively to examine the 
approval process in all of its details so we can try to figure 
out how to deliver more cures, and meaningful treatments, and 
devices faster and in a more user-friendly way for developers 
without cutting any corners on the scientific review and 
independence.
    We're also committed to President Trump's promise to lower 
drug prices at the FDA. We can help by bringing more low-cost 
generics and biosimilars to market among many other strategies 
we're exploring.
    In conclusion, the FDA is filled with an enormously 
talented and committed group of employees representing, in my 
opinion, one of the greatest brands in the world. It's my duty 
to make sure that everybody central to the core mission has all 
the resources they need to do their job well.
    So, I look forward to answering your questions. Thank you.
    [The statement follows:]
         Prepared Statement of Hon. Dr. Martin A. Makary, M.D.
    Chairman Hoeven, Ranking Member Shaheen, and Members of the 
subcommittee, thank you for the opportunity to appear before you today 
to discuss the President's Fiscal Year 2026 Budget request for the Food 
and Drug Administration (FDA or the Agency). I would like to start by 
thanking the subcommittee for your continued support of FDA. The Agency 
greatly appreciates the Committee's sustained commitment to our mission 
and providing vital resources which have been critical for FDA's 
protection of the public health, and we look forward to continuing to 
work with you to further address critical issues impacting the health 
and wellbeing of Americans.
    Looking ahead to FY 2026, we will embrace President Trump and 
Secretary Robert F. Kennedy's Make America Healthy Again (MAHA) agenda 
by restoring trust in our food system, prioritizing public health, and 
strengthening national nutrition and food safety. America is facing an 
unprecedented chronic disease crisis, with heart disease, diabetes, and 
obesity affecting millions of lives. Meanwhile, food safety failures, 
contamination events, and formula shortages have exposed systemic 
weaknesses in our food and nutrition infrastructure. The FY 2026 budget 
directly supports the MAHA agenda by ensuring safety of the United 
States food supply, investing in nutrition, preventing food safety 
failures and infant formula contamination and shortages, and ensuring 
appropriations needed to meet certain spending triggers for user fee 
programs.
    In my first 6 weeks or so at FDA, I have worked to make sure the 
reviewers and inspectors have what they need to help protect the public 
health of the American people. FDA will not go through a significant 
reorganization, we will be centralizing and streamlining shared 
functions that were previously duplicated throughout the centers and 
offices, such as IT, communications, and operations. In addition, we 
are exploring and moving to quickly implement where AI and novel 
technology can help reduce workload as a tool for the expert scientists 
and inspectors at the FDA. The initial response from the review staff 
has been very positive, and I look forward to building on this 
experience and expanding it throughout the centers at FDA.
    The funding requested in the President's FY 2026 Budget includes 
critical elements to safeguard public health and the food supply for 
the American people. Our FY 2026 budget requests $6.8 billion, 
including $3.2 billion in budget authority and $3.6 billion in user 
fees. This includes an 11.5% reduction in budget authority compared to 
the current fiscal year, improving efficiency while still increasing 
investments in areas that are critical for the American people.
                       make america healthy again
    FDA serves a critical role in supporting the Administration's 
extensive efforts to protect the food supply, protect against chronic 
disease, remove any dangerous chemicals and additives from foods, and 
address any shortages of critical foods such as infant formula.
    FDA is committed to radical transparency to give Americans the 
latest information about the food ingredients they are eating and their 
effects--in alignment with both MAHA and FDA's mission. The Agency is 
leading efforts to protect the U.S. food supply to combat the growing 
risks associated with some chemical additives used in food, expand 
Closer to Zero efforts to reduce toxic elements, such as arsenic, from 
foods consumed by infants and young children, reduce sodium and added 
sugars, and provide new forms of nutrition labeling to better inform 
consumers about the foods they consume.
    FDA will also expand a new pilot grant program to help schools 
transition to safer and healthier foods, as well as address failures in 
inspecting high-risk facilities, strengthen import oversight, reduce 
foodborne disease outbreak response times, and decrease the number of 
associated illnesses. This includes supporting advancements in 
technology to rapidly identify and combat food borne pathogens, such as 
Salmonella, E. coli, and Listeria. FDA will also continue its 
commitment to supporting the safety, nutritional quality, and 
availability of infant formula; maintaining and expanding laboratory 
capabilities; and supporting cooperative agreements, grants, and 
contracts in support of federal-state initiatives. FDA and its 
regulatory partners have a shared mission to ensure the food Americans 
eat is safe. This mission can only be achieved by fully leveraging 
resources, expertise, and capabilities as part of an integrated food 
safety system.
           continuity of user fee funding for medical devices
    FDA's user fee agreements are negotiated with regulated industry 
and implemented when Congress authorizes the user fees. Under the 
Medical Device User Fee Amendments (MDUFA), for FDA to collect and use 
the medical product user fees, a certain amount of non-user fee 
appropriations must be appropriated by Congress and spent by FDA on the 
application review process (known as the ``non-user fee spending 
trigger''). The FY 2026 President's Budget intends to meet non-user fee 
spending triggers, including an $8.2 million increase for FDA's medical 
device program non-user fee spending trigger and to meet the goals and 
commitments under MDUFA V.
                               conclusion
    FDA believes the funding in the FY 2026 President's Budget will 
enable the Agency to operate more efficiently, while addressing 
critical public health and safety priorities, in particular restoring 
trust in our food system and prioritizing public health. FDA looks 
forward to working with the subcommittee to address these critical 
issues and improve the health and wellbeing of Americans. Once again, I 
thank the subcommittee for your continued support, and I look forward 
to our continued collaboration. I am happy to answer your questions.

