Hearings to examine reviewing recent events at the Centers for Disease Control and Prevention and implications for children's health.

Committee on Education

2025-09-17

Source: Congress.gov

Summary

The hearing convened to investigate the abrupt dismissal of former CDC Director Dr. Susan Monarez and the resignation of former Chief Medical Officer Dr. Debra Houry, focusing on allegations of political interference in scientific decision-making at the Centers for Disease Control and Prevention regarding vaccine policies and public health guidance [ 00:24:54 ]

[ 00:28:33 ] [ 00:31:46 ] . Witnesses provided testimony regarding their experiences with Secretary Kennedy and the implications for the CDC's credibility and its ability to protect American public health [ 00:29:12 ] .

Themes

Dismissal of CDC Leadership

Dr. Susan Monarez, the first Senate-confirmed CDC director, testified that she was fired after 29 days for refusing two demands from Secretary Kennedy . She stated that the Secretary directed her to pre-approve all forthcoming recommendations from the Advisory Committee on Immunization Practices (ACIP) regardless of scientific evidence, and to dismiss career officials responsible for vaccine policy without cause . Dr. Monarez claimed she would not compromise her integrity by replacing evidence with ideology and thus refused to comply, leading to her dismissal . Dr. Debra Houry resigned because she felt CDC leaders were being reduced to "rubber stamps," supporting policies not based in science and endangering American lives . She also noted that political appointees had been instructed to only work with other political appointees and not with career scientists .

Scientific Integrity and Evidence-Based Policy

A central theme was the alleged undermining of scientific integrity by political directives within the CDC . Dr. Monarez asserted that Secretary Kennedy stated there was "no science or evidence" associated with the childhood vaccine schedule and that she still needed to be "on board with it" . Both Dr. Monarez and Dr. Houry emphasized their commitment to evidence-based decision-making and expressed concerns that political staff were influencing the agenda of scientific meetings . Senator Rand Paul questioned the scientific basis for current COVID-19 and Hepatitis B vaccine recommendations for children, citing a lack of statistical significance for certain age groups regarding hospitalization and death . Senator Bernie Sanders and other members highlighted the broad scientific consensus on vaccine safety and effectiveness, contrasting it with Secretary Kennedy's stance .

Changes to ACIP and Vaccine Schedule

Concerns were raised about the replacement of all 17 voting members of the ACIP by Secretary Kennedy and the potential for politically motivated changes to vaccine recommendations [ 00:33:01 ]

. Dr. Monarez stated she was directed to pre-approve ACIP recommendations without scientific review, which she refused [ 01:10:11 ] . Dr. Houry mentioned that flu campaigns were halted despite high pediatric flu deaths and that global flu and COVID sample submissions had significantly dropped, reducing visibility into pathogens . Specific attention was given to the Hepatitis B birth dose vaccine, with Senator Paul noting the Secretary's alleged desire to move away from it, and others stressing its critical role in reducing infant infections [ 00:54:55 ] [ 02:27:42 ] .

Impact on Public Trust and Pandemic Preparedness

Speakers repeatedly stressed the erosion of public trust in the CDC and its dire consequences for public health and future pandemic preparedness [ 02:16:39 ]

. Dr. Monarez and Dr. Houry warned that weakened vaccine protections could lead to the return of preventable diseases and harm children . They also expressed worry that the CDC was becoming less prepared for future pandemics due to staff cuts and reduced global pathogen visibility [ 02:16:27 ] . Concerns were raised about threats and fear of violence against CDC personnel, leading some scientists to avoid public presentations on vaccines .

Secretary Kennedy's Conduct and Allegations

Dr. Monarez detailed Secretary Kennedy's "animated" and "upset" demeanor, and his disparaging remarks about CDC employees, calling them "horrible people" who were "killing children" and "bought by the pharmaceutical industry" . She stated he also accused the CDC of instructing hospitals to turn away sick COVID patients . Dr. Houry mentioned that the Secretary spread misinformation and promoted unproven treatments, and changed CDC COVID vaccine guidance via social media without scientific justification [ 01:07:34 ]

. Senator Kaine questioned the Secretary's "radical transparency" claim given his alleged instruction to Dr. Monarez not to speak directly with senators .

