Secretary of Health and Human Services Robert F. Kennedy Jr. testifies before a Senate Appropriations subcommittee on Tuesday, May 20, 2025. (Screenshot from committee webcast)

WASHINGTON — U.S. Health and Human Services Secretary Robert F. Kennedy Jr. testified before Congress on Tuesday that a major report due out later this week from his agency will not disparage farmers or a commonly used pesticide.

Kennedy, who has long been critical of certain aspects of modern agriculture and processed food, at a U.S. Senate hearing urged lawmakers to read the widely anticipated “Make America Healthy Again” report once it’s published Thursday, but didn’t go into details about any possible recommendations.

“Everybody will see the report,” Kennedy said. “And there’s nobody that has a greater commitment to the American farmer than we do. The MAHA movement collapses if we can’t partner with the American farmer in producing a safe, robust and abundant food supply.”

His comments followed stern questioning from Mississippi Republican Sen. Cindy Hyde-Smith, who said she had read news reports from “reliable sources” that the MAHA Commission’s initial assessment “may unfairly target American agriculture, modern farming practices and the crop protection tools that roughly 2% of our population relies on to help feed the remaining 98%.”

“If Americans lose confidence in the safety and integrity of our food supply due to the unfounded claims that mislead consumers, public health will be at risk,” Hyde-Smith said. “I’ve said this before, and it’s worth saying again, countries have gone to war over many things — politics, religion, race, trade, natural resources, oil, pride, you name it — but threaten a nation’s food supply and allow people to go hungry. Let’s see what happens then.”

Hyde-Smith, who was her home state’s commissioner of agriculture and commerce from 2012 to 2018, probed Kennedy about his past work in environmental law and whether he might be inserting “confirmation bias” into the forthcoming report.

She asked Kennedy if he would try to change the current approval for glyphosate, a commonly used herbicide, that she referred to as “one of the most thoroughly studied products of its kind.”

“We’re talking about more than 1,500 studies and 50-plus years of review by the EPA and other leading global health authorities that have affirmed its safety when used as directed,” Hyde-Smith said. “Have you been able to review thousands of studies and decades of scientific review in a matter of months?”

Kennedy responded that her “information about the report is just simply wrong.”

“The drafts that I’ve seen, there is not a single word in them that should worry the American farmer,” Kennedy said.

Hyde-Smith continued her questioning and told Kennedy that it would be “a shame if the MAHA commission issues reports suggesting, without substantial facts and evidence, that our government got things terribly wrong when it reviewed a number of crop protection tools and deemed them to be safe.”

Home energy program in Maine

Several other Republicans on the Senate Appropriations Labor-HHS-Education Subcommittee raised concerns during the two-hour hearing about how Kennedy has run HHS since they confirmed him in February.

Maine Sen. Susan Collins, chairwoman of the full Appropriations Committee, brought up the Low Income Home Energy Assistance Program, or LIHEAP, which the Trump administration has called on Congress to eliminate.

“The LIHEAP program, which we’ve talked about, is absolutely vital for thousands of older Mainers and low-income families,” Collins said. “It helps them avoid the constant worry of having to choose between keeping warm, buying essential foods and medications and other basic necessities.”

Kennedy sought to distance himself from the president’s budget request, saying that he understands “the critical, historical importance of this program.”

“President (Donald) Trump’s rationale and (the Office of Management and Budget’s) rationale is that President Trump’s energy policies are going to lower the cost of energy … so that everybody will get lower cost heating oil,” Kennedy said.

NIH indirect costs

Subcommittee Chairwoman Shelley Moore Capito, R-W.Va., brought up several issues with Kennedy, including efforts to change how much the National Institutes of Health provides to medical schools and research universities for Facilities and Administrative fees, often called indirect costs.

NIH sought to set that amount at 15% across the board for any institution that receives a research grant from the agency, a significantly lower amount than many of the organizations had negotiated over the years, bringing about strong objections from institutions of higher education.

