October 30, 1984
I am withholding my approval of S. 540, the "Health Research Extension Act of 1984," which
would extend and amend the biomedical research authorities of the National Institutes of Health
(NIH).
I have been assured by the Department of Health and Human Services that the Continuing
Resolution gives adequate authority for current NIH activities in fiscal year 1985.
This Administration has a record of strong commitment to the support and conduct of biomedical
research by the NIH. Each year since taking office, I have requested increases for biomedical
research. In 1985, the NIH will receive its largest increase in appropriated funds in history. This
increase will ensure the continued operation of the NIH for the coming year and will continue to
assist in improving medical practice and the health of the American people.
Rather than improve our research efforts, however, the unfortunate result of S. 540 would be to
impede the progress of this important health activity by:
-- two institutes would be created, an arthritis and a nursing institute. This reorganization of the
NIH is premature in light of a study of the NIH organizational structure to be released in a few
weeks by the Institute of Medicine/National Academy of Sciences.
-- numerous bodies, such as a National Commission on Orphan Diseases, an Interagency
Committee on Learning Disabilities, and a Lupus Erythematosus Coordinating Committee, would
be created for which there are existing mechanisms that could or already perform such functions.
-- new positions would be created and numerous reports required that would divert scarce
resources away from the NIH central mission of basic biomedical research.
-- the various NIH peer review groups would be exempted from the provisions of the Federal
Advisory Committee Act and Office of Management and Budget oversight. This represents an
unwarranted interference with internal Executive branch management over the largest number of
advisory groups for any Federal agency.
-- current law contains sufficient authority and flexibility to carry out the important research and
training activities of NIH, to respond to public concerns, and to meet scientific needs and
opportunities. Imposing a uniform set of authorities for each research institution disregards the
more extensive mission of some institutes and overburdens smaller institutes which do not need
these additional programmatic and advisory responsibilities.
-- this attempt to recodify existing statutory language has resulted in some so-called technical
revisions that will result in undesired operational changes in some of the institute programs.
I therefore find no reasonable justification for the extensive changes to the NIH mandated by S.
540. In order to better serve the promise and the future of our national biomedical research
enterprise, I am withholding my approval of this bill.
Ronald Reagan
The White House,
October 30, 1984.
I want to underscore my commitment to biomedical research and the National Institutes of
Health. The NIH has stood as an example of excellence for 40 years. I do not believe that it is
either necessary or wise to revise completely the laws under which it has so successfully
operated.