    Senator Shaheen [presiding]. Thank you very much, Dr. 
Makary. We're honored to have the chair of the Appropriations 
Committee, Senator Collins, with us. And Senator Collins, 
Senator Hoeven went to vote, so he turned the gavel over to me. 
So, I will turn it over to you.
    Senator Collins. Thank you very much, Temporary Chair.
    [Laughter.]
    Senator Collins. But it's been an honor to work with you on 
so many issues that we care about in this space, including Type 
1 diabetes in particular. Doctor, I appreciated hearing your 
comments this morning. Americans have relied on the FDA for 
more than a century to ensure that their medicines are both 
safe and effective. Recognizing that America biotech leads the 
world in innovation, we in Congress have taken a number of 
actions to ensure that FDA's rigorous regulatory review keeps 
pace with the speed of science and solves problems in areas 
where we don't have cures, or effective treatments, or a means 
of prevention.
    Recent staffing changes at the FDA appear to have affected 
the balance between innovation and regulatory review. From what 
I'm hearing, I'm particularly concerned about the downstream 
impact of delays on patients suffering from debilitating rare 
diseases like ataxia and birth syndrome, as well as more common 
terrible diseases like ALS, which you mentioned Alzheimer's and 
other neurodegenerative diseases.
    As I mentioned, Senator Shaheen and I'm sorry, I am out of 
it today, apparently.
    Senator Shaheen. It was a late night and early morning.
    Senator Collins. We have worked together on Type 1 diabetes 
for many years. We're encouraged by what's going on in STEM 
therapy and immunotherapy in that area. And today, you, 
yourself, talked about the need for more efficient regulatory 
pathways and innovative treatments for rare life-threatening 
diseases, particularly when there are no major safety issues 
and existing treatments, or either don't exist, or they're 
limited.
    So, what I'm hearing is there's a real slow down in FDA, 
and that's not what you were committing to today, but that's 
what I'm hearing. The reality is, there are a number of rare 
disease new drug applications that have been pending at FDA for 
some time.
    What specifically is FDA doing under your leadership to 
accelerate getting new treatments for rare diseases to patients 
safely and as soon as possible, particularly since we have 
developed these accelerated pathways, particularly for those 
patients, for which there are no treatment options now.
    Dr. Makary. Good to see you, Senator Collins. I share in 
your interest in this topic because I have cared for people 
with rare diseases and rare cancers, and it is the worst 
feeling in the world to have to break bad news. And when people 
say, is there anything out there to be--to not have anything to 
respond with is a very difficult position.
    So, we need to customize the regulatory process to the 
condition being treated. And so, if it is a rare condition, we 
have to drop our randomized control trial requirements in some 
instances. I will say, however, that the trains are running on 
time at the FDA. There have been no staffing changes that have 
changed any approval schedules. We are on track to meet all of 
our Prescription Drug User Fee Act (PDUFA) targets.
    There are on occasion, every year, essentially every year, 
a couple drugs that are very complex, where the career 
scientists ask for more time, either to convene an advisory 
committee to weigh in or to design a very unique specific 
randomized trial.
    So, in reference to one of the products that you had 
mentioned, I had gotten briefed and was assured that there was 
no delays related to staffing. These were additional time 
because of the complexity of the early data. And the staff 
truly believe career scientists truly believed they needed a 
few more weeks. And I thought, we're on track to meet our PDUFA 
targets. They believe we're completely on track to meet our 
PDUFA targets if they took a few more weeks. And I thought that 
was reasonable.
    The trains are running on time. The food inspectors are 
doing their job. We have 12 food labs. There's no backlog at 
the food labs. The cuts that you referenced and Senator Shaheen 
referenced were to things like this 2,600: This is at the FDA 
2,600 HR staff, Contract staff, and budget staff. Now, I think 
that's too much. And we, they, they were part of the reduction 
in force. In total, about 1,800, almost 1,900 people were 
involved in the reduction in force. And I think a lot of that 
is consolidation.
    Just to be clear; there were no reductions in scientific 
reviewers as a part of the reduction in force, and we're 
actually hiring scientists because there's normally turnover 
with our scientific staff. And I hope the AI and the other 
tools will help make their jobs more efficient.
    Senator Collins. Well, I am hearing something entirely 
different. So, I will convey directly to you the concerns that 
I'm hearing since Dr. Peter Marks was removed from his 
position. And it is disheartening for patients with serious 
diseases, as you know very, very well from your clinical 
practice for which I know you are a dedicated physician, but it 
is disheartening when it appears that a new treatment or drug 
is on the horizon and then FDA says, no, we need three more 
months. We need three more months. We need three more months 
over and over again, despite the years that have gone into 
developing a particular treatment for an illness that has no 
treatment.
    And, again, that's why we work so hard to establish these 
accelerated pathways. So, I'll be in further touch with you. I 
don't disagree with the need to look at the staffing of FDA and 
to make sure that as much of it as possible is going into the 
process that speeds food inspection, new drugs to the American 
people, sensible regulation and guidance on diet, lifestyle 
factors. All of that is extremely important. So, it's not that 
I object to looking at that, but I don't want it to come at the 
expense of drugs that are desperately needed. Thank you.
    Dr. Makary. Thank you, Senator. I will just say that the 
person, the scientist replacing Peter Marks is outstanding. And 
I would say, take a close look at his credentials. He has 
published over 540 peer-reviewed scientific articles. He's a 
professor from UCSF, trained at the National Cancer Institute. 
He's a scientific genius.
    So, I've rejected the idea that there's only one scientist 
in the world that can run Center for Biologics Evaluation and 
Research [CBER] well, and I think we need fresh new ideas. The 
new scientist replaced Peter Marks, 42-year-old. He brings a 
fresh new perspective, and it will not change our approach to 
rare diseases, or the predictability that people need in the 
market and development investment space to know that they need 
to continue to invest in those technologies.
    Senator Collins. I look forward to meeting him. Thank you.
    Dr. Makary. Thank you.
    Senator Hoeven [presiding]. Thank you, Madam Chair. 
Appreciate you being here. Doctor, you came into roughly a 
19,000-person agency. Your budget top line is about 3 percent 
less. But there's been estimates as high as potentially 4,000 
reduction in force, voluntary or actual rifs.
    Where are you on that, and how's it going? You and I've 
again talked about this before. I was--you know, at that time, 
you know, we talked about how once you got in there and had 
more time, you were going to obviously have a better analysis 
of what your needs are and where you're at with the personnel 
situation. So, go through that for us, will you?
    Dr. Makary. Sure. So, there have been about nearly 1,900 
people involved in the reduction in force. Roughly, another 
1,200-plus involved in the early retirement package. We are 
hiring scientists to replace scientists that may have left for 
an early retirement, but no scientific reviewer or inspector 
was cut as a part of the reduction in force.
    Now, any discussion of the reduction in force, I believe, 
deserves one important fact of context which is always omitted 
in the media coverage. And that is in 2007, the FDA had not a 
little over 9,000 employees, and a few months ago was 19,000. 
So, there was a 100 percent increase in the number of employees 
at the FDA over the last 15, 16 years. And that is how we get 
2,600 HR people, contracts and budget people, at the agency. 
380 communications positions, we're now down to about 160.
    They're doing a good job, 160 people. That covers a lot of 
the communication work. Did we need 125 travel coordinators and 
travel offices in each center, or 13 strategy offices at the 
FDA? A lot of this reorganization is smart, and it's being 
smart with taxpayer dollars because I personally believe when 
this institution here, U.S. Congress is spending $2 trillion 
more than we have as a country, it is driving inflation, which 
is a backhanded tax on the poor.
    And that is the harsh reality. It doesn't affect people of 
wealth like myself. It affects the 50 percent of Americans that 
have less than $500 of cash on hand. And they are forgotten 
when we spend too much money and we drive inflation. And that's 
why I support many of these reductions in force, where it makes 
sense.
    Senator Hoeven. Okay. But you also get fee agreements from, 
you know, drug companies that want to get new drugs to the 
market. And so, you have to be able to staff that so that you 
bring in that fee revenue, which of course is not a cost to the 
taxpayer. So, I agree with you. Yeah, we need to find better 
ways to do things. We need to find savings, and that's good. 
But talk to us how you're making sure that you manage things. I 
mean, again, paramount to your mission of safety, as we talked 
about on the front end. I know you understand that. You're a 
doctor, took the Hippocratic Oath.
    But those fee agreements make it more complicated, but they 
bring in revenue. Talk about that, as well as making sure we 
get these new drugs to the market as safely and efficiently as 
possible, because that ultimately saves lives.
    Dr. Makary. Yes, Senator. So, thank you for that question. 
And, again, I want to reassure the public to see through the 
headlines, and to know that the trains are running on time at 
the FDA, and we're on track to meet all of our user fee targets 
as an agency. And we need the staff to help with the user fee 
management. And that's why I've made sure that we have the 
appropriate staff to make sure that we can report on our user 
fees and sort of service conductors in managing the user fee 
targets.
    Now, look, I'm a surgeon, and so the reductions in force 
are never perfect. So, I've done everything humanly possible 
since I've gotten there to try to make sure we heal and 
reorganize appropriately. We have brought back some people, and 
my job is to make sure that the scientists, and inspectors, 
that the law enforcement officials at FDA have all the 
resources they need to do their job well.
    Senator Hoeven. Okay. I think I'm going to give you a short 
question to save my long. Well, now I'm going to go with the 
longer one. I'm going to probably run over my time a little 
bit, ranking member, so I'll beg your indulgence and certainly 
return the favor. The MAHA Commissions coming out with their 
report, I think pretty much right after this hearing.
    Dr. Makary. Yeah, noon.
    Senator Hoeven. Yeah. So, if you want to kind of give us 
all the details right now, that's great, and just get a jump on 
things.
    [Laughter.]
    Senator Hoeven. But guessing that you might not, you do 
need to talk to us about it in that, as I laid out my opening 
statement, this committee has jurisdiction both in regard to 
all of your funding at FDA, but also USDA for our farmers and 
ranchers. And we have to address both.
    So, I know you're coming out, you know, the Department of 
Health and Human Services (HHS) writ large, is coming out with 
this MAHA study plan today. But as I said in my opening, we're 
very concerned not only how that's going to affect the American 
consumers, but also how that's going to affect agriculture. And 
as you know, agriculture goes--I mean, they're regulated like 
everybody else. In fact, in my opinion, they're overregulated 
like everybody else.
    And so, you know, with this report coming out, I get y'all 
are going to be working very hard to make sure it's 
scientifically-based and all that. But a lot of what our 
farmers and ranchers in producing that food supply have had to 
do, that's all scientifically-based, too, heavily regulated. 
And there's been years, and years, and years of that analysis 
and regulation done, and a heck of a lot of expertise.
    So, how do you approach that in this plan of action, and 
the analysis that you're doing, and so forth, and the studies 
you're doing to make sure that that's adequately included in 
terms of your evaluation, and the results and the 
recommendations that you make?
    Dr. Makary. Well, Senator, you shouldn't be concerned about 
the MAHA report. It is simply information. And it's important 
information about health written by people who have excellent 
citations, and are representing the many scientists that have 
been waving a flag in the air for many years saying, ``Hey, 
look at root causes.''
    We have the sickest, most disabled, most medicated, most 
obese population in the history of the world. Half our nation's 
kids are sick. And why are they sick? Because when the immune 
system, or some inflammatory response is reacting to the many 
different chemicals that go down their GI tract, the immune--
they feel, blah, they don't feel well. And so, we have got to 
look at root causes.
    Now, there's no single chemical in the food supply that is 
accounting for a root cause for the driving our chronic disease 
epidemic, but I think everything has to be on the table. We, 
for example, at the FDA, just convened, two days ago, a round 
table on talc. Now, talc has been identified as a cancer-
causing agent. It's been removed from baby powder.
    There have been 30 studies saying that talc may cause 
ovarian cancer in women with a high odds ratio in statistical 
significance. International cancer bodies have warned about the 
cancer-causing effect and the mechanism of talc. And so, it's 
been removed from baby powder. But do you know kids are eating 
talc every day? It's in candy. You take chewing gum and the 
white powder on there, people think it's sugar. Sometimes, it's 
talc. Talc is in our food supply. Kids are eating talc.
    And it's not just in food, it's in medicines. The number 1, 
3, 9 and 10 most common medications in the United States have 
talc on it. Why? Because it's a lubricant. It's just the way 
we've been doing business. It's a lubricant in the machines 
when it's mass produced. Well, there's a low-cost alternative 
that is generally considered to be safe.
    This is the--we're not fighting anybody here. We're trying 
to bring the latest scientific information to inform good 
decisions. And I think you're going to be pleased with the MAHA 
Commission report. It puts at the forefront of our discussions 
of health many issues that sciences have been talking about for 
years.
    Never in my oncology meetings do we talk about the root 
causes of cancer. Cancer's going up in kids, young people under 
age 50. It's everyone's scratching their heads. You get a 
diagnosis, they come to Johns Hopkins, we would look at them 
and parents would say, ``What could possibly cause this?'' 
Well, guess what? We don't talk about any of this in our 
national conferences. That is what the MAHA Commission report's 
going to talk about.
    What have we been talking about? Insulin, chemotherapy, 
CAR-T therapy, radiation, sophisticated operations. We have got 
to talk about food and chemicals, not just chemo and insulin. 
And so, this MAHA Commission is going to put front and center 
as a setting our research priorities, setting a national 
conversation, setting our own internal goals so that we're 
going to deliver in another 100 days from today some of what 
we're going to do.
    The MAHA Commission report is a diagnosis. And I think we 
have to do something differently. We have a healthcare system 
that's breaking the budget, that's resulting in inflation, 
that's burdening businesses. That's the number one cause of 
household bankruptcy in the United States; is medical bills. 
And no one is talking about the root cause. And that is the 
health of the population that is actively deteriorating right 
in front of our eyes.
    And so, we've got to move from a reactionary healthcare 
system where we're playing whack-a-mole with all these 
treatments in the hospital and late stages, and be proactive 
and actually talk about the root causes, and why we don't see 
some of these problems in other countries. I think this report 
is going to be the cornerstone of a broader discussion, and 
there's no one single ingredient that's going to be vilified.
    Senator Hoeven. So, after the report comes out, after we do 
some work on your budget, we're going to want you to come back 
and talk to us. Are you going to be willing to do that?
    Dr. Makary. Of course. I'd love to talk.
    Senator Hoeven. Good. Thank you very much. Ranking Member 
Shaheen.
    Senator Shaheen. Well, thank you, Chair Hoeven. And I 
certainly agree with you that we ought to focus on the root 
causes of what's causing diseases. And I've been trying for 
years to get to change the sugar subsidy system that we have 
that encourages sugar to be added to our food supply in so many 
ways. But so far there hasn't been the political will to do 
that.
    So, one of the things that I would urge you to do, Chair 
Hoeven suggested that we would like to have you come back and 
talk about this. I hope that there will be more of an effort to 
engage Congress in the changes that you're talking about making 
than there was in the cuts that were made.
    Because again, I think there's a lot of appetite to try and 
look at how we do things better. But boy, there's not an 
appetite to have one person and a DOGE Commission go around and 
make all these decisions without engaging Congress, because so 
much of that has not only been not well received, it's been 
outright illegal.
    That's not your problem. But I hope as you think about 
looking at the changes that we need to make to get at root 
causes, that you will come back and engage with us on what 
you're proposing because there's a lot of expertise on this 
committee, and I'm sure a lot of ideas for what we ought do 
better, too.
    But I want to go back to diabetes, one of the most 
expensive chronic illnesses we have. It's one that you and I 
talked about. Senator Collins and I have done a lot of work as 
co-chairs of the Diabetes Caucus on this. As I explained to 
you, for me, it's not just a policy issue, it's a personal 
issue. I have a granddaughter with Type 1, so I know the 
struggles that the community has had, and many of those with 
the FDA before you got here.
    But they have been real. And one of the issues right now 
that I'm hearing from the diabetes community is about C-
peptide, which is a marker of the body's own insulin 
production. It's emerging as a potentially more accurate tool 
for measuring how well a person cells are functioning. However, 
the FDA does not currently recognize C-peptide as a validated 
surrogate endpoint. Meaning, that the community has to use 
other endpoints that are less--many people believe less 
accurate. So, will you commit to reviewing C-peptide as a 
validated surrogate endpoint?
    Dr. Makary. I'm happy to, Senator. I love C-peptide. I'm a 
pancreatic specialist. And so, I don't understand why it would 
not be recognized. It is a naturally occurring hormone that is 
an indicator of the physiologic health of the pancreas. So, 
I'll take a look at that for you. Happy to.
    Senator Shaheen. Good, thank you. I hope we can stay in 
touch on that. In the last couple of days, there have been a 
lot of news reports about the COVID-19 vaccine. I would think 
that one of the real accomplishments of the first Trump 
Administration was the development of the COVID-19 vaccine. I 
would think people would be very proud of that effort.
    And so, I was surprised to hear about the FDA's 
announcement earlier this week that would limit access to 
COVID-19 boosters. And it seems like the announcement would 
take away people's ability to make that choice on their own by 
limiting it to only people 65 or at high risk.
    So, can you help us understand why that decision was made, 
and why people who may think that that booster would be helpful 
to them will no longer be available?
    Dr. Makary. Happy to. It's been four to 5 years since we've 
had a randomized controlled trial. And so, we don't know the 
right number of boosters that a healthy American should take. 
What is that number? Is it two, like the MMR vaccine? Is it two 
or three, like HPV or hepatitis B? Or is it 80? Do we believe 
in giving 80 mRNA shots to a healthy girl born today in her 
average lifespan of 80 years? Is that the right answer?
    That has been a theory that the repeat booster strategy in 
healthy individuals is the correct evidence-based strategy, but 
there's been no data to support it. So, we are doing our job to 
say that if we are going to approve a Covid vaccine for 
younger, healthy Americans, we'd like to see some clinical 
trial data, given that it's a much different population from 5 
years ago.
    There's broad ubiquitous population-based immunity, and 
there's also a different virus circulating. And this is a new 
vaccine formulation that creates a new protein in the body. 
Should we blindly rubber stamp a vaccine that creates a new 
protein in the body every year for the rest of our lives, for 
the next 100 years? I don't think so.
    And so, that's why we published in the New England Journal 
of Medicine this week, a framework for sensible Covid vaccine 
booster regulation in the United States that uses an age-
stratified approach. And really, honestly, we are catching up 
with the rest of the world. Some of the rest of the world has 
been laughing at us using this blind strategy.
    We're now switching to a scientific strategy. The UK only 
recommends Covid boosters and people 75 years of age and high-
risk. France, 80 years of age and high risk. I don't think we 
should be pushing this on healthy 6-year-old girls without any 
evidence every year for the rest of their lives. And so, that's 
why we've outlined this framework. And by the way, the vaccine 
manufacturers put out positive statements about the framework 
because I believe they like predictability.
    Senator Shaheen. Well, so I understand that rationale. Do 
you have a timetable for when you expect to have the trials 
done and a decision made about the future?
    Dr. Makary. When the companies present trials to us, and in 
the case of high risk, our New England Journal paper outlines 
how they can seek clinical trial data after approval in high-
risk populations. But it's up to the companies to present data 
to us. It's always been that way where the FDA reviews clinical 
trial data that companies present, and we make a decision about 
safe and effective.
    We have been suspending that role for the last 4 years with 
Covid boosters. And so, we're saying this is a reasonable time 
to check in and look at clinical trial data given how different 
it is. By the way, America doesn't want Covid boosters----
    Senator Shaheen. But I assume--I'm sorry to interrupt, but 
I'm out of time. Actually, I assume that you're talking to some 
of those companies so you have some idea of their level of 
interest in coming back to do those clinical trials and what 
they may be thinking about in terms of a timeframe.
    Dr. Makary. Look, some of these companies made $100 billion 
in the Covid booster. They can afford to run a clinical trial 
and they have time to run a clinical trial. The VRBPAC meeting 
meets later today to pick a strain. So, there's time and 
there's money. We're setting a well common-sense framework.
    Senator Shaheen. Yes, but I get.
    Dr. Makary. Eighty-five percent of healthcare workers----
    Senator Shaheen. Are you talking about--are we talking 
about 6 months, 1 year, 5 years, 10 years? I'm just trying to 
get some ideas so that when people call our office and ask, 
when I run into people and say, well, ``How come I can't get 
the Covid booster?'' That we can give them some kind of an 
answer for what they can expect.
    Dr. Makary. Eighty-five percent of healthcare workers said 
no to the last Covid boosters. You're not suggesting that we 
blindly approve Covid boosters each year without clinical trial 
data?
    Senator Shaheen. You're not listening to me, Dr. Makary.
    Dr. Makary. Is that what you're----
    Senator Shaheen. I'm not asking for a blind approval. I'm 
saying that I understand the argument you're making. What I'm 
asking you is, do you have any timeframe for when you think 
this might happen? And I'm sure you're talking to 
pharmaceutical companies so that they might have some idea so 
that we can just answer questions from the public. Part of what 
I'm objecting to here is that all of these decisions are being 
made without engaging the public, and I think that's a problem.
    Dr. Makary. The public has said no to Covid boosters. 
Seventy percent of the public has not gotten a Covid booster, 
and they don't trust us because there's no----
    Senator Shaheen. You're still not answering my question, 
though. Do you not have any idea?
    Dr. Makary. The timeframe is reasonable, and it is amicable 
to what the industry thinks is they can do. And so, we've had 
these conversations and we do with industry. I can't share 
individual product conversations with manufacturer, but they 
think that the timeframes that we've outlined are reasonable 
and we think they're reasonable.
    Senator Shaheen. But you still haven't said what they might 
be.
    Dr. Makary. Well, there's plenty of time between now and 
the fall, and so there's plenty.
    Senator Shaheen. So, you're looking--you think it's going 
to be more of a short-term timeline.
    Dr. Makary. In the high-risk group.
    Senator Shaheen. This is not a trick question. I'm not 
trying to trick you here. I'm just trying to get some answers.
    Dr. Makary. And I'm not trying to not answer your question. 
It's just different for each age group. For young, healthy 
individuals, we have a different timeframe from the high-risk 
community where we are approving the Covid--well, I shouldn't 
say we are because we haven't reviewed all the data, and all 
the applications are not in.
    But for high-risk individuals, we do have a framework now 
by which they can run the trials after the approval in high-
risk individuals throughout the Covid season. And then 
Americans will know it either works or doesn't work. So, it's 
roughly a year. It's roughly a year. In Operation Warp Speed, 
they ran that Phase 3 clinical trial over the summer. And if 
they want to do the same thing, there's plenty of time, in my 
opinion.
    Senator Shaheen. Thank you.
    Dr. Makary. Thanks.
    Senator Shaheen [presiding]. Senator Hyde-Smith.
    Senator Hyde-Smith. Thank you very much. And thank you, Dr. 
Makary, for being here and joining us on the Hill today. We've 
discussed the issue of chemical abortion before. However, I'd 
like to revisit the topic in light of new data published last 
month by the Ethics and Public Policy Center. This data reveals 
a much higher risk from the abortion drug, mifepristone, than 
previously acknowledged.
    And this raises the questions whether it's time to 
reconsider the broadly unrestricted access to the drug. It 
makes me question if the FDA should reinstate the original 
safeguards in order to protect vulnerable women and minors from 
experiencing the horrible adverse and life-threatening 
complications that could follow the chemical abortion regimen.
    First, let me summarize the new data. In April, 2025, 
researchers from Ethics and Public Policy Center and the 
Foundation of the Restoration of America reviewed the outcomes 
of 865,000-plus drug induced abortions from 2017 to 2023. These 
abortions occurred after the FDA in 2016 removed the 
requirement for doctors to report non-fatal but adverse 
complications. The data shows 94,605 serious adverse events 
proving conclusively that more than 1 out of 10 women are put 
at risk by the mifepristone.
    This real-world rate is 20 times greater than the rate the 
FDA used when it originally approved the drug. Specifically, 
this status shows that, their words, ``10.93 percent of women 
experience sepsis, infection, hemorrhaging, or other serious 
adverse events within 45 days following the chemical 
abortion.''
    If serious complications have increased as safety rules 
have been loosened over the last 25 years, then logically, it 
makes sense to bring those safety protections back. At the very 
least, the FDA should restore the original safety requirements 
from 2000 under its risk evaluation and mitigation strategies.
    How do you view this new data, and will the FDA be taking 
this new data into consideration and commit to restoring 
common-sense protections, like requiring an in-person doctor 
visit before women can actually access mifepristone?
    Dr. Makary. Thank you, Senator Hyde-Smith, and good to see 
you again. I think a lot of people are asking those questions. 
And so, I did see those top line results that you referenced, 
and we are going to take a look at those data as they become 
available. There is no peer-reviewed publication, and the 
underlying data set is not available. But when it does become 
available, we're going to take a hard look at it. Thank you.
    Senator Hyde-Smith. Thank you. I would appreciate that 
very, very much.
    Dr. Makary. Thank you.
    Senator Hoeven. Senator Ossoff.
    Senator Ossoff. Thank you, Mr. Chairman. And Dr. Makary, 
good to see you.
    Dr. Makary. Good to see you.
    Senator Ossoff. Thank you for joining us. I was pleased to 
see that the secretary has made the safety of infant formula a 
priority for the Department. Is that correct?
    Dr. Makary. That's right. And the FDA will be convening the 
world experts on infant formula on June 4th, and we're going to 
be having a robust discussion because parents want infant 
formula options with a better supply chain, without added sugar 
and seed oils.
    Senator Ossoff. Did you see a recent consumer report study 
which found that of 41 tested infant formulas more than 30 were 
found to have potentially dangerous levels of lead?
    Dr. Makary. Yeah. Heavy metals in infant formula is 
something that's getting a lot of attention, as it should. And 
so that is part of Operation Stork Speed to take a hard look at 
that. And it is one of the priorities of our infant formula 
roundtable at the FDA on June 4th.
    Senator Ossoff. And it's the Human Foods Division of your 
agency responsible for infant formula safety, at least in large 
part. Yes?
    Dr. Makary. Yes.
    Senator Ossoff. I'm trying to make sure I understand some 
of the relevant personnel decisions given the concern that 
families in Georgia have about the safety of infant formula, 
the safety of the food supply. James Jones, the Deputy 
Commissioner for Human Foods, submitted a resignation letter 
February 17th, included the quote, ``The indiscriminate firing 
of 89 staff in the Human Foods Program is beyond shortsighted. 
The foods program staff at FDA is the envy of the world in its 
technical, professional, and ethical standards.''
    It goes on, ``The employees fired this past weekend are the 
most recent hires, and generally come to Federal service with 
the most recent education and represent the future of the 
agency. They included staff with highly technical expertise in 
nutrition, infant formula, food safety response, and even 10 
chemical safety staff hired to review potentially unsafe 
ingredients in our food supply.''
    That was February 17th. You were asked on April 17th 
whether any of the personnel reductions had included personnel 
responsible for food safety or infant formula safety. You said, 
``There were no cuts to scientists, or reviewers, or 
inspectors. Absolutely none.''
    You were asked on April 23rd on CNN and said again, ``There 
were no cuts to scientists, or inspectors. But then just two 
days later, an HHS spokesperson confirmed that, in fact, 
scientists had been fired and that you were scrambling to 
rehire them. Is that--did you in fact say on April 23rd, 
``There were no cuts to scientists or inspectors?'' Just before 
we get into the details, is that an accurate quote?
    Dr. Makary. No scientific reviewer was cut as a part of the 
reduction in force.
    Senator Ossoff. But you said there were no cuts to 
scientists or inspectors. Didn't you say that?
    Dr. Makary. My understanding whether there was--that there 
were no cuts to the scientific staff, but specifically, the 
scientific reviewers is what I was referring to.
    Senator Ossoff. But you said there were--it's a very 
straightforward question. You said there were no cuts to 
scientists or inspectors. Correct?
    Dr. Makary. Scientific reviewers is what I was referring 
to, that's the vast majority of scientists there.
    Senator Ossoff. But you said----
    Dr. Makary. Jim Jones is an economist.
    Senator Ossoff. Five days before you had said there were no 
cuts to scientists. You said that right?
    Dr. Makary. I was referring to scientific reviewers. There 
are a couple----
    Senator Ossoff. But scientists had been fired. Correct?
    Dr. Makary. There have been a couple. There have been 
research scientists in some labs that have been doing some 
research. Some of that research is good, some of it is not 
good. And so there have been no cuts to scientific reviewers.
    Senator Ossoff. And, in fact, scientists who study the 
safety of infant formula had been fired. Correct?
    Dr. Makary. I'm not aware of any scientists studying infant 
formula that----
    Senator Ossoff. Well, here's the reporting in the New York 
Times, which says the HHS spokesman said those employees called 
back had been inadvertently fired, and the decision to rehire 
specialists on outbreaks of food-related illnesses and those 
who study the safety of products like infant formula.
    So, is this reporting accurate? Had, in fact, scientists 
who study outbreaks of food-related illnesses and the safety of 
infant formula been fired?
    Dr. Makary. The reason it's not accurate, it's Senator, is 
that people were not fired. They were scheduled for the 
reduction in force. And when I--this was before I got there. 
When I got there, we did an assessment. And so, some of those 
individuals out of the 19,000 were restored. Jim Jones was an 
economist, and he was upset about the DOGE cuts. So, he self-
doged. I didn't--he was not fired. I wish he would've stayed.
    Senator Ossoff. Have all scientists responsible for food 
safety and infant formula safety been rehired or reinstated?
    Dr. Makary. Look, we have not reduced in force the 
scientific review staff. I know where you're going with this. 
We're not allowed to----
    Senator Ossoff. I'm trying to clarity on statements. You 
said there were no cuts to scientists, and then the HHS 
spokesperson said, actually there were cuts to scientists and 
now we're trying to rehire them. I mean, so it gives the 
impression you're not sure about the personnel actions ongoing 
in your own agency.
    Dr. Makary. Again, No one was cut in the reduction of 
force.
    Senator Ossoff. And that's information from your testimony 
here today.
    Dr. Makary. They were scheduled for the reduction in the 
future, down the road. It has not happened yet. So, the people 
scheduled to be cut. We did a review and found some research 
scientists--when I made those statements, it was very specific. 
I was very clear. We're talking about scientific reviewers 
because the trains have to run on time. And if you're concerned 
about backlog.
    Senator Ossoff. My time is up. You were very specific. You 
said there were no cuts to scientists. And then five days 
later, ``There were no cuts to scientists.'' Those are your 
direct quotes. ``There were no cuts to scientists,'' but there 
were cuts to scientists. Right?
    Dr. Makary. No, there were no cuts to scientists because 
people were scheduled for the reduction in force down in the 
future. And the people scheduled were reevaluated and we 
restored a couple research scientists, and I was referring not 
only to them, but to to the scientific reviewers.
    Senator Ossoff. How many scientists responsible for 
preventing outbreaks of food-related illnesses and the safety 
of infant formula have been restored or reinstated?
    Dr. Makary. There were no scientists that were in charge of 
preventing outbreaks that were part of reduction.
    Senator Ossoff. I didn't say in charge.
    Dr. Makary. But, I mean, this is the problem in government. 
Somebody has a fancy sounding name like infant formula safety, 
and no one can ever touch them even if they're not doing their 
job.
    Senator Ossoff. Okay. Say, how about this? I'll send you so 
that you can get accurate information to the committee. I'll 
send you some very detailed questions about this and you'll 
respond in full. Yes?
    Dr. Makary. Yes. Just keep in mind, the agency was half its 
size in 2007.
    Senator Ossoff. But you'll respond in full----
    Dr. Makary. We didn't have outbreaks and rampages, and food 
outbreaks----
    Senator Ossoff. But we had a huge infant formula safety 
crisis in this country just a few years ago. Do you recall 
that?
    Dr. Makary. That was because of several problems 
including----
    Senator Ossoff. So, you will respond in full to the 
questions that I send you.
    Dr. Makary. I'm always happy to respond in full to you, 
Senator.
    Senator Ossoff. Thank you so much, Dr. Makary. Thank you.
    Senator Hoeven. Doctor, I know that that you're working on 
Operation Stork speed, speaking of baby formula, that Secretary 
Kennedy's already talked about Operation Stork Speed, which 
goes right to this issue. Yes. And you're already working on 
it, made it a priority. Would you like to address that?
    Dr. Makary. We're working hard on it, and that's why we're 
convening the world's experts. And the part of the problem with 
infant formula that the Senator is alluding to, which is a real 
problem, is that the FDA has been so rigid in the way it 
evaluates infant formula.
    Basically, we have for decades said you have to follow this 
recipe because we as the government know exactly what infants 
need and you can't deviate from this recipe. And guess what? 
They got added sugar on there and seed oils. And there's been 
no innovation in infant formula practically since 1998 when we 
saw the last change in infant formula on the monograph recipe, 
with the exception of selenium that was added. Basically, no 
innovation in, in infant formula since 1998.
    And so that's what we're working to fix. That is one of the 
underlying problems. The more innovation, the more competitors 
that can come to market, the more predictability with the 
regulatory process, the better products. We're going to see 
more options for moms that want infant formula that's safe, low 
on heavy metals without seed oil, without added sugar. And that 
is, I think, going to help also lower prices and increase the 
supply chain.
    Senator Hoeven. And, of course, moms know, but there needs 
to be a choice in that baby formula so that you've got the 
product you need for your child.
    Dr. Makary. Absolutely. We're all about choice.
    Senator Hoeven. And so, there's a lot to it, and again, I 
commend you for--and the secretary for making that a priority. 
And I do like the name Operation Stork Speed. That's a great 
name. I don't know if you came up with it or the secretary, but 
it's a good one.
    Dr. Makary. I did not, but I'll pass all along to the 
person that did that.
    Senator Hoeven. You liked it. And the other thing is this 
seems like a timely thing to say because the senior Senator 
from the State of Michigan just showed up, and he and I 
actually have legislation on baby formula, bipartisan 
legislation.
    I don't know if you had a chance to look at it yet, but I 
would ask that you work with us on it because it goes to some 
of these very same things. And I think we worked very hard to 
make it very practical, actually reflecting some of the things 
you just talked about; how do we make sure safe, but we 
innovate and have choice.
    Dr. Makary. It's great legislation, Senator. Thank you for 
working on it.
    Senator Hoeven. That was the right answer. I've got another 
question, but I'm going to turn to Senator Murray before I ask 
my final question, and then of course, Senator Peters. Senator 
Murray.
    Senator Murray. Thank you very much, Chair Hoeven. Look 
forward to working with you on this really important committee.
    You know, Commissioner Makary, the FDA has a really 
important job to do. Lives literally are at stake. And that 
work requires the utmost diligence, and care, and commitment to 
following the science and upholding FDA's gold standard. We all 
expect to walk into the drugstore and know that what we are 
buying has passed a safety and efficacy standard. And we have 
to be assured of that, and we have to be assured that the 
work's been done, that we don't have to question that.
    So, I don't think it's careful leadership when you do mass 
fire 1 in 5 people across FDA only to, frantically, then bring 
some back because you didn't stop and think two seconds about 
whether those jobs were actually important. We really, Mr. 
Chairman, cannot cheap out on the FDA and expect to maintain 
that gold standard. That means that people know that drugs are 
safe.
    We can't just cut, and cut, and hope nobody gets sick when 
you're slow to issue a recall, or hope no one needs that 
medicine that had its approval delayed, or hope there isn't 
another infant formula issue while your staff are getting 
fired, or getting rehired, or wherever they are.
    This work really takes investments. This committee knows 
that, and it expects expert staff, like the people that have 
been shoved out the door. Drug approvals are already getting 
delayed. Food and drug safety inspections are lagging behind. 
We are going in the wrong direction fast.
    We still have yet to see from you a full budget request. 
That is unacceptable. You are now testifying that the budget 
proposes to slash FDA by more than 11 percent. That's actually 
news to all of us. And I'll tell you right now, it is not going 
to fly. It's reckless and it's not going to happen as long as I 
have anything to say about it.
    Now, Commissioner Makary, when it comes to your mass firing 
of FDA employees in April, you said, ``I can tell you there 
were no cuts to scientists or inspectors.'' Well, that is not 
true. I think Senator Ossoff covered that. And I think the 
point here is that all of this firing and rehiring, I don't see 
how that's efficient. Frankly, it kind of shows that you don't 
know what you're doing and you're breaking things in the 
process here.
    And so let me ask you a question, and hopefully it is an 
easy one for you. Does it save taxpayer dollars to fire staff 
who work in centers that are fully funded by user fees, not 
taxpayer dollars, yes or no?
    Dr. Makary. Nice to see you again, Senator Murray. You 
asked me to do an assessment of the staff when I came here for 
my confirmation hearing and, and I hear that you're criticizing 
me for bringing back some individuals after the cuts that I was 
not a part of.
    Senator Murray. No, I'm saying that's good. I'm just saying 
in the long run, this has been very inefficient. But my 
question to you is not about that. And I know you've covered it 
with several other members. So, does it save taxpayer dollars 
to fire staff who work in centers that are fully funded by user 
fees, not taxpayer dollars. Is that efficient? Does it save 
much?
    Dr. Makary. The cuts were to HR, IT, communications. There 
were 2,600 HR staff----
    Senator Murray. But they're funded by user fees.
    Dr. Makary. In part.
    Senator Murray. It's not saving anymore.
    Dr. Makary. In part.
    Senator Murray. Well, the many of the staff you fired were 
in centers that are actually fully funded by user fees. You 
know that. Correct?
    Dr. Makary. So, if we have 2,600 HR people, do you want me 
to not make any cuts to that number?
    Senator Murray. No. I'm asking you a specific question 
about the centers that are fully funded by user fees.
    Dr. Makary. That's one center. It's the tobacco center.
    Senator Murray. Okay, well, let me just say----
    Dr. Makary. You said we can't just keep cut and cut. We 
can't keep hiring and hiring. The agency doubled since 2007. 
So, let me ask you, what is the right number of employees?
    Senator Murray. No. You're here to answer my questions and 
I'm going to ask some more. Without critical support staff you 
fired, inspectors cannot plan their trips. They cannot do their 
jobs. I want to ask you; what percent of planned inspections 
has FDA missed since those April 1st firings?
    Dr. Makary. In the 12 labs that we have that evaluate food 
products in the food inspection realm, there are no--as of last 
week, I just did a check. There are no backlogs. They're 
running at 100 percent efficiency. There are no drug approval 
delays despite the--you know, what people want to attribute.
    Senator Murray. Well, that is not what I have been told. I 
have been told, and I would like you to go back and check and 
report back to us because we know that some of the planned 
inspections at these--that supposed to take place have been 
missed. And to me, why that's so important, if there is not 
inspections, the public doesn't have the information that they 
need. I am going to run out of time, so I want to move on.
    Dr. Makary. There are no cuts to inspectors, Senator.
    Senator Murray. Will you go back and check for me, please?
    Dr. Makary. Absolutely.
    Senator Murray. I understand. And, by the way, inspectors 
are one thing, but if you don't have this support staff to make 
sure that they know where the
    Dr. Makary. But 2,600 HR staff and procurement staff?
    Senator Murray. Okay. I understand that the Freedom of 
Information Act [FOIA] staff producing documents related to 
ongoing litigation by the Children's Health Defense, Secretary 
Kennedy's organization, were shielded from the rif, while other 
FOIA staff who are responsible for FOIA responses and other FDA 
centers were targeted for termination. Is that true?
    Dr. Makary. That's not true, Senator. We are have our FOIA 
staff. They continue to work at the FDA. I've made sure that 
all the FOIA staff at the FDA are doing their job. We are also 
using AI to reduce the burden on that staff.
    Senator Murray. Well, for the record, my understanding is 
that the Children's Health Defense FOIA staff were not fired 
when other ones were, all the FOIA staff were there. And that 
seems like a real conflict of interest to me, considering that 
the secretary's extensive history with that organization, 
Children's Health Defense, and his goal to remove 
authorizations for vaccines. So, I just want that on record.
    Dr. Makary. It's not true.
    Senator Murray. Well----
    Dr. Makary. All FOIA staff are in place.
    Senator Murray. Okay. So, if a study came out saying that 
people who took a certain medication experience a certain rate 
of ``serious adverse effects'', but the study's authors refuse 
to say what they were counting as an adverse event, would that 
raise serious questions for you about the study's validity?
    Dr. Makary. Yes, Senator. So, I have the natural 
inquisition of a scientist that's done a lot of research. So, I 
would want to see the underlying data. Yes.
    Senator Murray. Okay. Well, I am of course talking about 
the sham study from the Ethics and Public Policy Center. It's 
an anti-abortion group. It's bankrolled by extremists. They 
fought to overturn Roe v. Wade. And this study, if you can call 
it that, is unsound and has been widely panned by medical 
experts.
    But days after its release, you and Secretary Kennedy are 
now suggesting that we need a complete review on the safety of 
mifepristone. Now, to be clear, mifepristone has been proven 
safe and effective in more than 100 studies over three decades. 
And the people that are now pushing that bogus study and saying 
that mifepristone is dangerous for women, are the exact same 
people who think that abortion is never necessary to save a 
woman's life, and that 10-year-olds should somehow be forced 
into childbirth.
    I believe that this administration is laying the groundwork 
to rip away access to medication abortion across the country. 
This has not gotten enough attention. And I know you'd prefer 
to keep it that way, but I want you to know I'm not going to 
let that happen.
    Dr. Makary. I have not seen that study, Senator, and you 
have not seen that study. So, how can you call it a sham, bogus 
study? Neither of us have seen the study, the underlying data, 
or the methodology.
    Senator Murray. Actually, that's not true. But I will say 
this, Mr. Chairman, we have a lot of differences here. I know 
you came before this committee to present your side of the 
story, but I am very clear that laying off people, cutting 
budgets is not going to improve the safety and efficacy that we 
count on when we go to the drugstore to get our drugs. And I 
know that sham studies that try to prove a point that came from 
a political group, is not going to tell the public that they 
can count on the medications they count on.
    Thank you, Mr. Chairman. I yield back.
    Senator Hoeven. Senator Peters.
    Senator Peters. Thank you, Chairman Hoeven. And thank you 
for talking about infant formula and talking about our bill 
specifically. And thank you for eliciting a response from our 
witness that we both really appreciate. So, thank you for doing 
that.
    Dr. Makary, as when I was chair of Homeland Security and 
Governmental Affairs, we did a study looking at persistent drug 
shortages throughout the country and found that a lot of us, 
because we're overreliant on foreign sources for those 
supplies, and many of the precursors are, as you know, all 
overseas.
    And in fact, in that study when I put it out, I said it's 
pretty clear based on these challenges with the supply chain, 
that when there is a pandemic, we're going to find ourselves in 
a very difficult position. Six months later, that academic 
study became reality as we dealt with the pandemic and 
certainly saw that we had highly efficient supply chains, but 
they were not resilient.
    And I remain concerned that the FDA does not have the 
visibility it needs into essential medicine supply chains from 
the key ingredients needed for manufacturing our drug products, 
to the distribution to the patients, and hospitals, and 
pharmacies. And these blind spots clearly limit our ability to 
accurately assess national security risk, including our over 
dependence on China, in particular, for many critical inputs.
    So, last week, I reintroduced the MAPS Act with several of 
my bipartisan colleagues, which would address this critical gap 
by requiring HHS through public-private partnerships to 
essentially map out the medical supply chains using data 
analysis, and to assess all the threats and vulnerability.
    So, my question for you is, do you agree that this is a 
significant concern? And if so, will you commit to work when we 
pass this legislation to make this a reality?
    Dr. Makary. Senator Peters, I love this topic. It's so 
important. I'm glad you're raising it. I've written about it in 
a book in 2019. I've written about it in the Journal of the 
American Medical Association. I felt like no one has been 
paying attention. I warned about exactly what happened at the 
beginning of Covid, and it happened.
    So, I am totally aligned with you that this is an important 
issue. I think there are root causes that we've not been 
talking about that we need to talk about. I mean, we can get 
out a ruler and map out, you know, the supply chains, and I'm 
not opposed to that exercise, but the underlying problem is 
that manufacturing has moved overseas.
    And it's not just one or two things. It is most of what we 
use in anesthesia to perform surgery. It is most antibiotics. 
It is most of these cutting-edge therapies is the vast majority 
of generic drugs. And so, I totally am in support of President 
Trump's agenda here to bring manufacturing back to the United 
States.
    And we've already had a tremendous amount of success. There 
are companies announcing moving manufacturing in the United 
States. We're creating incentives, we're removing regulation. 
And this is a national security issue. So, I am 100 percent 
with you on this.
    Senator Peters. Very good. In April, FDA reported 
suspending programs to improve testing for potential bird flu 
virus contamination of milk, cheese, and pet food because of 
the mass layoffs that occurred. We know that the bird flu virus 
can kill pets who eat contaminated raw pet food, and it can 
pose a real danger to humans who also consume unpasteurized 
dairy products.
    As you know, the more people and animals who get infected 
with bird flu the more opportunities there are for the virus to 
mutate. And I'm really worried that we only may be a couple, 
and it's not just me, others are worried that there may be a 
couple of mutations away from having another--potentially a 
pandemic.
    So, my question for you, sir, is with the continued spread 
of bird flu in the country and the significant personnel 
disruptions at FDA food safety programs, could you tell me on 
the committee specifically what the FDA is currently doing to 
ensure our food is free from bird flu contamination?
    Dr. Makary. Well, first of all, that story was debunked by 
The Washington Post. It was the normal procurement pause to 
recalibrate the equipment. And so, when that happened, people 
who were trying to make us look bad, sometimes internally, 
sometimes externally, said, aha, there were layoffs, and 
there's a pause in some of the milk inspection, and therefore 
the cuts may have been related to this, or were related to 
this, and that's going to affect food safety.
    No. It was a normally scheduled pause to recalibrate 
equipment. It went through its normal schedule, and it is back 
up and running, and it's normally done to recalibrate the 
equipment. The cuts were to 380 communications people. What's 
the right number of communications people for the FDA? Not 380. 
125 travel coordinators, 13 strategy offices, 2,600 HR people, 
and budget and procurement people. So, I mean, are we not 
supposed to address some of this redundancy?
    Senator Peters. My question is, what exactly are you doing 
to safeguard our food supply and to safeguard to people from 
bird flu? So, that was the question. I think you're prepared 
for a different question and you gave the answer to the 
different question. But the question is suggested specifically 
what you're doing, please.
    Dr. Makary. You suggested the cuts increased our risk of 
bird flu, and I firmly reject that that's not true. And the 
inspection trains are running on time.
    Senator Peters. I think I said personnel disruptions, so.
    Dr. Makary. There's no personnel disruptions involved.
    Senator Peters. There are no personnel disruption----
    Dr. Makary. No calibration facility that was written about.
    Senator Peters. So, there are no personnel disruptions 
related to your work on bird flu. Is that what you're telling 
this committee?
    Dr. Makary. What I'm saying is the story that you 
referenced was saying that our milk calibration facility paused 
because of disruptions.
    Senator Peters. I don't remember--I don't think I cited a 
particular article. I don't know where you--obviously, you're 
prepared. You may not--you're prepared for a question that I 
didn't ask. That's fine.
    Dr. Makary. No, I mean, you referenced it.
    Senator Peters. You probably gave a good answer to a 
question that I didn't ask. And so, it shows you were prepped 
for it. I'm asking you, what are you doing about bird flu? Just 
answer that. Please don't give a runaround about other stuff.
    Dr. Makary. Doing a lot on bird flu.
    Senator Peters. Don't use your prepared talking points. 
Tell me, what are you doing to help us and protect the American 
people from bird flu? Please tell me that?
    Dr. Makary. We're doing a lot on bird flu.
    Senator Peters. Please tell me that. That's why we're here.
    Dr. Makary. We got--so look, when there is an antigenic 
shift that represents an epidemic threat, when there is human-
to-human transmission, that strain that is involved in that 
human-to-human transition is the strain that we should be using 
to base any potential future vaccines.
    And in the interim, as I said in my opening comments, 
delivering on a universal flu shot is one of our top goals. And 
there are two universal flu shots that are in development. And 
we are not in a receive-only mode with those developers. We are 
actively trying to partner with those individuals because it 
may be that you could come in for a single birch, a single 
influenza vaccine, or a two-dose strategy, or something like 
that and be immune for life against multiple different variants 
of influenza, including bird flu.
    And so, early preclinical data in animal studies has shown 
some promise that a universal flu shot using a traditional 
vaccine platform can actually create antibodies to the current 
strain of bird flu. The question, of course is, and I think 
this is really what you're getting at, is if we have a bird flu 
epidemic or even an outbreak in a human-to-human fashion, what 
strain is that going to be? Because one thing we know for sure 
is it's not going to be the strain that's circulating right now 
in millions of birds. So, it is a huge priority for us, 
Senator.
    Senator Peters. Good. Thank you.
    Dr. Makary. Thank you.
    Senator Peters. Thank you, Mr. Chairman.
    Senator Hoeven. Doctor, and in just one follow-up on the 
avian flu. I've spent quite a bit of time visiting with 
Secretary Brooke Rollins on that issue as well. And she put out 
a comprehensive plan to address it and a very thoughtful plan 
because, for example, the issue of inoculation is really 
complicated because if you inoculate chickens, and then you got 
broilers, and then you have trouble with export to Europe and 
all these kinds of things.
    Dr. Makary. Yes.
    Senator Hoeven. So, I think she put out a comprehensive 
plan, but she did it very judiciously because some of these 
things we still got to figure out. Right? So, any comments you 
have in terms of working with her and understanding that this 
it's very complicated, and as doctors say, we want to first do 
no harm but address it in a comprehensive way? Would that be a, 
a fair evaluation, and what are your thoughts?
    Dr. Makary. 100 percent. Secretary Rollins has been on top 
of this, she has been in communication with the emergency 
preparedness scientists at HHS and our FDA team, as well as 
people in the Office of Science Technology Policy to evaluate 
whether or not we should be mandating preemptive bird flu 
vaccines to chickens in the United States.
    Some countries have done it, and I think they made the 
right decision in saying that does not make sense at this time. 
Sometimes, it represents messing with mother nature in ways 
that we may not foresee. It may drive mutant strains of the 
virus. So, I think we need to be alert and ready. But at the 
same time, we need to wait until we see human-to-human 
transmission, and see what that strain is before we develop a 
strain specific vaccine.
    And in the meantime, we can advance the universal flu shots 
that encompass those bird flu strains currently in circulation, 
provided that they are safe and effective. And, you know, not 
100 percent of vaccines are wonderful. I love vaccines. I 
believe in vaccines. Vaccines save lives. Any death from a 
vaccine-preventable illness is a tragedy.
    But the anthrax vaccine was a disaster. The swine flu 
vaccine was a disaster. The rotavirus vaccine was removed from 
the market. We had a vaccine that we had to remove from the 
market a few weeks ago for a rare infectious disease in the 
United States. And when the data clearly shows that there's not 
broad safety as we're commissioned by Congress to do, then we 
have to do our job.
    Senator Hoeven. And there is concern by producers in terms 
of, if you start inoculating some of the flock, then you 
actually have the disease in the flock. But then if you're 
still, you know, keeping that flock, then does the disease 
spread also, as I say, depending on whether they're layers or 
they're broilers. That makes--so there's a lot that that goes 
into this, and it's a really complicated. Very important we 
address it, but a really complicated issue.
    And that's why I'm pleased that you and Brooke are working 
together in the way that you are on it.
    Dr. Makary. Thank you, Senator.
    Senator Hoeven. Yeah. I want to ask about AI, and I don't 
mean AI as we talked about on the ranch. This I mean artificial 
intelligence. And, you know, talk to me--I hear so much about 
what AI's going to do in every field, but certainly in 
medicine. Just give me, you know, some of your thoughts on not 
only how we should be using it and what it will do for us, but 
how we make sure that we don't get ourselves into a problem 
with it.
    Dr. Makary. Well, we spend a lot of time thinking about 
cybersecurity and proprietary information. We don't want a 
situation where AI is stealing proprietary information. And we 
don't want to expose ourselves to any cyber risks, which is why 
we have ensured that the AI that we're using to summarize 
clinical data and background information for our scientific 
reviewers lives in a very secure space. And the reviewers love 
it.
    And it's not just AI to assist in the scientific reviews. 
We're using AI to identify where we should be concentrating our 
food inspections. And it turns out the AI can sometimes figure 
out pattern recognition faster than, you know, we can as human 
beings. And we'd like to use this also to address the issue of 
illegal vapes coming into our border.
    Senator Hoeven. Okay. And how do we make sure it doesn't 
get off and running on us and we have problems?
    Dr. Makary. We have to keep an eye on it always. I mean, we 
cannot have blind trust in anything, which is why all the areas 
where we are using AI currently at the FDA, we also have a 
human being reviewing the information and having full access to 
the underlying data.
    Senator Hoeven. Okay. Thank you, Doctor. Ranking Member 
Shaheen.
    Senator Shaheen. Yes. I just have a couple more questions. 
One is, again, apropos the need to address Type 1 diabetes. One 
of the things that Senator Collins and I have worked on is a 
more efficient pathway for biosimilar drug approvals that are 
currently lacking competition.
    So, can you give us an update on what you think is 
happening in that arena and whether there's any reason to hope 
that that's going to get expedited, and if there are any other 
approvals or anything that you need at the FDA to ensure that 
that is being addressed in a way that allows those biosimilars 
to come to market?
    Dr. Makary. Well, thank you, Senator. This is a very 
important topic that directly relates to drug prices for 
everyday Americans. And there's a reason why when you watch the 
news now, you're basically watching, you know, people dancing 
in the fields and singing with these drug ads nonstop in the 
commercial breaks because they're so expensive.
    And so, the companies have figured out that if they can get 
a few people to, you know, shake their doctor down to prescribe 
one of these drugs to them, or I guess somehow let their doctor 
know that they're a candidate--it might be a little insulting 
to the doctor that they don't already know it, in my opinion. 
But that's why these ads are running nonstop.
    And so, there are low cost biosimilars that can be made 
available by the FDA, approved by the FDA, and that process is 
too slow, in my opinion. We have to look at whether or not we 
really need to require confirmatory trials for each biosimilar. 
I mean, we don't do that for generics with regular branded 
pills. We don't say, ``Well, you make a generic with the same 
molecular structure, go out and do a confirmatory trial.'' I 
think we need to look at that.
    There's a bill, I believe, that Senator Rand Paul is 
putting forward to take a look at that. And then finally, we 
can look at whether or not we can sort of approve a class of 
interchangeable drugs that they're very similar in the class. 
And so, an interchangeability provision could help create more 
incentives because we want to incentivize companies to make 
safe biosimilars.
    Senator Shaheen. I agree. You mentioned in your opening 
statement the seizure of vaping products from China. One of the 
things that I've been concerned about for a very long time is 
the increased use of vaping by young people. And the numbers 
have gone up dramatically in the last 10 years, and also the 
health impacts of that we're not even, I think, fully aware of 
at this point.
    So, can you talk about what more you're doing at the FDA, 
and how you did that interdiction, who you're working with, 
again what more can be done to get those products off the 
market?
    Dr. Makary. Well, Senator, thank you for your interest in 
this topic. We can do a lot more. And I've realized that what's 
happening now is these illegal Chinese vaping products designed 
to attract children, they are video game vaping products with 
an inhalation port designed to addict young children so they 
can vape as they play these games. These fruit video game 
products that are so small, they have an inhalation port.
    What happens is these products that are banned in China, 
and made in China, show up in U.S. ports. And what's been 
happening, I learned, is that they are set aside, the FDA looks 
at them, and then we say, ``Well, you know what? These are 
shouldn't be coming in our country. We'll put them back on the 
ship they came on, and then the ship goes to another U.S. port 
and will come in through. Basically, we're 100 percent porous.
    It's been a joke, and they've been laughing at us, and so 
we are going to stop that. And we have incredible interest at 
DOJ, at Department of Homeland Security, and we are creating an 
endeavor that is going to basically say we're not going to send 
them back anymore. We're going to confiscate and seize these 
products because we've got to get serious about them.
    These are designed to get kids addicted, and there are kids 
in America today who are addicted. They know they're addicted. 
They come from good families, they're good kids, and they can't 
stop. And that is something that we have to address. There are 
high schools in America now where kids are saying half of the 
kids in high school are addicted to these vaping products.
    So, we cannot get burned, again, like we did on opioids, 
and Vioxx, and other things where the problem is so far down 
the road it's hard to undo some of the tragedy. And so, this is 
a top priority for this administration, for this President, for 
this secretary, and for me.
    Senator Shaheen. Well, I agree. I think we ought to right 
out ban vaping products for anybody under a certain age, 
certainly. And one of the other things we need to do, as you 
know, is to get a treatment for people who are trying to get 
off vaping products. Because one of the other selling points 
that they use is that, well, it's a way to get cigarette users 
to stop smoking. They can vape and the harmful impacts are not 
as serious.
    But I'm pleased to hear that you're doing everything 
possible. And I don't know if you, again, if this is an area 
where you need additional authorization or support, but I think 
there are a number of us in the Senate who are all in to try 
and address this because it is having a huge impact.
    I've been to those schools in New Hampshire where I've 
talked to students who have gotten hooked on vaping, who can't 
get off, and who don't have any aids to help them do that. So, 
it's something that we've really got to address.
    Dr. Makary. Thank you so much, Senator. And as you know, we 
confiscated today $34 million worth of illegal vaping products 
and e-cigarettes. And so that announcement is coming out today.
    Senator Shaheen. Thank you.
    Dr. Makary. Thank you.
    Senator Hoeven. Doctor, thanks for being here. Did you have 
anything else that you wanted to express for the record before 
we wrap?
    Dr. Makary. I appreciate the input and the feedback. And, 
look, I'm on a listening tour. We're going to be traveling 
around the country, myself and some of the other FDA leaders, 
meeting with industry leaders, developers, inventors, 
scientists, academics, and we want to hear how we can perform 
better.
    We don't claim to have all the answers. We don't claim to 
have the truth on health, but we do have a lot of intellectual 
curiosity, and we plan when we see something that needs action 
to take action. So, I want to thank you and this committee for 
the input that you've provided and made available to me.

