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

Treasury and HHS ConfirmationsSenate Finance · 2025-09-04 · 119th Congress
The Senate Finance Committee first held a brief business meeting to consider three nominations — Bryan Switzer for Deputy U.S. Begins at 0:12:56
Transcript
Highlights

Title

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

Purpose

The Senate Finance Committee first held a brief business meeting to consider three nominations — Bryan Switzer for Deputy U.S. Trade Representative, Gustav Chiarello III for Assistant Secretary at HHS, and Michael Stuart for HHS General Counsel — before recessing to hear testimony from HHS Secretary Robert F. Kennedy, Jr. on the administration's 2026 health care agenda. The hearing covered vaccine policy, rural hospital funding, drug pricing, the "One Big Beautiful Bill," and the recent firing of CDC Director Susan Monarez, producing sharp, often combative exchanges between Kennedy and Democratic senators. Begins at0:12:56

Who spoke

Chair Mike Crapo (R-ID)0:12:56: Opened the business meeting urging favorable votes on the three nominees0:13:26; later opened the health hearing citing CMS savings from stopping duplicate Medicaid/ACA enrollment0:47:17 and the $50 billion Rural Health Transformation Program1:07:13; rejected Wyden's request to formally swear in Kennedy0:57:31.

Sen. Ron Wyden (D-OR), Ranking Member0:14:30: Opposed all three nominees, citing Stuart's vague EMTALA answers0:14:51 and Kennedy's handling of vaccine policy0:15:17; later accused Kennedy of lying to the committee on vaccine commitments0:56:18, entered Susan Monarez's Wall Street Journal op-ed into the record1:12:16, and pressed on the upcoming ACIP meeting's hepatitis B, MMR, and RSV recommendations1:13:551:16:24.

Sec. Robert F. Kennedy, Jr. (HHS Secretary)0:58:43: Opened by honoring slain CDC officer David Rose0:58:43; cited 76.4% of Americans with chronic disease1:10:44, $50 billion rural health investment1:08:43, and repeatedly said "nobody knows" how many Americans died of COVID1:47:55; said he agreed with a claim that mRNA vaccines cause serious harm including death2:58:30.

Sen. Chuck Grassley (R-IA)1:19:27: Asked Kennedy to confirm he'd leave farm regulation to USDA/EPA1:20:00; pressed on drug-ad price disclosure legislation with Sen. Durbin1:22:03 and organ-transplant "line skipping" abuses1:23:25.

Sen. John Cornyn (R-TX)1:24:54: Noted the U.S. spends ~18% of GDP on health care but ranks ~10th globally1:24:54; got Kennedy to agree COVID was "politicized"1:28:01.

Sen. Michael Bennet (D-CO)1:30:23: Challenged Kennedy over appointing vaccine panelists Robert Malone and a Dr. Leva who linked mRNA vaccines to serious harm and death1:30:541:31:59; pressed on transparency for the ACIP's upcoming review1:35:03.

Sen. Bill Cassidy (R-LA)1:36:40: Said Trump deserves a Nobel Prize for Operation Warp Speed1:37:06; challenged Kennedy on canceling $500 million in mRNA vaccine contracts1:38:39 and shared a personal account of his wife, a stage IV lung cancer patient, being unable to get a COVID vaccine1:42:01.

Sen. Maria Cantwell (D-WA)1:42:41: Called Kennedy a "charlatan" for interrupting her1:43:59; cited the Trump administration's own surgeon general crediting mRNA vaccines with saving over 2 million lives1:44:47.

Sen. Mark Warner (D-VA)1:47:18: Got Kennedy to admit he doesn't know how many Americans died from COVID or whether vaccines prevented deaths1:47:551:48:29; discussed rural hospital and OB/GYN closures in Virginia1:50:341:51:52.

Sen. James Lankford (R-OK)1:52:58: Raised Medicare Advantage payment delays to rural hospitals1:53:45 and pressed on PBM reform and mifepristone safety review timing1:54:051:55:31.

Sen. Maggie Hassan (D-NH)1:58:13: Noted commercial insurance premiums rising 18% this fall1:58:13; pressed Kennedy on whether Operation Warp Speed's vaccine was a "monumental achievement" that saved millions of lives, which he affirmed but then hedged on1:59:352:00:04.

Sen. John Barrasso (R-WY)2:03:43: A physician, said vaccines have saved 154 million lives worldwide over 50 years2:04:42; asked what safeguards ensure vaccine guidance stays evidence-based rather than political2:07:24.

Sen. Steve Daines (R-MT)2:09:02: Cited a study finding nearly 11% of women had a serious adverse event within 45 days of taking mifepristone, 22 times the FDA's estimate2:09:342:10:06; asked about reinstating in-person visit requirements2:12:49.

Sen. Ron Johnson (R-WI)2:14:23: Cited VAERS data showing 30,472 reported COVID-vaccine-associated deaths worldwide2:15:55; previewed a September 16 hearing on a study of vaccinated-vs-unvaccinated chronic illness rates2:16:49.

Sen. Sheldon Whitehouse (D-RI)2:24:16: Detailed a 23–26% Medicare payment gap disadvantaging Rhode Island providers versus Massachusetts/Connecticut2:24:16; raised end-of-life care waiver requests2:26:44; Kennedy said he hadn't heard from him in seven months and invited a call2:29:01.

Sen. Catherine Cortez Masto (D-NV)2:30:01: Challenged Kennedy on the "Big Beautiful Bill" shielding Keytruda ($175,000/year, ~$18 billion in 2023 sales) from Medicare price negotiation2:30:29; cited 2026 Part D premium increases to $50/month and 11.6% Part B premium hikes2:34:03.

