Democrats on a key Senate spending committee today provided a less than warm welcome to the National Institutes of Health (NIH) director, who was called in to testify about the agency’s 2026 budget proposal. The politicians slammed health economist Jayanta “Jay” Bhattacharya for freezes and cuts to thousands of grants and other moves by President Donald Trump’s administration that they say are dismantling U.S. biomedical research. And key Republicans on the Senate appropriations panel joined with Democrats in indicating they are unlikely to go along with the White House’s proposal to slash the agency’s budget by 40% in 2026.
Senator Shelley Moore Capito (R–WV), chair of the subcommittee that oversees NIH’s budget, noted in her opening remarks that “this will be a challenging year for appropriations, yet supporting biomedical research is a priority for me … I, along with many of my colleagues on this committee, think it is important that America remains the leader in biomedical innovation and research.”
And Senator Susan Collins (R–ME), who chairs the full appropriations committee, called the proposed cut to NIH’s budget “so disturbing” and said “it would undo years of congressional investment in NIH and it would delay or stop effective treatments and cures.” It would also risk the United States falling behind China in biomedical research, she said.
The 96-minute hearing was Bhattacharya’s first appearance before lawmakers since he became head of NIH on 1 April, the week of a second wave of mass layoffs at the agency. Since then, concerns within the biomedical community and among lawmakers have only escalated as NIH has continued to delay funding, cut grants on politically sensitive topics, and impose blanket funding freezes on universities because of allegedly discriminatory policies.
In the packed hearing—purple-sashed Alzheimer’s disease patient advocates dominated the audience—Bhattacharya said a decline in U.S. life expectancy and growing distrust of NIH during the COVID-19 pandemic point to a “need for reform at the NIH.” He faced sharp questions about his plans, although the subsequent exchanges were less fiery than two recent hearings where his boss, Health and Human Services Secretary Robert F. Kennedy Jr., sparred with lawmakers on topics such as vaccines.
The subcommittee’s top Democrat, Senator Tammy Baldwin (WI), and Senator Patty Murray (WA), the lead Democrat on the full appropriations committee, pressed Bhattacharya on the ouster of 5000 NIH employees, and the killing of nearly 2500 grants worth $4.9 billion. Trump is “systematically dismantling the American biomedical research enterprise that is the envy of the world,” Murray said.
Bhattacharya held his calm during his attempts to respond. Asked who is making decisions about the grant cuts—NIH, the White House budget office, or the White House task force known as the Department of Government Efficiency (DOGE)—he said it “depends on the specifics.” Changes in priorities and cuts to “politicized science” are his decisions, he said. Freezes on university grants were “joint with the administration.” He added that he expects those freezes to be “temporary” and said they should be lifted after “settlements.”
Yet Bhattacharya also acknowledged that some grants were inadvertently caught up by broad searches for flagged words denoting a controversial topic, such as diversity, even though the meaning was nonpolitical—such as a project noting attempts to recruit diverse clinical trial participants. DOGE members have been conducting such word searches to target grants since before Bhattacharya came to NIH. The director said he has set up a “process for appeal” that should result in some grants being restored within "weeks.” “I didn’t take this job to terminate grants,” he said. Senator Brian Schatz (D–HI) offered some sympathy: “I know you have to survive in this administration,” he said.
Murray noted that by her count, at least 150 clinical trials including ones on HIV vaccines , ovarian cancer, and diabetes have been terminated this year and wanted to know how many would be trimmed in 2026 if the 40% cut goes through. “I don’t have the numbers,” Bhattacharya said, but he acknowledged there would be fewer trials funded by the agency.
Others on the panel asked how the budget proposal’s plan to fold NIH’s 27 institutes into just eight would affect research in areas such as addiction and nursing. ( The nursing institute and three others would be eliminated .) Bhattacharya insisted that “important” research would continue. “The key thing is not the reorganization of the NIH,” but “the activities,” he said.
Collins also took issue with a new NIH policy to slash overhead payments included with grants from the current average of about 50% to a uniform 15% rate. The cut, paused for now as a judge reviews a legal challenge to it, could effectively reduce U.S. biomedical funding by billions of dollars. The rate cap is “poorly conceived” and causing biomedical researchers to leave the U.S., she said.
Collins asked whether Bhattacharya has considered an effort led by Kelvin Droegemeier, director of the White House science office in the first Trump administration, to develop “new models” for determining how much an institution should get for overhead. He said that effort is “quite promising.”
Asked by several lawmakers about the biggest question on their minds—how Trump can justify a 40% cut to NIH—Bhattacharya declined to say. He instead answered that NIH’s final budget will be the result of “collaboration” and “negotiation” with Congress.