That NIH policy has not taken effect as several lawsuits work their way through the federal court system.

Kennedy indicated NIH has figured out a way to help medical schools and research universities pay for items like gloves, test tubes and mass spectrometers, particularly at state schools.

“In the public universities, we are very much aware that those universities are using the money well, that it is absolutely necessary for them. And we’re looking at a series of different ways that we can fund those costs through them,” Kennedy said. “But not through the independent, indirect cost structure, which loses all control, which deprives us of all control of how that money is spent.”

Kansas Sen. Jerry Moran, a Republican, brought up the measles outbreak and pressed Kennedy on whether HHS needed additional resources to help his home state and others get the virus under control.

Kennedy testified the “best way to prevent the spread of measles is through vaccination” and that HHS has been urging “people to get their MMR vaccines.”

South Dakota grant on mine safety

South Dakota Sen. Mike Rounds called on Kennedy to continue fixing issues created earlier this year when HHS fired people working on mine safety issues at the National Institute for Occupational Safety and Health.

“My office has learned that staff at NIOSH’s Spokane mining research division have been laid off. This office focuses on the unique challenges of Western mining operations that are often more geologically complex and exposed to harsher conditions,” Rounds said. “This division provides critical technical support for institutions like the South Dakota School of Mines and Technology, which recently received a $1.25 million grant to improve underground mining safety. However, the grant has now been canceled due to loss of oversight from the Spokane office.

“This is not just a missed opportunity, it undermines our ability to meet national security goals tied to mineral independence and supply chain resilience.”

Kennedy testified that he’s been able to bring back 238 workers at the agency and said he would work with Rounds to address ongoing issues.

Pledge to fund Head Start, but no dollar amount

Alabama Sen. Katie Britt, a Republican, asked Kennedy about news reports earlier this year that HHS would ask Congress to zero out funding for Head Start, one of numerous programs left out of the administration’s skinny budget request. Head Start provides early learning, health, family and development programs for free for children from low-income families.

Kennedy testified that eliminating Head Start would likely not be in the full budget request, which is set to be released later this year, though the White House budget office has not said when. He said it would ask Congress to fully fund the program, but didn’t share a dollar amount.

“There’s 800,000 of the poorest kids in this country who are served by this program. It not only teaches the kids preschool skills — reading, writing and arithmetic — before they get to prepare them for school. But it also teaches the parents and teaches them how to be good parents.”

Kennedy said there are challenges faced by the Head Start program that he hopes to change during the next four years, including the quality of the food.

“The food they’re serving at Head Start is terrible. You need to change that,” Kennedy said. “We’re poisoning the poorest kids from their youngest years, and we’re going to change that.”

Robert F. Kennedy Jr., the secretary of Health and Human Services, testifies during his Senate Finance Committee confirmation hearing at the Dirksen Senate Office Building on Jan. 29, 2025, in Washington, D.C. (Photo by Win McNamee/Getty Images)

WASHINGTON — Less than half of Americans have confidence in federal public health agencies’ ability to regulate prescriptions, approve vaccines and respond to outbreaks, according to a poll released Tuesday by the nonpartisan health research organization KFF.

The survey shows that just 46% of the people questioned have at least some confidence in federal agencies ensuring the safety and effectiveness of prescription drugs.

Even fewer, 45%, have confidence in the safety and effectiveness of vaccines and only 42% said they have confidence federal health agencies to respond to infectious disease outbreaks, like bird flu and measles.

An especially low percentage of those polled, 32%, had either some confidence or a lot of confidence in federal health agencies acting independently without interference from outside interests.

“There are remarkably low levels of trust in the nation’s scientific agencies, shaped by partisan perspectives, and that presents a real danger for the country if and when another pandemic hits,” KFF President and CEO Drew Altman wrote in a statement accompanying the poll.