                     ADDITIONAL COMMITTEE QUESTIONS

    Senator Hoeven. We appreciate you being here today. We look 
forward to having you back as well. Questions for the record 
are due by next Thursday, May 29th. And then, we'd appreciate 
responses from FDA within 30 days, so.
    Dr. Makary. I can't wait.
            Questions Submitted to Hon. Dr. Martin A. Makary
               Questions Submitted by Senator John Hoeven
                         maha commission report
    Question. The Make American Healthy Again (MAHA) Commission report 
was made public the day of our hearing. This subcommittee has a special 
interest in the recommendations in the report as we are at the 
intersection of food and health with jurisdiction over both the FDA and 
the USDA. I am curious about the next stage in the process for the MAHA 
Commission, which will entail the publication of a strategy to build 
upon the report which is due by August of this year.
    Can you speak to the MAHA report and how you believe it will impact 
your work at the FDA? Will you work closely with the USDA on the next 
phase of the MAHA Commission Strategy development to ensure our farmers 
will continue to enjoy support for their work providing the fresh 
fruit, vegetables and other dietary staples that are important to 
ensuring the health and nourishment of all Americans?
    Answer. On April 22, the U.S. Department of Health and Human 
Services and U.S. Food and Drug Administration (FDA) announced new 
measures to work with industry to phase out all petroleum-based 
synthetic dyes from the Nation's food supply-a significant milestone in 
the administration's initiative to Make America Healthy Again. The FDA 
is taking a number of actions, including:

  --Initiating the process to revoke authorization for two petroleum-
        based food colorings-Citrus Red No. 2 and Orange B.

  --Working with industry to phase out the use of six remaining 
        petroleum-based dyes-FD&C Green No. 3, FD&C Red No. 40, FD&C 
        Yellow No. 5, FD&C Yellow No. 6, FD&C Blue No. 1, and FD&C Blue 
        No. 2-from the food supply by the end of next year.

  --Partnering with the National Institutes of Health (NIH) to conduct 
        comprehensive research on how food additives impact children's 
        health and development. In partnership with the NIH Nutrition 
        Regulatory Science and Research Program, the FDA will enhance 
        nutrition and food-related research to better inform regulatory 
        decisions.

  --The FDA fast-tracked the review of calcium phosphate, Galdieria 
        extract blue, gardenia blue, butterfly pea flower extract, 
        which are color additives derived from natural sources. The 
        agency is also taking steps to issue guidance and provide 
        regulatory flexibilities to industries.

    Lastly, FDA has and will continue to collaborate with USDA on a 
variety of cross-cutting work related to the MAHA Commission Report.
                          human foods program
    Question. As I mentioned in my opening statement, the FDA regulates 
80 percent of our Nation's food supply. We know that there have been 
staffing changes and reductions at the Human Food Program this year. We 
have also heard of the possibility of changes in FDA's food inspections 
that would lead to a decrease in FDA's direct involvement. I assume 
this would lead to more support of state inspectors, which are more 
cost effective.
    Can you speak to your vision for FDA's food regulation and 
inspections for the next year?
    Answer. The President's proposed budget for Fiscal Year 2026 
includes a plan to shift responsibility for many routine food facility 
inspections from FDA to State agencies. This shift is part of a larger 
proposal to enhance FDA's efficiency. As part of the plan, FDA and 
state co-regulators would work in a coordinated framework, sharing data 
and responsibilities to ensure coverage of regulatory responsibilities 
in a jurisdiction. It is anticipated that each State would have a 
unique distribution of work based on its capacity and capability, while 
FDA would focus on areas where its national scope and specialized 
expertise would be most impactful. This proposed framework will reduce 
duplication and streamline work planning between FDA and state co-
regulators, as well as provide more complete food safety coverage and 
optimize resource utilization at both the State and Federal levels.
    From a training perspective, FDA's Partnership for Regulatory 
Education and Training (PRET) program helps enable States to have more 
qualified personnel to conduct inspections. PRET is designed to assist 
State, local, Tribal, territorial and military (SLTTM) partners by 
equipping them to independently deliver training courses. By enhancing 
training capabilities and strengthening regulatory capacity across all 
levels, FDA is reinforcing our collective commitment to safeguarding 
public health. PRET offers an opportunity to empower jurisdictions to 
meet their own training needs while using FDA-designed course materials 
and utilizing FDA-trained qualified instructors from the SLTTM's own 
staff.
                           ai product reviews
    Question. I noted your recent announcements around the use of AI at 
the FDA; including the hiring of the FDA's first Chief AI Officer and 
the completion of the first AI assisted product review, with the goal 
of scaling widespread use of AI in reviews at the agency by July. I am 
curious if you can discuss parameters of the rollout.
    Specifically, can you touch on the safeguards you have in place 
that will protect proprietary information and ensure accuracy?
    Answer. In June 2025, FDA deployed the generative AI Tool, Elsa, 
across the entire Agency. Elsa's development team was comprised of 
experts from every Center. Currently, we have approximately 11,400 
users of Elsa, with 6,000-7,000 weekly active users, making it one of 
our most utilized applications. Elsa is an FDA-wide solution that can 
be employed to help with tasks in every Center/Office. The system 
supports diverse functions, from administrative tasks to Freedom of 
Information Act requests and human resources needs. We also expanded 
accessibility by developing mobile capabilities specifically for field 
investigators. In addition to Elsa, FDA is currently compiling the 2025 
annual HHS AI use case inventory in accordance with Executive Order 
13960, ``Promoting the Use of Trustworthy Artificial Intelligence in 
the Federal Government.'' FDA's 2024 use case list may be found here: 
AI Use Cases Inventory HHS.gov.
    Regarding cybersecurity and information security measures, Elsa 
operates within the most robust security framework available to Federal 
agencies. The system is deployed in a FedRAMP/FISMA High environment, 
which represents the highest level of Federal cybersecurity standards. 
Our key security measures include comprehensive data protection 
protocols. The system is also not connected to the internet and 
operates securely behind the FDA firewall, allowing our staff to input 
FDA confidential information safely while maintaining the highest 
security standards. We maintain strict access controls, including user 
profile restrictions and the ability to create locked-down, user-
specific document libraries. Staff can upload documents and data during 
individual chat sessions, and this information remains within that 
specific session and user context, preventing unauthorized access or 
data sharing. Additionally, we maintain rigorous vendor management 
protocols with our cloud solution providers and AI vendors, ensuring 
they meet all Federal security requirements while providing us with 
access to the latest modeling capabilities within our secure 
environment.
    Question. Can you discuss how FDA reviewers are being trained, and 
any cost or savings this may bring to the agency?
    Answer. Since Elsa's launch on June 2, 2025, over 6,290 FDA staff 
have completed initial training, and currently, we maintain 6-7,000 
weekly active users out of approximately 11,400 total users Agency-
wide. This makes Elsa one of our most utilized applications outside of 
standard Microsoft Office products.
    Our training approach is deliberately structured and progressive. 
We have conducted extensive trainings paired with multiple office hours 
and video recordings, and to date, over 6,290 staff have attended 
training sessions. Our approach focuses heavily on prompt engineering--
teaching users to craft specific, effective queries rather than relying 
on generic interactions. As new features and models are released, staff 
will be required to attend trainings to unlock such additional AI 
models and features. This ensures we have a process to continually 
train and reinforce the proper use of these tools as they advance.
    Some administrative tasks that previously required days to weeks of 
work can now be completed in fractions of the time, representing 
significant labor cost savings across our large user base. For example, 
analyzing public docket comments for high-level themes could normally 
require days of efforts from several staff members, however, through 
Elsa such themes can now be identified more efficiently.
    The system development and deployment occurred in 2-3 weeks using 
existing FDA staff with minimal contractor support, demonstrating 
relatively low implementation costs. Our training investment is 
generating returns through accelerated adoption and more effective 
utilization of AI capabilities across diverse Agency functions, 
including assisting staff in drafting warning letters, processing 
meeting transcripts, and supporting various aspects of our review 
processes.
    FDA maintains rigorous mechanisms to ensure regulatory compliance 
and protection of sensitive information. All users are trained that 
Elsa is a supportive tool, not a decision-maker, and that they must 
verify all outputs through our established multiple levels of review. 
We maintain structured processes with extensive oversight, ensuring 
that AI-assisted work still meets our rigorous scientific and 
regulatory standards. Users learn to utilize feedback mechanisms, 
including rating systems that help our development team understand 
usage patterns and improve the system.
    Finally, we have implemented features in our system such that when 
users are interacting with Document Libraries, Elsa is forced to read 
prompts in the context of those documents and cite relevant documents, 
significantly limiting the likelihood that Elsa hallucinates 
information or references. Regardless, FDA staff are required to 
validate sources and information in every instance.
    We also plan to provide Center leadership with information about 
usage patterns, enabling them to understand how their teams are 
utilizing the tools and ensure appropriate application within their 
specific regulatory contexts. Finally, we maintain currency with the 
latest AI capabilities, while ensuring all updates meet our security 
and functionality requirements. We recently upgraded from Claude 3.5 to 
Claude 4.0 within our secure environment, demonstrating our commitment 
to providing staff with cutting-edge tools while maintaining the 
highest security standards.
    Question. Will the use of AI have effects on staffing levels?
    Answer. Our current focus is on Human-in-the-loop capabilities to 
support our workforce and not on replacing staff functions with AI.
                              inspections
    Question. Inspections are important to promote domestic 
manufacturing. In addition to modernizing the foreign inspection 
process, there are steps that could be taken to address avoidable 
inefficiencies that impact the time and expense of product reviews.
    Inspections are a critical step in the safety assessment and the 
approval process. They need to be thorough and complete while at the 
same time being accurate and rationale, particularly given the reliance 
on contract manufacturing sites, which can be spread across multiple 
buildings and with distinct products.
    Can you share with the committee your plan to modernize 
inspections, and commit to working with Congress to identify and 
address improvements to current practices?
    Answer. FDA has focused on more efficient and timely inspections 
and comprehensive but succinct inspection reports, as well as 
additional technological tools to assist in modernization. Together 
these approaches should allow for an increase in the number of 
inspections performed and allow broader coverage of industry.
    The Agency is also utilizing remote assessment tools and other 
alternative inspectional tools to gather information and records in 
advance of or in lieu of inspections. This allows FDA to leverage such 
information and records to focus subsequent inspections or to forgo the 
need for inspection in certain cases, as appropriate, e.g., if the 
information in the reviewed records is sufficient for the agency's 
purposes. FDA is also using our authority under section 704(a)(4) of 
the FD&C Act, as recently amended by Congress, to require provision of 
records or other information in advance of or in lieu of an inspection.
    Question. Will you commit to reporting back to the committee on how 
many inspection issues have led to delayed approvals in the form of 
Complete Response Letters (CRLs), particularly noting those cases in 
which the inspection issue that resulted in the delay is ultimately 
determined to be a non-issue or is unrelated to the product that was 
delayed?
    Answer. The focus of current good manufacturing practice (CGMP) 
inspections is on system-wide controls that ensure manufacturing 
processes consistently produce quality drugs. FDA will use information 
gathered from inspections to assess an establishment's compliance with 
CGMP requirements, including, among other things, evaluating the 
effectiveness of the establishment's quality system.
    FDA provides information on inspections, including the median time 
to start a pre-approval inspection (PAI) and the number of facilities 
that failed to address inspection issues leading to application 
Complete Response Letters (CRLs) for new drug applications (NDAs) and 
abbreviated new drug applications (ANDAs), in the publicly available 
FDARA 902 report. The number and type (e.g. PAI, surveillance, for-
cause) of inspections resulting in Official Action Indicated (OAI) 
classifications is documented, but a categorical breakdown of the type 
requested pertaining to CRL reasons is not available with current 
systems.
                         fda it infrastructure
    Question. Please provide details on FDA's IT modernization roadmap, 
including timelines, risk mitigation strategies, and how the agency 
plans to maintain continuity of operations during any system 
transitions.
    Answer. The FDA has developed a roadmap to consolidate the agency's 
mission critical applications across all centers. The consolidation 
focuses on data intake systems, regulatory workflow management 
platforms, publishing platforms, and the aggregated data platforms. The 
implementation follows a three-phase timeline approach spanning 
calendar years 2025-2028, with the agency currently in the first phase 
which began in May 2025.
    The first phase, spanning May 2025 through October 2025 (6 months), 
focuses on foundational setup beginning with the launch of frequent 
adverse event data publishing to provide more timely post-market data 
to the public, followed by the initiation of historical data 
digitization to enhance knowledge sources and cross-center system 
consolidation planning, including the deployment of the AI platform 
Elsa 2.0 and Adverse Event Monitoring (AEM) capabilities alongside five 
additional foundational initiatives.
    The second phase, covering November 2025 through October 26 (12 
months), concentrates on core transformation activities, including the 
completion of adverse event system consolidation from seven (7) 
separate databases into one (1) unified system that supports downstream 
regulatory reviews, analytics, reporting, and data mining functions 
without operational interruption. This phase also includes the 
deployment of more real-time sentinel capabilities, the launch of 
parallel real-time review processes for early-phase clinical trials, 
and the implementation of comprehensive real-time surveillance 
capabilities.
    The third and final phase, planned for November 2026 through April 
2028 (18 months), achieves full integration by completing historical 
data digitization, establishing full cross-center system integration, 
and scaling real-time review capabilities from early-phase trials to 
include late-phase trials, thereby creating a comprehensive and timely 
regulatory framework.
    The consolidation effort employs an approach that minimizes the 
risk by maintaining all existing applications, systems, platforms, and 
resources in their current operational state until successful 
implementation, testing, and migration to the consolidated platform is 
completed. Each initiative involves representatives from every center, 
including both business subject matter experts and technical personnel, 
to ensure ownership of business and IT operations and to provide input 
on proposed changes before any code base modifications occur. Business 
continuity is ensured through embedded change management teams within 
each center that provide hands-on training and various training 
modalities to ensure smooth transitions without major disruptions.
    Additionally, comprehensive backup plans maintain systems in their 
current operational state as contingency measures, ensuring that 
critical regulatory functions continue uninterrupted throughout the 
transformation process.
    Question. Please provide the committee with an update on the 
current review process for reviewing contracts at FDA, including:
    How long is it currently taking FDA to process procurement 
contracts?
    Answer. The time to process procurement actions, receipt to 
contract award generally takes 2-3 months.
    Question. How is HHS ensuring that FDA contract governance adheres 
to best practices in procurement, risk management, and operational 
resilience?
    Answer. HHS is ensuring FDA contract governance adheres to best 
practices in procurement, risk management, and operational resilience 
through implementation of the Administration's priorities. Through HHS, 
the FDA is implementing changes to the Federal Acquisition Regulation 
(FAR) as part of the President's Executive Order (EO), ``Restoring 
Common Sense to Federal Procurement'' (EO 14275), through the 
Revolutionary FAR Overhaul \1\ (RFO). HHS' oversight of FDA's 
acquisition activities helps ensure the FDA realizes the goals of the 
RFO: faster acquisitions, greater competition, and better results.
---------------------------------------------------------------------------
    \1\ https://www.acquisition.gov/far-overhaul
---------------------------------------------------------------------------
    Additionally, HHS has enabled the FDA to be flexible and innovative 
in adopting best practices, risk management, and operational resilience 
through promotion of the HHS ``Acquisition Innovation Program,'' which 
is transforming ``the department's acquisition process through 
fostering a culture of innovation, streamlining procedures, and 
piloting new approaches to deliver best value to the taxpayer.'' In 
particular, HHS has provided ``streamlined acquisition efficiencies to 
assist the HHS contracting workforce with year-end actions . . . [and] 
low-risk efficiencies that are easy to implement to ensure successful 
execution of FY25 year-end requirements,'' such as streamlined 
acquisition planning, small business-related reviews, and strategic 
sourcing opportunities (HHS Acquisition Alert 2025-07). The FDA is 
implementing many of these approaches to effectively support the FDA, 
including the Department of Homeland Security's Procurement Innovation 
Lab's (PIL) source selection techniques.
    Question. What internal controls are in place to prevent potential 
bottlenecks during the contract approval process?
    Answer. Controls include standardized review timelines, designated 
approval authorities at each organizational level, and systematic 
tracking mechanisms that monitor contract progress through each stage 
of the approval workflow. Additionally, the Agency maintains escalation 
procedures and regular communication protocols between contracting 
officers, program officials, and FDA leadership to identify and resolve 
any delays that may arise during the contract approval process.
    Question. Building off the progress in genomic medicine/rare 
disease--Congress has spent decades providing regulatory tools and 
encouraging their use, from innovative trial designs to expedited 
programs, surrogate endpoints, and real-world evidence. In your efforts 
to build a more efficient FDA that upholds the world's ``gold 
standard,'' it is imperative that FDA makes full use of the tools that 
Congress has provided in applying that standard. This is especially 
important for patients with serious rare diseases where randomized 
controlled trials may not be possible.
    What does the Administration intend to do to ensure we are able to 
advance the field of cell and gene therapy, and will this 
Administration continue to support the full use of regulatory tools 
Congress has provided, including accelerated approval and single arm 
trials when placebo controls are not possible, in order to speed the 
delivery of these life-changing treatments to patients?
    Answer. The FDA is committed to advancing cell and gene therapy 
development and making full use of the regulatory tools Congress has 
provided, particularly for rare diseases where traditional trial 
designs may not be feasible.
    The FDA is actively implementing several key initiatives to support 
cell and gene therapy advancement. The Agency has established the 
Support for Clinical Trials Advancing Rare Disease Therapeutics (START) 
Pilot Program for CBER and CDER, which provides enhanced communication 
between sponsors and FDA staff to address product-specific development 
issues more efficiently. This program specifically targets gene and 
cellular therapies for serious rare diseases, offering frequent advice 
and regular informal communication to help move development programs 
forward more quickly. Additionally, FDA has launched the Rare Disease 
Innovation Hub that will leverage expertise across the Agency to 
advance regulatory science on critical issues including novel 
endpoints, biomarker development, and innovative trial designs.
    Regarding the use of regulatory flexibilities that Congress has 
provided, FDA explicitly confirms its commitment to applying these 
tools appropriately. These flexibilities include accelerated approval 
based on surrogate endpoints that are reasonably likely to predict 
clinical benefit, reliance on a single adequate and well-controlled 
trial with confirmatory evidence instead of requiring two trials, use 
of natural history study data as external control data, use of novel 
trial designs, and use of novel statistical methodologies.
    The FDA also continues to support the Rare Disease Endpoint 
Advancement (RDEA) Pilot Program, a joint CBER and CDER initiative 
designed to support novel endpoint efficacy development for drugs that 
treat rare diseases by providing a mechanism for sponsors to 
collaborate with FDA throughout the efficacy endpoint development 
process. The Agency emphasizes that it considers all relevant statutory 
authorities and available flexibilities when making decisions 
appropriate to each particular rare disease and therapeutic product, 
and ensuring that the tools Congress has provided are being utilized 
effectively to benefit patients with serious rare diseases who have 
limited treatment options.
  rare diseases require innovative approaches to drug development and 
                               regulation
    Question. Dr. Makary, you have previously articulated the 
challenges in rare disease drug development, stating that for 
debilitating, life-threatening rare conditions, ``you can't expect 
companies to do a randomized controlled trial'' because it would ``kill 
investment in those innovative ideas.'' You also spoke about the need 
to ``customize the approval process to the condition'' and uphold 
``gold standard science.'' I was encouraged by your statements because 
Congress has provided FDA with a wide array of regulatory tools to do 
just that, and these tools are especially important for rare diseases 
that are complex and challenge traditional approaches to drug 
development.
    As you work towards building a more modern, efficient FDA, how will 
you ensure that your vision for customized approaches to regulation and 
gold standard science is implemented at the review level? Can we count 
on FDA under your leadership to fully leverage all the tools Congress 
has provided to apply innovative regulatory approaches beyond just 
focusing on randomized controlled trials--especially in rare diseases 
where such traditional approaches may not be possible?
    Answer. FDA currently has numerous programs (e.g., accelerated 
approval, breakthrough therapy designation, fast track designation, and 
priority review) to help speed the availability of drugs intended to 
treat patients with serious and life-threatening diseases, while at the 
same time meeting appropriate safety and effectiveness standards and 
facilitating the collection of scientific data that is relevant and 
reliable.
    FDA also focuses significant resources on rare disease drug 
development and initiatives to help bring safe and effective treatments 
to rare disease patients. These initiatives include:

