In a video interview with Applied Clinical Trials from earlier this year, Michael Liu, then medical student and researcher at Harvard Medical School, said: “It's not unreasonable to think that these cuts will have really impacted people in the clinical research industry, especially those who conduct trials. We know that trials are very expensive, and a loss of funding really compromises the ability to sustain and continue trials.”
Proposed NIH consolidation and congressional response
One of the Trump administration’s largest proposed slashes to NIH funding came earlier in May with the 2026 federal budget aiming to cut $17.97 billion from the agency. The proposal also aimed to consolidate the NIH from 27 centers and institutes at the start of 2025, down to just five:
- National Institute on Body Systems Research
- National Institute on Neuroscience and Brain Research
- National Institute of General Medical Sciences
- National Institute of Disability Related Research
- National Institute on Behavioral Health
A notable exclusion is the National Institute on Minority and Health Disparities, which would see $534 million in funding terminated due to its DEI nature.4
As of right now, the proposal is in flux as Congress rejected it in August and instead proposed a $400 million budget increase.5
Ongoing funding challenges for biomedical research
Despite these challenges for the NIH, a September 29 report from Nature revealed the agency was actually on pace to spend all of its $48 million budget by the end of the fiscal year on September 30. While the budget will be spent, it is funding far fewer projects as the White House directed the NIH to award large sums up front. As a result, success rates for grant applications sit at an all-time low.6
In his video interview with ACT, Liu concluded: “I think these cuts further potentially compromise the relationships and trust that we have with patients to continue to sustain the clinical trial enterprise.”
References
1. 2026. NIH Contingency Staffing Plan. HHS. Accessed October 7, 2025. https://www.hhs.gov/about/budget/fy-2026-nih-contingency-staffing-plan/index.html
2. FY 2026 HHS Contingency Staffing Plan for Operations in the Absence of Enacted Annual Appropriations. HHS. Accessed October 7, 2025. https://www.hhs.gov/about/budget/fy-2026-hhs-contingency-staffing-plan/index.html
3. Clinical Research, DEI Initiatives Caught in Political Headwinds Amidst Funding Freeze. Applied Clinical Trials. February 13, 2025. Accessed October 7, 2025. https://www.appliedclinicaltrialsonline.com/view/clinical-research-dei-initiatives-political-headwinds-funding-freeze
4. Masson, G. Trump plans $18B NIH budget cut, wants 27 centers consolidated into 5. Fierce Biotech. May 2, 2025. Accessed October 7, 2025. https://www.fiercebiotech.com/biotech/trump-plans-18b-nih-budget-cut-wants-27-centers-consolidated-5
5. Masson, G. Senate committee opposes Trump’s NIH cuts, proposes $400M budget increase. Fierce Biotech. August 4, 2025. Accessed October 7, 2025. https://www.fiercebiotech.com/biotech/senate-committee-oppose-trumps-nih-cuts-propose-400m-budget-increase
6. Kozlov, M. NIH races to spend its 2025 grant money — but fewer projects win funding. Nature. September 29, 2025. Accessed October 7, 2025. https://www.nature.com/articles/d41586-025-03168-4