Confidence in agencies sags or rises by party affiliation

The percentage of people overall who hold confidence in the U.S. Food and Drug Administration and the Centers for Disease Control and Prevention to provide reliable information about vaccines has dropped since a similar survey in September 2023, though party affiliation shows differing trends.

Democrats with a fair amount or great deal of trust in the FDA’s vaccine information has decreased from 86% to 67%, while trust among Republicans has increased from 42% to 52%.

When combined with independents, overall trust in the FDA’s information about vaccines has decreased, from 61% to 57%.

Confidence in the CDC providing reliable information about vaccines has also shifted based on party affiliation.

During the Biden administration, 88% of Democrats had a fair amount or great deal of trust in the CDC, though that has since dropped to 70%. Republicans have started to come back around to the CDC’s vaccine information, with their level of trust increasing from 40% to 51%.

Altogether, trust in CDC has dropped from 63% to 59%, according to the survey.

“The overall level of trust in each case is similar to where it stood in September 2023, though the poll reveals significant partisan shifts as the second Trump administration and Health and Human Services Secretary Robert F. Kennedy Jr. have started to change vaccine policies and messaging,” the poll states.

Local sources trusted

Health care providers and local public health departments are overwhelmingly looked to as trusted sources for reliable information on vaccines, according to the survey.

Eighty-two percent of respondents said they either have a great deal or a fair amount of trust in doctors and health care providers to give them reliable information about vaccines.

Eighty-one percent said they trust their child’s pediatrician, 66% responded they have confidence in their local public health department, 59% believe in the CDC, 57% trust the FDA and 51% have confidence in pharmaceutical companies to provide factual information about vaccines.

Those polled held less trust in politicians, with 41% believing Kennedy’s comments about vaccines and 37% trusting President Donald Trump “to provide reliable information about vaccines,” according to the poll.

A majority of those surveyed, however, are somewhat or very confident in the safety of several vaccines, including 83% for measles, mumps and rubella, or the MMR vaccine; 82% for pneumonia; 79% for shingles; 74% for the flu; and 56% for COVID-19.

The poll included 1,380 U.S. adults contacted online or via telephone from April 8-15, for a margin of error of plus or minus 3 percentage points. 

In the village of Noatak in Alaska’s Northwest Arctic region, Pregnancy Risk Assessment Monitoring System (PRAMS) data showed the community had lower breastfeeding initiation and six-week breastfeeding rates than the statewide average. This data supported funding to offer culturally-adapted peer breastfeeding services in the region. (Courtesy of Laura Norton-Cruz)

In the remote villages of Alaska where social worker Laura Norton-Cruz works to improve maternal and infant health, there are no hospitals.

Pregnant patients, almost all of whom are Alaska Native, often fly on small 10-seat planes to the region’s larger hub community of Kotzebue. While some give birth there, many more then take a jet out of the Northwest Arctic region to Anchorage, the state’s largest city. By the time they fly back to Kotzebue for their six-week checkup, a high percentage have stopped breastfeeding because of a lack of ongoing supports. 

Norton-Cruz knows that because of data collected by Alaska’s Pregnancy Risk Assessment Monitoring System (PRAMS)— a grantee of the U.S. Centers for Disease Control and Prevention’s PRAMS program, started in 1987 in an effort to reduce infant morbidity and mortality.

But earlier this month, the Trump administration cut the federal program, its 17-member team and more workers in the Division of Reproductive Health as part of sweeping layoffs within the U.S. Department of Health and Human Services.

Rita Hamad, associate professor at Harvard School of Public Health, said PRAMS helps researchers understand what kinds of state policies are improving or harming child health.

“I can’t overemphasize what an important dataset this is and how unique it is to really show national trends and help us try to understand how to optimize the health of moms and young kids,” Hamad said.

PRAMS does not ask abortion-related questions, but some anti-abortion groups still try to make a connection.