  --Rare Disease Innovation Hub \2\: In July 2024, FDA announced the 
        creation of the Hub to serve as a point of collaboration and 
        connectivity between CBER and CDER with the goal of ultimately 
        improving outcomes for patients with rare diseases.
---------------------------------------------------------------------------
    \2\ https://www.fda.gov/industry/medical-products-rare-diseases-
and-conditions/fda-rare-disease-innovation-hub
---------------------------------------------------------------------------
  --CDER's Accelerating Rare disease Cures (ARC) Program \3\: In May 
        2022, CDER launched the ARC Program with a vision to speed and 
        increase the development of safe and effective treatment 
        options to address the unmet needs of patients with rare 
        diseases.
---------------------------------------------------------------------------
    \3\ https://www.fda.gov/about-fda/center-drug-evaluation-and-
research-cder/accelerating-rare-disease-cures-arc-program
---------------------------------------------------------------------------
  --CBER/CDER START Pilot Program \4\: FDA's CBER and CDER initiated 
        the Support for clinical Trials Advancing Rare disease 
        Therapeutics (START) Pilot Program to help further accelerate 
        the development of novel drug and biological products for rare 
        diseases.
---------------------------------------------------------------------------
    \4\ https://www.fda.gov/science-research/clinical-trials-and-human-
subject-protection/support-clinical-trials-advancing-rare-disease-
therapeutics-start-pilot-program
---------------------------------------------------------------------------
  --Rare Disease Endpoint Advancement (RDEA) Pilot Program \5\: This 
        pilot is a PDUFA VII commitment designed to support novel 
        efficacy endpoint development for drugs that treat rare 
        diseases.
---------------------------------------------------------------------------
    \5\ https://www.fda.gov/drugs/development-resources/rare-disease-
endpoint-advancement-pilot-program
---------------------------------------------------------------------------
  --The Oncology Center of Excellence (OCE) Rare Cancers Program \6\: 
        This program is intended to promote the development of safe and 
        effective new drugs and biologics totreat patients with rare 
        cancers by engaging with multiple internal and external groups 
        involved in rare cancer drug development, including patient 
        groups, academia, industry, etc., and holding various workshops 
        for pediatric cancers, rare cancers and ultra-rare cancer tumor 
        indications. Importantly, the OCE has applied regulatory 
        flexibility in many rare cancer drug approvals, including 
        acceptance of the use of single arm trials where appropriate, 
        one adequate and well controlled trial under accelerated 
        approval, use of master protocols and seamless trial designs, 
        etc.
---------------------------------------------------------------------------
    \6\ https://www.fda.gov/about-fda/oncology-center-excellence/oce-
rare-cancers-program
---------------------------------------------------------------------------
  threats to us biotech's future investment and global competitiveness
    Question. The National Security Commission on Emerging 
Biotechnology recently issued a report on the impact of emerging 
biotechnology on national security. The Commission's conclusion was a 
clear warning--the U.S. risks permanently forfeiting its position as 
the global leader in biotechnology if supportive action is not taken in 
the next few years. I am concerned that the US can fall behind 
competitors like China, which has been investing in biotech for the 
last two decades in an attempt to overtake the U.S. in this area.
    What actions can the Administration take to restore the confidence 
and predictability needed in the regulatory process to ensure the 
viability of U.S. biotech, and what is this Administration's broader 
plan to preserve and defend our standing as the global leader in 
biotech and ensure that Americans have access to innovative, lifesaving 
treatments?
    Answer. To preserve America's competitive edge in biotechnology, 
FDA is taking action across our product areas, including some notable 
examples below, to increase regulatory predictability, accelerate 
review timelines, and foster greater industry collaboration.
    The FDA recognizes that drug developers and capital markets alike 
want predictability. To that end, FDA published more than 200 complete 
response letters (CRLs) to provide significantly greater insight into 
the FDA's decision-making and the most common deficiencies cited that 
sponsors must address before their application is approved. The Agency 
plans to publish additional CRLs from our archives.
    The Agency also recently announced its Commissioner's National 
Priority Voucher (CNPV) program. The new voucher may be redeemed by 
drug developers to participate in a novel priority program by the FDA 
that shortens its review time from approximately 10-12 months to 1-2 
months following a sponsor's final drug application submission.
    Additionally, the Commissioner recently launched a six-city 
listening tour to gather direct input from biotechnology and 
pharmaceutical leaders on how FDA can modernize its regulatory 
framework to better support innovation and patient access to safe and 
effective therapies.
    Lastly, FDA has streamlined its procedures for oversight of foods 
and animals developed using biotechnology and recently implemented a 
Voluntary Premarket Meeting process to help certain foods from genome 
edited plants reach the market much more quickly. This approach 
continues to protect public health and promote transparency while 
reducing FDA's regulatory timeline from months to weeks for these kinds 
of products.
    Taken together, the US system generally, and FDA procedures in 
particular, have enabled the marketing of more biotechnology-derived 
food and animal products in the US than anywhere else in the world.
                            staffing at fda
    Question. Can you confirm the number of current FDA staff and how 
that compares to 2024?
  --Have these staff losses affected certain offices, centers, or 
        divisions more than others? If so, which?
  --How many of these staff reductions were funded by user fees versus 
        annual appropriations?
  --Is the agency currently meeting its PDUFA-mandated review 
        timelines, including for applications granted priority review 
        or for those targeting rare diseases?
  --What steps are you taking to ensure that the FDA has the staff it 
        needs to review applications within the statutorily mandated 
        timeline?
    Answer. The table below shows the staff on board as of December 31, 
2024, and May 22, 2025. The May 22, 2025, numbers exclude individuals 
that remain on administrative leave with anticipated departures due to 
DRP and pending RIF actions.

 
 
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                                                                                                                                                 Grand
                        As Of                             CBER       CDER       CDRH       CTP        CVM        HFP         OC        OII       Total
--------------------------------------------------------------------------------------------------------------------------------------------------------
12/31/2024...........................................       1373       5655       2192       1183        698       1966       3148       2983      19198
5/22/2025............................................       1304       5388       2017       1078        634       1801       2769       2825      17816
Change (%)...........................................      5.03%     -4.72%     -8.12%     -8.88%     -9.17%     -8.39%    -12.04%     -5.30%     -7.20%
--------------------------------------------------------------------------------------------------------------------------------------------------------

    As demonstrated in the table above, the reductions range from 
approximately 18% to 23% by Center. The Office of the Commissioner is 
an outlier at 27.54%, reflective of the focus of the RIF actions on 
administrative, non-scientific positions without direct roles in the 
reviews, inspections, and investigations.
    52% of FTEs who left the FDA during the time frame above were 
funded by user fees.
    FDA continues to meet all of its user fee-related timelines, and 
therapeutics for rare diseases is a significant priority for the 
Agency. As in the past, FDA is monitoring and assessing organizational 
hiring needs to respond according to hiring authority guidelines, so 
that the Agency can continue to review applications within the 
statutorily mandated timelines.
                      vaccine regulatory framework
    Question. The Advisory Committee on Immunization Practices (ACIP) 
is an independent body of clinical experts that provides guidance with 
regard to vaccines Last month, the ACIP met and made several 
recommendations that are still pending review by HHS. Can you provide 
any timeline or update as to when HHS will consider the ACIP 
recommendations?
    Answer. The Advisory Committee on Immunization Practices is an 
advisory committee of the Centers for Disease Control and Prevention 
(CDC). FDA recommends reaching out to CDC for further information.
                            benzodiazepines
    Question. Commissioner Makary, recent media investigations have 
underscored the severe risks of the benzo (benzodiazepines) class of 
drugs-including dependency, cognitive decline, and fatal withdrawal 
complications-prompting many patients and providers to seek safer 
alternatives. In the last 2 years the Committee has asked FDA to report 
back on this topic.
    Given that the FDA and DEA are currently collaborating on an 
analysis to determine whether to deschedule or reschedule newer DORA 
class insomnia medications, will you prioritize this analysis?
    Answer. Under the Controlled Substances Act (CSA), drug scheduling 
is an effort coordinated between the Drug Enforcement Administration 
(DEA) and the Department of Health and Human Services (HHS), where a 
final scheduling action is taken by DEA. Generally, FDA, on behalf of 
the Secretary of HHS, performs the medical and scientific evaluation of 
substances for control under the CSA, pursuant to provisions under 21 
U.S.C. 811(a-c). According to an April 11, 2024, opinion from the 
Department of Justice Office of Legal Counsel, such scientific and 
medical determinations from HHS ``must be binding [on DEA] until 
issuance of a notice of proposed rulemaking"; once formal rulemaking 
has commenced, DEA must continue to accord ``significant deference'' to 
those determinations. As such, we acknowledge our significant and 
important role in evaluating the science to support the scheduling 
process. However, the Agency notes that DEA is the Federal agency that 
takes final scheduling actions under the CSA, including any potential 
descheduling or rescheduling of DORA class substances (suvorexant, 
lemborexant, and daridorexant).
                    alternative methods for testing
    Question. As you know, the FDA issued a Roadmap to reduce animal 
testing.
    Please provide an update on the agency's plans and timeline 
regarding this initiative?
    Answer. Our Roadmap, released before the hearing on April 10, 2025, 
outlines an approach for FDA to reduce toxicity testing in animals in 
the next 3 years:

    1. Explore Pre-existing International Data.

    2. Encourage sponsors to submit new approach methodologies (NAM) 
data in parallel with animal data to build a repository of experience.

    3. Develop an open-access repository with a comprehensive 
collection of international drug toxicity data from animals and humans.

    4. Reduce the routine 6-month primate toxicology testing for 
monoclonal antibodies (mAbs) that show no concerning signals in 1-month 
studies plus NAM tests to 3 months.

    5. Reduction in animal toxicity testing timeframes for other drug 
categories.

    6. Changes in toxicity testing will be tracked and quantified on a 
bi-annual basis.

    Following the release of the roadmap, FDA and NIH held workshop on 
July 7 titled, ``FDA & NIH Workshop on Reducing Animal Testing''. The 
workshop discussed how the FDA and NIH can collaborate to reduce the 
animal testing currently performed for new drugs and other products.
    In addition, over the coming year, the FDA aims to launch a pilot 
program allowing select monoclonal antibody developers to use a 
primarily non-animal-based testing strategy, under close FDA 
consultation. Findings from an accompanying pilot study will inform 
broader policy changes and guidance updates expected to roll out in 
phases.
                          foreign inspections
    Question. Commissioner Makary, as you know many generic drugs used 
in the U.S. are manufactured overseas, particularly in India and China. 
I'm hopeful we can onshore more of this activity. In the interim, we 
still have to ensure those who depend on these medications can trust 
that they are safe and effective when they are imported.
    How will the FDA ensure that it will be able to sustain its foreign 
inspection schedule?
    Answer. FDA has resumed the recruitment and hiring of new 
investigators. Training our new and existing workforce of Investigators 
who conduct inspections remains a priority. FDA is committed to the 
continuous assessment and implementation of various training 
improvements, standardization efforts, and evaluations in efforts to 
support the development of the inspectorate and contribute to the 
completion of planned foreign inspections. Emerging training focusing 
on unique aspects of foreign inspections will help ensure that the time 
to prepare for foreign inspection work is minimized, thereby 
facilitating an aggressive foreign inspection schedule.
                      regulatory review timelines
    Question. Commissioner Makary, many small biotech firms have 
stressed that the predictability and speed of FDA regulatory engagement 
is critical to their investment decisions. Can you give us your 
assurance that regulatory review times and processes will not be 
significantly impacted by any staffing changes at the agency?
    Answer. One of my highest priorities is to ensure that the U.S. 
continues to be at the leader in biotechnology innovation and to get 
these cutting-edge therapies to the American public quickly. For this 
reason, we made sure that there were no RIFs of reviewers of medical 
products and others serving in critical roles to support FDA's mission 
and operations. The Agency continues to meet its review goals under the 
user fee agreements and we anticipate continuing to do so. In fact, we 
have recently undertaken a number of new initiatives to make reviews 
more efficient in an effort to further reduce current review times, 
including for products targeting rare diseases.
    Dr. Makary, you have previously stated, ``our number one goal is 
delivering cures and meaningful treatment and healthier foods for 
Americans.'' Smoking cessation therapies have been approved for decades 
but it has been almost 20 years since a new smoking cessation therapy 
has been approved.
    Question. Under your leadership, how can the Center for Drug 
Evaluation and Research (CDER) help Americans be more effective in 
their efforts to quit smoking with new, safe and more effective smoking 
cessation therapies?
    Answer. FDA recognizes there is an unmet need for novel therapies 
particularly for individuals who have not been able to quit smoking 
despite available therapies.
    We are encouraging development of novel smoking cessation drug 
therapies that show benefit over existing products by providing 
recommendations on how to qualify expedited development pathways such 
as fast track, breakthrough, and priority review.
    In May 2023, CDER finalized the draft guidance Smoking Cessation 
and Related Indications: Developing Nicotine Replacement Therapy [NRT] 
Drug Products. The NRT Guidance provides recommendations for applicants 
to make NRT development easier, efficient, and streamlined:

  --Clarifying recommendations for companies that seek approval for a 
        product that alters the route of administration compared to 
        approved NRT drug products, e.g., products with pulmonary route 
        of administration rather than an oral route of administration.
  --Explaining when simplified efficacy study requirements may be used 
        (e.g., recommending a 4-week study as the minimum period of 
        efficacy ascertainment)
  --Clearly outlining the abbreviated review pathways available for NRT 
        products, including how to use FDA's previous findings of 
        safety and how already approved NRT products and published 
        literature can be leveraged.
  --Encouraging sponsors to consider expedited development and review 
        pathways, as well as providing details on how to qualify.
    In addition, because the data are so strong in demonstrating that 
quitting smoking can lower a person's chance of having lung disease, 
heart disease, and certain types of cancer, drug products that have 
been demonstrated to be effective for cessation can be approved with 
labeling claims regarding these benefits without additional data 
supporting benefit of the particular product on these outcomes.
    To support the majority of smokers who wish to quit and to increase 
utilization of cessation products and interventions, FDA and the 
National Institutes of Health (NIH) are collaborating to identify 
opportunities for the development of novel therapies, support 
innovative trial designs, and facilitate product development for 
smoking cessation therapies. Opportunities for innovation exist in many 
areas including collaboration with researchers to help identify novel 
targets, use of innovative clinical trial design and conduct, inclusion 
of individuals underrepresented in research, developing a better 
understanding of quit failures and relapse, and utilizing FDA's 
expedited programs for medical product development.
    To this end, FDA held a joint public meeting with NIH to discuss 
innovations in development of smoking cessation products. The overall 
goal of the meeting was to stimulate novel product development to 
reduce rates of smoking and related chronic illnesses. Input gathered 
from that meeting will help inform future guidance for industry on 
development of non-nicotine containing drug products for smoking 
cessation.
    Question. A recent study published in JAMA Oncology looked at the 
impact of smoking after a cancer diagnosis and concluded that evidence-
based smoking cessation treatment within 6 months following a cancer 
diagnosis maximizes survival benefit, supporting smoking cessation as 
an important early clinical intervention for patients after being 
diagnosed with cancer, yet, the current smoking cessation toolkit 
hasn't changed in nearly two decades. Under your leadership, how will 
you ensure that all patients, including cancer patients, have the best 
chance for the most optimal treatment outcomes, including for patients 
for whom it is critical they are more effective in their attempts to 
quit smoking?
    Answer. Nicotine is a highly addictive substance, making nicotine 
dependence a very challenging condition to treat. The reasons for low 
success quit rates include multiple factors unrelated to availability 
of safe and effective smoking cessation products, such as weight gain, 
lack of access to effective therapies due to financial hardship, 
exposure to other smokers and secondhand smoke, loss of an ability to 
manage stress, and comorbid alcohol and other substance use disorders.
    Unfortunately, less than one-third of smokers who try to quit use 
counseling and FDA-approved smoking cessation drug products, which is 
one potential area for intervention. Although many national oncology 
organizations have emphasized the importance of smoking cessation 
treatment in comprehensive cancer care, use of FDA-approved smoking 
cessation products remains low in cancer patients as well. Among cancer 
patients, lack of access to smoking cessation therapies has been 
identified as a barrier to use. That is why we have worked to improve 
access by making so many of these products available in the 
nonprescription setting via the prescription to nonprescription switch 
pathway, making these products accessible to consumers without the need 
to see a healthcare provider.
    Specifically, FDA has issued a final guidance intended to assist 
sponsors in the clinical development of nicotine replacement therapy 
(NRT) drug products intended to help cigarette smokers stop smoking. 
That guidance, Smoking Cessation and Related Indications: Developing 
Nicotine Replacement Therapy Drug Products, provides recommendations to 
assist sponsors in getting novel therapies directly in the hands of 
consumers, in the nonprescription setting, without going through 
development as a prescription product first. This pathway could be 
especially meaningful for cancer patients who seek timely access to 
supportive care treatments and who wish to reduce the burden of 
additional physician visits. In the guidance, we provide 
recommendations for developing over-the-counter (OTC) NRT products, 
which can reduce potential hurdles for access, and recommendations for 
sponsors to help get novel products over the goal line for approval. It 
also describes potential abbreviated pathways available for NRT 
products, including how to use FDA's previous findings of safety and 
how already approved NRT products and published literature can be 
leveraged. Finally, the NRT Guidance encourages sponsors to consider 
expedited development and review pathways and provides recommendations 
on how to qualify for this review.
    Question. What opportunities do you see for innovation in smoking 
cessation therapies to be part of the administration's work to Make 
America Healthy Again?
    Answer. As part of broader national efforts to reduce the burden of 
chronic conditions, such as Chronic Obstructive Pulmonary Disease 
(COPD), heart disease, and cancer, there is growing interest in 
advancing innovative approaches to smoking cessation. FDA's 2023 NRT 
guidance, discussed in the response to Question 16A encourages 
development of novel nicotine replacement therapies by providing 
recommendations for applicants to make NRT development easier, 
efficient, and streamlined.
    Question. In October 2024, the Food and Drug Administration and the 
National Institutes of Health held a joint public meeting on smoking 
cessation, at which several patient and public health organizations 
underscored the detrimental impact smoking continues to have on the 
health of Americans and the importance of prioritizing innovations in 
smoking cessation therapies. What opportunities do you see to ensure 
FDA does not accept the status quo and the Center for Drug Evaluation 
and Research (CDER) approaches the risk-benefit considerations for 
nicotine replacement therapies in a manner that reflects the realities 
of how hard it is to quit and the unmet need for patients who continue 
to fail in their quit attempts?
    Answer. Please see FDA's response to previously question.
    Question. Cigarette smoking and secondhand smoke exposure account 
for nearly half a million deaths in the United States each year. 
Smoking-related death and disease cost the United States $600 billion 
each year and contribute to significant health challenges. Reducing 
smoking is not only an urgent public health challenge for Americans, 
but also an economic challenge for the health care system and American 
taxpayers. What is the administration doing to advance innovation in 
smoking cessation in order to offer Americans access to new therapies 
that can help them succeed in their quit attempts and limit the toll 
smoking-related health conditions take on the Medicare and Medicaid 
programs, and most importantly, the patients served by these health 
programs?
    Answer. It is important to note that FDA does not develop drugs. 
Historically, FDA has seen limited interest from sponsors in developing 
nicotine replacement therapy products and we have not seen a recent 
change. Please see FDA's response to Question 16A for information about 
how FDA is attempting to encourage development novel smoking cessation 
drug therapies.
                           compounding drugs
    Question. In the Drug Quality and Security Act, Congress authorized 
the FDA to identify drug formulations that are ``demonstrably difficult 
to compound (DDC),'' to protect patients when the scientific evidence 
demonstrates that the risks of compounding a particular drug outweigh 
the benefits. Once added to the DDC list, it becomes unlawful to 
compound.
    Commissioner Makary, as you know, the FDA is authorized to limit 
503A compounding of specific drug products and 503B compounding of 
drugs and categories of drugs. In a March 2024 proposed rule, the FDA 
described six criteria for evaluating whether a drug should be added to 
the DDC list. I have heard concerns from constituents that the agency 
may seek to use those criteria to ban entire categories of drugs from 
503A compounding. This could negatively impact patients who rely on 
compounded medications for a wide range of conditions, including when 
drugs are on shortage.
    Will you commit that you will not finalize any rule that exceeds 
the agency's statutory authority under section 503A, including that 
only individual drug products may be added to the 503A DDC list?
    Answer. As you note, FDA issued a proposed rule, ``Drug Products or 
Categories of Drug Products That Present Demonstrable Difficulties for 
Compounding Under Sections 503A or 503B of the FD&C Act,'' in March 
2024.
    The Agency is currently reviewing public comments on the proposed 
rule, including comments regarding the scope of the Agency's 
authorities regarding the development of the DDC lists.
    FDA plans to finalize the rule consistent with our authorities 
under the FD&C Act.
                      regulatory review timelines
    Question. Many individuals are accessing health information through 
the use of digital tools, in addition to health care providers who are 
using such tools to make treatment decisions. Prescription Drug-Use-
Related Software continues to play an increasing role in patient care 
and it is important to have a consistent framework in place that takes 
a modern approach to digital regulation. During the first Trump 
Administration, FDA issued guidance to advance such a framework.
    Dr. Makary, do you plan to advance and/or update the guidance 
released during the first Trump Administration regarding the regulation 
of Prescription Drug-Use-Related Software?
    Answer. FDA is considering whether to prepare a final version or 
issue another draft of the Regulatory Considerations for Prescription 
Drug Use-Related Software (PDURS) draft guidance document. FDA will 
continue to engage with stakeholders who are exploring PDURS and will 
consider whether to issue or revise guidance based on stakeholder 
feedback as appropriate and evolving regulatory considerations.
    Phenobarbital--Phenobarbital, a schedule IV controlled substance, 
is a barbiturate that can slow the activity of a user's brain and 
nervous system. It is my understanding that phenobarbital in tablet 
form is primarily for veterinary use, and the only use approved by FDA 
is for the control of seizures associated with idiopathic epilepsy in 
dogs. Despite FDA's approval in 2023, many animals are being treated 
with unapproved phenobarbital drugs intended for human use.
    I understand the FDA is aware of this issue and announced earlier 
this year that in November, 2024 warning letters were issued to six 
firms that were selling unapproved drugs that do not contain 
phenobarbital and that claim to treat and control seizures in dogs.
    Question. In addition, has the FDA considered sending letters to 
companies prescribing or dispensing unapproved phenobarbital human 
drugs in lieu of an approved veterinarian phenobarbital drug?
    Answer. CVM published a CVM Update following the conditional 
approval of Fidoquel-CA1 (phenobarbital tablets) for dogs on September 
6, 2023, that included the statement, ``Unapproved phenobarbital 
tablets from the human drug marketplace have historically been used in 
veterinary medicine to help control seizures in dogs. Fidoquel-CA1 are 
the only phenobarbital tablets that have received the agency's 
conditional approval for safety, quality manufacturing and reasonable 
expectation of effectiveness.'' CVM Updates are posted on our website 
and are also sent to various stakeholders.
    Question. Given that ``Dear Veterinarian Letters'' and ``Dear 
Pharmacy Professional Letters,'' are issued by the FDA, has the agency 
considered appropriately notifying veterinarians and pharmacists of the 
availability of the FDA-approved phenobarbital drug for treatment of 
their animal patients in lieu of unapproved phenobarbital preparations 
intended for human use?
    Answer.When CVM conditionally approved Fidoquel-CA1 (phenobarbital 
tablets), a CVM Update was issued (FDA Conditionally Approves 
Phenobarbital Tablets to Control Seizures in Dogs with Idiopathic 
Epilepsy FDA). This CVM Update explains that Fidoquel-CA1 tablets are 
the only phenobarbital tablets that have received the agency's 
conditional approval for safety, quality manufacturing, and reasonable 
expectation of effectiveness. The CVM Update further explains that 
conditional approval allows an animal drug sponsor to legally market 
its product after demonstrating that the drug is safe and manufactured 
in accordance with full approval standards, and that there is a 
reasonable expectation of effectiveness for use. At this time, CVM does 
not intend to issue a ``Dear Veterinarian Letter'' or ``Dear Pharmacy 
Professional Letter'' about Fidoquel-CA1, as this information is 
already captured in the CVM Update. The sponsor of Fidoquel-CA1 was 
encouraged to share the CVM update with veterinarians and pharmacy 
professionals.