Tone of the Meeting

The tone of the meeting was notably tense and confrontational, particularly during direct exchanges with the witnesses . Accusations of dishonesty and political motivation were leveled, with one Senator questioning Dr. Monarez's "honesty issue" and truthfulness . However, there was also strong support and empathy for the witnesses, particularly from Democratic senators, who praised their courage, integrity, and commitment to science in the face of pressure [ 01:18:45 ]

[ 02:25:16 ] . Concerns about the politicization of science and its impact on public health were voiced with significant gravitas across the aisle, underscoring the perceived high stakes of the discussion [ 00:28:40 ] [ 01:15:04 ] . The discussion frequently highlighted a divide between those prioritizing adherence to scientific evidence and those questioning current vaccine recommendations and CDC practices [ 01:26:37 ] .

Participants

Transcript

The Senate Committee on Health, Education, Labor, and Pensions will please come to order.  I thank our witnesses for being here.  This hearing is a direct response to President Trump's call for radical transparency in how we conduct governmental affairs.  And I thank Secretary Robert Kennedy for echoing that call for radical transparency in his testimony before the Senate Finance Committee.  Now, I approach this hearing as both a doctor and as a senator.   And as both, I should be, but frankly, I think we all should be, first and foremost, friends and allies of the American people.  They are looking to us to figure out how our government works best for them.  And if we look at any other agenda, we are not doing our duty to the American people.  Now that was the attitude I brought advocating for my patients.   I think that is the attitude we should bring as Senators towards this issue as well.  And if our loyalty lies elsewhere, then we fail as Senators.  As a doctor who treated children and families for over 25 years, I have the absolute obligation to do the best I can for the health of those whom I am entrusted to serve.   In this case, I am, but we all are, entrusted to serve the moms and dads, their children, their parents, so that when I or any doctor makes a recommendation to provide a life-saving vaccine or treatment, they can reliably rely upon CD guidance.  If doctors do not have clear guidance or have a reason to distrust what's coming out of the CDC, they cannot make informed decisions to protect their patients.   Children, and I would say adults, health is at risk.  Now, as a senator, and this speaks directly to all of us at this table, I am focused on the fact that Dr. Monarez was the first CDC director requiring Senate confirmation.
We Republicans supported making the CDC director Senate confirmed.   It's such an important position that we demanded a role in her or his choosing.  And so part of our responsibility today is to ask ourselves, if someone is fired 29 days after every Republican votes for her, the Senate confirms her, the Secretary said in her swearing in that she has, quote, unimpeachable scientific credentials,   And the president called her an incredible mother and dedicated public servant.  Like, what happened?  Did we fail?  Was there something we should have done differently?  The secretary in his Senate finance testimony justified Dr. Menard's firing by stating, quote, it's imperative that we remove officials with conflicts of interest and catastrophically bad judgment and political agendas.  We need unbiased,   Politics free, transparent, evidence-based science in the public interest, end quote.  If what he said is true, we as senators need to ask ourselves, did we look past something?  Did we do something wrong?  It may be that we did nothing wrong, in which case, Dr. Monarez and Dr. Ari, the onus is upon you   to prove that the criticisms leveled by the secretary are not true.  Now, ultimately, we all have an obligation to truth.  It may be impossible to learn who's telling the truth, but this hearing is an initial step in trying to answer why the top leadership of the CDC was fired or resigned before they could be fired.  Turmoil at the top of the nation's top public health agency is not good for the health of the American people.   Now, I've long believed the CDC needs reform to regain the trust of the American people, and earlier this year launched a working group of Senate Republicans on the topic, including Senators Paul, Murkowski, Marshall, and Scott from this committee, which has met numerous times on a staff level.

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