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February 15, 2022
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Senate narrowly confirms Califf to lead FDA again

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The Senate has confirmed cardiologist Robert Califf, MD, MACC, to lead the FDA for a second time.

Robert Califf

Califf was nominated by President Joe Biden in November to return to the top post at the agency, which he held during the final year of the presidency of Barack Obama, stepping down prior to the swearing in of Donald J. Trump as president.

The vote to confirm was 50-46, mostly along party lines, with six Republicans voting in favor of confirmation and five Democrats or independents voting against, according to a tweet from the Senate press gallery. By contrast, Califf was confirmed by a margin of 89-4 in 2016.

In a press release from the American Heart Association, AHA CEO Nancy Brown praised the confirmation.

“Throughout his career, Dr. Califf has been a relentless force in the fight against heart disease and stroke. As FDA commissioner, Dr. Califf will put this experience to work leading the agency’s critical efforts to protect and improve the public’s health. The American Heart Association congratulates Dr. Califf on his confirmation and thanks the Senate for its bipartisan support of an outstanding leader,” Brown said in the release. “With a distinguished career in public service and a long-time volunteer leader at the American Heart Association, Dr. Califf has honed his ability to communicate and build trust with diverse constituencies. He will use his experience as a cardiologist to safeguard the health and well-being of people throughout the country, and his background in research to prioritize science and evidence-based policymaking. His previous leadership of the FDA will enable him to hit the ground running and ensure the agency can meet the current public health threats. The FDA faces a formidable set of challenges that require urgent action, and we look forward to working with Dr. Califf to ensure the FDA prioritizes the health and well-being of the nation.”

Califf spent most of his career at Duke University School of Medicine and the Duke Clinical Research Institute, the latter of which he founded. After his previous stint at the FDA, Califf became senior adviser to Google Health and Verily, but retained an academic position at Duke.

Califf replaces Janet Woodcock, MD, who has been acting FDA commissioner since the beginning of the Biden administration.

During the confirmation process, supporters praised Califf for his experience and expertise and stressed the need for steady leadership at the agency during the COVID-19 pandemic, while opponents criticized his ties to the pharmaceutical industry and his leadership of FDA during the opioid crisis.