‘Waking Up With Panic Attacks’: NIH 15% Plan Caps Tumultuous Weeks Under New Administration

Health Care Compliance Association (HCCA)
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Health Care Compliance Association (HCCA)

Report on Research Compliance 22, no. 3 (March, 2025)

If NIH succeeds in imposing an across-the-board indirect cost rate of 15%, rough estimates indicate the University of Michigan could lose $119 million a year. Emory University could be down $75 million. For the University of Washington, the cap could mean an annual decline of $86 million.

Courts have issued temporary restraining orders (TROs) stopping NIH from imposing this policy, which was announced on a Friday after 6 p.m. But it is just one of the changes in funding amounts and policies instituted by the Trump administration in its very early days that have left some research compliance officials, investigators and institutional leaders flummoxed and fearful.

“I’m waking up in the middle of the night having panic attacks,” said one who spoke to RRC on the condition of anonymity, adding that recent weeks have been “mentally torturous.”

The research community has also been rattled by mass firings at granting agencies, following a funding freeze ordered by the Office of Management and Budget (OMB) and later rescinded after a successful lawsuit. Despite TROs, widespread disruptions in payments for ongoing and new awards continue. Other challenges include trying to interpret the various executive orders being issued daily, including those associated with diversity, equity and inclusion (DEI) or DEI programs that encompass accessibility (DEIA)—prioritized by the Biden administration but many now considered a form of illegal discrimination by President Donald Trump.

“I would say that, as a research administrator, I read things very carefully to understand what they mean and that many of the things that are coming out, whether it’s the wording of the executive orders or the notice about the indirect costs, do not make any sense when you actually read them,” one told RRC. “They are very confusing, even if it weren’t for the pace of changes and the number of reversals.”

The administration is seeking to significantly reduce the size of the federal workforce. In addition to a hiring freeze, some 75,000 workers accepted the government’s “deferred resignation” offer. OMB also ordered agencies to fire all probationary employees, with some case-by-case exceptions, which may result in the loss of perhaps 200,000 workers. High-level officials are being let go or leaving. Michael Lauer, NIH deputy director for extramural research, and Larry Tabak, principal deputy director, announced retirements within two days of each other; Tabak’s email reportedly was sent at 10 p.m. on Feb. 12 and was effective immediately.

Following the swearing in of new HHS Secretary Robert F. Kennedy Jr. on Feb. 13, President Trump signed an executive order creating the President’s Make America Healthy Again Commission, whose goals include prioritizing research on the causes of chronic diseases.[1]

Below is an overview of several major developments, including the indirect cost rate reduction, executive orders on DEIA; the practical impact of staffing reductions; and strategies for not burning out. A story on the associated legal bases for award terminations appears elsewhere in this issue.[2]

RRC also spoke with a research administrator about life amid the changes.[3] RRC will continue to report on the new administration and its impact on research in future issues.

[View source.]

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