                                 ______
                                 

               Questions Submitted by Senator Jerry Moran
    Question. The Prescription Drug User Fee Act (PDUFA) was 
established in 1992 to address concerns regarding delays in the FDA's 
regulatory review of new medications for patients. Congress enacted 
PDUFA as a bipartisan approach to ensure that the American public 
receives the high-standard regulatory authority it deserves. PDUFA 
performance goals are designed to enhance the efficiency and 
effectiveness of the first cycle review process and minimize the number 
of review cycles required for approval. Compared to its inception in 
1992, significant progress has been made. However, despite the shared 
commitment between the U.S. FDA and the regulated industry, recent 
performance signals have raised concerns: 1) inconsistent first cycle 
approval rates, 2) fewer priority reviews granted in 2024 compared to 
the past 5 years, and 3) delayed responsiveness to meeting requests 
from companies developing medications for patients. What specific 
measures will be implemented to improve FDA performance?
    Answer. FDA has worked and will continue to work diligently to meet 
its PDUFA performance goals. The FDA responds to each of the 
performance signals identified in this question:
    The rate of first cycle approval is not a PDUFA performance goal; 
however, PDUFA commitments negotiated between FDA and regulated 
industry can contribute to greater first cycle approvals of marketing 
applications. As published in CDER's New Drugs Approval Reports, 
approvals of novel therapies in the first review cycle have 
consistently been well above 50% for the past 4 years: 86% in 2021 (43 
out of 50); 76% in 2022 (28 out of 37); 84% in 2023 (46 out of 55); and 
74% in 2024 (37 out of 50). For 2025, CDER has approved 19 novel 
therapies as of July 3, 2025, and 15 (79%) of these are first cycle 
approvals. CBER's first cycle approvals were 89% in 2021 (8 out of 9); 
100% in 2022 (12 total); 82% in 2023 (9 out of 11); and 90% in 2024 (9 
out of 10).
    The number of priority reviews granted is also not a PDUFA 
commitment and instead reflects the type of marketing applications 
submitted to the FDA. Priority review is granted only if the marketing 
application meets the criteria for this expedited review program. 
Similar to the data for first cycle reviews, this information is 
provided in CDER's New Drugs Approval Reports, and the percentage of 
novel drugs approved that were designated priority review has 
consistently been above 50% for the past 4 years: 68% in 2021; 57% in 
2022; 56% in 2023; and 56% in 2024. Of the 19 novel therapies approved 
in 2025 thus far, 10 (53%) were priority reviews. Of CBER approved 
products, there were high percentages of priority designated products: 
78% in 2021; 75% in 2022; 73% in 2023; 70% in 2024.
    Although neither of these above metrics is a PDUFA performance 
goal, FDA's ability to consistently deliver in both of these areas is a 
reflection of the extensive engagement between FDA and regulated 
industry throughout drug development.
    In regard to your third concern, providing a timely response to 
meeting requests by either granting or denying the request is a PDUFA 
performance goal. FDA has historically met or exceeded this goal for 
most meeting types. To continue to maintain our PDUFA performance, FDA 
is committed to hiring, training, and retaining quality scientific 
staff across multiple disciplines.
    Question. Complete Response Letters (CRLs) from the FDA for all 
approved products have remained relatively constant since 2018, but the 
proportion of those CRLs that can be attributed to manufacturing and 
quality-related issues has increased substantially. CRLs can arise for 
a wide range of issues, but with good, prompt communication between the 
FDA and sponsors there can be opportunities to avoid CRL and achieve a 
First Cycle Approval.
    Given the increasing proportion of CRLs for manufacturing and 
quality-related issues, what steps will FDA take to improve 
communication with sponsors during the review and adjust the timing of 
manufacturing inspections to reduce unnecessary CRLs and accelerate 
patient access to innovative medicines?
    Answer. Timely interactive communication with sponsors during drug 
development is a core Agency activity and helps achieve the Agency's 
mission to facilitate efficient and effective drug development 
programs.
    FDA publishes policy documents such as guidance documents, 
compliance programs, and manuals of policies and procedures to 
facilitate an applicant or manufacturer's understanding of requirements 
and recommendations, and FDA business processes. This information 
enables applicants and manufacturers to proactively understand and meet 
pharmaceutical quality standards before submitting an application for 
review.
    After FDA receives an application, FDA's obligation is to manage 
the review process and determine whether a submitted application meets 
the legal and scientific requirements for approval of the product. To 
increase the likelihood of first cycle approval, however, the 
applicant's continued active involvement is important, especially in 
responding to requests for additional information that may be prompted 
by the ongoing reviews.
    In addition, we have initiated a new program for Post-Warning 
Letter Meetings (PWLM) regarding a facility's ongoing efforts to 
remediate current good manufacturing practice (CGMP) deficiencies.
    Beyond the User Fee Commitments on facility inspections/
evaluations, FDA has enhanced existing practices to provide earlier 
communication to a sponsor or applicant when any facility inspection, 
not just preapproval, may impact approvability to promote interaction 
between sponsor/applicant and their manufacturing facility to attempt 
to remediate the inspection observations prior to the application goal 
dates.
    To avoid first-cycle CRLs due to manufacturing and quality issues, 
FDA continues to recommend that applicants/sponsors conduct due 
diligence to audit their manufacturing facilities, ensure they are 
meeting CGMP requirements that help protect patients and to provide 
access to high quality, safe, and effective medicines. Leveraging pre-
submission meetings with the FDA and applying current FDA guidance and 
advice to their submissions, can help alleviate challenges that occur 
when a submission is of poor quality or does not incorporate 
recommendations found in publicly available guidance.
    FDA works with all sponsors to resolve issues and help speed 
development of new products, while maintaining high, scientifically 
based safety and efficacy standards.
    Question. Considering the decrease in the percentage of novel drugs 
approved first in the US from 86% in 2016 to 64% in 2023, what actions 
will be taken to ensure the FDA has adequate resources to uphold its 
high standards for regulatory review and enhance transparency in the 
review process to accelerate American access to innovative, safe and 
effective treatments?
    Answer. The decrease in novel drugs approved first in the US is 
likely attributable to multiple factors. Pharmaceutical companies' 
decisions of where to first bring a novel drug to the market is likely 
based on a variety of business considerations, most of which would be 
beyond FDA's expertise and ability to opine on. It's also worth noting 
that the proportion of first-in-class drugs has increased from 2023 
(36%) to 2024 (48%), indicating that drugs with novel mechanisms of 
action may be starting to represent a larger proportion of novel drug 
approvals in the US.
    FDA cannot comment publicly on specific drug development programs 
or existing or potential applications of unapproved products. However, 
FDA recognizes that drug developers and capital markets alike want 
predictability. To that end, FDA published more than 200 letters, known 
as complete response letters (CRLs). Many were issued in response to 
applications submitted to the FDA for approval of novel drug or 
biological products between 2020 and 2025. By making the CRLs 
available, the public now has significantly greater insight into the 
FDA's decision-making and the most common deficiencies cited that 
sponsors must address before their application is approved. The Agency 
is in the process of publishing additional CRLs from its archives and 
is continuously exploring ways of providing the public with greater 
transparency into its decision-making process.
    Commissioner Makary, you should know that Kansas is home to part of 
the Animal Health Corridor, which has more than 300 animal health 
companies--the largest concentration in the world. The animal health 
industry works with farmers and ranchers, government agencies, and 
veterinarians to ensure the health and safety of animals, humans, and 
the food supply. The Center for Veterinary Medicine (CVM) at FDA has 
long been an agency operating independently with the unique mission to 
review food, food additives, and drugs for animals to ensure they are 
safe and effective for the market.
    Question. How will FDA ensure the animal product review functions 
at CVM can not only continue, but be improved?
    Answer. CVM will continue to recruit scientific reviewers to 
maintain essential staffing levels and specialized expertise to ensure 
compliance with statutory and user fee goals. Integration of artificial 
intelligence tools will help streamline current review processes, 
furthering efficient review determinations for new animal drugs.
    Question. What changes are needed at CVM to improve the review 
process and allow more innovation to come to the market?
    Answer. FDA believes that facilitating increased innovation is 
critical to supporting the agriculture industry and others working to 
support both human and animal health. The Agency has begun modernizing 
its approaches, including through the use of artificial intelligence, 
and it welcomes the opportunity to work with Congress on any approaches 
that may be useful in improving these efforts.
    Question. In March, HHS Secretary Kennedy directed the FDA to 
explore rulemaking to revise the Substances Generally Recognized as 
SAFE (GRAS) Final Rule to eliminate the self-affirmed GRAS pathway.
    What is the current status of this directive?
    Answer. We are pursuing the Secretary's directive and exploring 
potential rulemaking to eliminate the self-affirmed GRAS pathway.
    In the Spring 2025 Unified Agenda, FDA announced intent to publish 
a proposed rule, that if finalized would amend the Generally Recognized 
as Safe (GRAS) regulations in 21 CFR parts 170 and 570 to require the 
mandatory submission of GRAS notices for the use of human and animal 
food substances that are purported to be GRAS.
    Question. If FDA were to eliminate this pathway, in part or whole, 
what does the FDA view as an adequate replacement or alternative that 
will not force food companies into a pipeline process that could be 
subject to excessive delays?
    Answer. To give a sense of the current baseline of FDA GRAS 
reviews, the program currently completes review of an average of 85 
human and animal foods GRAS notices per year. FDA's FY26 President's 
Budget request proposes investing additional resources to support FDA's 
capacity to assess the safety of exposure to chemicals in the food 
supply, including meaningfully exploring closing the Generally 
Recognized as Safe (GRAS) loophole and more quickly implementing a 
framework for proactive, systematic, and risk-based reassessment of 
chemicals used in food.
    Further, the accessibility of certain information made available to 
the public on FDA's website through the GRAS Notice Inventory as well 
as publishing the Agency's determinations when a substance is deemed 
not GRAS will continue to provide transparency to the industry to help 
support GRAS submissions to the agency.
    Question. How will FDA engage food producers, especially small 
manufacturers, as they look for regulatory certainty?
    Answer. FDA values transparency and public engagement and will 
continue to engage with industry as we consider regulatory options for 
improving the GRAS program. FDA is initiating rulemaking regarding the 
voluntary GRAS notification program, and will issue a notice of 
proposed rulemaking and invite public comment as part of that process.
    Industry members looking to consult with FDA on pre-market 
submissions can contact FDA's Office of Premarket and Additive Safety, 
which operates the Voluntary GRAS Notification Program, at 
[email protected] for human foods and animalfood-
[email protected]. for animal foods.

                                 ______
                                 

            Questions Submitted by Senator Cindy Hyde-Smith
    Question. Dr. Makary, you have discussed the importance of medical 
innovation to improving the health of our Nation and made the comment 
that drug development takes too long for many patients who are 
suffering from diseases that have no current treatment.
    During a recent media interview, you advocated for new regulatory 
pathways for rare disease drugs, allowing for their conditional 
approval based on a ``scientifically plausible mechanism.'' You stated 
that in some instances, ``You can't expect the companies to do a 
randomized, controlled trial; you'll kill innovation. You'll kill 
investment in those innovative ideas,'' Makary said.
    Can you give us examples of what you are doing to ensure that the 
FDA under your leadership is moving quickly to advance new pathways for 
rare disease?
    Answer. FDA exercises appropriate regulatory discretion for rare 
diseases to help safe and effective products come to market as quickly 
as possible in accordance with the approval standards established by 
law. We leverage numerous programs, tools, and resources, that serve to 
speed the availability of products intended to treat patients with 
serious and life-threatening diseases, while at the same time meeting 
appropriate safety and effectiveness standards and facilitating the 
collection of scientific data that is relevant and reliable. An example 
of a new initiative we've launched that is intended in part to address 
unmet medical needs, including drugs to treat or prevent rare diseases 
is the Commissioner's National Priority Voucher (CNPV) Pilot Program.
    Additional details can be found at the following website: https://
www.fda.gov/industry/commissioners-national-priority-voucher-cnpv-
pilot-program
    We know that there are pending applications for rare diseases that 
have either missed their PDUFA dates or have recently extended their 
PDUFA dates.
    Question. What are you doing to ensure your staff applies maximum 
regulatory flexibility as required by the law and works urgently to 
complete their reviews of rare disease applications on time, or even 
early, to meet the urgent medical needs of patients who are waiting for 
life-altering treatments).
    Answer. See response to previously question.
    Question. It's my understanding that FDA has an ongoing Unapproved 
Drugs Initiative to remove and replace drugs that do not have the 
required regulatory approval from the market. The Agency's website 
States, ``FDA has taken hundreds of unapproved prescription drugs off 
the market since 2006 and has executed multiple class actions announced 
through Federal Register Notices''. FDA's guidance to industry 
encourages manufacturers to seek FDA approval of these drugs and in 
return, the Agency uses a risk-based approach to remove unapproved 
drugs from the market that pose a risk to public health.
    I am aware of a company who received approval for a phenobarbital 
sodium product in November 2022, which marked the first, and only, 
approval of phenobarbital for human use, yet thirty months later, the 
Agency has not utilized its enforcement authority to remove the 
unapproved drugs from the market. As explained to me, phenobarbital is 
a controlled substance and many of the unapproved drugs contain 
preservatives that the Agency has prohibited from use in products 
administered to neonates because of known toxicity.
    I am concerned the Agency's lack of action threatens the integrity 
of the Agency's regulatory mission, discourages manufacturers from 
making the significant investment to seek FDA approval, and poses 
health risks to these patients. I am hopeful that under your leadership 
the Agency will prioritize this important initiative.
    Will you commit to reviewing this issue in a timely manner to 
ensure patients are receiving the safest, and most effective drugs?
    Answer. FDA approved Sezaby (phenobarbital sodium) in November 2022 
solely for the treatment of neonatal seizures in term and pre-term 
infants. Sezaby is the first FDA-approved phenobarbital sodium 
injection product, and it is preservative-free. It is not approved for 
use in adolescents or adults, and its labeling includes a boxed warning 
that the product is only for short-term use.
    There are a number of unapproved phenobarbital sodium injection 
products currently on the market. These products generally are 
indicated for use in the adult population as a sedative, hypnotic, 
preanesthetic, or long-term anticonvulsant and for use in pediatric 
patients as an anticonvulsant and sedative.
    FDA exercises a risk-based approach to prioritizing enforcement 
action regarding unapproved drugs. This involves considering all the 
facts of a given circumstance and focusing on enforcement priorities 
for drugs that pose the highest risk to public health without imposing 
undue burden on patients or unnecessarily disrupting the availability 
of medically necessary drugs on the market.
    The Agency is currently reviewing a Citizen Petition regarding 
unapproved phenobarbital sodium injection drugs, and will respond to 
the Petition as soon as possible and post the response to the public 
petition docket.
    Question. A new study presented on Capitol Hill yesterday 
highlights a critical gap: most healthcare professionals misunderstand 
the risks of nicotine and remain unaware of the FDA's role in 
authorizing smoke-free alternatives. They continue to equate nicotine 
with cancer, despite evidence that it's the smoke- not nicotine-causing 
disease. These misperceptions are preventing pivotal informed patient 
counseling. This same study showed the overwhelming majority of 
healthcare providers want clear, accurate guidance from FDA on 
authorized smoke-free products so they can share this information with 
their patients.
    Will you commit to immediately prioritize educating the medical 
community on the continuum of risk and the public health potential of 
authorized smoke-free products?
    Answer. FDA agrees that the medical community has a unique and 
important role to play in the education of adults who use tobacco 
products. FDA's CTP currently disseminates educational content 
explaining that tobacco products exist on a continuum of risk, with 
combustible products such as cigarettes being the most harmful. CTP's 
``The Relative Risks of Tobacco Products'' webpage \7\ informs 
consumers and stakeholders about tobacco product relative risk. CTP has 
also published commentaries \8\ discussing evidence-based opportunities 
for addressing misperceptions about tobacco product relative risks, 
including the role of medical providers as trusted messengers of 
relative risk messaging for adults.
---------------------------------------------------------------------------
    \7\ https://www.fda.gov/tobacco-products/health-effects-tobacco-
use/relative-risks-tobacco-products
    \8\ https://www.fda.gov/tobacco-products/ctp-newsroom/ctp-director-
co-authors-new-journal-commentary-relative-risks-tobacco-products
---------------------------------------------------------------------------
    Question. Commissioner Makary, FDA places all tobacco and nicotine 
products on a continuum of risk, with smoking being the most harmful. 
Recent data shows that most medical professionals do not understand the 
continuum of risk across nicotine products and often misperceive 
nicotine- not smoke- as the main cause of tobacco related diseases.
    Will you commit to educating the medical community on the relative 
risks of tobacco and nicotine products, including FDA-authorized smoke 
free alternatives?
    Answer. See response to previously question.
    Question. Skin cancer is the most common cancer in the United 
States, affecting over five million Americans annually and resulting in 
significant healthcare costs. Despite its prevalence, four out of five 
cases of skin cancer can be prevented through sun-safe practices, 
including the use of effective sunscreens. The United States has not 
approved a new sunscreen active ingredient since the 1990s while our 
peer countries have moved several generations ahead of the U.S. in 
terms of sunscreen technologies.
    Considering the preventable nature of skin cancer and the 
importance of effective sunscreens, do you commit to utilizing your 
budget to improve the approval process for new sunscreen active 
ingredients to ensure that Americans have access to the most advanced 
and effective sun protection products?
    Answer. FDA is strongly committed to timely evaluation of any 
industry submission requesting that FDA determine conditions under 
which a new active ingredient is generally recognized as safe and 
effective (GRASE) for use in sunscreens to enable that ingredient's use 
in OTC monograph sunscreen products marketed in the U.S. Once an active 
ingredient is included in the OTC sunscreen monograph (subject to an 
exclusivity period afforded by section 505G of the FD&C Act, if 
applicable), each sunscreen product that uses that ingredient can be 
marketed without first being reviewed by FDA, so long as that product 
conforms to the sunscreen monograph conditions and other general 
requirements. This can make it easier for firms to introduce individual 
sunscreen products to the market. The Agency has taken significant 
steps to help advance the development of submissions that could support 
a positive GRASE determination for use of new sunscreen active 
ingredients. We will continue to dedicate resources to this goal as 
well as to evaluation of any submissions industry makes.

                                 ______
                                 

             Questions Submitted by Senator Jeanne Shaheen
    Question. I am concerned about the workforce reductions at the FDA 
and the impact they will have on the FDA's ability to complete 
statutorily mandated functions of the Agency. Please provide responses 
to the following questions:

  --How many people are employed by the FDA as of May 29, 2025?

  --How many people were employed by the FDA on January 19, 2025?
    Answer.

 
 
------------------------------------------------------------------------
                                           As of Jan 19,   As of May 29,
              Position Type                    2025            2025
------------------------------------------------------------------------
Advisory Committee......................            1785            1667
Civilian................................           19166           17821
Commissioned Corps......................             954             945
      Total.............................           21905           20433
------------------------------------------------------------------------

                          probationary firings
    Question. How many probationary staff were let go from the FDA 
since January 20th, 2025? Please provide a total and breakdown by 
Center.
  --Of the probationary staff fired, how many were brought back?
  --What were the factors used to determine which staff to bring back?
    Answer. On 2/15/2025, the following probationary employees were 
placed on administrative leave:

 
 
------------------------------------------------------------------------
                  Center/Office/Program                      Employees
------------------------------------------------------------------------
CDER....................................................              13
CDRH....................................................             229
CTP.....................................................             108
CVM.....................................................              41
HFP.....................................................              89
OC......................................................             202
OII.....................................................              12
      Total.............................................             694
------------------------------------------------------------------------

    On 5/8/2025, the following probationary employees were terminated:

 
 
------------------------------------------------------------------------
                  Center/Office/Program                      Employees
------------------------------------------------------------------------
CDER....................................................               1
CDRH....................................................              28
CTP.....................................................              74
CVM.....................................................              18
HFP.....................................................              20
OC......................................................              93
OII.....................................................               1
      Total.............................................             235
------------------------------------------------------------------------

    The following probationary employees were not terminated at the 
time for the following reasons:

 
 
--------------------------------------------------------------------------------------------------------------------------------------------------------
                      Reason Not Terminated                          CDER       CDRH       CTP        CVM        HFP         OC        OII       Total
--------------------------------------------------------------------------------------------------------------------------------------------------------
Probationary Period Completed...................................          0         71          7         12         18         14          0        122
Data Correction--Not Probationary...............................          0          2         13          0          2         18          0         35
Leadership Determination........................................          0        108          4         36         22         11        181
Resigned........................................................          0          3          2          1          4          5          0         15
Remained on Admin Leave Pending RIF.............................         12         17         12          6          9         50          0        106
      Total.....................................................         12        201         34         23         69        109         11        459
--------------------------------------------------------------------------------------------------------------------------------------------------------

    Probationary employees restored due to leadership determination 
were based upon mission requirements and the needs of the agency.
                       reductions in force (rif)
    Question. How many people were let go because of the RIFs that 
occurred on April 1, 2025? Please provide a total and breakdown the 
RIFs by Center.
  --Of the employees who were a part of the RIF, how many have been 
        brought back? Please breakdown by Center.
  --What were the factors used to determine which staff to bring back?
    Answer.

 
 
----------------------------------------------------------------------------------------------------------------
              Data                 CBER     CDER     CDRH     CTP      CVM      HFP       OC      OII     Total
----------------------------------------------------------------------------------------------------------------
Positions impacted by RIF as of      193      825      233      220      148      256      415      170     2460
 4/1/2025......................
Positions impacted by RIF             55      214       73      109       89       94      103       24      761
 Rescissions as of 7/14/2025...
Positions impacted by RIF as of      133      593      167      165      113       65      333      144     1713
 7/14/2025.....................
----------------------------------------------------------------------------------------------------------------

    Rescission decisions were based upon impact analysis and impact to 
mission.
                      deferred resignation program
    Question. How many people at the FDA took the offer for the 
Deferred Resignation Program? Please provide a total and breakdown by 
Center.
  --Were there staff at the FDA who sought to participate in the 
        Deferred Resignation Program but were not allowed to? If so, 
        what factors were used to determine which staff at the FDA 
        could participate in the Deferred Resignation Program?
    Answer. Please see the below table. No eligible staff were 
disallowed from participating in the deferred resignation program if 
they indicated their interest to participate by the program deadline.