“The cuts seem appropriate given all the bias in choosing topics and analyzing data, but if Pregnancy Risk Assessment Monitoring System wishes to justify their reporting, point to the study that has most helped women and their children, born and preborn, survive and thrive,’’ Kristi Hamrick, vice president of media and policy at Students for Life of America, told States Newsroom in an email.

Over the past two years, Norton-Cruz used Alaska’s PRAMS data to identify low breastfeeding rates in the region, connect with people in the villages and interview them about what would help them continue to breastfeed. What they wanted, she said, was a peer in the community who understood the culture — so that’s what she’s been working to set up through federal programs and funding that is now uncertain.

Norton-Cruz also uses responses from PRAMS surveys to identify risk factors and interventions that can help prevent domestic and sexual violence and childhood trauma, particularly in rural communities, where the rates of domestic violence and maternal death are high.

“PRAMS data not being available, I believe, is going to kill mothers and babies,” she said. “And it’s going to result in worse health for infants.”

New York City grant is renewed, but data collection is paused

Individual states collect and report their own data, and the CDC team was responsible for aggregating it into one national picture. Some localities, such as New York City, maintain a full dashboard of data that can be explored by year and survey question. The most recent fully published data is from 2022 and shows responses by region, marital status, Medicaid status and more.

For instance, 2022 data showed women on Medicaid experienced depressive symptoms at a higher rate after giving birth than those not on Medicaid. It also showed that a much higher percentage of women not on Medicaid reported putting their babies on their backs to sleep, the recommended method for safe sleep — 63% of women on Medicaid reported following that method, versus 85% not on Medicaid.

Hamad said PRAMS is the only national survey dataset dedicated to pregnancy and the postpartum period. Her team has studied the outcomes of the Women, Infants, and Children food assistance program, and how state paid family leave policies have affected rates of postpartum depression.

“This survey has been going on for decades and recruits people from almost all states,’’ she said. “There’s really no other dataset that we can use to look at the effects of state and federal policies on infant health and postpartum women.”

Under Secretary Robert F. Kennedy Jr., Health and Human Services laid off about 10,000 employees as part of a restructuring effort in early April. The overhaul is part of the “Make America Healthy Again” initiative, and the agency said it focused cuts on redundant or unnecessary administrative positions. It rescinded some of the firings in the weeks since, with Kennedy telling reporters that some were “mistakes.” It’s unclear if any of those hired back were PRAMS employees.

The cuts, Hamad said, also run counter to the administration’s stated goals of wanting to protect women, children and families.

“The government needs this data to accomplish what it says it wants to do, and it’s not going to be able to do that now,” she said.

The funding for local PRAMS programs seems to be unaffected for now. Spokespersons for health department teams in Alaska, New Mexico, Oklahoma and Kansas told States Newsroom they have not had any layoffs or changes to their grants, but the funding for this fiscal year ends on April 30. Forty-six states, along with D.C., New York City and two U.S. territories, participate in the program. According to the CDC, those jurisdictions represent 81% of all live births in the United States.

New York State Department of Health spokesperson Danielle De Souza told States Newsroom in an email their program has received another year of funding that begins May 1 and supports one full-time and two part-time staffers. But without the assistance of the national CDC team to compile, clean, and prepare the data, maintain the data collection platform and establish standards, De Souza said their state-level operations are on pause.

“We remain hopeful that the data collection platform will be fully reactivated, and that CDC coordination of PRAMS will resume,” De Souza said. “The department is assessing the challenges and feasibility of continuing operations if that does not occur.”

Hamad said some states might be willing to allocate state dollars to the programs to keep them running, but the states that have some of the worst maternal and infant health outcomes — such as Arkansas, Mississippi and Alabama — are the least likely to have the political will to do that. And it would still make the data less robust and valuable than it was before.

“If one state is asking about how often you breastfed in the last week, and another one is asking about the last month, then we won’t have comparable data across states,” she said.

