NIH consolidation and 40% budget cut outlined in leaked document

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Megan Molteni, Jonathan Wosen, and Anil Oza , 2025-04-17 00:25:00

Megan Molteni reports on discoveries from the frontiers of genomic medicine, neuroscience, and reproductive tech. She joined STAT in 2021 after covering health and science at WIRED. You can reach Megan on Signal at mmolteni.13.

A draft Trump administration budget for the Department of Health and Human Services leaked to reporters on Wednesday proposes a massive $20 billion cut for the National Institutes of Health in 2026 — roughly a 40% reduction — and a sweeping consolidation. 

Previous plans floated by Republican members of Congress have proposed restructuring the NIH’s 27 institutes and centers into 15 revised ones. The Office of Management and Budget  proposal, which is dated April 10 and labeled “Pre-decisional,” goes much further — consolidating down to just eight. 

The scale of the proposed budget cut drew strong reactions from research stakeholders. “Short-term, this is going to be a really big deal,” said Jason Owen-Smith, executive director of the Institute for Research on Innovation and Science, a consortium of dozens of universities. “Long-term, it represents, conservatively, a fundamental change in the national aspirations of the U.S. in the field of biomedicine. I don’t think there’s another way to think about a change of this magnitude.”

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