 
 
------------------------------------------------------------------------
                                                                DRP
                           COP                             Participants
------------------------------------------------------------------------
CBER....................................................              24
CDER....................................................              85
CDRH....................................................              55
CTP.....................................................              21
CVM.....................................................              18
HFP.....................................................              51
OC......................................................             102
OII.....................................................             100
      Total.............................................             456
------------------------------------------------------------------------

                           early retirements
    Question. How many people at the FDA have opted into the Voluntary 
Early Retirement Authority or Voluntary Separation Incentive Program 
since January 20, 2025? Please provide a total and a breakdown by 
Center.
  --How many people at the FDA combined early retirement authorities 
        with the Deferred Resignation Program?
    Answer. See the below table for the number of individuals signed up 
for the VERA and/or VSIP program after the DRP program was closed. As 
part of the DRP program, 91 people indicated they were participating 
under the VERA retirement authority.

 
 
------------------------------------------------------------------------
                                                                DRP
                           COP                             Participants
------------------------------------------------------------------------
CBER....................................................              47
CDER....................................................             112
CDRH....................................................              72
CTP.....................................................              30
CVM.....................................................              34
HFP.....................................................             107
OC......................................................             209
OII.....................................................             110
      Total.............................................             721
------------------------------------------------------------------------

                                 hiring
    Question. You stated in your testimony that you are currently 
hiring scientists and other staff. How many people and which positions 
are you actively hiring for across the agency? Please provide a total 
and breakdown by center or office as well as a complete list of 
positions for which the agency has sought and received an exemption 
from the Office of Personnel Management to the ongoing hiring freeze. 
Please also share the links to positions the FDA is hiring for on USA 
Jobs.
    Answer. FDA has sought and received an exemption from OPM for 1,000 
positions for reviewers, inspectors, and criminal investigators. FDA 
plans to move forward with this hiring throughout the course of the 
summer and fall. FDA will continue to provide updates to the Committee, 
requested.
    Question. What are you doing to ensure that all inspections move 
ahead as planned and to improve the rate of attrition among inspectors? 
How will that be reflected in the Fiscal Year 2026 budget request?
    Answer. FDA continues to identify the highest priority inspectional 
work and is taking steps to improve efficiencies in conducting 
inspections. This includes using feedback mechanisms and working to 
centralize and enhance key operational functions across the Agency, 
empowering the Office of Inspections and Investigations (OII) to focus 
more directly on its core mission-related work.
    FDA has also resumed the recruitment and hiring of new 
investigators. FDA is addressing attrition through various means, 
including the use of hiring authorities and through improved training 
processes.
    OII and the Centers have ongoing collaborations to improve the 
efficiency and effectiveness of investigator training, with the goal of 
lessening the time for new investigators to begin conducting 
independent inspections, while ensuring the FDA maintains its gold 
standard for the quality of our inspection programs to protect public 
health and safety. Through this training modernization effort, which 
includes experiential learning and on the job training, early 
engagement and meeting staff training needs will also lessen the risk 
of attrition.
    The FY 2026 President's Budget proposes funding levels for OII to 
support all of these efforts.
    Question. One known way to cure type 1 diabetes (T1D) is through 
cell therapies, which replace destroyed beta cells with external cells 
that make insulin and protect them so that they maintain function long-
term. The advancement of cell therapies holds immense promise for 
transforming the lives of those with T1D and other diseases. However, 
challenges and uncertainty in the therapy pipeline, including review 
timeliness and insufficient patient and expert input, are causing 
delays. What steps will you take to ensure cell therapies can reach the 
T1D populations that need them without unnecessary delay?
    Answer. FDA works with all sponsors to resolve issues and speed 
development of new products, while maintaining high standards for 
safety and efficacy that are based on science. Clinical holds for 
Investigational New Drug applications (INDs) investigating Cell and 
Gene Therapy (CGT) products for treating various diseases, including 
Type 1 diabetes, have markedly decreased in the past few years. The 
decline results from many factors, including outreach efforts to better 
inform sponsors of IND content necessary to assess risks and address 
safety issues, and internal Agency efforts to ensure timely review of 
potential clinical hold issues, which enables sponsors to provide 
missing/additional information when feasible.
    FDA also works with patients and their advocates to ensure that the 
patient voice is included in the regulatory process, and that reviewers 
have access to the latest science. For example, to advance Type 1 
diabetes products, CBER works with Breakthrough T1D (formerly the 
Juvenile Diabetes Research Foundation) on an annual Cell Therapies 
Educational Seminar series, where outside experts provide science-based 
lectures on emerging technologies for the treatment of diabetes. Prior 
to the 2023 approval of LANTIDRA (donislecel-jujn), a cellular therapy 
product composed of purified allogeneic deceased donor pancreas derived 
islets of Langerhans for the treatment of certain adults with Type I 
diabetes, an FDA advisory committee meeting was held where the 
committee and FDA reviewers considered testimony from patients who 
participated in clinical studies for the product.
    FDA remains committed to advancing the development of safe and 
effective CGT products to treat serious or life-threatening conditions, 
including various rare diseases, forms of cancer, and Type 1 diabetes. 
When combined, FDA's scientific and patient-focused efforts increase 
predictability in the regulatory process to support a robust CGT 
product development pipeline.
    Question. FDA participation in external scientific efforts that 
advance development and review of new therapies is critical. Such pre-
competitive engagement guides the research to align with FDA 
expectations in real time, keeps the FDA informed on the current state 
of science, and makes future reviews more efficient. We've heard recent 
reports that FDA staff have declined invitations to participate in such 
external scientific efforts, citing bandwidth and the need to focus on 
PDUFA activities. We've also heard that previously planned and 
recurring events between the FDA and non-governmental organizations 
have been cancelled by the agency. When will external engagement at 
these types of events resume? What is the agency's policy on external 
engagement?
    Answer. For more than 100 years, the FDA has been working to carry 
out our mission of promoting and protecting public health, and engaging 
with the public and the scientific community is a key part of that 
work. While there was a brief pause for certain types of engagements 
and communications at the agency at the beginning of the new 
administration, external engagements have resumed and remain a 
priority. The commissioner also recently began a series of Expert 
Panels to engage the public, media, and the scientific community on 
important public health topics, which have been open to the public and 
livestreamed. This initiative is part of the FDA's broader efforts to 
apply rigorous, evidence-based standards to ingredient safety and 
modernize regulatory oversight, thoroughly considering evolving science 
and consumer health.

                                 ______
                                 

              Questions Submitted by Senator Patty Murray
    Question. In 2022, Congress passed the bipartisan Modernization of 
Cosmetics Regulation Act (Moca) which finally empowered the FDA with 
the tools it needs to better ensure cosmetic products are safe. MoCRA 
passed over 2 years ago, and the FDA has not put out any Good 
Manufacturing Practices for any cosmetic products. When does FDA expect 
those to be finalized?
    Answer. FDA has listed a proposed rule, ``Good Manufacturing 
Practice for Cosmetic Product Facilities,'' on the Unified Agenda as a 
long-term action.
    Question. Do you have a timeline for finalization?
    Answer. MoCRA established timeframes requiring the Secretary to 
publish a proposed rule not later than 2 years after December 29, 2022, 
which was on December 29, 2024, and to publish a final rule not later 
than 3 years after December 29, 2022, which is on December 29, 2025. 
Although the statutory date for publishing the proposed rule has 
passed, FDA is prioritizing this rulemaking.
    The Long-Term National Strategy to Increase the Resiliency of the 
Infant Formula Market outlines several actions the FDA should be taking 
to protect the integrity of the infant formula supply chain, including 
taking measures to prevent contamination, and incentivizing new infant 
formula manufacturers to enter the U.S. market.
    Question. What are you doing to implement the recommendations 
within the National Strategy to improve the integrity of infant formula 
supply chain in the U.S.?
    Answer. FDA has taken numerous steps to implement recommendations 
in the Long-Term National Strategy to Increase the Resiliency of the 
U.S. Infant Formula Market:

  --In October 2024, FDA established the Office of Critical Foods to 
        oversee the regulation of critical foods (i.e., infant formula 
        and medical foods) and continues prioritizing staff hiring, 
        including having dedicated investigators to conduct infant 
        formula inspections. The FY 2026 President's Budget proposes 
        increased funding for infant formula work.

  --FDA has worked to enhance infant formula supply diversity by 
        providing a pathway for domestic and foreign infant formula 
        manufacturers that were provided enforcement discretion to 
        continue marketing their products while they worked to meet all 
        FDA requirements. All the manufacturers participating in the 
        enforcement discretion transition pathway submitted their new 
        infant formula submissions, for a total of 12 new infant 
        formula products, consistent with FDA's timing expectations.

  --FDA is enhancing post-market surveillance by taking the following 
        steps:

    --Released draft guidance in December 2024 for infant formula 
            manufacturers on notifying the FDA of permanent 
            discontinuances or interruptions that are likely to lead to 
            a meaningful disruption in the U.S. supply.

    --Engaging with infant formula manufacturers to monitor and assess 
            production levels, ingredient supply chains, and final 
            product distribution. FDA also monitors in-stock rates to 
            track product volume and variety, as well as sales data to 
            identify early signals of potential disruption.

    --Working with industry to establish a system for voluntary 
            reporting of product samples that test positive for 
            Cronobacter or Salmonella.

    --FDA collaborates with USDA's Special Supplemental Nutrition 
            Program for Woman, Infants, and Children (WIC) to help 
            ensure infant formula manufacturers meet evidence-based 
            standards while exploring enhanced contract flexibilities 
            during supply disruptions.

    Question. How are you ensuring this work remains ongoing in light 
of agency reorganization efforts, probationary firings, deferred 
resignations, and RIFs?
    Answer. FDA's Human Food Program is dedicated to and continues to 
prioritize the work contained in the Long-Term National Strategy and 
Operation Stork Speed. Overall, the functions outlined in the strategy 
are all related to critical foods work and, therefore, were not 
substantively affected by staff reductions. Additionally, despite the 
Federal hiring freeze, we have been able to post some high-priority job 
vacancies, one of which is the Director of the Office of Critical 
Foods, who will be directly responsible for the oversight of infant 
formula.
    I am concerned that there was not a public search for the Director 
of the Center for Biologics and that Title 21 hiring authority may have 
been used. Title 21 was part of the landmark 21st Century Cures Act 
that I championed, was intended to help the FDA bring experts on board 
quickly and at relatively competitive salaries. Title 21 hiring 
authorities were drafted as such to prevent the hiring of political 
appointees.
    Question. Can you confirm whether Dr. Prasad was hired under Title 
21 and, if so, explain why a public search was not conducted, as has 
been done for all of the other recent senior leadership positions at 
the centers?
    Answer. Following a nationwide search, Dr. Prasad was hired under 
the Title 21 hiring authority as the best candidate available. Dr. 
Prasad's extensive background as a medical practitioner, an author, and 
in academia made him uniquely qualified for the critical position as 
Director of the Center for Biologics Evaluation and Research. Given the 
importance of this position, it was not in the public interest to leave 
it vacant for many months. Title 21 allowed FDA to expedite the 
recruitment process and more efficiently onboard Dr. Prasad, as the 
Agency has done with other highly qualified experts in the past.
    This approach aligns with the legislative intent of the 21st 
Century Cures Act to help the FDA attract top talent quickly with 
competitive salaries.
    Question. If not hired under Title 21, what authority was used to 
hire Dr. Prasad?
    Answer. Dr. Prasad was hired under Title 21 hiring authority.
    Question. Do you commit to doing public searches for the Center for 
Drug Evaluation and Research and the Human Foods Program, who currently 
have acting directors?
    Answer. As of December 3, 2025, Dr. Tracey Beth Hoeg is the acting 
Director of the Center for Drug Evaluation and Research. FDA has made a 
permanent hire of Kyle Diamantes as the Deputy Commissioner for Human 
Foods. Both are extremely qualified and have already provided great 
contributions in support of public health.
    Question. The FDA is now requiring Pfizer and Moderna to expand 
warning labels of their COVID-19 vaccines to include risk of heart 
inflammation in adolescents and young men ages 18 to 24. This was 
determined after FDA's own analysis of insurance claims indicated an 
increased incidence from the 2023-2024 formulations. Will FDA be 
releasing this report and the data you used to determine this new 
practice?
    Answer. In a post-approval U.S. study \9\ funded and co-authored by 
FDA, study authors noted that myocarditis and pericarditis is a known 
complication of mRNA 9 vaccines, most frequently seen in adolescent and 
young adult males 1 to 7 days following vaccination.
---------------------------------------------------------------------------
    \9\ https://www.sciencedirect.com/science/article/pii/
S2589537024003882?via%3Dihub
---------------------------------------------------------------------------
    Using data in a separate analysis, the estimated incidence rate of 
myocarditis and pericarditis during the 1-7 days following 
administration of the 2023-2024 formula of mRNA COVID-19 vaccines was 
approximately 8 cases per million doses in individuals 6 months through 
64 years of age, with the highest rate among males aged 12-24 years at 
approximately 27 cases per million doses. These estimates do not 
provide an analysis of or evidence of an increased risk over time in 
any age group, but a standalone estimates of risk in the 1 to 7 days 
following the 2023-2024 Formula of mRNA COVID-19 vaccines.
    The BEST initiative conducts continuous monitoring and assessment 
of the safety of vaccines, including the mRNA COVID-19 vaccines. These 
safety studies include prespecified analyses that assess whether the 
risk of an outcome is elevated and associated with vaccination, and 
results can be found on the BEST. Results of the 2023-2024 formula mRNA 
COVID-19 vaccine safety studies have been submitted for peer-reviewed 
publication and are currently under review.
    Question. As FDA Commissioner, you have talked about increasing the 
transparency of the agency. Did you share the data mentioned in 
Question 4 with outside experts to help the FDA make a decision about 
including this risk on vaccine labels?
    Answer. Information about myocarditis (inflammation of the heart 
muscle) and pericarditis (inflammation of the lining outside the heart) 
following vaccination with these mRNA COVID-19 vaccines has been 
included in the labeling since 2021. FDA has considered presenting the 
updated myocarditis/pericarditis data at a future Advisory Committee on 
Immunization Practices meeting if the opportunity arises. FDA is also 
evaluating the best way to disseminate these results.
    Question. The FDA is essentially limiting COVID-19 vaccine 
approvals to people 65 and older and those with underlying conditions, 
because pharmaceutical companies are unlikely to conduct randomized 
control trials of updated vaccine formulations each year, as your new 
policy States they need to do. In alignment with your goal of 
transparency, will you please share which outside experts reviewed FDA 
recommendations on this policy change?
    Answer. FDA notes that vaccine manufacturers have agreed to conduct 
additional randomized controlled studies in individuals 50 to 65 years 
of age without high-risk conditions and the Agency plans to review and 
take appropriate action on applications for vaccines with 2025-26 
COVID-19 vaccine formulations. Further, it has not been established 
that updated vaccine formulations will be necessary each year in 
perpetuity. Please refer to ``An Evidence-Based Approach to Covid-19 
Vaccination'' in New England Journal of Medicine which was published 
after discussion with the expert editorial staff of NEJM.
    Question. Did any of the outside experts feel that this policy 
change was unwarranted?
    Answer. Please reference previously question.
    Question. What ethical concerns about this policy change were 
expressed?
    Answer. Please reference previously question.
    Question. What data did you present to outside experts to determine 
that this policy was evidence-based?
    Answer. Please reference previously question.
    Question. The Make American Healthy Again Commission is 
recommending that pesticides be reduced, as they are a driver of 
chronic health conditions in American children. What process will you 
create to start broad conversations with experts outside of the FDA to 
determine next steps regarding pesticide use?
    Answer. FDA will take the following steps regarding appropriate 
pesticide use, including by engaging experts outside of the FDA as 
appropriate: 1) monitor pesticide residues in the American diet through 
compliance surveys and the FDA Total Diet Study while also providing 
transparent reporting of that data to all applicable stakeholders, 
including those in the US government; 2) coordinate with USDA and 
States to inform data-driven policies; 3) as appropriate, provide 
technical support to EPA in their role to reduce unnecessary or harmful 
pesticide use; and 4) as appropriate, engage in any reforms to Federal 
programs that favor traditional field crops over organic foods when and 
if FDA is the appropriate agency to be engaged.
    Question. How will you identify best practices for improving 
childhood nutrition as a driver of childhood chronic disease?
    Answer. Improving nutrition is one of the most effective public 
health interventions for reducing diet-related chronic illnesses and 
premature death. The vast majority of Americans, including children, do 
not eat enough fruits, vegetables, dairy, seafood, whole grains, and 
healthy oils. Researchers have estimated that more than half of 
calories consumed by adults and children in the U.S. are from foods 
considered to be ultra-processed, which are linked to increased risk of 
negative health outcomes. There are many best practices that can and 
are being implemented across the Federal Government to support 
Americans in meeting recommendations for a healthy eating pattern. For 
example, FDA is encouraging industry to make healthier foods and 
helping provide nutrition information so that consumers can make 
informed choices. Further, FDA recently updated the definition of the 
``healthy'' content claim to help consumers identify foods that are 
particularly useful as the foundation of a diet that is consistent with 
dietary recommendations. We will continue to work with Federal partners 
to research and identify best practices, including through FDA and the 
National Institutes of Health's recently announced Nutrition Regulatory 
Science Program.
    Question. Will you work with USDA to ensure that the SNAP, WIC, and 
the National School Lunch Program is fully funded so that children and 
families have access to healthy food?
    Answer. Reducing childhood chronic diseases is a priority for this 
Administration and FDA. The U.S. Department of Agriculture (USDA) is 
responsible for administering these programs and FDA regularly 
collaborates with USDA and other Federal agencies on a variety of 
nutrition programs and issues.
    Question. What do you see as the biggest barrier to improving 
childhood nutrition in the U.S. and what steps will you take to address 
this?
    Answer. While there are numerous factors that impact children's 
health, improving nutrition is one of the most effective public health 
interventions for reducing diet-related chronic illnesses. FDA is 
committed to addressing the root causes of chronic disease through its 
authorities, including by helping provide people with information and 
tools to help support healthy food choices while improving the 
nutritional quality of the food supply.
    FDA is already moving forward with helping provide Americans with 
'at-a-glance' information they can use to make better informed 
nutritional decisions, including with its front-of-package nutrition 
labeling work. FDA is also working with USDA and other Federal partners 
to develop a definition for ultra-processed foods to support uniform 
research and policies and provide increased transparency to consumers 
about the food they eat. The FY 2026 President's Budget includes a 
request to increase funding for FDA's nutrition work, including 
expanding a new pilot program to help schools research nutrition and 
transition to healthier foods to help ensure children in our Nation are 
served nutritious, wholesome food that will set them up for a healthy 
future.
    Question. You recently held a virtual FDA Expert Panel on Talc. 
Could you please share the takeaways from that panel, and what FDA's 
next steps are related to address talc exposure?
    Answer. As part of the Trump Administration's commitment to 
transforming the future of American health care and restoring trust in 
public health, the U.S. Food and Drug Administration held an 
independent panel of scientific experts for a roundtable discussion in 
a public forum on Tuesday, May 20, 2025. Using gold-standard science 
and a transparent process, this historic roundtable set the public 
standard for future roundtables, evaluating the safety and necessity of 
talc as an additive in food, drug, and cosmetic products. The expert 
panel, comprised of leaders in their respective fields, reviewed the 
latest scientific evidence, evaluated potential health risks, explored 
alternatives, and offered their recommendations for action. The Agency 
will take a close look at the literature shared by the panel and re-
engage with stakeholders as questions emerge. Regarding additional 
steps, FDA continues to prioritize this issue and is working toward 
rulemaking.
    Question. What process did the FDA use to determine who should be 
on the Expert Panel?
    Answer. The panel was designed to bring together experts with a 
broad representation of perspectives to discuss the issue.
    Question. You have indicated that you will soon hold an FDA 
roundtable on menopause hormone replacement therapy. Could you please 
share more details about these plans?
    Answer. FDA will host the ``FDA Expert Panel on Menopause and 
Hormone Replacement Therapy for Women'' on July 17, 2025, from 1:00--
3:00 ET. Panelists include Marty A. Makary, M.D., M.P.H., FDA 
Commissioner and Sara Brenner M.D., M.P.H., FDA Principal Deputy 
Commissioner. Additional panelists include those with expertise in 
various aspects of menopausal health, including gynecological, 
urological, cognitive, bone, and cardiovascular care. The purpose of 
the meeting is to discuss the latest understanding of the benefits and 
safety of menopause hormone therapy. The event will be live streamed 
and can be viewed over the FDA's YouTube channel.\10\
---------------------------------------------------------------------------
    \10\ https://www.youtube.com/user/USFoodandDrugAdmin
---------------------------------------------------------------------------
    Question. Is the FDA going to be reviewing only hormonal treatments 
for menopause, or will you also consider non-hormonal treatments?
    Answer. The FDA Expert Panel discussion will focus on hormonal 
treatments for conditions related to menopause. Regarding drugs to 
treat menopausal symptoms more broadly, FDA considers development 
programs and applications for hormonal and non-hormonal medications.
    Question. What is the FDA currently doing to ensure that the 
accelerated approval pathway is available for rare disease treatments?
    Answer. FDA supports drug development through the accelerated 
approval pathway in many ways. Sponsors are encouraged to communicate 
with the Agency early in the drug development process concerning (1) 
the potential eligibility of a drug for accelerated approval, (2) 
proposed surrogate endpoints or intermediate clinical endpoints, (3) 
clinical trial designs, and (4) the planning and conduct of 
confirmatory trials. In addition, the Rare Disease Endpoint Advancement 
Pilot Program is a PDUFA VII commitment designed to support novel 
efficacy endpoint development for drugs that treat rare diseases.
    FDA's recent initiatives also help facilitate the use of the 
accelerated approval pathway for rare disease therapies. For example, 
the Rare Disease Innovation Hub launched in 2024 serves as a point of 
collaboration and connectivity between CBER and CDER with the goal of 
ultimately improving outcomes for patients with rare diseases. The Hub 
program is intended to support both internal alignment and 
communication with the rare disease community on a variety of topics, 
including guidance on surrogate endpoints and accelerated approval. 
Communication with rare disease stakeholders is an important aspect of 
facilitating rare disease product development.
    Approximately 60-70% of drugs approved under the accelerated 
approval pathway are oncology drugs, including drugs to treat rare 
cancers. Quite often the appropriate regulatory pathway (e.g., 
traditional approval or accelerated approval) for drugs intended to 
treat rare cancers is discussed early on in pivotal trial design.

                                 ______
                                 

              Questions Submitted by Senator Jeff Merkley
    Question. When Congress gave FDA the authority to oversee tobacco 
products, it established an appropriately high bar for a new tobacco 
product to enter the market. Under the standard established in the 
Family Smoking Prevention and Tobacco Control Act, manufacturers must 
provide strong evidence that the benefits of introducing a new tobacco 
product to the market will outweigh the risks.
    In reviewing applications for e-cigarettes in recent years, FDA has 
determined that flavors pose an additional level of risk because they 
are much more appealing to youth than tobacco-flavored products. 
Because of this higher level of risk, FDA has required e-cigarette 
manufacturers to show that a flavored e-cigarette will be more 
effective at helping a smoker to stop smoking cigarettes than a 
tobacco-flavored e-cigarette. A unanimous Supreme Court recently upheld 
this requirement. The vast majority of e-cigarette applications for 
flavored products have not been able to provide the evidence of a 
benefit to smokers that outweighs the risk to kids.
    Under your leadership, will FDA continue to require robust evidence 
that the benefit of a flavored product in helping smokers quit is 
sufficient to outweigh the demonstrated risk of the flavor to youth?
    Answer. The Federal Food, Drug and Cosmetic Act (FD&C Act) requires 
that FDA deny a premarket tobacco application (PMTA) where it finds 
``there is a lack of a showing that permitting such tobacco product to 
be marketed would be appropriate for the protection of the public 
health.'' FDA is committed to its responsibility to protect public 
health, follow the law, and carefully review the science presented in 
each premarket application when determining if a product meets the 
standard for marketing.
    Flavors are an important consideration in the review of a PMTA 
because of their impact on potential toxicity, consumer perceptions, 
and health risks-especially to youth. The burden is on the applicant to 
provide evidence to meet the public health standard provided by 
Congress. FDA will continue to consider whether PMTAs for flavored e-
cigarette products contain evidence of an added benefit to adult 
smokers, as compared to tobacco-flavored e-cigarette products, that 
could outweigh the known and substantial risk of flavored e-cigarette 
products to youth.
    Question. Do you think the premarket review process is an important 
way to keep e-cigarettes that are particularly appealing to young 
people off the market?
    Answer. Ensuring new tobacco products undergo premarket evaluation 
by FDA is a critical part of the Agency's mission to protect the public 
health, particularly for the youth, and to reduce tobacco-related 
disease and death. As part of the evaluation of e-cigarettes, FDA 
determines whether to authorize the marketing of a new product under 
the ``appropriate for the protection of the public health'' standard 
and will not authorize marketing if the applicant does not demonstrate 
that the public health benefit outweighs the risk to non-users, 
including youth.
    Question. Earlier this year, dozens of staffers at the FDA's Center 
for Tobacco Products (CTP) were placed on administrative leave, 
including the Center's director. How many total FDA CTP employees have 
lost their jobs? How many have lost their jobs as a result of:

  --The recent reductions in force announced by the Department on March 
        27, 2025 (including transfers to other Federal agencies)?
  --The termination of probationary employees?
  --Other Administration efforts to reduce the Federal workforce (e.g., 
        early retirement and Fork in the Road)?
    Answer. Thus far, no CTP employees have been removed as a result of 
the reduction in force, as they remain pending. 73 CTP probationary 
employees were terminated. A total of 51 employees voluntarily left 
their positions and made use of one of the incentive programs.
    Question. For each office within FDA CTP (e.g., Office of the 
Director, Office of Management, Office of Regulations, Office of 
Science, Office of Health Communications and Education, and Office of 
Compliance and Enforcement), how many people have been removed from 
their positions and how many remain?
    Answer.