Project 2025, anti-abortion groups have criticized CDC data collection

Jacqueline Wolf, professor emeritus of social medicine at Ohio University, has studied the history of breastfeeding and childbirth practices and said the rates of maternal and infant death were high in the late 19th and early 20th centuries. For every breastfed baby, 15 raw milk-fed babies died. Wolf said 13% of babies didn’t live to their 1st birthday, and more than half were dying from diarrhea.

To help determine what was causing those deaths and prevent it, public health specialists created detailed forms and collected information from families about a mother’s age, the parents’ occupations, race, income level, household conditions, and how the babies were fed.

Researchers at that time were able to determine that babies who weren’t breastfed were getting sick from unpasteurized milk and tainted water supply, and more than half were dying from diarrhea. Through public health reforms, like requiring cow’s milk to be pasteurized, sold in individual sterile bottles and kept cold during shipping, infant death rates dropped, Wolf said.

Health officials also increased education campaigns around the issue. Today, PRAMS uses survey data the same way.

“These were detectives,” Wolf said. “That’s what public health really is, detective work, which is why this data is so important.”

Project 2025, the blueprint document of directives for the next Republican presidential administration crafted by conservative group Heritage Foundation in 2024 and closely followed by President Donald Trump and his cabinet, details plans for the CDC’s data collection efforts. Page 453 of the 900-page document, written by Heritage Foundation executive Roger Severino says it’s proper for the CDC to collect and publish data related to disease and injury, but the agency should not make public health recommendations and policies based on that data because it is “an inescapably political function.”

The agency should be separated into two, Severino wrote, with one agency responsible for public health with a “severely confined ability to make policy recommendations.”

“The CDC can and should make assessments as to the health costs and benefits of health interventions, but it has limited to no capacity to measure the social costs or benefits they may entail,” the document says.

On page 455, Severino says the CDC should also eliminate programs and projects that “do not respect human life” and undermine family formation. It does not name PRAMS as a program that does this, but says the agency should ensure it is not promoting abortion as health care.

Hamrick, of Students for Life of America, told States Newsroom in an email that because there is no national abortion reporting act that tracks outcomes for women who end a pregnancy, assumptions in current reports “taint the outcomes.” Hamrick said the CDC has done a poor job of getting a complete picture of pregnancy risks, including the risk of preterm birth after having an abortion.

“Taxpayers don’t have money to waste on purely political messaging,” Hamrick said.

Without data, researcher worries policy recommendations will be easier to dismiss

If researchers like Laura Norton-Cruz don’t have PRAMS data moving forward, she said they will be operating in the dark in many ways, using anecdotal and clinical data that is not as reliable and accurate as the anonymous surveying. That can make it more difficult to push for funding and program changes from lawmakers as well.

“Moms need safe housing and domestic violence resources, moms need health care and breastfeeding support, and if we can’t show that, then they can justify not providing those things, knowing that those most affected by not having those things will be groups who are already marginalized,” Norton-Cruz said.

While HHS did not cite the administration’s ongoing efforts to remove any content from the federal government that acknowledges disparities in race or gender as its motivation for cutting the PRAMS team, researchers who spoke with States Newsroom think that could be the underlying reason. 

Wolf said race matters in data collection just as much as household economics or class, and it is just as relevant today as it was when PRAMS was established, as maternal death rates for Black women and other women of color are disproportionately high in a number of states. Those states are also often the poorest and have higher infant mortality rates.

Wolf recalled that during Trump’s first term in 2020, the first year of COVID, the administration ordered the CDC to stop publishing public data about the pandemic. She sees a parallel to today.

“I fear that is exactly what’s going on with PRAMS,” she said. “To pretend like you don’t have the data, so the problem doesn’t exist, is just about the worst response you can think of, because more and more mothers and babies are going to get hurt.”

States Newsroom state outlet reporters Anna Kaminski, Danielle Prokop and Emma Murphy contributed to this report.