Sen. Marsha Blackburn (R-TN)2:35:53: Pressed on PBM reform legislation2:36:56 and interoperability framework alignment2:38:18; raised overprescribing of stimulant drugs to children2:39:33.

Sen. Elizabeth Warren (D-MA)2:41:45: Confronted Kennedy over restricting COVID vaccine approval for healthy under-65s despite earlier promises not to take vaccines away2:42:18; Kennedy accused her of taking $855,000 from pharmaceutical companies2:44:10.

Sen. Bernie Sanders (I-VT)2:47:41: Noted the "Big Beautiful Bill" removed 15 million Americans from health coverage2:48:47; cited a Lancet study crediting COVID vaccines with preventing almost 20 million deaths in the first year2:49:27; challenged Kennedy for calling mainstream medical organizations "co-opted"2:51:30.

Sen. Thom Tillis (R-NC) [2:53:50 as recorded speaker cue, statement continues at 2:54:17]: Criticized Kennedy for firing CDC Director Monarez four weeks after praising her2:54:22; requested economic-impact estimates on the "Big Beautiful Bill" for North Carolina2:56:26.

Sen. Tina Smith (D-MN)2:58:43: Accused Kennedy of contradicting himself on vaccine safety statements2:59:11; pressed on his blaming antidepressants for the Annunciation Catholic School shooting3:00:48; criticized Medicaid mental-health cuts3:01:43.

Sen. Roger Marshall (R-KS)3:04:04: A physician, questioned the necessity of universal hepatitis B vaccination for newborns of low-risk mothers3:05:00; Kennedy responded citing a four-day, 143-child safety study for the vaccine3:06:13.

Sen. Ben Ray Luján (D-NM)3:10:19: Pressed on David Geier's role in the HHS autism study, noting the HHS website lists him as a "senior data analyst"3:12:10; asked Kennedy to commit to sharing study protocols3:15:07.

Sen. Raphael Warnock (D-GA)3:18:38: Asked about the CDC shooting motivated by anti-vaccine sentiment3:18:38; ran a yes/no sequence on Kennedy's confrontation with Monarez, including whether he demanded she accept the vaccine panel's recommendations3:19:523:21:04.

Sen. Peter Welch (D-VT)3:23:28: Cited a Vermont family of four seeing premiums rise from $6,970 toward $23,000–$30,0002:24:20; said 45,000 Vermonters will lose coverage under the bill3:24:46; urged Kennedy to support legislation reversing pharma's Medicare negotiation carve-out3:28:41.

Sen. Todd Young (R-IN)3:29:08: Focused on long COVID, noting it affects over 20 million diagnosed Americans and costs $1 trillion annually worldwide3:29:46; pressed for accelerated clinical trials and ARPA-H involvement3:33:29.

Key moments

Kennedy testified CMS identified 2.8 million Americans simultaneously enrolled in multiple Medicaid/ACA plans, with potential savings of $14 billion a year from stopping duplicate enrollment0:47:17.

Kennedy said 120 rural hospitals have closed in the last decade and the "One Big Beautiful Bill" provides $50 billion ($10 billion/year) in new rural health funding, more than a 50% increase over current rural Medicaid spending1:07:421:08:43.

Wyden entered Susan Monarez's Wall Street Journal op-ed stating she was told to pre-approve recommendations of a vaccine panel filled with people who had expressed anti-vaccine views; Kennedy called her account untrue1:12:511:13:54.

Kennedy said the U.S. has 4.2% of world population but had nearly 20% of COVID deaths, and that CDC officials responsible for pandemic-era school closures and masking were being removed1:05:09.

Under repeated questioning from Sen. Warner, Kennedy said he did not know how many Americans died from COVID or whether the vaccine prevented additional deaths, despite having led HHS for eight months1:47:551:48:29.

Sen. Cassidy noted Kennedy's HHS canceled $500 million in mRNA vaccine contracts while Kennedy simultaneously said Trump deserved a Nobel Prize for Operation Warp Speed's mRNA-based vaccine1:38:391:37:24.

Sen. Warren and Kennedy clashed over whether restricting COVID vaccine approval to those 65+ or high-risk amounts to "taking vaccines away"; Kennedy insisted "anybody can get the booster" while acknowledging it is "not recommended" for healthy people2:42:412:42:562:42:58.

Kennedy said he asked Monarez if she was "a trustworthy person" and she said "no," and stated she was fired for that reason; Sens. Warren and Sanders both characterized this account as calling Monarez a liar2:46:142:47:072:48:02.

Sen. Cortez Masto said the reconciliation bill exempts top-selling drugs like Keytruda (~$18 billion in 2024 U.S. sales, $175,000/year per patient) from Medicare price negotiation for additional years; Kennedy said he was unsure of that provision despite his agency administering the negotiations2:30:292:32:45.

Kennedy said a 2002 internal CDC study of Fulton County, Georgia found Black boys vaccinated on time had a 260% greater chance of an autism diagnosis than those who waited, and alleged the senior scientist was ordered to destroy that data2:18:512:19:08.

Metadata

Official titleBusiness meeting to consider the nominations of Bryan Switzer, of Virginia, to be a Deputy United States Trade Representative (Asia, Textiles, Investment, Services, and Intellectual Property), with the rank of Ambassador, and Gustav Chiarello III, of Virginia, to be an Assistant Secretary, and Michael Stuart, of West Virginia, to be General Counsel, both of the Department of Health and Human Services.
CommitteeSenate Finance
Chamber / CongressSenate · 119th Congress
Date2025-09-04
TypeMeeting
Witnesses
(none listed in event metadata)
Videosenate-isvp
Transcript681 caption blocks · 23,344 words · 3:40:56 runtime
EventCongress.gov 337385