 
 
----------------------------------------------------------------------------------------------------------------
                                                                    Terminated         Other
                           Row Labels                             (Probationary)    Termination       Retain
----------------------------------------------------------------------------------------------------------------
CTP.............................................................              73               3             924
OFFICE OF THE CENTER DIRECTOR...................................                                              27
OFFICE OF MANAGEMENT............................................                               2              19
OFFICE OF REGULATIONS...........................................                                              25
OFFICE OF SCIENCE...............................................              67               1             558
OFFICE OF HEALTH COMM & EDUCATION...............................               3                              55
OFFICE OF COMPLIANCE & ENFORCEMEN...............................               4                             240
----------------------------------------------------------------------------------------------------------------

    Question. Which directors of offices within FDA CTP have been 
removed from their positions, placed on administrative leave, or 
transferred to other Federal agencies?
    Answer. As of 7/26/2025, the Director for the Office of Science 
within FDA CTP is on administrative leave pending reassignment to IHS. 
In addition, the Director of the Center for Tobacco Products was 
initially placed on administrative leave pending reassignment to IHS 
but has since resigned.
    Question. Does FDA CTP intend to spend the $712 million in tobacco 
user fees authorized under the Family Smoking Prevention and Tobacco 
Control Act and included in the FY 2025 Full-Year Continuing 
Appropriations and Extensions Act (Public Law 119-4)? Please indicate 
how CTP intends to spend its tobacco user fees for FY 2025, including, 
but not limited to, dollars spent on premarket review, enforcement of 
marketing and sales of illegal products, and Tobacco Centers of 
Regulatory Science.
    Answer. In FY 2025, CTP plans to spend $680M in the following 
program areas:

 
 
------------------------------------------------------------------------
                                                          FY Planned
                    Program Area                           Spending
------------------------------------------------------------------------
Product Review, Scientific Research, and Research                  $277M
 Infrastructure.....................................
Compliance and Enforcement..........................               $164M
Public Education Campaigns and Communications.......                $80M
Leadership, Management Oversigt, and Administrative                 $37M
 Services...........................................
Related Overheard Activities........................               $122M
      Total Obligations:............................               $680M
------------------------------------------------------------------------

    Please note that because most of CTP's tobacco regulatory 
activities cut across product classes and programs, we do not track 
spending by tobacco product class or for specific programs such as 
premarket review or enforcement against illegally marketed products. 
However, both PMTA review and Tobacco Centers of Regulatory Science 
spending is captured in the Product Review, Scientific Research, and 
Research and Research Infrastructure program area.
    The Center's FY 2025 planned spending level is lower than its 
annual user fee collection amount for the following reasons.
  --As a result of litigation, CTP no longer has the statutory 
        authority to collect user fees from manufacturers and importers 
        of premium cigars. For FY25, this means that about $16M in user 
        fees will not be collected. When the litigation concludes, FDA 
        intends to consider what options are feasible and statutorily 
        authorized for reallocating the fees.

  --Additionally, through the HHS cost efficiency initiative, CTP has 
        reduced planned acquisitions spending in FY 2025 by the 
        required $78.5 million. However, any unspent user fees in FY 
        2025 will be carried over and available to spend in FY 2026.
    Question. What functions of CTP have been transferred to other 
offices at FDA or to other agencies? To which offices or agencies were 
they transferred?
    Answer. None of CTP's functions have been transferred.
    Question. What functions of CTP have been eliminated?
    Answer. None of CTP's mission areas have been eliminated. The 
Center continues to perform all of its programmatic functions.

                                 ______
                                 

               Questions Submitted by Senator Gary Peters
    Question. In response to questioning about FDA's suspension of 
programs to improve testing for potential H5N1 contamination in 
consumer products, including testing of milk, cheese and pet food, due 
to mass layoffs, you testified that a Washington Post article 
``debunked'' these concerns.
    Please provide a copy of the Washington Post article you referenced 
in your testimony.
    Answer. As requested, the Washington Post article, titled ``FDA's 
milk testing program pause is not cause for alarm, experts say'', can 
be found at the following: https://www.washingtonpost.com/food/2025/04/
23/fda-milk-testing-program-paused/
    Question. Has FDA suspended, scaled back, or changed any of its 
programs to monitor and test for H5N1 since January 20, 2025? If so, 
please explain FDA's actions and its reasoning for suspending, scaling 
back, or changing any of these programs.
    Answer. FDA programs to test for H5N1 in animal and human food have 
not changed since January 20, 2025. A combination of FDA internal 
laboratories, USDA's National Veterinary Services Laboratory, and FDA's 
Veterinary Laboratory Investigation and Response Network are supporting 
testing of animal and human food products for H5N1 virus.
    You also testified that FDA suspending milk testing was due to a 
``normally scheduled pause'' to ``recalibrate the equipment'' and that 
it is ``back up and running.''
    Question. Please provide the full schedule for the Interlaboratory 
Comparison Exercise as it stood on April 1, 2025.
    Answer. As of April 1, 2025, the HPAI Interlaboratory Comparison 
Exercise (ICE) schedule was as follows:
Completed work:

    Planning began in November 2024. Sample testing, including 
stability, was completed in March 2025.
Scheduled work from April 1:

        April 2025: Finalize instruction documents and training 
        materials for participating laboratories
        April 28th 2025: Ship sample sets to laboratories
        May 12th 2025: Laboratory results due
        June 2nd 2025: Send preliminary report to laboratories
        August 2025: Complete final report
    Question. Please list all the entities that have or were scheduled 
to participate in the Interlaboratory Comparison Exercise as of January 
20, 2025, or later, including those from FDA's Veterinary Laboratory 
Investigation and Response Network and food laboratories, the USDA's 
National Animal Health Laboratory Network, and private industry.
    Answer.43 laboratories have participated in the HPAI 
Interlaboratory Comparison Exercise, as of January 20, 2025:

  --21 state laboratories

  --13 university laboratories

  --2 private industry laboratories

  --2 other government laboratories

  --5 FDA Laboratories:

    --FDA Arkansas Human and Animal Food Laboratory

    --FDA San Francisco Human and Animal Food Laboratory

    --FDA Denver Laboratory

    --FDA New York Human and Animal Foods Laboratory

    --FDA Atlanta Human and Animal Food Laboratory
    Question. Please describe all quality assurance programs FDA is 
currently carrying out with regards to identifying potential H5N1 virus 
contamination in human or pet food.
    Answer. FDA testing is performed in accordance with the ``FDA 
Regulatory Testing Laboratory Manual of Quality Policies,'' which was 
prepared to meet the requirements for the laboratories' accreditation 
to the International Organization for Standardization/International 
Electrotechnical Commission (ISO/IEC 17025:2017). FDA HPAI RT-qPCR 
detection methodology incorporates internal amplification controls in 
the qPCR reactions in addition to surrogate virus extraction controls 
to establish confidence in laboratory results.
    Question. Please list all staff positions within FDA's Human Food 
Program as of January 20, 2025 and a corresponding description of each 
position, including:

  --The job or function the position relates to.

  --Whether the position was filled on January 20, 2025.

  --Whether there have been any changes to the staffing of the position 
        since January 20, 2025, and if so, describe the specific 
        change(s).

  --Whether FDA has any plans to reduce or eliminate the position 
        within the next 24 months, and if so, what it may or will be 
        replaced with.
    Answer. Below is a table noting each job function within HFP and 
the number of positions within that function. Because staffing is fluid 
and employees are hired, leave FDA, or move to other parts of the 
Agency, staffing levels may change on a day-to-day basis. FDA currently 
does not have plans to reduce or eliminate such positions within the 
next 24 months.
    As of January 20, 2025, HFP had the following 1,965 employees:

 
 
------------------------------------------------------------------------
                     Position Title                          Positions
------------------------------------------------------------------------
Acquisition Program Specialist..........................               5
Acquisition Program Specialist Assistant Commissioner                  1
 For Par................................................
Acquisition Program Specialist Audiovisual Production                  2
 Special................................................
Acquisition Program Specialist Bio (Sensory-                           1
 Organoleptic)..........................................
Acquisition Program Specialist Biological Science Lab                  1
 Technic................................................
Acquisition Program Specialist Biological Science                      2
 Technician.............................................
Acquisition Program Specialist Biologist................             176
Acquisition Program Specialist Biologist (Molecular)....               1
Acquisition Program Specialist Biologist (Senior Science               1
 Advisor)...............................................
Acquisition Program Specialist Biologist (Reg Prog                     1
 Expert)................................................
Acquisition Program Specialist Branch Chief.............               7
Acquisition Program Specialist Branch Chief For Budget                 1
 Formulation............................................
Acquisition Program Specialist Branch Chief, Chemical                  1
 Contami................................................
Acquisition Program Specialist Branch Chief, Exposure                  1
 Assessm................................................
Acquisition Program Specialist Branch Chief, Supervisory               1
 Phar...................................................
Acquisition Program Specialist Budget Analyst...........              10
Acquisition Program Specialist Business Analyst.........               1
Acquisition Program Specialist Business Information                    1
 Management.............................................
Acquisition Program Specialist Certification Control                   1
 Assistant..............................................
Acquisition Program Specialist Chemist..................             240
Chemist (Industrial)....................................               1
Chemist (Investigative Analyst).........................               1
Chemist (Quality Assurance Man).........................               1
Chemist (Color Spec)....................................               1
Chemist (QA Manager)....................................               1
Chemist (Residue Testing)...............................               1
Chemist (Technology)....................................               1
Chemistry...............................................               1
Chief Critical Foods Officer............................               1
Computer Scientist......................................               2
Consumer Complaint Coordinator..........................               7
Consumer Complaints Coordinator.........................               2
Consumer Safety Officer.................................             238
Consumer Safety Officer (Compl).........................               1
Consumer Safety Officer (Milk)..........................               1
Consumer Safety Officer (Nation)........................               1
Consumer Safety Officer (Program).......................               1
Consumer Safety Officer (Retail.........................              21
Consumer Safety Officer (Shell).........................              15
Consumer Safety Officer Product.........................               1
Consumer Safety Technician..............................               1
CSO (National Standardization)..........................               1
Data Scientist..........................................               2
Dep Dir For Animal Der Foods............................               1
Dep Dir For Scientific Operation........................               1
Deputy Commissioner For Human...........................               1
Deputy Director.........................................               1
Deputy Director For Plant Deri..........................               1
Deputy Director ODSP....................................               1
Deputy Director, Office Of Par..........................               1
Deputy Director, Office Of Reg..........................               1
Deputy Office Director..................................               2
Deputy Office Director, Office..........................               1
Dietitian/Nutritionist..................................               1
Dir, Ne Regional Lab....................................               1
Director Of The Office Of Diet..........................               1
Director, DBP...........................................               1
Director, OARSA.........................................               1
Director, Office Of Core................................               1
Director, Office Of Executive...........................               1
Director, Office Of Management..........................               1
Director, Office Of Nutrition...........................               1
Director, Office Of Regulatory..........................               1
Director, Southeast Food And F..........................               1
Division Director, Analytical...........................               1
Division Director, DITM.................................               1
Division Director, DWM..................................               1
Electronic Engineer.....................................               1
Electronics Technician..................................               1
Emergency Response Specialist...........................               1
Entomologist............................................              14
Epidemiologist..........................................              16
Ethics Management Specialist............................               1
Executive Assistant.....................................               2
FDA Liaison To CDC......................................               1
Food Defense Science Program C..........................               1
Food Technologist.......................................               9
Food Technologist.......................................               1
General Health Scientist................................               4
Geneticist..............................................               2
Geneticist (Research)...................................               1
Government Information Special..........................               4
Health Communication Specialist.........................               3
Health Communications Spec..............................               5
Health Communications Specialist........................               2
Health Communications Specialist........................              15
Health Informaticist....................................               2
Health Science Policy Advisor...........................               1
Health Scientist........................................               6
Health Scientist (Quality)..............................               1
Horticulturist..........................................               3
Hydrologist.............................................               1
Industrial Hygienist....................................               1
Industrial Property Management..........................               1
Information Technology Special..........................               2
Instructional Systems Specialist........................               4
Interdisciplinary Scientist.............................               1
Interdisciplinary Scientist (B..........................               1
International Policy Analyst............................               6
Laboratory Support Assistant............................               9
Laboratory Technician (Oa)..............................               1
Laboratory Worker.......................................               2
Lead Biologist..........................................              13
Lead Chemist............................................              19
Lead Consumer Safety Officer............................               8
Lead Government Information Sp..........................               2
Lead Management Analyst.................................               1
Lead Management And Program An..........................               2
Lead Microbiologist.....................................              16
Lead Toxicologist.......................................               1
Legal Instruments Exam (Oa).............................               2
Legal Instruments Examiner..............................               1
Legal Technician (Oa)...................................               1
Management And Program Analyst..........................               1
Management & Program Analyst............................               1
Management Analyst......................................              45
Management And Program Analysi..........................               3
Management And Program Analyst..........................              30
Management/Program Analyst..............................               1
Management And Program Analyst..........................               2
Mathematical Statistician...............................              10
Mathematician Statistician..............................               2
Medical Officer.........................................               2
Mgt And Prog Analysis Officer...........................               1
Microbiologist..........................................               1
Microbiologist..........................................             156
Microbiologist (QSS)....................................               1
Microbiologist (Spec Asst To Lb.........................               1
Microbiologist..........................................               2
Miscellaneous Administration A..........................               1
Ntnl Food Sfty Edc Advisor..............................               1
Nutritionist............................................               8
Office Director.........................................               1
Office Director, Office Of Pri..........................               1
Office Support Assistant................................               1
Operations Research Analyst.............................               2
Pharmacologist..........................................               1
Physical Science Technician.............................               3
Physical Scientist......................................               1
Physician...............................................               3
Policy Advisor..........................................               1
Policy Analyst..........................................              29
Policy Analyst (International)..........................               3
Program Analyst.........................................              79
Program Analyst (International).........................               2
Program Manager (Communication).........................               1
Program Manager (Diversity, Eq).........................               1
Program Specialist......................................               9
Program Support Specialist..............................              13
Project Coordinator.....................................               1
Project Manager.........................................              31
Project Officer.........................................               2
Project Specialist......................................               8
Public Affairs Specialist...............................               9
Public Health Advisor...................................               4
Public Health Analyst...................................               2
Public Health Educator..................................               5
Public Information Specialist...........................               1
Quality Assurance Manager...............................               1
Quality Assurance Specialist............................               3
Quality Systems Specialist..............................               2
Records & Info Management Spec..........................               2
Regulations Analyst.....................................               1
Regulatory Counsel......................................              14
Regulatory Health Information...........................               1
Regulatory Information Special..........................               2
Regulatory Policy Analyst...............................               3
Research Biologist......................................              28
Research Biologist (Bioinformatic)......................               1
Research Chemical Engineer..............................               2
Research Chemist........................................              22
Research Entomologist...................................               1
Research Food Technologist..............................               2
Research Microbiologist.................................              31
Research Microbiology...................................               1
Research Pharmacologist.................................               2
Safety And Occupational Health..........................               1
Sample Evidence Specialist..............................              13
SBRBPAS Expert..........................................               5
SBRBPAS Expert (Parasitologist).........................               1
SBRBPAS Expert (Microbiologist).........................               1
Science Policy Analyst..................................               1
Senior Advisor..........................................               2
Senior Advisor For Compliance...........................               1
Senior Advisor For Intentional..........................               1
Senior Advisor For Policy...............................               1
Senior Consumer Safety Officer..........................               1
Senior Dietician........................................               1
Senior Health Communication Sp..........................               1
Senior Physician........................................               3
Senior Policy Advisor...................................               8
Senior Policy Analyst...................................               5
Senior Project Manager..................................               3
Senior Project Officer..................................               1
Senior Regulatory Advisor...............................               1
Senior Regulatory Counsel...............................               3
Senior Regulatory Counsel For...........................               1
Senior Science Advisor..................................               2
Senior Science Advisor For Bio..........................               1
Senior Science Advisor For Eco..........................               1
Senior Science Advisor For Foo..........................               3
Senior Science Advisor For Glo..........................               1
Senior Science Advisor For Int..........................               1
Senior Science Advisor For Mil..........................               1
Senior Science Advisor For Nut..........................               2
Senior Science Advisor For Pro..........................               1
Senior Science Advisor For Ris..........................               1
Senior Science Advisor For Tox..........................               2
Senior Staff Fellow.....................................               1
Senior Staff Fellow (Biologist).........................               1
Sensory Expert Organoleptic.............................               1
Social Science Analyst..................................               5
Social Scientist........................................               2
Special Assistant.......................................               4
Staff Assistant.........................................               5
Staff Director..........................................               4
Staff Fellow............................................              24
Staff Fellow (Biologist)................................               3
Staff Fellow (Consumer Safety...........................               1
Staff Fellow-Pharmacologist.............................               1
Statistician............................................               1
Statistician............................................               1
Strategic Communications Specialist.....................               1
Student Trainee.........................................               1
Supervisory Government Info Special.....................               1
Supervisory Consumer Safety O...........................               3
Supervisory Program Analyst.............................               1
Supervisory Project Specialist..........................               2
Supervisory Biologist...................................              11
Supervisory Biologist (Integra).........................               1
Supervisory Budget Analyst..............................               3
Supervisory Chemist.....................................              43
Supervisory Consumer Safety Of..........................              54
Supervisory Consumer Safety Off.........................               1
Supervisory Data Scientist..............................               2
Supervisory Entomologist................................               1
Supervisory Food Technologist...........................               2
Supervisory General Health Sci..........................               2
Supervisory Geneticist..................................               1
Supervisory Health Communication........................               1
Supervisory Health Scientist............................               1
Supervisory Information Commun..........................               1
Supervisory Information Techno..........................               2
Supervisory Management Analyst..........................               6
Supervisory Management And Pro..........................               7
Supervisory Management Liaison..........................               1
Supervisory Management Officer..........................               1
Supervisory Microbiologist..............................              29
Supervisory Physician...................................               1
Supervisory Policy Advisor..............................               1
Supervisory Project Specialist..........................               1
Supervisory Public Health Educ..........................               2
Supervisory Quality Assurance...........................               1
Supervisory Regulatory Counsel..........................               3
Supervisory Regulatory Special..........................               1
Supervisory Safety And Occupational.....................               1
Supervisory SBRBPAS Expert..............................               1
Supervisory SBRBPAS Expert (Ch).........................               1
Supervisory Science/Regulatory..........................               1
Supervisory Toxicologist................................               4
Supply Management Specialist............................               1
Support Services Specialist.............................               4
Supervisory Facilities Res Specialist...................               1
Supervisory Consumer Safety Officer.....................               3
Supervisory Health Communications Spe...................               1
Supervisory Mathematical Statistician...................               1
Supervisory Mgmt And Prog Analyst.......................               2
Supervisory Microbiologist..............................               2
Supervisory Program Manager.............................               1
Supervisory SBRBPAS Expert (Chemist)....................               3
Supervisory SBRBPAS Expert (Nutrition)..................               1
Supervisory Social Scientist............................               1
Supervisory Training Specialist.........................               1
Supervisory Public Affairs Specialist...................               1
Survey Statistician.....................................               1
Technical Information Specialist........................               6
Toxicologist............................................              21
Training Administrator..................................               1
Training Specialist.....................................               7
Vet Medical Officer (Pathology).........................               1
Visiting Associate (Biologist)..........................               1
Visiting Scientist......................................               1
Visual Information Specialist...........................               3
Writer-Editor...........................................               1
      Total.............................................            1965
------------------------------------------------------------------------

    Question. You testified that staffing cuts at FDA have not 
increased the risks related to bird flu. Has FDA cut any staffing 
positions or responsibilities related to bird flu since January 20, 
2025?
  --As of January 20, 2025, please list every position at FDA that has 
        responsibilities regarding H5N1/bird flu and, for each, 
        describe:

  --The specific responsibilities related to H5N1/bird flu carried out 
        by the person in the position.

  --Whether the position was filled on January 20, 2025.

  --Whether there have been any changes to the staffing of the position 
        since January 20, 2025, and if so, describe the specific 
        change(s).

  --Whether FDA has any plans to reduce or eliminate the position 
        within the next 24 months, and if so, what it may or will be 
        replaced with.

    Answer. The reduction in force (RIF) has not had an impact on FDA's 
activities related to H5N1. Upon my arrival at FDA, the Agency 
undertook an evaluation of all positions to ensure that any jobs 
critical to FDA's mission or operations were either not part of the RIF 
or had the RIF rescinded. FDA currently does not have plans to reduce 
or eliminate such within the next 24 months.
    You testified that a potential future H5N1/bird flu vaccine should 
be based on a strain showing an ``antigenic shift that represents a[n] 
epidemic threat, when there is human-to-human transmission.''
    Question. What evidence has FDA collected, obtained, or received to 
date demonstrating that such an antigenic shift has occurred for H5N1?
    Answer. In the United States, the Centers for Disease Control and 
Prevention (CDC) is the lead for monitoring H5 avian influenza (bird 
flu) activity in people. As of July 7, 2025, the CDC reported publicly 
that there is no known person-to-person spread at this time in the 
United States and the risk is low for the general public.
    Question. Is FDA at any stage of evaluation for potential H5N1 
vaccine candidates for humans? If so, please describe what vaccines are 
being evaluated and which H5N1 strain(s) are being targeted.
    Answer. FDA has approved three H5N1 vaccines for use in the U.S. 
[Sanofi Pasteur Inc (2007), ID Biomedical Corporation of Quebec (2013), 
and Seqirus, Inc. (2020). The vaccines manufactured by ID Biomedical 
and Seqirus are approved for use in individuals 6 months of age and 
older.
    The vaccine manufactured by Sanofi is approved for use in 
individuals 18 through 64 years of age.
    As discussed during FDA's October 2024 Vaccines and Related 
Biological Products Advisory Committee meeting,\11\ licensed vaccine 
manufacturers have prepared candidate H5 influenza vaccines for A/
Astrakhan/3212/2020, which has a hemagglutinin that is closely related 
antigenically to the HA of currently circulating H5 clade 2.3.4.4b 
viruses. Clinical trials to evaluate immunogenicity and safety have 
been initiated and FDA is working closely with these manufacturers to 
evaluate the results. Information about these vaccines is available on 
clinicaltrials.gov at https://clinicaltrials.gov/study/
NCT05975840?id=NCT05975840&rank=1 and https://clinicaltrials.gov/study/
NCT05874713?id=NCT05874713&rank=1.
---------------------------------------------------------------------------
    \11\ https://www.fda.gov/media/182543/download
---------------------------------------------------------------------------
    Question. Please provide any evidence FDA has that demonstrates a 
``universal flu shot'' would be effective against H5N1 infection or 
transmission in or among mammals. For the ``current strain of bird 
flu'' you cited that such a universal vaccine may protect against, 
please provide the specific H5N1 strain information.
    Answer. The goal of developing a ``universal'' influenza vaccine 
would be to provide protection against many or most clades and strains 
of influenza and several experimental approaches are being actively 
pursued by researchers and vaccine manufacturers. Some vaccine 
candidates have demonstrated their potential for broad immunity in 
animal models, but all are still in development.
    In May, doctors at the Children's Hospital of Philadelphia 
announced an incredible medical breakthrough--a baby born with a rare 
genetic disorder appears to be largely cured thanks to personalized 
gene therapy that uses CRISPR gene-editing technology. It took just 6 
months from the time the baby was born to the doctors giving him the 
first treatments--a speed only made possible by rapid FDA approval of 
the novel therapy and knowledge learned from decades of robust Federal 
funding for science. Please describe what FDA is currently or planning 
on doing to ensure it has enough skilled personnel to help Americans 
benefit from remarkable advancements in personalized medicine.
    Question. How many FDA personnel (irrespective of hiring mechanism) 
were assigned to reviewing, or consulting with outside stakeholders 
(such as academia and industry) on, applications for novel gene/
personalized medicine therapies on January 20, 2025, and how many 
personnel are so assigned as of May 22, 2025?
    Answer. The Office of Therapeutic Products (OTP) within FDA's 
Center for Biologics Evaluation and Research leads and oversees the 
development of CGT products and other products. It should be noted that 
many staff split their time between reviewing novel cell and gene 
therapy (CGT) products and other products regulated by CBER. As such, 
it is difficult to give a precise answer to the personnel assigned to 
reviewing or consulting on such applications. However, as an 
approximation, 366 employees were assigned to OTP on January 20, 2025, 
and 349 employees were assigned to the office on May 22, 2025.
    Question. Please list all FDA positions responsible for reviewing, 
or consulting with outside stakeholders on, applications for novel 
gene/personalized medicine therapies that are or will be impacted as 
part of a reduction in force, deferred resignation, or early retirement 
program.
    Answer. As noted in Question 6A it is difficult to give a precise 
answer to the personnel assigned to reviewing or consulting on such 
applications. As of September 16, 2025, 4 OTP employees were part of 
the deferred resignation program and 10 OTP employees took part in 
early retirement programs. No OTP staff members involved in review of 
CGT applications were subject to reduction in force.
    Question. Please list all FDA positions responsible for reviewing, 
or consulting with outside stakeholders on, applications for novel 
gene/personalized medicine therapies that are or will be considered for 
elimination. For each position, please describe whether the position 
will be replaced by something else (for example, an AI tool) or 
combined with another position(s).
    Answer. FDA is working to retain and recruit reviewers for CGT 
products and is not considering these positions for elimination or 
replacement.
    Question. Please describe the specific artificial intelligence (AI) 
tools FDA is or will deploy as part of its regulatory and research 
processes, including the entity or entities that developed or have some 
level of ownership of the tool. For each AI tool:

  --Please list which specific FDA components, programs, or offices 
        will be deploying it.

  --Please describe what cybersecurity and information security 
        measures are or will be in place to safeguard intellectual 
        property and other proprietary information, confidential or 
        other privacy-related data, and any other sensitive information 
        or data.

  --Please describe the training that FDA personnel have or will 
        receive before and while using the tool.

  --Please describe what oversight FDA personnel will perform over the 
        output produced by the tool, to include ensuring quality 
        control, regulatory compliance, protection of privacy, 
        protection of intellectual property, etc.

