
FOR IMMEDIATE RELEASE:
February 21, 2025
Contact: Press_Paul@paul.senate.gov, 202-224-4343
Dr. Rand Paul Introduces NIH Reform Act to Bring Accountability to Public Health Bureaucracy
WASHINGTON, D.C. – Yesterday, U.S. Senator Rand Paul (R-KY), Chairman of the Senate Homeland Security and Governmental Affairs Committee, introduced the NIH Reform Act, legislation aimed at overhauling the National Institute of Allergy and Infectious Diseases (NIAID) to increase congressional oversight on the agency’s leadership. The NIH Reform Act would separate the NIAID into three national research institutes: the National Institute of Allergic Diseases, the National Institute of Infectious Diseases, and the National Institute of Immunologic Diseases. Each new institute would be led by directors subject to Senate confirmation and limited to no more than two 5-year terms to prevent the unchecked authority that led to sweeping and disastrous pandemic-era mandates.
“For nearly four decades, Dr. Anthony Fauci sat atop a bureaucratic empire, wielding unchecked power over public health policy—despite never being confirmed by the Senate once,” said Dr. Paul. “He dictated mandates that shut down businesses, kept kids out of school, and trampled individual liberties—all while being the highest-paid official in the federal government. That kind of power without oversight is dangerous, and my legislation will ensure it never happens again. This legislation will bring accountability and oversight into a taxpayer-funded position that has largely abused its power and has been responsible for many failures and misinformation during the COVID-19 pandemic.”
The legislation is currently cosponsored by U.S. Senator Tommy Tuberville (R-AL) in the Senate.
“Anthony Fauci single-handedly shut down small businesses, forced our children out of classrooms, and took away the opportunity for many Americans to say goodbye to loved ones during the COVID pandemic,” said Senator Tuberville. “It’s scary to think that someone who was never elected – or even confirmed by the Senate – had so much power over health care decisions that impacted millions of Americans. We need greater transparency in our government’s institutions to ensure this never happens again. I’m proud to join Senator Paul in this legislation to increase oversight of the NIH and give the American people greater transparency surrounding our government institutions.”
U.S. Representative Chip Roy (R-TX-21) introduced the legislation in the U.S. House of Representatives.
“From the earliest days of the pandemic, public health bureaucrats proved themselves far more adept at ruining lives than saving them. Never again should a single, unaccountable government employee, like Dr. Anthony Fauci, wield unchecked power and influence over the lives of the American people. Jay Bhattacharya is an excellent choice for NIH Director, and I support his efforts to regain trust in America’s health agencies and promote healthcare freedom. However, we can’t structure government on the assumption that we’ll always have great people in office. Breaking up Dr. Fauci’s taxpayer funded bully pulpit into three separate agencies — and requiring Senate confirmation for all their future directors — is one of many actions necessary to allow the American people to check government power and hold public health agencies accountable,” said Congressman Roy.
Background:
Dr. Anthony Fauci was Director of the National Institute of Allergy and Infectious Diseases (NIAID) for over 38 years—longer than J. Edgar Hoover was Director of the FBI. By the time he retired, he was the highest paid official in the entire federal government. Yet the Senate never voted to confirm him once. The law does not require Senate confirmation of the NIAID Director.
The NIAID’s stated mission is “to better understand, treat, and ultimately prevent infectious, immunologic, and allergic diseases.” This sweeping mandate covers everything from asthma to Ebola, from peanut allergies to the plague. As the head of that institute, Dr. Fauci installed himself as a de facto pandemic czar, advocating for misguided policies like mandatory vaccinations for school-aged children (one of the populations least at risk from COVID-19).
To improve accountability of the NIH, the NIH Reform Act will restructure the NIAID to better align with its mission as follows:
Abolish the NIAID and replace it with the following three new institutes:
- National Institute of Allergic Diseases;
- National Institute of Infectious Diseases; and
- National Institute of Immunologic Diseases.
The directors of each new institute would be:
- Appointed by the president,
- Subject to Senate confirmation, and
- Limited to no more than two 5-year terms.
This type of reorganization is nothing new. In the aftermath of J. Edgar Hoover’s decades-long tenure as head of the FBI, Congress passed a law in 1976 limiting the FBI Director to a single 10-year term, and as recently as 2012, Congress eliminated one center within the NIH and replaced it with a new one. In the aftermath of the damage done by pandemic-era mandates and restrictions, Congress must enact the NIH Reform Act to ensure that one official cannot claim the unquestioned authority to dictate the federal response to public health emergencies.
The NIH Reform Act is part of Dr. Paul’s ongoing fight to bring transparency and accountability to federal agencies and rein in government overreach.
You can read the NIH Reform Act HERE.
###