    Answer. In June 2025, FDA deployed the generative AI Tool, Elsa, 
across the entire Agency. Elsa's development team was comprised of 
experts from every Center. Currently, we have approximately 11,400 
users of Elsa, with 6,000-7,000 weekly active users, making it one of 
our most utilized applications. Elsa is an FDA-wide solution that can 
be employed to help with tasks in every Center/Office. The system 
supports diverse functions, from administrative tasks to Freedom of 
Information Act requests and human resources needs. We also expanded 
accessibility by developing mobile capabilities specifically for field 
investigators. In addition to Elsa, FDA is currently compiling the 2025 
annual HHS AI use case inventory in accordance with Executive Order 
13960, ``Promoting the Use of Trustworthy Artificial Intelligence in 
the Federal Government.'' FDA's 2024 use case list may be found here: 
AI Use Cases Inventory HHS.gov.
    Regarding cybersecurity and information security measures, Elsa 
operates within the most robust security framework available to Federal 
agencies. The system is deployed in a FedRAMP/FISMA High environment, 
which represents the highest level of Federal cybersecurity standards. 
Our key security measures include comprehensive data protection 
protocols. The system is also not connected to the internet and 
operates securely behind the FDA firewall, allowing our staff to input 
FDA confidential information safely while maintaining the highest 
security standards. We maintain strict access controls, including user 
profile restrictions and the ability to create locked-down, user-
specific document libraries. Staff can upload documents and data during 
individual chat sessions, and this information remains within that 
specific session and user context, preventing unauthorized access or 
data sharing. Additionally, we maintain rigorous vendor management 
protocols with our cloud solution providers and AI vendors, ensuring 
they meet all Federal security requirements while providing us with 
access to the latest modeling capabilities within our secure 
environment.
    Our training approach is deliberately structured and progressive. 
We have conducted extensive trainings, paired with multiple office 
hours and video recordings. Our approach focuses heavily on prompt 
engineering--teaching users to craft specific, effective queries rather 
than relying on generic interactions. As new features and models are 
released, staff will be required to attend trainings to unlock such 
additional AI models and features. This ensures we have a process to 
continually train and reinforce the proper use of these tools as they 
advance.
    FDA maintains rigorous mechanisms to ensure regulatory compliance 
and protection of sensitive information. All users are trained that 
Elsa is a supportive tool, not a decision-maker, and that they must 
verify all outputs through our established multiple levels of review. 
We maintain structured processes with extensive oversight, ensuring 
that AI-assisted work still meets our rigorous scientific and 
regulatory standards. Users learn to utilize feedback mechanisms, 
including rating systems that help our development team understand 
usage patterns and improve the system. Finally, we have implemented 
features in our system such that when users are interacting with 
Document Libraries, Elsa is forced to read prompts in the context of 
those documents and cite relevant documents, significantly limiting the 
likelihood that Elsa hallucinates information or references. 
Regardless, FDA staff are required to validate sources and information 
in every instance.
    We also plan to provide Center leadership with information about 
usage patterns, enabling them to understand how their teams are 
utilizing the tools and ensure appropriate application within their 
specific regulatory contexts. Finally, we maintain currency with the 
latest AI capabilities, while ensuring all updates meet our security 
and functionality requirements. We recently upgraded from Claude 3.5 to 
Claude 4.0 within our secure environment, demonstrating our commitment 
to providing staff with cutting-edge tools while maintaining the 
highest security standards.
    Question. Were algorithms used to make decisions about FDA's 
staffing cuts? If so:

  --Who created the algorithms FDA used to execute these staffing cuts? 
        Please identify the name, title, and affiliation of each 
        individual involved.

  --Who at FDA reviewed the algorithm decisions about staffing cuts 
        prior to their execution?

  --Who executed the staffing cuts and rehiring decisions at FDA?

    Answer. FDA is not aware of algorithms used to make staffing 
decisions. Decisions were made by the Principal Deputy Commissioner and 
executed by the Chief Operating Officer.
    An April 21, 2025, Brookings report raised concerns regarding the 
lack of quality standards for active ingredient manufacturers of 
semaglutide used in bulk compounding. The report found that a ``large 
share'' of these manufacturers were based ``almost exclusively'' in 
China, most had never been inspected by FDA, and many of those who had 
been inspected ``had drug quality assurance violations.'' Reports also 
raised concerns that FDA's staffing cuts may impact its ability to 
conduct foreign drug inspections.
    Question. What is FDA doing to ensure quality standards for bulk 
semiglutide and that all drug products entering the U.S. are safe and 
effective?
    Answer. FDA reviews shipments of drugs offered for import to 
determine whether they appear to comply with applicable standards and 
are admissible into the U.S. FDA may detain and refuse products that 
appear to be compliant products. The Agency's risk-based oversight has 
enabled us to effectively identify potential violations and take 
action, ultimately contributing to a more secure supply chain. 
Surveillance inspections for registered active pharmaceutical 
ingredient (API) and finished dosage form drug manufacturers are 
prioritized by the CDER risk-based Site Selection Model (SSM). The SSM 
uses risk factors, based on statutory requirements and emerging risks 
to prioritize inspectional assignments from CDER-regulated sites.
    On September 5, 2025, FDA established a ``green list'' import alert 
to help stop potentially dangerous GLP-1 (glucagon-like peptide-1) API, 
including semaglutide, from unverified foreign sources from entering 
the U.S. market. This is part of the agency's steps to safeguard 
consumers from GLP-1 active ingredients imported from overseas that 
fail to meet applicable quality standards or are otherwise unlawful to 
help ensure patient safety and a secure drug supply chain. The green 
list includes GLP-1 API from suppliers the agency has evaluated (e.g., 
through establishment inspections or review of records requests) that 
appear to be in compliance with the FDA's rigorous standards--standards 
applicable to all API manufactured within or outside the U.S. The 
agency will continue to work with state regulators, monitor the market, 
and take enforcement actions as necessary to prevent unsafe or 
fraudulent GLP-1 drugs from reaching U.S. consumers.
    FDA actively monitors the internet to identify unsafe online 
pharmacies and websites offering misbranded and/or illegally marketed 
unapproved drugs for sale to U.S. consumers and has issued warning 
letters seeking to stop and prevent the distribution of illegally 
marketed GLP-1 drugs. For instance, FDA has issued warning letters to 
companies, including compounding pharmacies and suppliers of active 
pharmaceutical ingredients used in compounding, that have illegally 
sold semaglutide, tirzepatide, or retatrutide drugs. FDA has urged 
consumers not to purchase these products, which are of unknown quality 
and may be harmful to their health. FDA's Office of Criminal 
Investigations has also worked with the Department of Justice to bring 
actions against parties for introducing unapproved and misbranded drugs 
into interstate commerce, including GLP-1 drugs.
    In the President's FY 2026 proposed Budget, FDA proposed that 
Congress amend the FD&C Act to clearly require that the label and any 
accompanying certificate of analysis for an API for use in drug 
manufacturing, including human drug compounding, identify the name, 
address, and unique facility identifier of the API's original 
manufacturer. The original manufacturers of API are not always readily 
identified in labeling, such as when the label only indicates the 
repackager or distributor. This supply chain information is critical to 
investigate quality and safety problems.
    Question. Has FDA made any staffing cuts that would impact its 
ability to carry out domestic and foreign drug manufacturing 
inspections?
    Answer. FDA's investigator positions were not included in the RIF 
and the Agency continues to carry out inspections of both domestic and 
foreign drug facilities. Notably, FDA has recently embarked on an 
effort to increase the number of unannounced foreign facility 
inspections.
    Question. In addition to FDA's announcement that it will be 
conducting unannounced foreign drug inspections, what specifically is 
FDA doing to ensure its inspection workforce is sufficiently staffed 
with experienced investigators to carry out quality inspections of both 
active pharmaceutical ingredient (API) and finished dosage form (FDF) 
manufacturing facilities to ensure products entering the U.S. meet 
FDA's quality standards and Current Good Manufacturing Practices 
(CGMPs)?
    Answer. FDA notes that it has been conducting unannounced and 
short-notice inspections of foreign drug manufacturing facilities for 
several years and that we are now building on and significantly 
expanding those efforts. In terms of staffing, the Agency has resumed 
the recruitment and hiring of new investigators, including having 
announced multiple vacancies for investigator positions in efforts to 
hire additional inspectional staff.
    Training our new and existing investigator workforce remains a 
priority. In support of the Agency's mission to have the workforce 
trained and operationally ready more quickly, the Office of Inspections 
and Investigations (OII) Office of Training, Education, and Development 
recently updated new Investigator training (aka Operational 
Foundations) to support basic inspection training across all 
commodities, and is exploring options for more effectively leveraging 
technology (e.g., AI) and immersive learning to improve efficiency and 
reduce the time to achieve the Independent Work qualification.
    OII and the Center for Drug Evaluation and Research are 
collaborating to continually enhance and improve the training content 
and delivery to ensure that any staff conducting inspections on behalf 
of the Agency are consistently trained and prepared to conduct high 
quality inspections of both API and FDF drug manufacturing facilities.

                                 ______
                                 

           Questions Submitted by Senator Kirsten Gillibrand
    Question. In February, FDA announced the recall of Lyons ReadyCare 
and Sysco Imperial frozen supplemental shakes. The recall is connected 
with an outbreak of Listeria that has infected 42 people from 21 
States, including New York, and has led to 41 hospitalizations and 14 
deaths. As Ranking Member of the Special Committee on Aging, I am 
concerned about this outbreak because the shakes were sold to 
congregate care settings, such as nursing homes.
    Although FDA closed its investigation into the Listeria outbreak, I 
am concerned about how HHS cutbacks and efforts by the so-called 
``Department of Government Efficiency'' may have impacted the 
investigation. My Aging Committee staff reached out to FDA with a 
series of questions on March 17, 2025. On March 27, HHS Secretary 
Kennedy announced his ``reorganization'' of the Department of Health 
and Human Services. On April 1, FDA informed my staff that the 
individuals working on a response to my staff's questions ``are no 
longer at FDA as of this morning'' and suggested that I reach out to 
HHS directly for a response. Given this turn of events, I ask that you 
answer the following questions:
    How did staffing on the FDA team responding to the Listeria 
outbreak change between January 20, 2025 and the conclusion of FDA's 
investigation into the outbreak? Please provide information detailing:
    Answer. HFP's Coordinated Outbreak Response and Evaluation team did 
not experience any staffing changes during this time-period.
    Question. The number of staff on the FDA team on January 20, 2025.
    Answer. The response team is a multidisciplinary group composed of 
six members.
    Question. The number of staff on the FDA team when the Listeria 
investigation was closed.
    Answer. The response team consisted of six members when this 
investigation was closed.
    Question. The number of staff on the FDA team who accepted the 
``deferred resignation'' scheme e-mailed by OPM to Federal employees on 
January 28, 2025, or who accepted any subsequent buyout or deferred 
resignation offers.
    Answer. No members of the response team accepted the deferred 
resignation program.
    Question. The number of staff on the FDA team who were laid off or 
fired between January 20, 2025 and the date when the Listeria 
investigation was closed.
    Answer. No members of the outbreak response team were laid off or 
fired during the course of the investigation.
    Question. What were the specific roles and duties of the staff on 
the FDA team that responded to the Listeria outbreak who accepted the 
January 28, 2025 deferred resignation scheme, or any subsequent buyout 
or deferred resignation offers? Please also detail:
    Answer. As stated above, no members of the response team left the 
Agency during that time period.
    Question. How those staff were involved in supporting the 
investigation into the Listeria outbreak connected to frozen shakes.
    Answer. As stated above, no members of the response team left the 
Agency during that time period.
    Question. What were the specific roles and duties of the staff on 
the FDA team who responded to the Listeria outbreak who were laid off 
or fired between January 20, 2025 and the date that FDA closed the 
investigation into the Listeria outbreak? Please also detail:
    Answer. As stated above, no members of the response team left the 
Agency during that time period.
    Question. How those staff were involved in supporting the 
investigation into the Listeria outbreak connected to frozen shakes.
    Answer. As stated above, no members of the response team left the 
Agency during that time period.
    Question. Please describe the role and duties of the FDA team that 
responded to the Listeria outbreak in responding to other outbreaks of 
foodborne illnesses.
    Answer. FDA's Office of Coordinated Outbreak Response, Prevention, 
& Emergency Preparedness (CORE+EP) has several specialized teams to 
support outbreak detection and response. Once it is determined that a 
multi-State outbreak of foodborne illnesses or series of adverse events 
is likely due to an FDA-regulated human food, CORE+EP's Response Teams 
lead the coordination of stopping the outbreak and preventing 
additional illnesses.
    Response Teams work directly with FDA field offices, FDA subject-
matter experts, CDC, and state partners on a response strategy. The 
team coordinates investigations, inspections, sampling, and traces 
product distribution. Close coordination among FDA, CDC, and State and 
local regulatory, public health and agriculture departments is crucial 
to stopping an outbreak.
    Investigations coordinated by CORE+EP also inform follow-up 
activities carried out by other offices and divisions of FDA. These 
include, but are not limited to, follow-up inspections, continued risk 
assessments, and development of prevention strategies.\12\
---------------------------------------------------------------------------
    \12\ https://www.fda.gov/food/outbreaks-foodborne-illness/post-
outbreak-response-and-prevention-strategies-enhance-food-safety-
updated-january-17-2025
---------------------------------------------------------------------------
    Question. How many staff on the FDA team does FDA anticipate laying 
off or firing over the next year?
    Answer. FDA does not anticipate any additional reductions in force.
    During a March 14, 2025, call between my Aging Committee staff and 
subject matter experts at FDA and CDC, it was noted that the Federal 
Government supports State and local public health infrastructure that 
plays a critical role in responding to outbreaks of foodborne 
illnesses. That infrastructure includes State and local health 
departments and laboratories that the Federal Government assists with 
training and equipment. Please:
    Question. Describe this State and local network in greater detail, 
including how the network assists CDC and FDA as they investigate and 
respond to outbreaks of foodborne illnesses.
    Answer. FDA staff work in conjunction with CDC, State, and local 
partners during foodborne illness investigations to leverage regulatory 
authorities to effectuate the best public health outcome. This enables 
all parties to rely on, coordinate with, and leverage one another's 
work, data, and actions to meet the public health goal of a safe 
national food supply.
    State and local epidemiologists help track illnesses, interview 
patients, identify outbreak sources and collect samples. State and 
local health laboratories help analyze food, environmental, and 
clinical samples. State and local partner agencies also help conduct 
retail food inspections, produce inspections, manufactured food 
inspections, and surveil the food supply for a variety of hazards. They 
assist in finding the food that caused illnesses (traceback) and help 
conduct root cause assessments to find the cause of food contamination; 
or if they discover a hazard before an outbreak is detected or occurs, 
they work with FDA to help prevent illnesses.
    Question. Describe in specific detail how the Federal Government 
supported this State and local network prior to January 20, 2025, 
including through Federal funding and grants, technical assistance, and 
training.
    Answer. Prior to January 20, 2025, FDA provided support to State, 
local, Tribal, and territorial (SLTT) agencies, universities, and 
nonprofit organizations by routinely working directly with these 
partners and funding cooperative agreement programs--federal awards 
with substantial FDA involvement--that support personnel, supplies, 
training, technical assistance, and equipment to support these 
integrated response efforts. Further, FDA's Program Standards and Rapid 
Response Team Technical Experts also support state partners with 
technical assistance and training by participating in state-hosted 
meetings, capturing and sharing best practices amongst program 
participants, and facilitating national level training courses.
    Question. Describe how Federal support for this network has changed 
between January 20, 2025, and present, including:

  --Any grants to State or local governments, public health agencies, 
        or laboratories that have been reduced or cancelled.
  --Any Federal technical assistance or training for State or local 
        governments, public health agencies, or laboratories that have 
        been reduced in frequency or cancelled.
  --Any other assistance, including with technology or equipment, to 
        State and local governments, public health agencies, or 
        laboratories that has been reduced or cancelled.
    Answer. Since 2022, FDA allocated unspent dollars to increase 
annual state partnerships funding from the $83 million appropriated by 
Congress to $116 million. Given increasing inflationary costs and 
changes implemented as part of the FDA's 2024 Agency-wide 
reorganization, the Agency was no longer able to allocate this level of 
additional funding beginning in FY 2025. FDA is in the process of 
finalizing awards for FY 2025 and ensuring that resources are 
prioritized to the highest public health priorities using the 
Integrated Food Safety System (IFSS) Prioritization Model.
    The FY 2026 President's Budget includes $33 million to restore the 
previous level of enhanced state funding to $116 million. If 
appropriated, this funding will support the expansion of current state 
agreements for routine inspections of domestic food facilities to cover 
all applicable domestic facilities, to the extent feasible. This 
paradigm shift streamlines routine inspections through a transformative 
oversight model that fosters enhanced collaboration between Federal and 
State agencies and reduces redundancy.

                                 ______
                                 

               Questions Submitted by Senator Jon Ossoff
    Question. What is the total number of probationary and non-
probationary employees terminated from FDA's Human Foods Program since 
Thursday, February 13, 2025? Please include the following information:

  --The job titles of employees who have had their termination 
        finalized,

  --The job titles of employees who have been scheduled to be 
        terminated and their pending termination date, and

  --The number of probationary and non-probationary terminated workers, 
        from each office and center within the division, in raw 
        numbers, and as a percentage of each office's, center's, and 
        the division's total workforce.
    Answer. All anticipated terminations within HFP have been finalized 
as of 7/26/2025. There are no pending or scheduled terminations within 
Human Foods Program (HFP).

                         Probationary and Non-Probationary Employee Terminations by COP
 
----------------------------------------------------------------------------------------------------------------
                     HFP Office                          Terminations          % of HFP            % of FDA
----------------------------------------------------------------------------------------------------------------
Human Foods Program.................................                   0               0.00%               0.00%
Nutrition Center of Excellence......................                   0               0.00%               0.00%
Office of Communications, Education, and Engagement.                  38              56.72%               0.18%
Office of Compliance and Enforcement................                   5               3.29%               0.02%
Office of Coordinated Outbreak Response, Evaluation,                   1               1.61%               0.00%
 and Emergency Preparedness.........................
Office of Executive Programs........................                  16              43.24%               0.08%
Office of Food Chemical Safety, Dietary Supplements,                   7               3.74%               0.03%
 and Innovation.....................................
Office of Integrated Food Safety System Partnerships                   3               2.63%               0.01%
Office of Laboratory Operations and Applied Science.                  15               1.93%               0.07%
Office of Microbiological Food Safety...............                  14               8.97%               0.07%
Office of Policy and International Engagement.......                   0               0.00%               0.00%
Office of Quality Assessment and Management.........                   1               4.55%               0.00%
Office of Resource Management.......................                  64              46.04%               0.31%
Office of Strategic Programs........................                  12              85.71%               0.06%
Office of Surveillance Strategy and Risk                               8               8.42%               0.04%
 Prioritization.....................................
Office of the Deputy Commissioner for Human Foods...                   6              35.29%               0.03%
      Total.........................................                 190  ..................               0.91%
----------------------------------------------------------------------------------------------------------------

    Question. On April 17th, you told Megyn Kelly ``there were no cuts 
to scientists, reviewers or inspectors or law enforcement'' at FDA. On 
April 23rd, you told Dana Bash ``there were no cuts to scientists or 
inspectors.''
  --Did you make those statements?
  --Were those statements accurate?
    Answer. There were no reductions in force (RIFs) for any reviewers, 
investigators, or law enforcement personnel. In addition, following the 
initial RIF decisions-which were made prior to my arrival at FDA-we 
took a close look at mission impacts and rescinded RIF notices for any 
employees who were in critical positions to the Agency's mission or 
operations.
    Question. A fact sheet circulated by HHS States that the 
elimination of roles at FDA ``will not affect drug, medical device, or 
food reviewers, nor will it impact inspectors.'' Please specify what is 
meant by the elimination of 3,500 roles at FDA not ``affect[ing] 
reviewers'' or ``impact[ing] reviewers.''
    Answer. Please see the response to the above question.
    Question. According to AgencyIQ reporting, over 200 employees 
supporting the critical work of the Human Foods Program no longer have 
active files in the U.S. Health and Human Services' (HHS) employee 
database. Many of them had job titles listing occupations such as 
Chemist, Biologist, and Microbiologist. On April 25, 2025, the New York 
Times reported an HHS spokesperson reinstated employee who had been 
``inadvertently fired because of inaccurate job classification codes.''
  --Will you conduct a full evaluation of these positions to ensure 
        employees critical to safeguarding our Nation's food and 
        preventing food-related illness and death were not 
        ``inadvertently'' fired or scheduled for termination? Will you 
        include each employee's duties, expertise, and past performance 
        in such analysis?
  --If after such analysis, you determine certain employees should not 
        be reinstated or de-scheduled for termination, please provide 
        your rationale.
  --If after such analysis, you determine certain employees were 
        critical for ensuring food safety, will you reinstate them?
    Answer. After the HHS RIF, FDA reviewed impacts to FDA's mission 
and rescinded RIF notices of positions critical to the Agency's 
operations and mission areas.
    Question. The FDA coordinates food surveillance activities with the 
Centers for Disease Control and Prevention. How has this coordination 
been impacted by the Reduction in Force and layoffs that have occurred 
within both agencies since February 13, 2025?
    Answer. FDA's Human Food Program is dedicated to-and continues to 
prioritize-our foodborne illness surveillance work with CDC. These 
functions were not significantly affected by the reduction in force. 
For example, foodborne outbreak communications and the Outbreak 
Investigation Table continue to be published to provide relevant, 
timely, and actionable information to consumers and stakeholders.
    Question. How has FDA evaluated the impact of the closure of the 
food safety labs?
    Answer. No food safety labs have been subjected to closure.

                          SUBCOMMITTEE RECESS

    Senator Hoeven. Again, thank you. Appreciate it. Have a 
great day.
    Dr. Makary. Thank you, Senator.
    Senator Hoeven. We are adjourned.
    [Whereupon, at 12:06 p.m., Thursday, May 22, the 
subcommittee was recessed, to reconvene subject to the call of 
the Chair.]


       LIST OF WITNESSES, COMMUNICATIONS, AND PREPARED STATEMENTS

                              ----------                              
                                                                   Page

Baldwin, Senator Tammy, U.S. Senator from Wisconsin, Questions 
  Submitted by...................................................
  43.............................................................

Collins, Senator Susan, U.S. Senator from Maine, Statement of....
  2..............................................................

Gillibrand, Senator Kirsten, U.S. Senator from New York, 
  Questions Submitted by 




Heinrich, Senator Martin, U.S. Senator from Questions Submitted 
  by.............................................................
  45.............................................................
Hoeven, Senator John, U.S. Senator from North Dakota:
    Opening Statement of 



    Questions Submitted by 



Hyde-Smith, Senator Cindy, U.S. Senator from Mississippi, 
  Questions Submitted by 




Makary, Hon. Dr. Martin A., M.D., M.P.H., Commissioner, 
  Department of Health and Human Services, Food and Drug 
  Administration:
    Prepared Statement of........................................
      54.........................................................
    Questions Submitted to.......................................
      77.........................................................
    Statement of.................................................
      49.........................................................
    Summary Statement of.........................................
      52.........................................................
Merkley, Senator Jeff, U.S. Senator from Oregon, Questions 
  Submitted by 



Moran, Senator Jerry, U.S. Senator from Kansas, Questions 
  Submitted by...................................................
  89.............................................................
Murray, Senator Patty, U.S. Senator from Washington, Questions 
  Submitted by...................................................
  97.............................................................

Ossoff, Senator Jon, U.S. Senator from Georgia, Questions 
  Submitted by...................................................
  115............................................................

Peters, Senator Gary, U.S. Senator from Michigan, Questions 
  Submitted by...................................................
  103............................................................

Rollins, Hon. Brooke L., Secretary, Department of Agriculture:
    Prepared Statement of........................................
      7..........................................................
    Questions Submitted to.......................................
      37.........................................................
    Statement of.................................................
      1..........................................................
    Summary Statement of.........................................
      4..........................................................
Rounds, Senator Mike, U.S. Senator from South Dakota, Questions 
  Submitted by...................................................
  39.............................................................

Shaheen, Senator Jeanne, U.S. Senator from New Hampshire:
    Questions Submitted by 



    Statement of 



                             SUBJECT INDEX

                              ----------                              

                       DEPARTMENT OF AGRICULTURE

                                                                   Page

Additional Committee Questions...................................
  37.............................................................
APHIS Staffing...................................................
  44.............................................................
Biofuels.........................................................
  43.............................................................
Climate Smart Commodities........................................
  43.............................................................
Highly Pathogenic Avian Influenza................................
  45.............................................................
Local Food for Schools (LFS) & Local Food Purchase Assistance 
  Program........................................................
  45.............................................................
National Milk Testing Strategy...................................
  45.............................................................
Organic Concerns.................................................
  43.............................................................

                               __________


                 DEPARTMENT OF HEALTH & HUMAN SERVICES

                      Food and Drug Administration

Additional Committee Questions...................................
  77.............................................................
AI Product Reviews...............................................
  78.............................................................
Alternative Methods for Testing..................................
  85.............................................................
Benzodiazepines..................................................
  84.............................................................
Compounding Drugs................................................
  87.............................................................
Continuity of User Fee Funding for Medical Devices...............
  55.............................................................
Deferred Resignation Program.....................................
  95.............................................................
Early Retirements................................................
  95.............................................................
FDA IT Infrastructure............................................
  80.............................................................
Foreign Inspections..............................................
  85.............................................................
Hiring...........................................................
  96.............................................................
Human Foods Program..............................................
  78.............................................................
Inspections......................................................
  79.............................................................
MAHA Commission Report...........................................
  77.............................................................
Make America Healthy Again.......................................
  54.............................................................
Probationary Firings.............................................
  94.............................................................
Rare Diseases Require Innovative Approaches to Drug Development 
  and Regulation.................................................
  82.............................................................
Reductions In Force (RIF)........................................
  94.............................................................
Regulatory Review timelines 



Staffing at FDA..................................................
  84.............................................................
Threats to US Biotech's Future Investment and Global 
  Competitiveness................................................
  83.............................................................
Vaccine Regulatory Framework.....................................
  84.............................................................

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